Coordinated expression of retained introns and poison exons in renal cell carcinoma

José C Martínez1, Mi Zhou2, Gilbert Giri3

  • 1Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Division of Hematology, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Pharmacology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Cell Reports
|July 19, 2025
PubMed

Insights

Clear cell renal cell carcinoma (ccRCC) tumors show distinct intron retention (IR) patterns linked to aggressive disease. Targeting mammalian target of rapamycin (mTOR) impacts RNA processing, offering new therapeutic avenues for ccRCC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genomics

Background:

  • Understanding tumor-specific RNA isoforms in cancer, particularly clear cell renal cell carcinoma (ccRCC), remains challenging.
  • The interplay between oncogenic signaling, mRNA processing, and decay pathways is not fully elucidated.

Purpose of the Study:

  • To investigate the role of intron retention (IR) and poison exon (PE) inclusion in ccRCC pathogenesis.
  • To identify molecular regulators of these RNA processing events and their clinical significance.
  • To explore the relationship between RNA isoforms, signaling pathways, and immune infiltration in ccRCC.

Main Methods:

  • Transcriptomic analyses (RNA sequencing) were employed to profile ccRCC tumors.
  • Experimental validation was performed to confirm findings.
  • Analysis of RNA processing events, including intron retention and poison exon inclusion, was conducted.
  • Correlation with clinical features, survival data, and immune cell signatures was assessed.

Main Results:

  • ccRCC tumors exhibit coordinated intron retention (IR) and poison exon (PE) inclusion, leading to transcripts targeted by nonsense-mediated decay (NMD).
  • ccRCC tumors were classified into two subtypes based on IR levels: low IR and high IR, with high IR associated with aggressive clinical features and poorer survival.
  • Mammalian target of rapamycin (mTOR) signaling was identified as a key regulator; mTOR inhibition increased NMD-targeted isoforms, linking mTOR to RNA surveillance.
  • High IR tumors showed increased T cell infiltration signatures.

Conclusions:

  • Aggressive ccRCC tumors utilize a mechanism involving aberrant RNA isoforms generated by coordinated IR and PE inclusion.
  • mTOR signaling plays a crucial role in modulating these RNA processing events and RNA surveillance pathways.
  • These findings provide insights into potential biomarkers and therapeutic targets for ccRCC, highlighting the link between RNA processing, signaling, and the tumor immune microenvironment.

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