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Updated: May 8, 2026

Using RNA-sequencing to Detect Novel Splice Variants Related to Drug Resistance in In Vitro Cancer Models
Published on: December 9, 2016
mRNA splicing variants: exploiting modularity to outwit cancer therapy
1Department of Laboratory Medicine and Pathology, Masonic Cancer Center, University of Minnesota Twin Cities, Minneapolis, MN 55455, USA. dehm@umn.edu
Abstract:
Systemic cancer therapy has traditionally exploited vulnerabilities in cancer cells, a strategy which has become more precise with the identification and targeting of driver oncogenes. However, persistent tumor growth due to primary (de novo) or secondary (acquired) resistance limits therapeutic efficacy for many patients. Alternative splicing is important for increasing the diversity of the cellular proteome, and is a process frequently deregulated during cancer development and progression. In cancer cells, diverse splicing alterations have been identified that eliminate protein domains or enzymatic activities required for efficacy of cancer therapies, promote gain of novel signaling functions that circumvent cancer therapies, and uncouple signaling pathways from upstream regulatory points that are blocked by cancer therapies. The mechanisms underlying these splicing changes range from stable alterations in gene sequence/structure to deregulation of splicing regulatory factors. In this review, the role of splice variants in cancer therapy resistance will be discussed, with examples of how mechanistic understanding of these processes has led to the development of novel strategies for therapy resensitization.
Insights
Alternative splicing alterations in cancer cells drive therapy resistance by changing protein functions. Understanding these splice variants offers new strategies to resensitize tumors to cancer treatments.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer therapies target cancer cell vulnerabilities, but resistance limits efficacy.
- Alternative splicing generates proteome diversity and is often deregulated in cancer.
- Splicing alterations contribute to primary and acquired resistance to cancer therapies.
Purpose of the Study:
- To review the role of splice variants in cancer therapy resistance.
- To discuss mechanisms of splicing deregulation in cancer.
- To highlight novel strategies for therapy resensitization based on understanding splicing alterations.
Main Methods:
- Literature review of studies on alternative splicing in cancer.
- Analysis of identified splicing alterations and their impact on therapy efficacy.
- Examination of mechanisms driving splicing changes in cancer cells.
Main Results:
- Splicing alterations can eliminate essential protein domains or enzymatic activities.
- Aberrant splicing can confer novel signaling functions that bypass cancer therapies.
- Dysregulated splicing can uncouple signaling pathways from targeted regulatory points.
Conclusions:
- Splice variants are key drivers of both primary and acquired resistance to cancer therapies.
- Mechanistic insights into splicing alterations pave the way for developing resensitization strategies.
- Targeting aberrant splicing presents a promising avenue for improving cancer treatment outcomes.
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