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Chapter 4 Regulation of Gene Expression, Transcription, Splicing, and RNA Metabolism 41
Exon Intron Exon mRNA
-AAAAAAAAA
5 - -3
snRNPs Nucleus Nuclear
filamentous
proteins
5 - -3 Nuclear
basket
Spliceosome
DNA
lariat
Nuclear Central
envelope core channel
5 - -3
Mature mRNA
Fig. 4.4 RNA SPLICING. Introns from pre-mRNA are removed by snRNPs, Cytoplasm Cytosolic
which form a protein complex called a spliceosome. The spliceosome loops filamentous
introns into a lariat, excises them, and then joins exons. The mature mRNA proteins
is then ready for further posttranscriptional processing. snRNP, Small nuclear Fig. 4.5 NUCLEAR EXPORT OF RNA THROUGH NUCLEAR PORE
ribonucleoprotein. COMPLEXES. The central core of the nuclear pore complex consists of a
ring structure embedded in the nuclear envelope. Radiating in toward the
nucleus is a nuclear basket that extends filamentous proteins in surveillance
addition to the unique yet functionally similar U11, U12, U4atac,
and U6atac. Furthermore, there are splicing mechanisms, includ- for mRNA. The central ring structure also radiates cytosolic protein filaments,
ing tRNA splicing and self-splicing, that function without any which act to facilitate release of cargo into the cytoplasm.
spliceosome.
Splicing is central to proper gene expression, and therefore is
required for appropriate hematopoietic development. One of the best Because RNA splicing is central to proper gene expression, muta-
examples of inappropriate splicing leading to hematologic disease is tions in spliceosomes can result in MDS and other related hematologic
β-thalassemia, where there are a number of different mutations that disorders. Mutations in the RNA spliceosome splicing factor 3b,
occur in the GU-AG splicing signals, resulting in aberrant β-globin subunit 1 (SF3B1) has been observed in 68% to 75% and 81% of
mRNAs. Abnormal splicing can also lead to AML and other hema- RARS and RARS-T patients, respectively. The molecular conse-
tologic disorders. Translocated in liposarcoma (TLS) is a protein that quences of altered SF3B1 splicing activity are yet to be determined.
recruits splicing complexes to mRNAs, and it is involved in the Additional spliceosomal mutations that are associated with MDS
TLS–ERG fusion oncogene in t(16;21) in AML. This fusion of TLS include U2 small nuclear RNA auxiliary factor I (U2AF1) and serine/
with the transcription factor ERG alters the splicing profile of imma- arginine-rich splicing factor 2 (SRSF2). U2AF1 is a subunit of the
ture myeloid cells, blocking the expression of genes required for U2AF heterodimer, which is also composed of a 65-kDa subunit
proper differentiation. (U2AF2). While U2AF2 contacts the pyrimidine site, U2AF1 inter-
Trans-splicing is a form of splicing that joins two exons that are acts with the AG splice acceptor of the target intron. Mutations in
not within the same mRNA transcript. Some trans-splicing events the U2AF1 gene are associated with a number of myeloid malignan-
occur when the intron splice donor sites are not filled by spliceosomes. cies and occur in 8.7% to 11.6% of de-novo cases of MDS.
They can lead to mRNAs displaying exon repetitions or chimeric SRSF2 is a member of the serine/arginine-rich pre-mRNA splic-
fusion RNAs, which can mimic the presence of a chromosomal ing factors. SRSF2 appears to play an important role in the acetylation/
translocation in normal cells. For example, specific chimeric fusion phosphorylation processes of RNA splicing and may be vital to
mRNA seen in acute leukemias, such as MLL-AF4, BCR-ABL, TEL- alternative mRNA splicing. Mutations in the SRSF2 gene are associ-
AML1, AML1-ETO, PML-RAR, NPM-ALK, and ATIC-ALK, have ated with MDS and related diseases, particularly CMML. Frequencies
been found in blood cells of healthy individuals with normal chromo- of mutations in CMML have been reported to occur in up to 47%
some karyotype. Interestingly, these individuals do not develop leu- of patients. While the overall consequences of these spliceosomal
kemia, indicating that these fusion oncoproteins must be heritable mutations are not fully understood, they each contribute to the
(in DNA) and that they must occur in the appropriate hematopoietic overall survival outcomes of MDS and other hematologic disorders.
precursor cell for leukemogenesis.
Alternative splicing can enhance the versatility and diversity of a
single gene. By alternatively excising different introns along with the NUCLEAR EXPORT OF RNA
intervening exons, a wide range of unique proteins of differing sizes
can be generated. These alternative proteins, termed isoforms, come The nuclear envelope serves as a major regulator of gene expression
from one gene that generates a variety of mRNA with varying exon by controlling the flow of RNA to the cytoplasm for translation.
composition. Alternative splicing is common, and essential for the Nuclear pore complexes (NPCs) inserted within the nuclear envelope
proper function of almost all hematopoietic cells. For example, B cells regulate the transport of molecules in and out of the nucleus. Ions,
are able to produce both IgM and IgD at the same developmental small metabolites, and proteins under 40 kDa passively diffuse across
stage using alternative splicing. Additionally, erythrocytes use alterna- NPC channels. However, larger proteins and mRNA are transported
tive splicing to produce differing isoforms of cytoskeletal proteins. through NPCs via energy-dependent (GTP) and signal-mediated
However, alternative splicing does not always give beneficial results. processes that require chaperoning transport proteins.
The mutations in the splicing signals in the β-globin gene mentioned NPCs are composed of three major parts: (1) a central core con-
earlier for β-thalassemia result in abnormal alternative splicing. In taining a 10-nm channel, (2) a nuclear basket that can dilate in
addition, in patients with chronic myelogenous leukemia (CML) response to large cargoes, and (3) flexible fibrils that extend from the
resistance to tyrosine kinase inhibitor therapy has been linked to central core into the cytoplasm (Fig. 4.5). These large NPCs are
alternative splicing of the BCR-ABL transcript. composed of nucleoporins (Nups). Demonstrating how crucial

