2021
DOI: 10.1038/s41598-021-94639-x
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Induction of cryptic pre-mRNA splice-switching by antisense oligonucleotides

Abstract: Antisense oligomers (AOs) are increasingly being used to modulate RNA splicing in live cells, both for research and for the development of therapeutics. While the most common intended effect of these AOs is to induce skipping of whole exons, rare examples are emerging of AOs that induce skipping of only part of an exon, through activation of an internal cryptic splice site. In this report, we examined seven AO-induced cryptic splice sites in six genes. Five of these cryptic splice sites were discovered through… Show more

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Cited by 6 publications
(4 citation statements)
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“…Eight other exons (3, 4, 5, 6, 7, 9, 10 and 11) are out-of-frame, and hence removing any of these individual exons would lead to a shift in the reading frame and may render the induced mRNA transcript susceptible to degradation through nonsense-mediated decay (NMD). However, our previous study showed that some transcripts escaped NMD when the premature stop codon was shifted to the penultimate exon after induction of targeted exon skipping 22 . Hence, in addition to the two in-frame exons, exons 2 and 8, we designed exon skipping AOs targeting exons 9, 10, or 11 to assess whether terminally truncated PCSK9 protein isoforms are produced.…”
Section: Analysis Of Pcsk9 Transcriptmentioning
confidence: 96%
“…Eight other exons (3, 4, 5, 6, 7, 9, 10 and 11) are out-of-frame, and hence removing any of these individual exons would lead to a shift in the reading frame and may render the induced mRNA transcript susceptible to degradation through nonsense-mediated decay (NMD). However, our previous study showed that some transcripts escaped NMD when the premature stop codon was shifted to the penultimate exon after induction of targeted exon skipping 22 . Hence, in addition to the two in-frame exons, exons 2 and 8, we designed exon skipping AOs targeting exons 9, 10, or 11 to assess whether terminally truncated PCSK9 protein isoforms are produced.…”
Section: Analysis Of Pcsk9 Transcriptmentioning
confidence: 96%
“…Usage of these cryptic splice sites mostly leads to a disruption of the reading frame and a reduction in the amount of functional protein produced. ssASOs can bind to the cryptic splice sites (exonic and intronic) and hide them from the splicing apparatus to restore canonical splicing [98,99]. These variants are the ideal targets for ssASOs but are less likely to be picked up with routine diagnostic sequencing and rarely have their effect reliably predicted.…”
Section: Exon Skippingmentioning
confidence: 99%
“…Typically, these well-defined splice sites are recognized by the spliceosome to excise and ligate exons embedded in introns to form mature mRNA. However, mutations that interfere with authentic splicing can cause cryptic splice sites as they create a new splice site that is usually not recognized [114]. To suppress and redirect the aberrant splice site, splice-switching ASOs manipulate the splice site by binding complementarily in an antisense orientation to a specific pre-mRNA sequence and interfering with RNA duplex or normal protein-RNA interactions [115].…”
Section: Splice-switching Asosmentioning
confidence: 99%