Key result
QKI and RBFOX2 promote Snap23 microexon inclusion, which is mis-spliced in mouse heart disease models.
The Snap23 microexon is alternatively spliced in a tissue-specific manner during striated muscle development, regulated by QKI and RBFOX2, and altered in muscle diseases.
Hypothesis-generating for Snap23 splicing in muscle disease; human validation required before any clinical consideration.
) encoded gene. We found that inclusion of this microexon is developmentally regulated and tissue-specific, as it occurs exclusively in adult heart and skeletal muscle. The alternative region is highly conserved in mammalian species and encodes an in-frame sequence of 11 amino acids. Furthermore, we showed that alternative splicing of this microexon is mis-regulated in mouse models of heart and skeletal muscle diseases. We identified the RNA-binding proteins (RBPs) quaking (QKI) and RNA binding fox-1 homolog 2 (RBFOX2) as the primary splicing regulators of the Snap23 microexon. We found that QKI and RBFOX2 bind downstream of the Snap23 microexon to promote its inclusion, and this regulation can be escaped when the weak splice donor is mutated to the consensus 5' splice site. Finally, we uncovered the interplay between QKI and muscleblind-like splicing regulator (MBNL) as an additional, but minor layer of Snap23 microexon splicing control. Our results are one of the few reports detailing microexon alternative splicing regulation during mammalian striated muscle development.
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Gentile et al. (2025) studied Striated muscle diseases. RNA-binding proteins (QKI, RBFOX2, MBNL) was evaluated on Snap23 microexon inclusion (Percent Spliced In). The RNA-binding proteins QKI and RBFOX2 promote the inclusion of the Snap23 microexon, which is developmentally regulated in striated muscle and mis-spliced in mouse models of heart and skeletal muscle diseases.
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