Spliceosome inhibition induces Z-RNA and ZBP1-driven cell death in small cell lung cancer

Xinpei Jiang1, Xueying Ma2, Yunyun Zhou3

  • 1Nuclear Dynamics and Cancer Program, Fox Chase Cancer Center, Philadelphia, PA, USA; Cancer Epigenetics Institute, Fox Change Cancer Center, Philadelphia, PA, USA; Center for Immunology, Fox Chase Cancer Center, Philadelphia, PA, USA; Biomedical Science Graduate Program, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.

Cell Reports
|October 5, 2025
PubMed

Insights

Spliceosome inhibitors trigger Z-form RNA (Z-RNA) accumulation, activating ZBP1-dependent cell death. This mechanism enhances immunotherapy response in small cell lung cancer models.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Spliceosome inhibitors are investigated as anticancer agents.
  • Current spliceosome-targeted therapies (STTs) activate antiviral responses via right-handed dsRNA (A-RNA) and RIG-I-like receptors (RLRs).
  • A gap exists in understanding alternative mechanisms of spliceosome inhibitor-induced immune activation.

Purpose of the Study:

  • To investigate the alternative mechanisms by which spliceosome inhibitors modulate the tumor microenvironment (TME).
  • To explore the role of left-handed dsRNA (Z-RNA) and ZBP1 in spliceosome inhibitor-mediated anticancer effects.
  • To evaluate the potential of ZBP1-dependent cell death as a strategy to enhance immunotherapy in resistant cancers.

Main Methods:

  • Pharmacological and genetic inhibition of SF3B1 activity.
  • Analysis of Z-RNA accumulation in response to spliceosome inhibition.
  • Assessment of ZBP1 activation and ZBP1-dependent cell death in mouse embryonic fibroblasts and small cell lung cancer (SCLC) cells.
  • Evaluation of immunotherapy response in SCLC mouse models with spliceosome inhibition.

Main Results:

  • Spliceosome inhibition induces endogenous Z-RNA accumulation from intron-retained RNAs.
  • Z-RNA activates ZBP1, triggering cell death in fibroblasts and SCLC cells.
  • ZBP1-dependent cell death in cancer-associated fibroblasts enhances immunotherapy efficacy in SCLC models.

Conclusions:

  • Spliceosome inhibitors can generate Z-RNA, inducing ZBP1-dependent cell death in the TME.
  • This approach offers a novel therapeutic strategy to overcome resistance and enhance immunotherapy in cancers.
  • Targeting ZBP1 activation via spliceosome inhibition presents a promising avenue for cancer treatment.

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