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Approximately 15% of disease-causing mutations involve errors in alternative spl

ID: 5940 • Letter: A

Question

Approximately 15% of disease-causing mutations involve errors in alternative splicing. However, there is a case where an exon deletion enhances dystrophin production in muscle cells of DMD (Duchenne muscular dystrophy) patients. A deletion of exon 45 is the most frequent DMD-causing mutation. But some individuals with Becker muscular dystrophy (BMD), a milder form of muscular dystrophy, have deletions in exons 45 and 46. Given that deletions often cause frameshift mutations, provide a possible explanation for the enhanced production of dystrophin in the presence of exon 45 and 46 deletions

Explanation / Answer

enhanced production of dystrophin in the presence of exon 45 and 46 deletions is due anti sense induced exon skiping that restores dystrophin expression in DMD patients