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Updated: Aug 11, 2026

Evaluation of Exon Inclusion Induced by Splice Switching Antisense Oligonucleotides in SMA Patient Fibroblasts
Published on: May 11, 2018
An antisense antidote to oncogenic poison exons
René M Arvola1, Guramrit Singh2
1Department of Molecular Genetics, Center for RNA Biology, The Ohio State University, Columbus, Ohio 43210, USA.
Abstract:
Splicing factors are frequently mutated in myeloid cancers, causing splicing aberrations that derail the expression of tumor suppressor genes. In SRSF2 mutated cancers, a key oncogenic splicing event is the inclusion of a "poison" exon that introduces an early stop codon in EZH2 mRNA, causing its destabilization. In this issue of Genes & Development, Islam et al. (doi:10.1101/gad.353628.126) define how mutant SRSF2 binding to the poison exon mediates its inclusion and identify an antisense oligonucleotide that represses the exon to restore EZH2 function and rescues hematopoietic defects. Thus, targeting of poison exons, many of which show protumorigenic and antitumorigenic properties, is a promising new avenue to treat cancer.
Insights
Mutant SRSF2 splicing factors cause cancer by including poison exons in EZH2 mRNA. Researchers identified an antisense oligonucleotide to block these exons, restoring EZH2 function and rescuing blood cell defects.
Area of Science:
- Molecular biology
- Cancer genetics
- RNA splicing
Background:
- Splicing factors, like SRSF2, are often mutated in myeloid cancers.
- These mutations lead to aberrant RNA splicing, affecting tumor suppressor gene expression.
- In SRSF2-mutated cancers, a specific oncogenic event involves the inclusion of a poison exon in EZH2 mRNA.
Purpose of the Study:
- To elucidate the mechanism by which mutant SRSF2 binding leads to poison exon inclusion in EZH2.
- To identify therapeutic strategies targeting this oncogenic splicing event.
- To evaluate the potential of antisense oligonucleotides in restoring EZH2 function.
Main Methods:
- Investigated the binding of mutant SRSF2 to the poison exon.
- Utilized antisense oligonucleotides to target and repress the poison exon.
- Assessed the restoration of EZH2 function and rescue of hematopoietic defects.
Main Results:
- Defined the mechanism of mutant SRSF2-mediated poison exon inclusion.
- Identified an antisense oligonucleotide that effectively represses the poison exon.
- Demonstrated that this repression restores EZH2 function and rescues hematopoietic defects in preclinical models.
Conclusions:
- Mutant SRSF2 binding to poison exons is a key oncogenic event in myeloid cancers.
- Targeting poison exons with antisense oligonucleotides is a promising therapeutic strategy.
- Restoring EZH2 function via poison exon repression offers a novel approach to cancer treatment.
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