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The mutation results in aberrant splicing, where part of the intron is retained in the final <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> transcript, giving rise to a truncated nonfunctional <jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content> protein. Using an <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> mini\u2010gene system, we have previously shown that <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 can act as a repressor of the mis\u2010splicing of <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic>, where overexpression of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 resulted in a decrease of the incorrect splicing. In this study, we wanted to, in more detail, analyze the role of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 in the regulation of endogenous <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> mis\u2010splicing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Overexpression and knockdown of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 was performed in myoblasts from two <jats:styled-content style=\"fixed-case\">HML<\/jats:styled-content> patients and a healthy control. Quantification of <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> mis\u2010splicing was done by <jats:styled-content style=\"fixed-case\">qRTPCR<\/jats:styled-content>. Biotinylated <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content>, representing wildtype and mutant intron sequence, was used in a pull\u2010down assay with nuclear extracts from myoblasts. Levels of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 in human cell lines and mice tissues were analyzed by <jats:styled-content style=\"fixed-case\">qRTPCR<\/jats:styled-content> and western blot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 overexpression in <jats:styled-content style=\"fixed-case\">HML<\/jats:styled-content> patient myoblasts resulted in a substantial decrease of <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> mis\u2010splicing while knockdown of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 resulted in a drastic increase. The effect could be observed in both patient and control myoblasts. We could also show that <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 interacts with both the mutant and wild\u2010type <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> intron sequence, but with a higher affinity to the mutant sequence. Furthermore, low levels of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 among examined mouse tissues correlated with high levels of incorrect splicing of <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results show that <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 acts as a dominant repressor of <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> mis\u2010splicing. We also show an inverse correlation between the levels of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1 and <jats:italic><jats:styled-content style=\"fixed-case\">ISCU<\/jats:styled-content><\/jats:italic> mis\u2010splicing, suggesting that the high level of mis\u2010splicing in the skeletal muscle is primarily due to the low levels of <jats:styled-content style=\"fixed-case\">PTBP<\/jats:styled-content>1.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mgg3.413","type":"journal-article","created":{"date-parts":[[2018,9,13]],"date-time":"2018-09-13T04:10:20Z","timestamp":1536811820000},"page":"887-897","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["<scp>PTBP<\/scp>1 acts as a dominant repressor of the aberrant tissue\u2010specific splicing of <i><scp>ISCU<\/scp><\/i> in hereditary myopathy with lactic acidosis"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6632-5770","authenticated-orcid":false,"given":"Denise F. 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