Targeting KRAS4A splicing through the RBM39/DCAF15 pathway inhibits cancer stem cells

Wei-Ching Chen1, Minh D To1, Peter M K Westcott1,2

  • 1UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.

Nature Communications
|July 14, 2021
PubMed

Insights

Coordinated splicing of KRAS4A and KRAS4B proteins is crucial for Kras mutant tumor development. Targeting KRAS4A splicing with drugs like Indisulam inhibits cancer stem cells, suggesting KRAS4A levels as a biomarker for therapeutic sensitivity.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • The KRAS oncogene produces two protein isoforms, KRAS4A and KRAS4B, through alternative splicing.
  • Aberrant KRAS signaling is a key driver in many human cancers, particularly pancreatic, colorectal, and lung cancers.
  • Understanding the distinct roles and regulation of KRAS isoforms is critical for developing targeted cancer therapies.

Purpose of the Study:

  • To investigate the coordinated regulation of KRAS4A and KRAS4B splicing in Kras mutant tumor development.
  • To elucidate the role of the KRAS4A isoform in cancer stem-like cells and its response to microenvironmental cues like hypoxia.
  • To identify therapeutic strategies targeting KRAS4A splicing and its impact on cancer stem cell viability.

Main Methods:

  • Differential splicing analysis of KRAS oncogene transcripts.
  • Investigation of KRAS4A and KRAS4B isoform expression under hypoxic and ER stress conditions.
  • Functional studies involving genetic deletion of KRAS4A and pharmacological inhibition of the DCAF15/RBM39 pathway using Indisulam.
  • Assessment of cancer stem cell populations and tumor growth inhibition.

Main Results:

  • Coordinated regulation of KRAS4A and KRAS4B splicing is essential for Kras mutant tumor formation.
  • The KRAS4A isoform is preferentially expressed in cancer stem-like cells and responds to hypoxia.
  • The KRAS4B isoform is induced by endoplasmic reticulum (ER) stress.
  • The DCAF15/RBM39 pathway controls KRAS4A splicing; its inhibition via Indisulam reduces cancer stem cells.
  • Deletion of KRAS4A also inhibits cancer stem cell activity.

Conclusions:

  • Targeting KRAS4A splicing represents a novel therapeutic strategy against Kras-driven cancers.
  • The minor KRAS4A isoform's levels in human tumors may serve as a predictive biomarker for sensitivity to therapies targeting KRAS4A splicing.
  • Existing drugs like Indisulam show potential for treating cancers driven by specific KRAS splicing patterns.

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