The deleterious effects of missense mutations are commonly attributed to their impact on primary amino acid sequence and protein structure. However, some missense mutations are deleterious because they disturb cis-acting splicing elements-so-called "exonic splicing enhancers" (ESEs).
References
DePristo MA, Weinreich DM, Hartl DL. Missense meanderings in sequence space: a biophysical view of protein evolution. Nat Rev Genet. 2005 Sep;6(9):678-87. PMID: #16074985#
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