WHAT IS “SPLICING” and WHY DOES IT MATTER for SMA? RNA IS an INTERMEDIATE STEP BETWEEN DNA and PROTEIN Diagram of a Cell

WHAT IS “SPLICING” and WHY DOES IT MATTER for SMA? RNA IS an INTERMEDIATE STEP BETWEEN DNA and PROTEIN Diagram of a Cell

WHAT IS “SPLICING” AND WHY DOES IT MATTER FOR SMA? RNA IS AN INTERMEDIATE STEP BETWEEN DNA AND PROTEIN Diagram of a cell DNA transcription RNA splicing translation Protein National Human Genome Research Institute 2 CONFIDENTIAL SPLICING IS THE PROCESS THAT REMOVES SEGMENTS (INTRONS) FROM PRIMARY RNA TRANSCRIPTS DNA Transcription: RNA synthesis pre-mRNA Ex1 In1 Ex2 In2 Ex3 In3 Ex4 In4 Ex5 In5 Ex6 In6 Ex7 In7 Ex8 (primary transcript) EXON: EXpressed ON (yellow box) INTRON: INTRa(genic) ON (teal box) Splicing (pre-mRNA splicing): nucleus removes introns and joins exons mRNA (messenger RNA) Ex1 Ex2 Ex3 Ex4 Ex5 Ex6 Ex7 Ex8 Translation: protein synthesis cytoplasm protein 3 CONFIDENTIAL THE MAJORITY OF PRE‐MRNAS ARE PROCESSED BY SPLICING • Splicing* is carried out by the spliceosome • The spliceosome recognizes specific sequences in pre‐mRNA • If the recognition sequences are mutated, it could result in expression of abnormal proteins • Splicing is a complex and energy consuming process • Why do we need splicing? • Provides a mechanism for generating different proteins from one pre‐mRNA (alternative splicing ‐ see next slide) *Splicing and pre-mRNA splicing are the same; the terms are used interchangeably 4 CONFIDENTIAL ALTERNATIVE SPLICING • Alternative splicing is the process by which a single primary transcript (pre‐mRNA) yields different mRNAs • Different mRNAs are translated into different proteins • Nearly all genes are alternatively spliced • Significance: • Protein variants produced by alternative splicing can have diverse properties and functions • Fewer genes can produce more proteins, making the genome more efficient • Provides fine tuning for gene expression • An essential aspect of normal biology pre‐mRNA Exon X Intron Exon Y Intron Exon Z normal Splicing: alternative intron removal mRNA Exon X Exon Y Exon Z Exon X Exon Z Translation: protein synthesis Protein Protein 5 CONFIDENTIAL ALTERNATIVE SPLICING PLAYS AN IMPORTANT ROLE IN SMA • Mutations or deletions in the SMN1 gene lead to low levels of SMN protein and cause SMA • There is a “backup” version of the SMN1 gene called SMN2 • SMN1 and SMN2 genes are >99% identical • Nearly all SMN1 mRNA is translated into normal, full‐length SMN protein • SMN2 is alternatively spliced and makes two proteins • Low levels of normal, full‐length SMN protein • An unstable, truncated protein called SMNEx7 Decreased SMN Expression SMN1 SMN2 SMA SMN SMN SMN SMN SMN Ex7 SMN SMN 6 CONFIDENTIAL ALTERNATIVE SPLICING OF SMN2 PRODUCES MOSTLY AN UNSTABLE, LESS FUNCTIONAL VERSION OF SMN DNA: SMN2 gene Transcription: RNA synthesis SMN2 Ex1 In1 Ex2 In2 Ex3 In3 Ex4 In4 Ex5 In5 Ex6 In6 Ex7 In7 Ex8 pre-mRNA normal (25%) Splicing: alternative (75%) intron removal mRNA Ex1 Ex2 Ex3 Ex4 Ex5 Ex6 Ex7 Ex8 Ex1 Ex2 Ex3 Ex4 Ex5 Ex6 Ex8 full length (SMN mRNA) truncated (SMNEx7 mRNA) Translation: protein synthesis protein full length (SMN protein) truncated (SMNEx7 protein) stable, functional rapidly degrades 7 CONFIDENTIAL “SPLICING” THERAPEUTIC APPROACHES FOR SMA AIM TO CHANGE THE ALTERNATIVE SPLICING OF SMN2 DNA: SMN2 gene Transcription: RNA synthesis SMN2 Ex1 In1 Ex2 In2 Ex3 In3 Ex4 In4 Ex5 In5 Ex6 In6 Ex7 In7 Ex8 pre-mRNA normal (100%) Splicing: intron removal mRNA Ex1 Ex2 Ex3 Ex4 Ex5 Ex6 Ex7 Ex8 Splicing therapeutics full length (SMN mRNA) shift the balance toward production of Translation: full length SMN protein synthesis protein protein full length (SMN protein) stable, functional 8 CONFIDENTIAL WWW.SMAFOUNDATION.ORG TO LEARN MORE ABOUT SPLICING AND ITS ROLE IN SMA, PLEASE VISIT www.learnaboutsma.org/science/ 9 CONFIDENTIAL.

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