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Updated: Jul 3, 2026

A Reporter Based Cellular Assay for Monitoring Splicing Efficiency
Published on: September 15, 2021
U2AF1 mutations rescue deleterious exon skipping induced by KRAS mutations
David M Walter1,2,3, Katherine Cho1,2, Smruthy Sivakumar4
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Abstract:
The mechanisms by which mutations of splicing factor gene U2AF1 contribute to lung adenocarcinoma pathogenesis are not well understood. Here we used prime editing to modify the endogenous U2AF1 gene in lung adenocarcinoma cells and assessed the impact on alternative splicing. One specific KRAS mutation, G12S, led to skipping of KRAS exon 2 and generation of a nonfunctional KRAS transcript. However, expression of the U2AF1S34F mutant reverted this exon skipping and restored KRAS function, leading to enrichment of U2AF1S34F mutations in KRASG12S-mutant lung adenocarcinomas. Comprehensive analysis of splicing factor-oncogene mutation co-occurrence in cancer genomes also revealed significant coenrichment of KRASQ61R and U2AF1I24T mutations. Experimentally, KRASQ61R mutation led to KRAS exon 3 skipping, which in turn could be rescued by expression of U2AF1I24T. Our findings provide evidence that splicing factor mutations can rescue splicing defects caused by oncogenic mutations in a dynamic process of cascading selection.
Insights
Splicing factor U2AF1 mutations can rescue splicing defects caused by KRAS oncogenic mutations in lung adenocarcinoma. This study reveals a dynamic process of cascading selection in cancer development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Mechanisms linking U2AF1 mutations to lung adenocarcinoma pathogenesis remain unclear.
- Oncogenic mutations in KRAS are common drivers in lung cancer.
- Alternative splicing dysregulation is a hallmark of cancer.
Purpose of the Study:
- To investigate how U2AF1 mutations impact alternative splicing in lung adenocarcinoma.
- To explore the functional consequences of splicing factor-oncogene mutation co-occurrence.
- To elucidate the role of splicing factor mutations in rescuing oncogenic splicing defects.
Main Methods:
- Utilized prime editing to modify the endogenous U2AF1 gene in lung adenocarcinoma cells.
- Assessed the impact of U2AF1 mutations on alternative splicing patterns.
- Analyzed co-occurrence of splicing factor and oncogene mutations in cancer genomes.
- Experimentally validated the rescue of KRAS splicing defects by U2AF1 mutants.
Main Results:
- A KRAS G12S mutation caused exon 2 skipping, generating a nonfunctional transcript.
- U2AF1 S34F mutant expression restored KRAS function by reverting exon skipping, correlating with U2AF1 S34F enrichment in KRAS G12S tumors.
- KRAS Q61R mutation induced exon 3 skipping, which was rescued by U2AF1 I24T expression.
- Significant co-enrichment of KRAS Q61R and U2AF1 I24T mutations was observed.
Conclusions:
- Splicing factor mutations can functionally rescue splicing defects induced by oncogenic mutations.
- This rescue mechanism represents a dynamic process of cascading selection in cancer evolution.
- Findings provide novel insights into the interplay between splicing factors and oncogenes in lung adenocarcinoma development.
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