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Updated: Jul 2, 2025

Using RNA-sequencing to Detect Novel Splice Variants Related to Drug Resistance in In Vitro Cancer Models
Published on: December 9, 2016
Splicing targeting drugs highlight intron retention as an actionable vulnerability in advanced prostate cancer
Chiara Naro1,2, Ambra Antonioni1, Vanessa Medici1
1Department of Neuroscience, Section of Human Anatomy, Catholic University of the Sacred Heart, Largo Francesco Vito 1, 00168, Rome, Italy.
Background:
Advanced prostate cancer (PC) is characterized by insensitivity to androgen deprivation therapy and chemotherapy, resulting in poor outcome for most patients. Thus, advanced PC urgently needs novel therapeutic strategies. Mounting evidence points to splicing dysregulation as a hallmark of advanced PC. Moreover, pharmacologic inhibition of the splicing process is emerging as a promising option for this disease.
Method:
By using a representative androgen-insensitive PC cell line (22Rv1), we have investigated the genome-wide transcriptomic effects underlying the cytotoxic effects exerted by three splicing-targeting drugs: Pladienolide B, indisulam and THZ531. Bioinformatic analyses were performed to uncover the gene structural features underlying sensitivity to transcriptional and splicing regulation by these treatments. Biological pathways altered by these treatments were annotated by gene ontology analyses and validated by functional experiments in cell models.
Results:
Although eliciting similar cytotoxic effects on advanced PC cells, Pladienolide B, indisulam and THZ531 modulate specific transcriptional and splicing signatures. Drug sensitivity is associated with distinct gene structural features, expression levels and cis-acting sequence elements in the regulated exons and introns. Importantly, we identified PC-relevant genes (i.e. EZH2, MDM4) whose drug-induced splicing alteration exerts an impact on cell survival. Moreover, computational analyses uncovered a widespread impact of splicing-targeting drugs on intron retention, with enrichment in genes implicated in pre-mRNA 3'-end processing (i.e. CSTF3, PCF11). Coherently, advanced PC cells displayed high sensitivity to a specific inhibitor of the cleavage and polyadenylation complex, which enhances the effects of chemotherapeutic drugs that are already in use for this cancer.
Conclusions:
Our study uncovers intron retention as an actionable vulnerability for advanced PC, which may be exploited to improve therapeutic management of this currently incurable disease.
Insights
Splicing dysregulation drives advanced prostate cancer (PC). Targeting intron retention with specific drugs, like Pladienolide B, indisulam, and THZ531, shows promise for treating this aggressive cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Advanced prostate cancer (PC) is resistant to current therapies, necessitating novel treatment strategies.
- Splicing dysregulation is a key feature of advanced PC.
- Pharmacologic inhibition of splicing presents a promising therapeutic avenue for advanced PC.
Purpose of the Study:
- To investigate the transcriptomic effects of splicing-targeting drugs (Pladienolide B, indisulam, THZ531) in advanced PC.
- To identify gene structural features associated with sensitivity to splicing-targeting drugs.
- To explore the therapeutic potential of targeting splicing in advanced PC.
Main Methods:
- Utilized an androgen-insensitive PC cell line (22Rv1) for genome-wide transcriptomic analysis.
- Applied bioinformatic and gene ontology analyses to understand drug-induced splicing alterations.
- Validated findings through functional experiments in cell models.
Main Results:
- Splicing-targeting drugs induce distinct transcriptomic and splicing signatures, impacting cell survival.
- Drug sensitivity correlates with specific gene structures, expression levels, and sequence elements.
- Identified intron retention as a widespread effect, particularly in genes involved in pre-mRNA 3'-end processing, and demonstrated sensitivity to cleavage and polyadenylation complex inhibitors.
Conclusions:
- Intron retention is a targetable vulnerability in advanced prostate cancer.
- Splicing-targeting drugs can be leveraged to enhance the efficacy of existing chemotherapies.
- This research offers a new therapeutic strategy for advanced PC, improving patient outcomes.
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