RT Journal Article T1 Unraveling the effect of silent, intronic and missense mutations on VWF splicing: contribution of next generation sequencing in the study of mRNA. A1 Borràs, Nina A1 Orriols, Gerard A1 Batlle, Javier A1 Pérez-Rodríguez, Almudena A1 Fidalgo, Teresa A1 Martinho, Patricia A1 López-Fernández, María Fernanda A1 Rodríguez-Trillo, Ángela A1 Lourés, Esther A1 Parra, Rafael A1 Altisent, Carme A1 Cid, Ana Rosa A1 Bonanad, Santiago A1 Cabrera, Noelia A1 Moret, Andrés A1 Mingot-Castellano, María Eva A1 Navarro, Nira A1 Pérez-Montes, Rocío A1 Marcellin, Sally A1 Moreto, Ana A1 Herrero, Sonia A1 Soto, Inmaculada A1 Fernández-Mosteirín, Núria A1 Jiménez-Yuste, Víctor A1 Alonso, Nieves A1 de Andrés-Jacob, Aurora A1 Fontanes, Emilia A1 Campos, Rosa A1 Paloma, María José A1 Bermejo, Nuria A1 Berrueco, Ruben A1 Mateo, José A1 Arribalzaga, Karmele A1 Marco, Pascual A1 Palomo, Ángeles A1 Quismondo, Nerea Castro A1 Iñigo, Belén A1 Nieto, María Del Mar A1 Vidal, Rosa A1 Martínez, María Paz A1 Aguinaco, Reyes A1 Tenorio, Jesús María A1 Ferreiro, María A1 García-Frade, Javier A1 Rodríguez-Huerta, Ana María A1 Cuesta, Jorge A1 Rodríguez-González, Ramón A1 García-Candel, Faustino A1 Dobón, Manuela A1 Aguilar, Carlos A1 Vidal, Francisco A1 Corrales, Irene AB Large studies in von Willebrand disease patients, including Spanish and Portuguese registries, led to the identification of >250 different mutations. It is a challenge to determine the pathogenic effect of potential splice site mutations on VWF mRNA. This study aimed to elucidate the true effects of 18 mutations on VWF mRNA processing, investigate the contribution of next-generation sequencing to in vivo mRNA study in von Willebrand disease, and compare the findings with in silico prediction. RNA extracted from patient platelets and leukocytes was amplified by RT-PCR and sequenced using Sanger and next generation sequencing techniques. Eight mutations affected VWF splicing: c.1533+1G>A, c.5664+2T>C and c.546G>A (p.=) prompted exon skipping; c.3223-7_3236dup and c.7082-2A>G resulted in activation of cryptic sites; c.3379+1G>A and c.7437G>A) demonstrated both molecular pathogenic mechanisms simultaneously; and the p.Cys370Tyr missense mutation generated two aberrant transcripts. Of note, the complete effect of three mutations was provided by next generation sequencing alone because of low expression of the aberrant transcripts. In the remaining 10 mutations, no effect was elucidated in the experiments. However, the differential findings obtained in platelets and leukocytes provided substantial evidence that four of these would have an effect on VWF levels. In this first report using next generation sequencing technology to unravel the effects of VWF mutations on splicing, the technique yielded valuable information. Our data bring to light the importance of studying the effect of synonymous and missense mutations on VWF splicing to improve the current knowledge of the molecular mechanisms behind von Willebrand disease. clinicaltrials.gov identifier:02869074. YR 2018 FD 2018-10-25 LK http://hdl.handle.net/10668/13131 UL http://hdl.handle.net/10668/13131 LA en DS RISalud RD Apr 7, 2025