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Updated: Feb 4, 2026

Detection of Alternative Splicing During Epithelial-Mesenchymal Transition
Published on: October 9, 2014
Alternative splicing is an important mechanism behind KAI1 loss of function in breast cancer patients from Saudi
Haitham Kussaibi1, Khaled R Alkharsah2,3, Dalal Altamimi4
1Department of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University (IAU), Dammam, Saudi Arabia. hkussaibi@iau.edu.sa.
Purpose:
KAI1 (also called CD82) is a metastasis suppressor gene known to be downregulated in breast cancer and other solid tumors. The downregulation of KAI1 or loss of its function is usually associated with bad prognosis. The mechanism behind KAI1 loss of function is complex. In this study, we investigated "alternative splicing" as a possible mechanism that underlies KAI1 loss of function in breast cancer patients from a tertiary hospital in Saudi Arabia.
Methods:
Expression of KAI1 was studied in FFPE breast cancer and control tissue sections by IHC using two different antibodies targeting different domains of the protein. The TS82B antibody targets the extracellular loop, which constitutes most of the protein, while the second EPR4112 antibody targets the C-terminal intracellular domain of the protein.
Results:
Out of 90 breast cancer samples, 67% showed loss of KAI1 expression. The remaining 33% showed KAI1 expression with (TS82B) antibody; however, the protein was detected in only 11% of cancers when using the antibody (EPR4112) indicating a truncation of the protein at the C-terminus (truncated-KAI1) in 22% of the studied cancer samples. A significant correlation was found between truncated-KAI1 expression and advanced cancer stage (association with lymph node metastasis, P value 0.008).
Conclusion:
Alternative splicing is an important mechanism underlying KAI1 loss of function in breast cancer, and it is associated with bad prognosis (advanced cancer stage).
Insights
Alternative splicing causes loss of KAI1 (CD82) function in breast cancer, linked to advanced stages and poor prognosis. This study identified truncated-KAI1 in 22% of samples, correlating with metastasis.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- KAI1 (CD82) is a metastasis suppressor gene frequently downregulated in breast cancer.
- Loss of KAI1 function is associated with poor prognosis in various solid tumors.
- The precise mechanisms behind KAI1 downregulation remain complex and require further investigation.
Purpose of the Study:
- To investigate alternative splicing as a mechanism for KAI1 loss of function in breast cancer patients.
- To analyze KAI1 expression patterns in breast cancer tissues from Saudi Arabia.
Main Methods:
- Immunohistochemistry (IHC) was used to assess KAI1 expression in FFPE breast cancer tissues.
- Two antibodies, TS82B (extracellular domain) and EPR4112 (C-terminal domain), were employed to detect full-length and truncated KAI1.
- Expression levels were correlated with clinical parameters, including cancer stage and lymph node metastasis.
Main Results:
- 67% of 90 breast cancer samples exhibited loss of KAI1 expression.
- Full-length KAI1 was detected in 33% of samples (TS82B antibody).
- Truncated-KAI1 (detected by EPR4112 antibody) was found in 22% of samples, significantly correlating with advanced cancer stage and lymph node metastasis (P=0.008).
Conclusions:
- Alternative splicing is a significant mechanism contributing to KAI1 loss of function in breast cancer.
- The presence of truncated-KAI1 is associated with advanced disease stage and suggests a poor prognosis.
- These findings highlight the clinical relevance of alternative splicing in breast cancer progression.
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