Reasoning
PS3 is met at strong strength. Multiple independent, variant-specific functional studies evaluated SRSF2 p.Pro95His (P95H), corresponding to NM_003016.4:c.284C>A, using orthogonal systems and wild-type comparators. CRISPR knock-in heterozygous K562 cells showed 548 misregulated splicing events and sequence-dependent changes in RNA-binding affinity (PMID:26261309). Conditional endogenous P95H mouse models demonstrated hematopoietic dysplasia, impaired differentiation, altered transcriptome/splicing, and changed RNA-binding specificity (PMID:25965569); additional mouse and human-cell studies independently showed altered splicing and hematopoietic effects (PMID:26124281, PMID:27135740, PMID:31040863). The evidence is biologically relevant, concordant, and reproducible across cellular, biochemical, and in vivo models, although it is not described as a validated clinical diagnostic-laboratory assay.
Rule
Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product.
Evidence considered
- Kim et al. 2015 (PMID:25965569): endogenous conditional Srsf2P95H knock-in mice showed cytopenias, dysplasia, impaired hematopoietic differentiation, altered transcriptome/splicing, and changed CCNG/GGNG RNA-binding specificity.
- Lee et al. 2015 (PMID:26124281): in an MDS-L cell model with endogenous SRSF2 depletion and shRNA-resistant rescue, P95H caused growth arrest, apoptosis, and 210 additional alternative-splicing events beyond those shared with the deletion control.
- Zhang et al. 2015 (PMID:26261309): CRISPR/Cas9 knock-in heterozygous P95H K562 clones showed 548 altered splicing events and sequence-dependent changes in SRSF2 RNA-binding affinity, with wild-type comparator experiments.
- Shirai et al. 2016 (PMID:27135740): inducible heterozygous Srsf2P95H mouse hematopoietic models showed abnormal splicing and transcriptome effects, with severe hematopoietic failure after loss of the remaining wild-type allele.
- Masaki et al. 2019 (PMID:31040863): P95H was evaluated in HeLa localization, in-vitro IgM pre-mRNA splicing, RNA immunoprecipitation, and stable K562 RNA-sequencing assays; mutant and wild-type proteins differed in exon-selection patterns and EZH2 exon inclusion.
Sources