|
|
||||||||
1 Department of Medicine and
2 Program in Molecular Genetics and Microbiology, University of Massachusetts Medical School, Worcester, Massachusetts 01605-2324, USA
Reprint requests to: Ravindra N. Singh, Department of Medicine (LRB 326), University of Massachusetts Medical School, 364 Plantation Street, Worcester, MA 01605-2324, USA; e-mail: Ravindra.Singh{at}umassmed.edu; fax: (508) 856-6797.
| ABSTRACT |
|---|
|
|
|---|
Keywords: SMN; alternative splicing; in vivo selection; SMA
| INTRODUCTION |
|---|
|
|
|---|
Spinal muscular atrophy (SMA), the second most common autosomal recessive disorder, is caused by the absence of the Survival of Motor Neuron 1 (SMN1) gene (Lefebvre et al. 1995
), which encodes a ubiquitously expressed 38-kDa protein that plays an essential role in cellular metabolism (Meister et al. 2002
; Pellizzoni et al. 2002
). A nearly identical copy of the gene, SMN2, fails to compensate for the loss of SMN1 because exon 7 is skipped, producing a truncated protein SMN
7, which is unstable (Lorson et al. 1998
). SMN1 and SMN2 differ by a critical C-to-T substitution (C6U transition in transcript of SMN2) at position 6 of exon 7. This single nucleotide substitution determines exon 7 usage (Lorson et al. 1999
; Monani et al. 1999
). Based on ESE score matrices, C6U has been implicated in abrogation of an ESE (Fig. 1
; Cartegni and Krainer 2002
). According to this model, disruption of the ESE (motif "CAGACAA") associated with SF2/ASF causes exclusion of exon 7 in SMN2. Supporting this model, UV-cross-linking showed specific interaction of SF2/ASF with exon 7 of SMN1 but not with SMN2. Further, SF2/ASF promoted exon 7 inclusion in an in vitro splicing reaction (Cartegni and Krainer 2002
). Contradicting the ESE model, a recent report proposed that C6U creates an ESS motif ("UAGACA") associated with hnRNP A1, which causes skipping of exon 7 (Fig. 1
; Kashima and Manley 2003
). It was shown that reduction of hnRNP A1 in HeLa cells using RNA interference promoted exon 7 inclusion in SMN2. Through in vitro UV-cross-linking, hnRNP A1 was found to bind exon 7 of SMN2 but not SMN1.
|
Iterative in vivo selection represents a high throughput screen that allows parallel sampling of a very large population of molecules for a desired property (Coulter et al. 1997
). Using in vivo selection and a series of mutations, we have recently shown that C6U creates an extended inhibitory context (named "Exinct"; Fig. 1
; Singh et al. 2004
). Our results suggest that several overlapping sequence motifs collaborate to regulate the alternative splicing of exon 7. Here, we report the use of a modified version of iterative in vivo selection that identified the role of sequences beyond small motifs. Our method was designed to randomly create point or clustered point mutations that allowed testing the position-specific role of all wild-type nucleotides within the entire exon 7. These mutations were generated through partial randomization. The distribution of mutations within enriched exon 7 identified the hyper- and hypomutable regions that reflected the negative and the positive nature of the wild-type nucleotides, respectively. This approach revealed the suboptimal nature of the 5' ss, which was improved by an adenosine-toguanosine substitution at the last position of exon. In addition to confirming the presence of Exinct, it also identified an additional inhibitory element located near the 3' end of exon 7. Our results reveal many novel features of combinatorial control that defines a critical exon in the spinal muscular atrophy genes.
| RESULTS |
|---|
|
|
|---|
|
Sequencing of a statistically significant number of clones from the initial pool confirmed partial randomization at every position of exon 7 (not shown). Some positions were more random than the others (Fig. 3A
). This is typical for any randomized oligo synthesis in which exact percentage of bases at any particular position cannot be controlled. The average randomization per molecule was 33%, close to the desired value. Consistent with the probability distribution, the initial pool harbored sequences with a broad range of substitutions (Fig. 3B
). Of note, partial randomization produces only a fraction of the possible variants. For example, our experiment began with ~1011 unique molecules that represent a fraction of the "saturation of sequence space," which is defined as theoretically possible variants (~1032) that could be generated upon complete randomization of 54-nt-long exon 7. However, synthesis of all variants is neither desirable nor possible.
|
|
|
|
Selection of terminal guanosine residues exceeds the statistical probability
Terminal exonic positions interact with a number of protein factors at different steps of splicing. However, because of the inherent difficulty in precise iterative amplification of an entire exon, functional selection assays have not been used to determine their relative significance. Despite the prevalence of G residues at both terminal exonic positions(Burge et al. 1999
), their impact on alternative splicing is not known. A complete randomization of position 1 with 25% of each of the four nucleotides should select 1G in ~50% of the instances for a constitutive exon (Burge et al. 1999
). In this case 1A, 1C, and 1U should represent the remaining 50% of the molecules. Because our initial pool contained A, C, and U residues in ~28% of the cases (Fig. 3A
), we should have selected these residues in ~14% of the instances if exon 7 were to fall into the category of a typical constitutive exon. However, the wild-type G at position 1 was retained in more than 98% of the isolates, suggesting the inhibitory role of other residues at this position. In agreement with the stimulatory role of 1G, in vivo selection of the first 6 nt of exon 7 retained 1G in all the isolates (Singh et al. 2004
).
Similar to 1G, the preference of 2G also exceeded the statistical prevalence. Generally, the second position of constitutive exons has no preference for any particular nucleotide (Burge et al. 1999
). We isolated 2G in ~81% of the instances, which is ~14% higher than the neutral position. The second highest preference was for a C residue at this position. Surprisingly, U had the lowest preference at this position, although an earlier in vitro selection with U2AF,35 which interacts with the 3' ss, had shown a strong preference for 2U (Wu et al. 1999
). This may suggest interaction of other proteins that are specific to exon 7. The nature of residues selected at position 2 matched with the in vivo selection of the first 6 nt of exon 7 (Singh et al. 2004
).
Another surprising result was the overwhelming selection of a non-wild-type G residue at the last position of the exon (54G). This is in agreement with the prevalence of the 3' terminal G, which is represented in ~80% of the cases in humans (Burge et al. 1999
). Because our initial pool contained 54G in ~11% of the variants, we should have selected 54G in ~35% of isolates if exon 7 were to behave like a typical constitutive exon. However, 54G was found in ~82% of the selected clones, suggesting that the wild-type 54A is inhibitory, which may be responsible for the weak 5' ss of exon 7. This also implies that a weak 5' ss is the limiting factor for exon 7 exclusion in SMN2.
In vivo selection confirms the presence of Exinct
Consistent with our recent report that revealed the presence of Exinct (Singh et al. 2004
), in vivo selection of the entire exon 7 showed the longest tract of mutable residues at the 5'-end of exon 7. The core of Exinct covered 13 residues between positions 3 and 15 (Fig. 6
). Eight positions (3, 4, 5, 7, 11, 13, 14, and 15) were highly mutable in this tract. Within Exinct, position 4 showed the highest mutability of 3.9 that was second to only position 54. In agreement with these results, mutations in this region have been previously shown to promote exon 7 inclusion in SMN2 (Singh et al. 2004
). Noticeably, a G residue at position 8 was retained in most of the selected clones, suggesting that wild-type 8G is not inhibitory. This residue could be important for providing the secondary contact to protein that interacts with upstream and/or downstream sequences. Residues at positions 10 and 12 could also provide similar secondary contacts. Consistent with the earlier results of single mutations (Lorson and Androphy 2000
; Cartegni and Krainer 2002
) and in vivo selection of a stretch of the first 6 nt of exon 7 (Singh et al. 2004
), position 6 preferred the non-wild-type G residue to U or A residues. Guanosine was twice as preferred at position 4 than at position 6, although U4G mutation has been shown to be not as efficient as U6G (Singh et al. 2004
). This highlights the nature of combinatorial control, in which other positions may have collaborated with 4G than could be achieved by single mutations. Our recent study has shown such collaborations through long-distance interactions within Exinct (Singh et al. 2004
). Thus we infer that abrogation of Exinct through a combination of substitutions may be necessary for efficient inclusion of exon 7. This hypothesis is in agreement with the absence of selection of any specific ESE motif at the 3' ss of exon 7.
The 3'-Cluster represents a novel inhibitory cis-element
The in vivo selection identified a number of mutable residues that form a 7-nt-long cluster toward the 3'-end of exon 7, which we call the "3'-Cluster." This cluster spans positions 45 through 51 and includes the translation termination codon. It also includes the last residue of a leucine codon (UUA between positions 43 and 45) that is not evolutionary conserved among mammalian exon 7 (Fig. 7A
). Deletion of UUA promoted exon 7 inclusion in SMN2, whereas deletion of the preceding codon had no effect (Fig. 7B
, lanes 4,5). This suggests a specific role of these nucleotides that were gained (or retained) during evolution. Validating the inhibitory nature of the 3'-Cluster, other triple deletions (or codon deletions) as well as many single mutations within this tract restored exon 7 inclusion in SMN2 (Fig. 7B
). Interestingly, a single A51C mutation restored exon 7 inclusion to the level of SMN1. Because of covariations in which selection at one position is driven by residues at other positions, the effect of all single mutations would not be the same. Consistently, some single mutations were more effective than the others. Supporting the inhibitory nature of the 3'-Cluster, an in vivo selection of a small stretch of sequence spanning this region preferred non-wild-type residues (data not shown).
|
|
|
| DISCUSSION |
|---|
|
|
|---|
Context-specific role of terminal exonic positions
In vivo selection of the entire exon 7 provided the first opportunity to simultaneously test the context-specific role of terminal exonic positions. The results of selection supported the conserved nature of the first nucleotide (1G) of exon 7, and, along with the site-directed mutations (Fig. 9
), confirmed its critical role in the definition of this exon. In our previous report, we had shown the dominant role of 1G could not be replaced by any combination of substitutions within the first six positions of exon 7 (Singh et al. 2004
). In addition to the interaction with U2AF35 (Wu et al. 1999
), functions of 1G may include the interactions with proteins that participate in the second transesterification step (Collins and Guthrie 2000
; Moore 2000
; Chua and Reed 2001
; Lallena et al. 2002
). Control at the second step of splicing is consistent with the proofreading function of the spliceosomal machinery. We have previously shown that insertion of a G residue at intron 6/exon 7 boundary obliterates exon 7 inclusion (Singh et al. 2004
). This clearly demonstrates that 1G executes a stimulatory role only in the context of a 54-nt-long exon 7, not the 55-nt-long exon 7. These results also highlight the context-specific features of cis-elements that are intimately tied to the size of exon 7. This further suggests that 1G in exon 7 does not merely perform a generic role as expected from an otherwise typical constitutive exon. We believe that absence of 1G in exon 7 creates a negative cis-element, and that is the reason why 1G could not be functionally replaced by mutations within the first six positions of exon 7 (Singh et al. 2004
). This was also the reason why stimulatory 54G alone was not enough to drive selection of isolates containing G1H substitutions. Supporting this argument, a G1C isolate had 10 substitutions within the first 16 positions of exon 7, in addition to the A54G substitution (Fig. 5
).
One of the important findings of in vivo selection was the role of the noncoding 54A, the last position of exon 7. The overwhelming selection of A54G substitution suggests the highly inhibitory nature of wild-type 54A. Despite guano-sine comprising ~80% of the last position of internal exons (Burge et al. 1999
), the role of this residue is not fully understood. In addition to its involvement in base-pairing with U1 snRNA, 54G may have other functions. For example, a recent study with the yeast homolog of the U1C protein showed its preference for a G residue at the last position of exon (Du and Rosbash 2002
). Interaction of U1C protein precedes and possibly assists in U1 snRNA base-pairing at the 5' ss. Further, 54G may break an RNA secondary structure that is inhibitory for the recruitment of U1 snRNP at the 5' ss. All of these factors may have contributed to a context-specific dominant role of 54G in exon 7 splicing. The effect of 54G was so pronounced that abrogation of the Tra2-ESE in SMN2 was tolerated (Fig. 9B
, lane 13). Further, the inhibitory effects of G1H substitutions in combination with an abrogated Tra2-ESE were also compensated by 54G. The available computational programs cannot predict such a dominant effect of one exonic nucleotide on pre-mRNA splicing. A functional analysis of exons using a two-exon cassette also failed to detect the weak 5' ss of exon 7 (Lim and Hertel 2001
). We were able to assess the effect of 54G because a three-exon cassette, in which exons 6 and 7 competed for the same 3' ss of intron 7, was used.
The presence of a G residue at the last position of an internal exon is not an absolute guarantee for its inclusion. For example, the abrogation of Tra2-ESE in the presence of inhibitory G1U substitution in SMN2 led to exon 7 exclusion (Fig. 9B
, lane 16). In several other instances, such as exon 11 of NF1 (Fang et al. 2001
), exon 9 of human ATP synthase
-subunit (Hayakawa et al. 2002
) and exon 12 of CFTR (Pagani et al. 2003
), the exons are alternatively spliced despite G at the last position. In addition, the tissue-specific skipping of exon 6 of Caspase-3 gene has been reported despite the presence of guanosine residues at both ends of the exon (Huang et al. 2001
). Selection of two clones with 54U and one with 54C further suggests that the presence of 54G is not an essential requirement for improving the 5' ss of exon 7 (Fig. 5
). This also demonstrates that the selected 54H variants were equally good if not better than the 54G containing isolates. These results clearly show that selection of 54G accompanied with the retention of the wild-type stimulatory motifs, as well as elimination of the wild-type inhibitory motifs. This was necessary to compete among 1011 variants that were initially used for in vivo selection. In other words, the strong stimulatory effect of 54G was exerted in association with other factors that also contributed to the selection. Our results suggest that the absence of 54G strengthens the inhibitory effects exerted by the residues of the 3'-Cluster that is strategically located in the vicinity of the 5' ss. Supporting this argument, a number of mutations within the 3'-Cluster promoted exon 7 inclusion in SMN2 (Fig. 7B
).
Selection preserved the wild-type character of the molecule
Despite the predominant selection of G residues at the terminal positions, the wild-type nucleotides at many positions were found to be conserved. This suggests that only minimal changes were required to improve exon 7 inclusion by either abrogating the existing ESS elements and/or by strengthening the weak ESE elements. When we analyzed the variants with less than 33% substitutions, it was remarkable to observe a long tract of conserved positions in the middle of exon 7. This validated the rationale of our approach using 33% randomization, which was meant to determine the position-specific role of all exonic nucleotides. Supporting an essential role of Tra2, its associated ESE was found to be conserved. Consistent with the stimulatory role of the long conserved tract, mutations outside the boundary of Tra2-ESE also led to exon 7 exclusion in SMN1 (Fig. 8
). These results suggest that multiple proteins may contact the long conserved tract in the middle of exon 7.
Role of secondary contacts and RNA structure
We found position 8 (8G) relatively conserved within an otherwise inhibitory context. It is possible that 8G plays an important role by providing secondary contact to protein(s) or protein complexes that primarily bind to other sites. Secondary contacts may help stabilize a bridging proteinprotein interaction critical for exon definition. We hypothesize that Tra2 or its interacting partners SRp30c and hnRNP G make such contacts to 8G to recruit U2AF35 at the 3' ss. The role of an RNA secondary structure in reinforcing such contacts could not be ruled out. 8G falls within a loop of a predicted terminal stem-loop structure TSL1 at the 3' ss of exon 7 (Singh et al. 2004
). The specific orientation of 8G with respect to both the 3' ss and Tra2-ESE may be critical for secondary contacts. Our earlier report in which addition of one base at the intron 6/exon 7 boundary completely obliterated exon 7 inclusion in SMN1 supports this hypothesis (Singh et al. 2004
). The important role of secondary contacts has been well established for a group II intron binding protein (Matsuura et al. 2001
). Recently, it has been implicated for SR-proteins that show specificity to RNA conformations (Buratti et al. 2004
). The effect of additional contacts has also been observed for U1 snRNP protein U1C, which produced different binding motifs in iterative selection experiment when flanking sequences varied (Du and Rosbash 2002
). The above observations support a common theme in which distance and distribution of sequences that flank critical motifs are equally important.
Evolutionary considerations
One of the advantages of our strategy is the identification of cis-elements that are gained during evolution of the human genome. For instance, a comparison of mammalian exon 7 sequences revealed that human exon 7 contains an additional codon UUA between positions 43 and 45 (Fig. 7A
). Supporting the inhibitory nature of this codon, A45 was found to be mutated by this selection protocol. Deletion of this particular codon restored exon 7 inclusion in SMN2 to the level of SMN1 (Fig. 7B
). This is a very interesting observation, suggesting that the effects of the C6U transition is not inhibitory in the absence of a codon that was gained/ retained during evolution. From the mechanistic point of view, this observation clearly demonstrates the interconnectivity of events that ensue at both ends of exon 7. Because of the critical difference in the sequence, it is most likely that exon 7 splicing in humans is regulated differently than in other mammalian counterparts. We believe that specific requirement in humans may have arisen due to duplication of SMN genes. Such a requirement may include putting a cap on the levels of SMN synthesis. Thus, the roles played by 54A and the 3'-Cluster may be an essential component of the fine regulation of SMN gene expression. Also, this could be one of the most plausible reasons why evolution of human SMN did not opt for 54G, which would have assured exon 7 inclusion without any consequence to the protein sequence.
Future implications
Having successfully established the in vivo selection of an entire exon, our approach has enormous potential for analysis of other alternatively spliced exons. Our results demonstrated the "power of partial randomization," which revealed the context-specific positive and negative motifs, even in the presence of skewed selection at a few positions. With the advancement in oligo synthesis and DNA sequencing technology, our approach offers an attractive alternative to the random mutations that provide only limited information. In the absence of a general method to predict ESS and the inherent difficulty in performing the iterative in vivo selection of terminal exonic sequences, our approach offers a significant advantage. However, like any other method, all elements may not be discovered in one experiment. Additional experiments will be required to confirm specific features that could not be predicted by a mutability plot. These features include but are not limited to covariations, secondary contacts, and RNA structure. Based on the results of in vivo selection of the entire exon 7, future experiments that will further define a particular sequence stretch would be easier to plan.
Beyond helping understand the exon-specific mechanism of alternative splicing, our approach will have use in predicting disease severity. As evident from the available expressed sequence tags (ESTs), there are variations in exon 7 sequences among the human population. Our results suggest that people with SMN1 deletions will have little or no risk of SMA if their SMN2 exon 7 has appropriate mutations that abrogate inhibitory elements such as Exinct and/ or the 3'-Cluster. Similar studies will be helpful in predicting the risk of other diseases that are directly associated with alternative splicing.
In summary, our approach established the feasibility of iterative in vivo selection of an entire exon. Using this approach we were able to show the relative significance of many positions within a critical exon that is associated with a debilitating disease of infants and children. Our results demonstrated the dominant effect of one exonic position that creates an extremely weak 5' ss. It also confirmed the presence of Exinct and identified a long conserved tract in the middle of exon. It revealed a novel inhibitory cis-element at the 3'-end of exon 7 (3'-Cluster). Understanding alternative splicing of SMN genes is critical for considering novel treatment strategies. Most SMA patients carry copies of SMN2. Thus, improving exon 7 inclusion in SMN2 holds the promise for a cure. Our results provide additional avenues in which the potential drugs could be designed to target the 5' ss, leading to the increased inclusion of exon 7 in SMN2.
| MATERIALS AND METHODS |
|---|
|
|
|---|
I6 and pSMN2
I6 were constructed by deleting ~6 kb within intron 6 from pSMN1 and pSMN2, respectively (Singh et al. 2004
I6 and pSMN2
I6 refer to SMN1 and SMN2, respectively. The minigene splicing cassette pBxT2 was described earlier (Singh et al. 2004
Cell culture, transfection, and in vivo splicing analysis
Human cervical carcinoma (C33a) cells were grown in Dulbeccos modified Eagle medium (DMEM) supplemented with 10% fetal bovine serum (GIBCO-BRL), 100 units/mL penicillin, and 100 µg/mL streptomycin (Mediatech). Transfections, reverse transcription, and amplification were performed similarly as described by Singh et al. (2004)
. Amplification products representing the in vivo spliced intermediates were separated on a native 5.8% polyacrylamide gel (w/v). Analysis and quantifications were performed using a FPL-5000 Image Reader and ImageGauge software (Fuji Photo Film Inc.). Splicing efficiency was calculated after normalization to the internal HPRT control by computing the fraction of spliced product counts over the sum of spliced and unspliced counts. The percentages of exon 7-included and exon 7-excluded products were calculated from an average of three independent experiments.
Generation of a partially random exon 7
The initial pool with partially random exon 7 was generated using a 90-mer oligonucleotide (E7Rand; 5'-CCTTTATTTTCCTTACAG ggtttcagacaaaatcaaaaagaaggaaggtgctcacattccttaaattaaggaGTAA G T C T GCCAGCATTA-3'). Lowercase letters represent partially random 54-nt-long exon 7; capital letters represent two stretches of flanking intronic sequences (18 nt each). The randomization (doping) was performed with 70% wild-type and 10% each of the three non-wild-type nucleotides (Singh et al. 2002
). Using high fidelity PCR with Pfx, E7Rand as an upstream primer, PCI-DN as a downstream primer, and pSMN1
I6 as a template, a 1.1-kb DNA fragment was generated. This fragment contained a partially random exon 7, the entire intron 7, and most of exon 8. Approximately 4 µg (~4 x 1012 unique molecules) of the gel-purified fragment were used as a mega-primer in the second PCR with PCI-UP as a forward primer and pSMN1
I6 as a template. The resultant 1.5-kb-long amplification product (containing the entire exon 6, short intron 6, a partially random exon 7, the entire intron 7, and most of exon 8) was gel purified and digested with NotI and XhoI. The digestion product was ligated into NotI-XhoI-digested pSMN1
I6. The ligation mixture served as the initial pool (pool 0), which was used for in vivo selection experiments. Sequences of the clones from the initial pool confirmed partial randomization (not shown).
In vivo selection
The in vivo selection experiment started with transfection of C33a cells with the initial pool of splicing cassettes (~2 x 1011 unique molecules per 4 x 106 cells) and continued with the selection and amplification steps outlined in Figure 2A
: (1) amplification of the in vivo spliced products by RT-PCR; (2) gel isolation of the product with included exon 7; (3) amplification of exon 7 in a second PCR reaction; (4) ligation of amplified exon 7 back into a splicing cassette; and (5) transfection of C33a cells with the ethanol-precipitated ligated products. Steps from 1 to 5 comprised one round of selection. Repeated rounds enriched exon 7 sequences that promoted exon 7 inclusion. At each round, the transfection was done directly with the ligation mixture to maintain pool diversity (Singh et al. 2004
). Ligation was performed in a 100-µL reaction containing ~1 µg of BsaXI-digested pBxT2 and ~50 ng of enriched exon 7 fragment. Approximately 1µg of ligated plasmid (~2 x 1011 molecules) was used to transfect two 60-mm plates of C33a cells (~2 x 106 cells per plate) using a standard calcium phosphate co-precipitation procedure. About 20 h posttransfection, cells were harvested, total RNA was isolated, and the in vivo spliced intermediates amplified by RT-PCR essentially as described earlier except that ~3 µg of total RNA were used per 20 µL RTase reaction and the number of PCR cycles did not exceed 20. The 333-bp DNA fragment, which corresponded to the exon 7-included product, was gel purified and used as a template for the second PCR with primers B1 and B2 (Fig. 2B
). The resulting 134-bp DNA fragment was gel purified, digested with BsaXI and inserted back into the BsaXI-linearized pBxT2. At each round, a fraction of ligation mixture was transformed into Escherichia coli to isolate the individual clones. The splicing activity of ~30 unique clones was analyzed at each round. Four rounds of selection were performed and the splicing pattern of 59 unique clones from pool 4 was determined.
Analysis of sequences
We analyzed the statistically significant number of clones from the final round of in vivo selection. To determine the position-specific significance of nucleotides, sequences were forced aligned from one end to the other (Bartel et al. 1991
; Singh et al. 2002
). The "mutability values" shown in Figure 6
were calculated by comparing the ratios (R) of mutant (mut) to wild-type (wt) nucleotides of exon 7 in selected (pool-4) and initial pools (pool-0), using the equation [(R(mut/wt)pool-4)/(R(mut/wt)pool-0)] - 1 (Deminoff et al. 1995
). Motif analyses were done using MacVector software. Covariation analysis was done manually.
| ACKNOWLEDGMENTS |
|---|
The publication costs of this article were defrayed in part by payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734 solely to indicate this fact.
| Footnotes |
|---|
Received April 6, 2004; accepted May 24, 2004.
| REFERENCES |
|---|
|
|
|---|
Andreassi, C., Jarecki, J., Zhou, J., Coovert, D.D., Monani, U.R., Chen, X., Whitney, M., Pollok, B., Zhang, M., Androphy, E., et al. 2001. Aclarubicin treatment restores SMN levels to cells derived from type I spinal muscular atrophy patients. Hum. Mol. Genet. 10: 28412849.
Bartel, D.P., Zapp, M.L., Green, M.R., and Szostak, J.W. 1991. HIV-1 Rev regulation involves recognition of non-WatsonCrick base pairs in viral RNA. Cell 67: 529536.[CrossRef][Medline]
Baskerville, S., Zapp, M., and Ellington, A.D. 1995. High-resolution mapping of the human T-cell leukemia virus type 1 Rex-binding element by in vitro selection. J. Virol. 69: 75597569.[Abstract]
Black, D.L. 2003. Mechanisms of alternative pre-messenger RNA splicing. Annu. Rev. Biochem. 72: 291336.[CrossRef][Medline]
Buratti, E., Muro, A.F., Giombi, M., Gherbassi, D., Iaconcig, A., and Baralle, F.E. 2004. RNA folding affects the recruitment of SR proteins by mouse and human polypurinic enhancer elements in the fibronectin EDA exon. Mol. Cell. Biol. 24: 13871400.
Burge, C.B., Tuschl, T., and Sharp, P.A. 1999. Splicing of precursors to mRNAs by the spliceosomes. In The RNA world, 2nd ed. (eds. R.F. Gesteland et al.), pp. 525560. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY.
Cartegni, L. and Krainer, A.R. 2002. Disruption of an SF2/ASF-dependent exonic splicing enhancer in SMN2 causes spinal muscular atrophy in the absence of SMN1. Nat. Genet. 30: 377384.[CrossRef][Medline]
. 2003. Correction of disease-associated exon skipping by synthetic exon-specific activators. Nat. Struct. Biol. 10: 120125.[CrossRef][Medline]
Cartegni, L., Chew, S.L., and Krainer, A.R. 2002. Listening to silence and understanding nonsense: Exonic mutations that affect splicing. Nat. Rev. Genet. 3: 285298.[CrossRef][Medline]
Cartegni, L., Wang, J., Zhu, Z., Zhang, M.Q., and Krainer, A.R. 2003. ESEfinder: A web resource to identify exonic splicing enhancers. Nucleic Acids Res. 31: 35683571.
Chang, J.G., Hsieh-Li, H.M., Jong, Y.J., Wang, N.M., Tsai, C.H., and Li, H. 2001. Treatment of spinal muscular atrophy by sodium butyrate. Proc. Natl. Acad. Sci. 98: 98089813.
Chua, K. and Reed, R. 2001. An upstream AG determines whether a downstream AG is selected during catalytic step II of splicing. Mol. Cell. Biol. 21: 15091514.
Collins, C.A. and Guthrie, C. 2000. The question remains: Is the spliceosome a ribozyme? Nat. Struct. Biol. 7: 850854.[CrossRef][Medline]
Coulter, L.R., Landree, M.A., and Cooper, T.A. 1997. Identification of a new class of exonic splicing enhancers by in vivo selection. Mol. Cell. Biol. 17: 21432150.[Abstract]
Damgaard, C.K.,