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Updated: Jul 26, 2025

Engineering Artificial Factors to Specifically Manipulate Alternative Splicing in Human Cells
Published on: April 26, 2017
Targeting pre-mRNA splicing in cancers: roles, inhibitors, and therapeutic opportunities
Shinsuke Araki1, Momoko Ohori1, Masato Yugami1
1Research, Takeda Pharmaceutical Company Limited, Fujisawa, Kanagawa, Japan.
Abstract:
Accumulating evidence has indicated that pre-mRNA splicing plays critical roles in a variety of physiological processes, including development of multiple diseases. In particular, alternative splicing is profoundly involved in cancer progression through abnormal expression or mutation of splicing factors. Small-molecule splicing modulators have recently attracted considerable attention as a novel class of cancer therapeutics, and several splicing modulators are currently being developed for the treatment of patients with various cancers and are in the clinical trial stage. Novel molecular mechanisms modulating alternative splicing have proven to be effective for treating cancer cells resistant to conventional anticancer drugs. Furthermore, molecular mechanism-based combination strategies and patient stratification strategies for cancer treatment targeting pre-mRNA splicing must be considered for cancer therapy in the future. This review summarizes recent progress in the relationship between druggable splicing-related molecules and cancer, highlights small-molecule splicing modulators, and discusses future perspectives of splicing modulation for personalized and combination therapies in cancer treatment.
Insights
Small-molecule splicing modulators offer a novel therapeutic approach for cancer by targeting pre-mRNA splicing. These modulators show promise in overcoming drug resistance and are advancing in clinical trials for various cancers.
Area of Science:
- Molecular Biology
- Oncology
- Drug Discovery
Background:
- Pre-mRNA splicing, particularly alternative splicing, is crucial in physiological processes and disease development.
- Aberrant alternative splicing, driven by splicing factor mutations or altered expression, significantly contributes to cancer progression.
- Cancer cells often develop resistance to conventional therapies, necessitating novel treatment strategies.
Purpose of the Study:
- To review the current understanding of druggable splicing-related molecules in cancer.
- To highlight the potential of small-molecule splicing modulators as a new class of cancer therapeutics.
- To discuss future directions for splicing modulation in personalized and combination cancer therapies.
Main Methods:
- Literature review of recent advancements in splicing modulation and cancer therapy.
- Analysis of the role of splicing factors and their modulation in cancer progression.
- Examination of clinical trial data for small-molecule splicing modulators.
Main Results:
- Alternative splicing is a key driver in various cancers, offering therapeutic targets.
- Small-molecule splicing modulators are emerging as promising anticancer agents, with several in clinical development.
- Splicing modulation strategies can overcome resistance to conventional chemotherapy.
Conclusions:
- Targeting pre-mRNA splicing represents a promising avenue for novel cancer therapies.
- Small-molecule splicing modulators are advancing towards clinical application for diverse cancers.
- Future cancer treatment paradigms should integrate personalized and combination strategies involving splicing modulation.
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