Genome-wide CRISPR screen identifies splicing factor SF3B4 in driving hepatocellular carcinoma

Yue Guo1, Mingjing Xu1, Hua Xue1

  • 1Department of Surgery, Sir Y.K. Pao Centre for Cancer, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

Science Advances
|October 10, 2025
PubMed

Insights

Spliceosome factor SF3B4 is crucial for hepatocellular carcinoma (HCC) survival and lenvatinib resistance. This study identifies SF3B4 as a key driver of HCC progression and ferroptosis resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Genome sequencing has identified cancer-associated genes in hepatocellular carcinoma (HCC), but their functional roles are often unclear.
  • Understanding gene function is critical for developing targeted therapies for HCC.

Purpose of the Study:

  • To identify essential survival genes in HCC using genome-wide CRISPR knockout screening.
  • To investigate the role of spliceosome factors and ferroptosis regulators in HCC and lenvatinib resistance.

Main Methods:

  • Genome-wide CRISPR knockout screening in HCC organoids.
  • Analysis of spliceosome factors and ferroptosis suppressors, including glutamate-cysteine ligase catalytic subunit (GCLC).
  • RNA immunoprecipitation sequencing, long-read isoform sequencing, and transcriptome analysis to identify SF3B4 targets.

Main Results:

  • Spliceosome factors are essential for HCC cell survival.
  • SF3B4 was identified as a top-ranked gene, promoting HCC organoid survival and tumorigenesis in vivo.
  • SF3B4 regulates a specific splicing landscape, with T-box transcription factor 3 (TBX3) variant TBX3+2a identified as a downstream effector.
  • Upregulation of ferroptosis suppressors like GCLC was observed in lenvatinib-resistant HCC.

Conclusions:

  • SF3B4 plays a vital role in HCC cell survival and tumor progression.
  • SF3B4 is implicated in ferroptosis resistance in patients unresponsive to lenvatinib.
  • Targeting SF3B4 may offer a therapeutic strategy for lenvatinib-resistant HCC.