- Article
Neurofibromin 1 (NF1) Splicing Mutation c.61-2A>G: From Aberrant mRNA Processing to Therapeutic Implications In Silico
- Asta Blazyte,
- Hojun Lee and
- Jong Bhak
- + 10 authors
The neurofibromin 1 (NF1) splice-site mutation c.61-2A>G (rs1131691100) is a rare, pathogenic, autosomal dominant variant that disrupts NF1 tumor-suppressor function, causing neurofibromatosis type 1 (NF1). Its pathogenic mechanism is poorly understood, and the potential for personalized therapeutic genome editing remains unknown due to the absence of a standard framework for investigating splicing disorders. Here, we performed a comprehensive multi-omics analysis of a de novo c.61-2A>G case from South Korea, integrating short- and long-read whole genome sequencing, whole transcriptome sequencing, and methylation profiling. We confirm that c.61-2A>G abolishes the canonical splice acceptor site, activating a cryptic splice acceptor 16 nucleotides downstream in exon 2. This splicing shift generates a 16-nucleotide deletion, causing a frameshift and premature stop codon that truncates the protein’s N-terminal region. Long-read sequencing further reveals that the mutation creates a novel CpG dinucleotide, which is methylated in the majority of reads. Finally, we assessed therapeutic correction strategies, revealing that CRISPR-Cas9 prime editing is the only viable approach for in vivo correction. This study provides the first comprehensive multi-omics characterization of the NF1 c.61-2A>G mutation and establishes a minimal framework for precision therapeutic development in silico in monogenic splicing disorders.
23 January 2026







![Valproic acid induces Ca2+ release from the endoplasmic reticulum in HeLa cells. (a), shows the effects of histamine (100 μM) on [Ca2+]ER. This original trace was obtained in 23 experiments from 5 different batches of cells. Plots (b,c) illustrate VPA action at 3 and 10 μM, respectively, on [Ca2+]ER in intact HeLa cells. Once the ER was refilled with 1 mM of Ca2+ (as shown by dots), drugs were applied as shown in the horizontal bars at the top of the figure. VPA experiments are representative of 25, 20, and 28 experiments of each type from 6, 5, and 7 different cell batches, respectively. Plot (d) shows a concentration–response curve for VPA. The average percentage of Ca2+ released from the ER induced by increased concentrations of VPA 3, 5, 10, 15, 30, and 100 μM. Data are means ± s.e. Means from 25, 12, 20, 12, 28, and 25 different experiments from 6, 3, 5, 3, 7, and 6 cell batches, respectively.](https://mdpi-res.com/ijms/ijms-27-01176/article_deploy/html/images/ijms-27-01176-g001-550.jpg)


