“…Besides the possible amino acid substitution, however, some nucleotide substitutions in exons are known to impair normal splicing, and genetic defects caused by aberrant splicing via nucleotide substitutions in exons have also been reported (13,14). For example, a G to A missense mutation in exon 5 of the PMM2 gene, which is associated with carbohydratedeficient glycoprotein syndrome type Ia, causes a deletion of exon 5 in the transcripts of the gene (15). In these exon-skipping mutations, the nucleotide substitutions disrupt putative ESEs.…”