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Updated: Jul 17, 2026

Detection of Alternative Splicing During Epithelial-Mesenchymal Transition
Published on: October 9, 2014
Antisense oligonucleotide-induced alternative splicing of the APOB mRNA generates a novel isoform of APOB
Bernard Khoo1, Xavier Roca, Shern L Chew
1Endocrinology, William Harvey Research Institute, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK. b.khoo@qmul.ac.uk
Background:
Apolipoprotein B (APOB) is an integral part of the LDL, VLDL, IDL, Lp(a) and chylomicron lipoprotein particles. The APOB pre-mRNA consists of 29 constitutively-spliced exons. APOB exists as two natural isoforms: the full-length APOB100 isoform, assembled into LDL, VLDL, IDL and Lp(a) and secreted by the liver in humans; and the C-terminally truncated APOB48, assembled into chylomicrons and secreted by the intestine in humans. Down-regulation of APOB100 is a potential therapy to lower circulating LDL and cholesterol levels.
Results:
We investigated the ability of 2'O-methyl RNA antisense oligonucleotides (ASOs) to induce the skipping of exon 27 in endogenous APOB mRNA in HepG2 cells. These ASOs are directed towards the 5' and 3' splice-sites of exon 27, the branch-point sequence (BPS) of intron 26-27 and several predicted exonic splicing enhancers within exon 27. ASOs targeting either the 5' or 3' splice-site, in combination with the BPS, are the most effective. The splicing of other alternatively spliced genes are not influenced by these ASOs, suggesting that the effects seen are not due to non-specific changes in alternative splicing. The skip 27 mRNA is translated into a truncated isoform, APOB87SKIP27.
Conclusion:
The induction of APOB87SKIP27 expression in vivo should lead to decreased LDL and cholesterol levels, by analogy to patients with hypobetalipoproteinemia. As intestinal APOB mRNA editing and APOB48 expression rely on sequences within exon 26, exon 27 skipping should not affect APOB48 expression unlike other methods of down-regulating APOB100 expression which also down-regulate APOB48.
Insights
Antisense oligonucleotides targeting APOB mRNA exon 27 can induce skipping, creating APOB87SKIP27. This approach may lower LDL and cholesterol without affecting APOB48, offering a novel therapeutic strategy.
Area of Science:
- Molecular Biology
- Genetics
- Biochemistry
Background:
- Apolipoprotein B (APOB) is crucial for lipoprotein particles like LDL and VLDL.
- APOB has two isoforms: APOB100 (liver) and APOB48 (intestine).
- Down-regulating APOB100 is a therapeutic target for lowering LDL and cholesterol.
Purpose of the Study:
- To investigate the efficacy of 2'O-methyl RNA antisense oligonucleotides (ASOs) in inducing APOB mRNA exon 27 skipping.
- To assess the specificity of ASOs on APOB splicing without affecting other genes.
Main Methods:
- Utilized 2'O-methyl RNA antisense oligonucleotides (ASOs) targeting splice sites and regulatory elements of APOB exon 27.
- Tested ASOs in HepG2 cells to evaluate their ability to induce exon skipping.
- Assessed the impact of ASOs on the splicing of other alternatively spliced genes.
Main Results:
- ASOs targeting the 5' or 3' splice sites of exon 27, in conjunction with the branch-point sequence, were most effective in inducing exon skipping.
- The induced exon 27 skipping resulted in the translation of a truncated isoform, APOB87SKIP27.
- No non-specific effects on the alternative splicing of other genes were observed, indicating targeted action.
Conclusions:
- Induction of APOB87SKIP27 expression in vivo is predicted to decrease LDL and cholesterol levels, similar to hypobetalipoproteinemia.
- Exon 27 skipping is unlikely to affect APOB48 expression, as it relies on sequences within exon 26.
- This exon-skipping strategy presents a potential method for selectively down-regulating APOB100 without impacting intestinal APOB48 production.
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