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;

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.

Related Concept Videos

RNA Splicing01:32

RNA Splicing

Splicing is the process by which eukaryotic RNA is edited before its translation into protein. The RNA strand transcribed from eukaryotic DNA is called the primary transcript. The primary transcripts that become mRNAs are called precursor messenger RNAs (pre-mRNAs). Eukaryotic pre-mRNA contains alternating sequences of exons and introns. Exons are nucleotide sequences that code for proteins, whereas introns are the non-coding regions. In RNA splicing, introns are removed and exons are bonded...
57.1K
Alternative RNA Splicing02:18

Alternative RNA Splicing

Alternative RNA splicing is the regulated splicing of exons and introns to produce different mature mRNAs from a single pre-mRNA. Unlike in constitutive splicing where a single gene produces a single type of mRNA, alternative splicing allows an organism to produce multiple proteins from a single gene and plays an important role in protein diversity.
There are five types of alternative RNA splicing that vary in the ways the pre-mRNA segments are removed or retained in the mature mRNA. The first...
21.7K
Experimental RNAi02:15

Experimental RNAi

RNA interference (RNAi) is a cellular mechanism that inhibits gene expression by suppressing its transcription or activating the RNA degradation process. The mechanism was discovered by Andrew Fire and Craig Mello in 1998 in plants. Today, it is observed in almost all eukaryotes, including protozoa, flies, nematodes, insects, parasites, and mammals. This precise cellular mechanism of gene silencing has been developed into a technique that provides an efficient way to identify and determine the...
6.3K
Pre-mRNA Processing: RNA Splicing01:36

Pre-mRNA Processing: RNA Splicing

5.4K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.8K
Nonsense-mediated mRNA Decay02:27

Nonsense-mediated mRNA Decay

The Upf proteins that carry out nonsense-mediated decay (NMD) are found in all eukaryotic organisms, including humans. Each protein has an individual role, but they need to work in collaboration. Upf1 is an ATP-dependent RNA helicase that unwinds the RNA helix. Because Upf1 can unwind any RNA, Upf2 and Upf3 are required to help Upf1 discriminate between nonsense and normal mRNAs.
Usually, Upf3 binds to an Exon Junction Complex (EJC) at mRNA splice sites. If a ribosome fully translates the mRNA,...
10.8K