Skip to content

exon

Biochemistry / Molecular Biology & GeneticsGenetics (cellular/molecular level)Musculoskeletal (Duchenne)Hematologic (beta-thalassemia)Nervous (spinal muscular atrophy)

Summary

An exon is a segment of a gene that is retained in mature mRNA after splicing and is typically expressed (coding sequence plus UTRs). Introns are removed by the spliceosome, and exons are joined together. Mutations affecting exons or splice sites cause many genetic diseases (e.g., Duchenne muscular dystrophy, beta-thalassemia).

Detail

**Definition:** Exons are "expressed" regions of a gene present in the mature mRNA. Introns ("intervening" regions) are transcribed into pre-mRNA but removed during splicing. Exons include the coding sequence and the 5' and 3' untranslated regions (UTRs).

**RNA processing (eukaryotes, nucleus):** - Pre-mRNA (hnRNA) is transcribed by RNA polymerase II. - 5' capping (7-methylguanosine) and 3' polyadenylation (poly-A tail, signaled by AAUAAA). - Splicing by the spliceosome: snRNPs (U1, U2, U4, U5, U6) complexed with proteins. Introns begin with GU and end with AG (GU-AG rule). A branch point adenine forms a lariat intermediate; the lariat intron is released and degraded. - Splicing is a two-step transesterification, and exons are ligated together.

**Alternative splicing:** Different exon combinations from one gene produce different mRNAs and protein isoforms. This increases proteome diversity (~20,000 genes yield many more proteins). Examples: membrane-bound vs. secreted IgM; tissue-specific tropomyosin isoforms.

**Clinical correlations:** - **Anti-Smith antibodies (SLE):** target snRNPs in the spliceosome. Anti-U1 RNP is seen in mixed connective tissue disease. - **Beta-thalassemia:** splice-site mutations in the β-globin gene cause abnormal splicing and reduced or absent β-globin. - **Duchenne muscular dystrophy:** frameshift deletions (often of exons) in the dystrophin gene (X-linked) cause a truncated, nonfunctional protein. Becker has in-frame deletions with partially functional dystrophin. Exon-skipping antisense oligonucleotides (e.g., eteplirsen) restore the reading frame. - **Nonsense, missense, frameshift mutations** within exons alter protein products. Silent mutations may still disrupt splicing. - **Spinal muscular atrophy:** SMN1 deletion; SMN2 differs in a single nucleotide that causes exon 7 skipping (nusinersen modulates splicing). - **Exome sequencing:** targets exons (~1–2% of the genome) and is useful for finding causative mutations in Mendelian disease.

**High-yield contrasts:** - Exons: retained, expressed. Introns: removed, often regulatory elements and ncRNAs. - Prokaryotes lack introns and the spliceosome, so they have no splicing; their mRNA is polycistronic. - Mature mRNA = 5' cap + exons + poly-A tail.

Sources

  • First Aid for the USMLE Step 1 (Biochemistry: Molecular biology, RNA processing)
  • Lippincott Illustrated Reviews: Biochemistry
  • Robbins & Cotran Pathologic Basis of Disease (Genetic Disorders)
  • Thompson & Thompson Genetics in Medicine
  • Pathoma / Sketchy Medical (Biochemistry: RNA processing)

Reviewed by Medusa editorial — medical student review. Information here is for study reference only and is not medical advice. Spotted an error? Let us know.