Determining the prognostic significance of alternative splicing events in soft tissue sarcoma using data from The

Xia Yang1, Wen-Ting Huang1, Rong-Quan He2

  • 1Department of Pathology, First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, 530021, Guangxi Zhuang Autonomous Region, People's Republic of China.

Abstract

Insights

Alternative splicing events significantly impact soft tissue sarcoma (STS) patient survival. Identifying these alternative splicing (AS) events can lead to new prognostic biomarkers and potential drug targets for STS.

Area of Science:

  • Oncology
  • Molecular Biology
  • Bioinformatics

Background:

  • Soft tissue sarcomas (STSs) present treatment challenges, with limited options for improving patient prognosis.
  • Alternative splicing (AS) dysregulation is implicated in tumor pathogenesis and progression.
  • Identifying survival-associated AS events is crucial for developing novel therapeutic strategies.

Purpose of the Study:

  • To identify survival-associated alternative splicing (AS) events in soft tissue sarcomas (STSs).
  • To evaluate AS events as potential prognostic biomarkers for STS.
  • To explore AS events as potential tumor-selective drug targets for STS.

Main Methods:

  • Downloaded STS-specific 'percent spliced in' (PSI) values for splicing events from The Cancer Genome Atlas SpliceSeq database for 206 STS samples.
  • Performed prognostic analyses on seven types of AS events to determine their prognostic value, constructing prediction models with a risk score formula.
  • Calculated Spearman's rank correlation coefficients to assess the relationship between splicing factor expression and PSI values.

Main Results:

  • Identified 10,439 splicing events significantly correlating with patient survival rates, with a high predictive accuracy (AUC=0.826) for overall survival.
  • Found significant associations between specific AS events in key STS genes (e.g., MDM2, EWSR1, CDKN2A, HMGA2) and 2-year overall survival.
  • Revealed predominantly negative correlations between AS events and splicing factor expression through splicing correlation network analysis.

Conclusions:

  • Alternative RNA splicing analysis offers novel insights into STS oncogenesis mechanisms.
  • Survival-associated AS events represent promising prognostic biomarkers and potential therapeutic targets for soft tissue sarcomas.
  • Further investigation into AS could pave the way for innovative cancer therapies.

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