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Updated: Feb 28, 2026

Using RNA-sequencing to Detect Novel Splice Variants Related to Drug Resistance in In Vitro Cancer Models
Published on: December 9, 2016
Rare cell variability and drug-induced reprogramming as a mode of cancer drug resistance
Sydney M Shaffer1,2, Margaret C Dunagin1, Stefan R Torborg1,3
1Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Abstract:
Therapies that target signalling molecules that are mutated in cancers can often have substantial short-term effects, but the emergence of resistant cancer cells is a major barrier to full cures. Resistance can result from secondary mutations, but in other cases there is no clear genetic cause, raising the possibility of non-genetic rare cell variability. Here we show that human melanoma cells can display profound transcriptional variability at the single-cell level that predicts which cells will ultimately resist drug treatment. This variability involves infrequent, semi-coordinated transcription of a number of resistance markers at high levels in a very small percentage of cells. The addition of drug then induces epigenetic reprogramming in these cells, converting the transient transcriptional state to a stably resistant state. This reprogramming begins with a loss of SOX10-mediated differentiation followed by activation of new signalling pathways, partially mediated by the activity of the transcription factors JUN and/or AP-1 and TEAD. Our work reveals the multistage nature of the acquisition of drug resistance and provides a framework for understanding resistance dynamics in single cells. We find that other cell types also exhibit sporadic expression of many of these same marker genes, suggesting the existence of a general program in which expression is displayed in rare subpopulations of cells.
Insights
Cancer cells can spontaneously develop drug resistance through rare transcriptional changes. Drug treatment then locks in this resistance via epigenetic reprogramming, highlighting a multistage process in rare cell populations.
Area of Science:
- Oncology
- Cell Biology
- Genetics
Background:
- Targeted cancer therapies show initial efficacy but are limited by acquired drug resistance.
- The emergence of resistant cancer cells, a major hurdle in achieving cures, can stem from genetic mutations or non-genetic factors.
- Non-genetic rare cell variability presents a potential mechanism for drug resistance independent of clear genetic alterations.
Purpose of the Study:
- To investigate single-cell transcriptional variability in human melanoma.
- To determine if this variability predicts which cells will resist drug treatment.
- To elucidate the mechanisms underlying the multistage acquisition of drug resistance.
Main Methods:
- Single-cell RNA sequencing to analyze transcriptional variability.
- Drug treatment experiments to observe resistance development.
- Epigenetic analysis to study reprogramming events.
Main Results:
- Human melanoma cells exhibit significant single-cell transcriptional variability.
- This variability predicts subsequent drug resistance in a subpopulation of cells.
- Drug treatment induces epigenetic reprogramming, stabilizing transient resistance states by altering differentiation (SOX10 loss) and activating new signaling pathways (JUN, AP-1, TEAD).
Conclusions:
- Drug resistance in cancer is a multistage process involving initial rare cell transcriptional variability followed by drug-induced epigenetic reprogramming.
- This mechanism, observed in melanoma, may represent a general program for resistance in rare cell subpopulations across different cell types.
- Understanding these dynamics offers a framework for developing novel therapeutic strategies against cancer drug resistance.
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