Alternative Splicing in Tumorigenesis and Cancer Therapy

Alternative splicing (AS) is a pivotal post-transcriptional mechanism that expands the functional diversity of the proteome by enabling a single gene to generate multiple mRNA and protein isoforms. This process, which involves the differential inclusion or exclusion of exons and introns, is tightly...

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Main Authors: Huiping Chen, Jingqun Tang, Juanjuan Xiang
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/15/6/789
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author Huiping Chen
Jingqun Tang
Juanjuan Xiang
author_facet Huiping Chen
Jingqun Tang
Juanjuan Xiang
author_sort Huiping Chen
collection DOAJ
description Alternative splicing (AS) is a pivotal post-transcriptional mechanism that expands the functional diversity of the proteome by enabling a single gene to generate multiple mRNA and protein isoforms. This process, which involves the differential inclusion or exclusion of exons and introns, is tightly regulated by splicing factors (SFs), such as serine/arginine-rich proteins (SRs), heterogeneous nuclear ribonucleoproteins (hnRNPs), and RNA-binding motif (RBM) proteins. These factors recognize specific sequences, including 5′ and 3′ splice sites and branch points, to ensure precise splicing. While AS is essential for normal cellular function, its dysregulation is increasingly implicated in cancer pathogenesis. Aberrant splicing can lead to the production of oncogenic isoforms that promote tumorigenesis, metastasis, and resistance to therapy. Furthermore, such abnormalities can cause the loss of tumor-suppressing activity, thereby contributing to cancer development. Importantly, abnormal AS events can generate neoantigens, which are presented on tumor cell surfaces via major histocompatibility complex (MHC) molecules, suggesting novel targets for cancer immunotherapy. Additionally, splice-switching oligonucleotides (SSOs) have shown promise as therapeutic agents because they modulate splicing patterns to restore normal gene function or induce tumor-suppressive isoforms. This review explores the mechanisms of AS dysregulation in cancer, its role in tumor progression, and its potential as a therapeutic target. We also discuss innovative technologies, such as high-throughput sequencing and computational approaches, that are revolutionizing the study of AS in cancer. Finally, we address the challenges and future prospects of targeting AS for personalized cancer therapies, emphasizing its potential in precision medicine.
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spelling doaj-art-3e027fab1ba947f28b5722f1d29ff9f22025-06-25T13:33:04ZengMDPI AGBiomolecules2218-273X2025-05-0115678910.3390/biom15060789Alternative Splicing in Tumorigenesis and Cancer TherapyHuiping Chen0Jingqun Tang1Juanjuan Xiang2Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital, Central South University, Changsha 410013, ChinaHunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital, Central South University, Changsha 410013, ChinaHunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital, Central South University, Changsha 410013, ChinaAlternative splicing (AS) is a pivotal post-transcriptional mechanism that expands the functional diversity of the proteome by enabling a single gene to generate multiple mRNA and protein isoforms. This process, which involves the differential inclusion or exclusion of exons and introns, is tightly regulated by splicing factors (SFs), such as serine/arginine-rich proteins (SRs), heterogeneous nuclear ribonucleoproteins (hnRNPs), and RNA-binding motif (RBM) proteins. These factors recognize specific sequences, including 5′ and 3′ splice sites and branch points, to ensure precise splicing. While AS is essential for normal cellular function, its dysregulation is increasingly implicated in cancer pathogenesis. Aberrant splicing can lead to the production of oncogenic isoforms that promote tumorigenesis, metastasis, and resistance to therapy. Furthermore, such abnormalities can cause the loss of tumor-suppressing activity, thereby contributing to cancer development. Importantly, abnormal AS events can generate neoantigens, which are presented on tumor cell surfaces via major histocompatibility complex (MHC) molecules, suggesting novel targets for cancer immunotherapy. Additionally, splice-switching oligonucleotides (SSOs) have shown promise as therapeutic agents because they modulate splicing patterns to restore normal gene function or induce tumor-suppressive isoforms. This review explores the mechanisms of AS dysregulation in cancer, its role in tumor progression, and its potential as a therapeutic target. We also discuss innovative technologies, such as high-throughput sequencing and computational approaches, that are revolutionizing the study of AS in cancer. Finally, we address the challenges and future prospects of targeting AS for personalized cancer therapies, emphasizing its potential in precision medicine.https://www.mdpi.com/2218-273X/15/6/789alternative splicingcancerimmunotherapyneoantigensinnovative technologies
spellingShingle Huiping Chen
Jingqun Tang
Juanjuan Xiang
Alternative Splicing in Tumorigenesis and Cancer Therapy
Biomolecules
alternative splicing
cancer
immunotherapy
neoantigens
innovative technologies
title Alternative Splicing in Tumorigenesis and Cancer Therapy
title_full Alternative Splicing in Tumorigenesis and Cancer Therapy
title_fullStr Alternative Splicing in Tumorigenesis and Cancer Therapy
title_full_unstemmed Alternative Splicing in Tumorigenesis and Cancer Therapy
title_short Alternative Splicing in Tumorigenesis and Cancer Therapy
title_sort alternative splicing in tumorigenesis and cancer therapy
topic alternative splicing
cancer
immunotherapy
neoantigens
innovative technologies
url https://www.mdpi.com/2218-273X/15/6/789
work_keys_str_mv AT huipingchen alternativesplicingintumorigenesisandcancertherapy
AT jingquntang alternativesplicingintumorigenesisandcancertherapy
AT juanjuanxiang alternativesplicingintumorigenesisandcancertherapy