Serine/arginine-rich splicing factor 2 (SRSF2) is an RNA-binding protein that plays important roles in splicing of mRNA precursors. SRSF2 mutations are frequently found in patients with myelodysplastic syndromes and certain leukemias, but how these mutations affect SRSF2 function has only begun to be examined. We used clustered regularly interspaced short palindromic repeats (CRISPR)/ CRISPR-associated protein-9 nuclease to introduce the P95H mutation to SRSF2 in K562 leukemia cells, generating an isogenic model so that splicing alterations can be attributed solely to mutant SRSF2. We found that SRSF2 (P95H) misregulates 548 splicing events (<1% of total). Of these events, 374 involved the inclusion of cassette exons, and the inclusion was either increased (206) or decreased (168). We detected a specific motif (UCCA/UG) enriched in the more-included exons and a distinct motif (UGGA/UG) in the moreexcluded exons. RNA gel shift assays showed that a mutant SRSF2 derivative bound more tightly than its wild-type counterpart to RNA sites containing UCCAG but bound less tightly to UGGAG sites. Thus in most cases the pattern of exon inclusion or exclusion correlated with stronger or weaker RNA binding, respectively. We further show that the P95H mutation does not affect other functions of SRSF2, i.e., protein-protein interactions with key splicing factors. Our results thus demonstrate that the P95H mutation positively or negatively alters the binding affinity of SRSF2 for cognate RNA sites in target transcripts, leading to misregulation of exon inclusion. Our findings shed light on the mechanism of the disease-associated SRSF2 mutation in splicing regulation and also reveal a group of misspliced mRNA isoforms for potential therapeutic targeting.spliceosome | pre-mRNA splicing | serine/arginine-rich proteins | myelodysplastic syndromes | leukemia M yelodysplastic syndromes (MDS) are a heterogeneous group of hematopoietic disorders characterized by ineffective production of myeloid blood cells, which have various risks of progression into acute myeloid leukemia (AML) (1, 2). The most frequently occurring mutations found in patients with MDS involve genes encoding pre-mRNA splicing factors, including Splicing factor 3B, subunit 1 (SF3B1), Serine/argininerich splicing factor 2 (SRSF2), U2 small nuclear RNA auxiliary factor 1 (U2AF1), and U2 small nuclear ribonucleoprotein auxiliary factor 35 kDa subunit-related protein 2 (ZRSR2) (3-6), suggesting that altered RNA splicing may play a critical role in the pathogenesis of MDS. Despite some recent advances (e.g., ref. 7; see Discussion), the molecular mechanisms by which the mutated splicing factors misregulate pre-mRNA splicing have not been studied thoroughly. However, it is now well established that splicing deregulation contributes to multiple diseases, especially cancer (8, 9).SRSF2 is a well-studied serine/arginine-rich splicing factor (SR protein). SR proteins play important roles in the regulation of both constitutive and alternative pre-mRNA splicing, functioning, for ...