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Updated: Sep 14, 2025

A Reporter Based Cellular Assay for Monitoring Splicing Efficiency
Published on: September 15, 2021
RNA Splicing as a Therapeutic Target in Cancer
Alexander M Lewis1, Kenyon Weis1, Omar Abdel-Wahab1
1Molecular Pharmacology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA;
Abstract:
RNA splicing is a nuclear enzymatic process that catalyzes excision of segments of premature messenger RNA (mRNA) and ligation to give rise to mature coding mRNA. Genomic and transcriptomic studies of cancer have revealed that RNA splicing is often dysregulated in cancer due to mutations in genes affecting their splicing in cis, alterations in the components of the splicing machinery in trans, and transcriptional as well as epigenetic alterations that impact cotranscriptional splicing. These observations have motivated a number of efforts to pharmacologically modulate splicing using small molecules that bind, degrade, or modify the RNA splicing machinery as well as oligonucleotides and small molecules that bind mRNA transcripts to modulate their processing. These therapeutic modalities are reviewed here along with early findings from clinical trials evaluating these agents in patients. The vast number of opportunities to alter splicing continues to highlight splicing as an exciting therapeutic target in cancer.
Insights
RNA splicing, the process of maturing messenger RNA (mRNA), is frequently disrupted in cancer. Therapeutic strategies targeting RNA splicing are emerging as promising cancer treatments.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- RNA splicing is a critical nuclear process for generating mature messenger RNA (mRNA).
- Dysregulation of RNA splicing is a common hallmark of cancer, driven by genetic, epigenetic, and machinery alterations.
- Altered splicing contributes to cancer development and progression.
Purpose of the Study:
- To review current therapeutic strategies that pharmacologically modulate RNA splicing in cancer.
- To discuss small molecules and oligonucleotides targeting the splicing machinery or mRNA transcripts.
- To present early clinical findings on splicing-modulating agents in cancer patients.
Main Methods:
- Review of existing literature on RNA splicing modulation in cancer.
- Analysis of therapeutic modalities including small molecules and oligonucleotides.
- Examination of early clinical trial data for splicing-targeted therapies.
Main Results:
- Multiple approaches exist to pharmacologically target RNA splicing.
- Small molecules and oligonucleotides show potential in modulating splicing processes.
- Early clinical trials indicate the feasibility and potential efficacy of these novel therapies.
Conclusions:
- RNA splicing represents a significant and actionable therapeutic target in oncology.
- Targeting RNA splicing offers a promising avenue for novel cancer treatments.
- Further research and clinical evaluation are warranted to fully realize the potential of splicing-based cancer therapies.
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