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DRUG CLASS:

RNA splicing modulator

Related drugs:
3ms
Circulating tumor cell clustering modulates RNA splicing and polyadenylation to facilitate metastasis. (PubMed, Cancer Lett)
The AU-rich elements (AREs) within the long 3' UTR of H2AFY mRNA enhance mRNA stability and translation activity, resulting in promoting cell proliferation and invasion, which potentially facilitate the establishment and rapid formation of metastatic tumors mediated by CTC clusters. These findings provide new insights into the mechanisms driving CTC cluster metastasis.
Journal • Circulating tumor cells • Tumor cell
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PPP1CA (Protein Phosphatase 1 Catalytic Subunit Alpha)
3ms
Lactate modulates RNA splicing to promote CTLA-4 expression in tumor-infiltrating regulatory T cells. (PubMed, Immunity)
Moreover, the efficiency of CTLA-4 RNA splicing was increased in tumor-infiltrating Treg cells from patients with colorectal cancer. These findings highlight the immunological relevance of RNA splicing in Treg cells and provide important insights into the environmental mechanism governing CTLA-4 expression in Treg cells.
Journal • IO biomarker
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CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4) • FOXP3 (Forkhead Box P3)
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CTLA4 expression • FOXP3 expression
5ms
Long-term Safety and Efficacy Profile of ABX464 in Subjects With Moderate to Severe Active Ulcerative Colitis (clinicaltrials.gov)
P2, N=203, Active, not recruiting, Abivax S.A. | Recruiting --> Active, not recruiting | Trial completion date: Apr 2026 --> Apr 2027 | Trial primary completion date: Feb 2023 --> Feb 2027
Enrollment closed • Trial completion date • Trial primary completion date
6ms
Phase classification
6ms
Synthesis and Conformational Analysis of FR901464-Based RNA Splicing Modulators and Their Synergism in Drug-Resistant Cancers. (PubMed, J Med Chem)
Meayamycin D induced alternative splicing of MCL-1, showed strong synergism with venetoclax in drug-resistant lung cancer cells, and was cancer-specific over normal cells. Meayamycin D incorporates an alkyl ether and shows a long half-life in mouse plasma. The characteristics of meayamycin D may provide an approach to designing other bioactive L-shaped molecules.
Journal
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SF3B1 (Splicing Factor 3b Subunit 1) • MCL1 (Myeloid cell leukemia 1)
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Venclexta (venetoclax)
11ms
Design and synthesis of 4-acetoxypentanamide derivatives of spliceostatin A and their biological evaluation towards prostate cancer treatment. (PubMed, Bioorg Med Chem Lett)
We designed and synthesized novel 4-acetoxypentanamide derivatives of spliceostatin A, whose 4-acetoxypentenamide moiety is reduced (7), isomerized (8), or substituted with methyl at the α-position (9). The results of biological evaluation against AR-V7 and the docking analysis of each derivative suggest that the geometry of the 4-acetoxypentenamide moiety of spliceostatin A is important for its biological activity.
Journal
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AR (Androgen receptor)
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AR splice variant 7
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spliceostatin A (SSA)
11ms
Therapeutic modulation of RNA splicing to combat malignant rhabdoid tumors (EACR 2023)
ConclusionOur results suggest that targeting RNA splicing may be a promising approach for treatment of therapy-refractory MRT. Further pre-clinical in vivo studies are warranted to fully establish a rationale for clinical evaluation of SM09419 in MRT patients.
PARP Biomarker
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SMARCB1 (SWI/SNF Related, Matrix Associated, Actin Dependent Regulator Of Chromatin, Subfamily B, Member 1) • CASP3 (Caspase 3) • CASP7 (Caspase 7) • TCF7 (Transcription Factor 7)
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CDKN1B expression
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SM09419
over1year
Modulation of RNA splicing enhances response to BCL2 inhibition in leukemia. (PubMed, Cancer Cell)
Inhibition of splicing kinase families CLKs (CDC-like kinases) and DYRKs (dual-specificity tyrosine-regulated kinases) leads to aberrant splicing of key splicing and apoptotic factors that synergize with venetoclax, and overcomes resistance to BCL2 inhibition. Our findings underscore the importance of splicing in modulating response to therapies and provide a strategy to improve venetoclax-based treatments.
Journal
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RBM10 (RNA Binding Motif Protein 10) • BCL2A1 (BCL2 Related Protein A1) • XIAP (X-Linked Inhibitor Of Apoptosis)
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Venclexta (venetoclax)
over1year
Splicing Modulators Impair DNA Damage Response and Induce Killing of Cohesin-Mutant MDS/AML (ASH 2022)
Pre-treatment of cohesin-mutant cells with H3B-8800 for 3 days increased their sensitivity to the PARP inhibitor talazoparib 10-fold, while the sensitivity of wild-type cells to talazoparib was unaffected (Figure 1A)...In addition to talazoparib, we demonstrated significantly improved overall survival of STAG2-mutant AML PDX mice receiving sequential treatment of E-7107 and standard induction chemotherapy (doxorubicin and cytarabine), further expanding this strategy beyond PARP inhibitors...In summary, our study identifies a critical connection between cohesin mutations and splicing modulation in AML, creating a novel therapeutic strategy for these patients with very limited treatment options and poor outcomes. Our findings not only expand the potential therapeutic benefits of SF3B1 splicing modulators to include cohesin-mutant MDS/sAML but we also propose this as a broader strategy for therapeutic targeting of other DNA damage-repair deficient cancers.
BRCA Biomarker • PARP Biomarker
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • SF3B1 (Splicing Factor 3b Subunit 1) • STAG2 (Stromal Antigen 2)
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SF3B1 mutation • STAG2 mutation
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cytarabine • doxorubicin hydrochloride • Talzenna (talazoparib) • RVT-2001
over1year
Alternative RNA splicing modulates ribosomal composition and determines the spatial phenotype of glioblastoma cells. (PubMed, Nat Cell Biol)
These findings demonstrate how distinct GBM cell populations arise during tumour growth. Targeting this mechanism may decrease GBM heterogeneity and facilitate therapy.
Journal
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TP53 (Tumor protein P53) • MALAT1 (Metastasis associated lung adenocarcinoma transcript 1) • RPL22L1 (Ribosomal Protein L22 Like 1)
over1year
RNA splicing: a dual-edged sword for hepatocellular carcinoma. (PubMed, Med Oncol)
However, in contrast, multiple malignant tumors, including HCC that target the pro-apoptotic favoring isoforms/variants favor apoptotic induction and make chemotherapy effective. Herein, we discuss different splicing events, aberrations, and antisense oligonucleotides (ASOs) in modulating RNA splicing in HCC tumorigenesis with a possible therapeutic outcome.
Review • Journal
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BCL2 (B-cell CLL/lymphoma 2) • MCL1 (Myeloid cell leukemia 1) • BCL2L1 (BCL2-like 1)
2years
Modulation of RNA splicing associated with Wnt signaling pathway using FD-895 and pladienolide B. (PubMed, Aging (Albany NY))
Specifically, FD-895 and pladienolide B significantly downregulates Wnt signaling pathway-associated transcripts (GSK3β and LRP5) and both transcript and proteins including LEF1, CCND1, LRP6, and pLRP6 at the transcript, total protein, and protein phosphorylation's levels. These results indicate FD-895 and pladienolide B inhibit Wnt signaling by decreasing LRP6 phosphorylation and modulating mRNA splicing through induction of intron retention in solid tumors.
Journal
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CCND1 (Cyclin D1)
over2years
Dcx expression defines a subpopulation of Gdf5 cells with chondrogenic potentials in E12.5 mouse embryonic limbs. (PubMed, Biochem Biophys Rep)
Expression of Gdf5, Sox5, Sox6, melanoma inhibitory activity, noggin, odd-skipped related transcription factor 2, matrilin 4, and versican was positively correlated with Dcx expression. Our results demonstrate that Dcx expression defines a subpopulation of Gdf5 cells with chondrogenic potentials in E12.5 mouse embryonic limbs.
Preclinical • Journal
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SOX2 • SOX9 (SRY-Box Transcription Factor 9) • YBX1 (Y-Box Binding Protein 1) • VCAN (Versican)
over2years
The H, N and C resonance assignments of the low-complexity domain from the oncogenic fusion protein EWS-FLI1. (PubMed, Biomol NMR Assign)
To alleviate this problem, the domain was divided into three overlapping fragments, reducing the complexity of the spectra and enabling almost complete backbone resonance assignment of the full domain. These solution NMR chemical shift assignments represent the first steps towards understanding, at atomic resolution, how the low-complexity domain of EWS contributes to the aberrant functions of its oncogenic fusion proteins.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • FUS (FUS RNA Binding Protein) • TAF15 (TATA-Box Binding Protein Associated Factor 15)
over2years
RNA Sequencing of Primary Cutaneous and Breast-Implant Associated Anaplastic Large Cell Lymphomas Reveals Infrequent Fusion Transcripts and Upregulation of PI3K/AKT Signaling via Neurotrophin Pathway Genes. (PubMed, Cancers (Basel))
One of the two BI-ALCL samples showed a complex karyotype, raising the possibility that genomic instability may be responsible for intra-chromosomal fusions in BI-ALCL. Moreover, transcriptional analysis revealed similar upregulation of the PI3K/Akt pathway, associated with enrichment in the expression of neurotrophin signaling genes, which was more conspicuous in BI-ALCL, as well as differences, i.e., over-expression of genes involved in the RNA polymerase II transcription program in BI-ALCL and of the RNA splicing/processing program in cALCL.
Journal
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ALK (Anaplastic lymphoma kinase) • NPM1 (Nucleophosmin 1) • NF1 (Neurofibromin 1) • TYK2 (Tyrosine Kinase 2) • TP63 (Tumor protein 63) • MYO18A (Myosin XVIIIA)
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ALK positive • ALK negative
over2years
U2af1 is a haplo-essential gene required for hematopoietic cancer cell survival in mice. (PubMed, J Clin Invest)
Furthermore, mice transplanted with leukemia cells expressing mutant U2AF1 had significantly reduced tumor burden and improved survival after the wild-type U2af1 allele was deleted compared to when it was not deleted. These results suggest that selectively targeting the wild-type U2AF1 allele in heterozygous mutant cells could induce cancer cell death and be a therapeutic strategy for patients harboring U2AF1 mutations.
Preclinical • Journal
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U2AF1 (U2 Small Nuclear RNA Auxiliary Factor 1)
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U2AF1 mutation
over2years
RNA m6A Methylation Regulators Multi-Omics Analysis in Prostate Cancer. (PubMed, Front Genet)
Subsequently, we determined CBLL1, FTO, YTHDC1, HNRNPA2B1 as crucial m6A regulators of prostate cancer. Premised on the expression of CBLL1, we also identified potential therapeutic agents for prostate cancer, and knockdown of HNRNPA2B1 prominently inhibited prostate cells migration and invasion in vitro experiment.
Journal
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CBL (Cbl proto-oncogene) • FTO (Alpha-Ketoglutarate-Dependent Dioxygenase FTO)
over2years
Expression profile of RNA binding protein in cervical cancer using bioinformatics approach. (PubMed, Cancer Cell Int)
Our discovery showed that many RNA binding proteins involved in the progress of cervical cancer, which could probably serve as prognostic biomarkers and accelerate the discovery of treatment targets for CC patients.
Journal
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WDR43 (WD Repeat Domain 43)
over2years
LW1497, an Inhibitor of Malate Dehydrogenase, Suppresses TGF-β1-Induced Epithelial-Mesenchymal Transition in Lung Cancer Cells by Downregulating Slug. (PubMed, Antioxidants (Basel))
In addition, the results from immunohistochemical analyses showed that LW1497 downregulated EMT markers and Slug. In conclusion, LW1497 suppresses cancer progression through the inhibition of EMT by downregulating Slug.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • CDH1 (Cadherin 1) • VIM (Vimentin) • TGFB1 (Transforming Growth Factor Beta 1) • SNAI2 (Snail Family Transcriptional Repressor 2)
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HIF1A expression
over2years
Protein-RNA interactome analysis reveals wide association of KSHV ORF57 with host non-coding RNAs and polysomes. (PubMed, J Virol)
More importantly, we found that ORF57 binds translationally active polysomes and enhances PABPC-1 but prevents Ago2 association with polysomes. Data provide a compelling evidence on how ORF57 in KSHV infected cells might regulate protein synthesis by blocking Ago2's hostile activities on translation.
Journal
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CDK4 (Cyclin-dependent kinase 4)
over2years
The genetic analysis of Chinese patients with clonal cytopenias using targeted next-generation sequencing. (PubMed, Mol Cytogenet)
NGS facilitates the diagnosis of unexplained cytopenias. The monitoring and management of CCUS is necessary, also cardio-cerebrovascular embolism events in patients with CH need attention in the clinical practice.
Clinical • Journal • Next-generation sequencing
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RUNX1 (RUNX Family Transcription Factor 1) • ASXL1 (ASXL Transcriptional Regulator 1) • U2AF1 (U2 Small Nuclear RNA Auxiliary Factor 1)
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ASXL1 mutation • U2AF1 mutation
over2years
Pathogenic neurofibromatosis type 1 (NF1) RNA splicing resolved by targeted RNAseq. (PubMed, NPJ Genom Med)
A deep-intronic pathogenic splice variant could now be identified for two of them (25%). These results suggest that targeted RNAseq can be successfully used to detect pathogenic RNA splicing variants in NF1.
Journal
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NF1 (Neurofibromin 1)
over2years
[VIRTUAL] Splice Site and Exon Deletion Variants Detection with Oncomine RNA Sequencing Panel (AMP 2021)
We demonstrated exon deletion and splice site detection technology with an expanded RNA sequencing Oncomine panel that includes more than 1,000 gene fusion targets and assays for novel fusion detection. The approach is compatible with Ion systems, requires low input material, and retains simple workflows and fast turn-around time.
BRCA Biomarker
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EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • MET (MET proto-oncogene, receptor tyrosine kinase) • BRCA1 (Breast cancer 1, early onset) • FGFR2 (Fibroblast growth factor receptor 2) • NTRK1 (Neurotrophic tyrosine kinase, receptor, type 1) • NTRK3 (Neurotrophic tyrosine kinase, receptor, type 3) • NTRK2 (Neurotrophic tyrosine kinase, receptor, type 2) • RELA (RELA Proto-Oncogene)
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NTRK1 fusion • NTRK2 fusion • MET exon 14 mutation • FGFR2 fusion • ALK fusion
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Oncomine™ Comprehensive Assay Plus
over2years
Integration of Molecular Information in Risk Assessment of Patients with Myeloproliferative Neoplasms. (PubMed, Cells)
Second, mutation profile can be used, eventually in combination with cytogenetic, histopathologic, hematologic, and clinical variables, to risk stratify patients regarding thrombosis, overall survival, and rate of transformation to secondary leukemia. This review outlines the molecular landscape of MPN and critically interprets current information for their potential impact on patient management.
Clinical • Review • Journal
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JAK2 (Janus kinase 2) • CALR (Calreticulin)
over2years
Genomic Data Improves Prognostic Stratification in Adult T-Cell Acute Lymphoblastic Leukemia Patients Enrolled in Measurable Residual Disease-Oriented Trials (ASH 2021)
A genetic signature with independent prognostic significance of MRD has been identified in this cohort of patients included in MRD-oriented trials. This gene signature (WOG) together with MRD could help to improve risk-stratification of adult T-ALL patients and would be of interest in the search for new therapies for HR patients Funding: Support from AECC (GC16173697BIGA); ISCIII (PI19/01828 and PI19/01183), co-funded by ERDF/ESF, "A way to make Europe"/"Investing in your future", CERCA/Generalitat de Catalunya SGR 2017 288 (GRC)/ C González-Gil was supported by AGAUR grant (2020 FI_B2 00210).
Clinical
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KRAS (KRAS proto-oncogene GTPase) • NRAS (Neuroblastoma RAS viral oncogene homolog) • PTEN (Phosphatase and tensin homolog) • DNMT3A (DNA methyltransferase 1) • NOTCH1 (Notch 1) • RUNX1 (RUNX Family Transcription Factor 1) • TET2 (Tet Methylcytosine Dioxygenase 2) • ETV6 (ETS Variant Transcription Factor 6) • MSH2 (MutS Homolog 2) • FBXW7 (F-Box And WD Repeat Domain Containing 7) • KMT2C (Lysine Methyltransferase 2C) • FAT1 (FAT atypical cadherin 1) • JAK1 (Janus Kinase 1) • U2AF1 (U2 Small Nuclear RNA Auxiliary Factor 1) • EP300 (E1A binding protein p300) • IL7R (Interleukin 7 Receptor) • JAK3 (Janus Kinase 3) • FAT3 (FAT Atypical Cadherin 3) • PHF6 (PHD Finger Protein 6) • BCL11B (BAF Chromatin Remodeling Complex Subunit BCL11B) • GATA3 (GATA binding protein 3) • RPL5 (Ribosomal Protein L5)
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KRAS mutation • DNMT3A mutation • U2AF1 mutation • MSH2 mutation • JAK3 mutation
over2years
The Pan-Clk/Dyrk Inhibitor Cirtuvivint (SM08502) Exposes Mechanistic Underpinnings of Alternative Splicing As a Therapeutic Vulnerability in Heme Malignancies (ASH 2021)
Consistent with this, combination of the BCL-2 inhibitor venetoclax with cirtuvivint was sufficient to induce tumor regressions in AML xenograft models (KG-1 and HL-60) that were resistant to either single-agent drug at the same concentrations. These observations support further evaluation of CLK/DYRK inhibitors as a therapeutic strategy for heme malignancies dependent upon alternative pre-mRNA splicing.
IO biomarker
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MCL1 (Myeloid cell leukemia 1) • CDK1 (Cyclin-dependent kinase 1)
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Venclexta (venetoclax) • cirtuvivint (SM08502)
over2years
Identification of Novel Targets Based on Splicing Alterations for Undruggable RAS/CDK Signaling Cascade in Multiple Myeloma (ASH 2021)
Our studies 1) show an association between RNA processing and RAS-CDK pathways in MM, 2) identify a core splicing protein, SNRPB/RAVER1, as a novel target for modulating this cascade, and 3) suggest that targeting spliceosome complexes represents a promising therapy in MM.
IO biomarker
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • MCL1 (Myeloid cell leukemia 1) • BCL2L1 (BCL2-like 1) • E2F1 (E2F transcription factor 1)
over2years
Phase 1 Study of JNJ-64619178, a Protein Arginine Methyltransferase 5 Inhibitor, in Patients with Lower-Risk Myelodysplastic Syndromes (ASH 2021)
Pts had a median of 1 prior line of therapy post-ESA (range 0-4), including lenalidomide (33%), hypomethylating agents (29%), and luspatercept (19%). Despite robust target engagement, clinical activity was not observed, and enrollment was stopped. The role of PRMT5 in MDS and the differential impact of PRMT5 inhibition on normal and malignant hematopoiesis require further study.
Clinical • P1 data
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SF3B1 (Splicing Factor 3b Subunit 1) • PRMT5 (Protein Arginine Methyltransferase 5)
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SF3B1 mutation
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lenalidomide • Reblozyl (luspatercept-aamt) • onametostat (JNJ-64619178)
over2years
A Two-Step In Vivo CRISPR Screen Unveils Pervasive RNA-Binding Protein Dependencies for Leukemic Stem Cells and Identifies ELAVL1 As a Therapeutic Target (ASH 2021)
We identified a subset of RBPs that are selectively essential to LSC maintenance and identify ELAVL1 as being critical to LSC propagation potentially through its role in mitochondrial function. Altogether, this work demonstrates that RBPs, and specifically ELAVL1, represent important regulators of LSC-survival and highlights their potential therapeutic relevance in AML.
Preclinical
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ELAVL1 (ELAV Like RNA Binding Protein 1) • ELAVL4 (ELAV Like RNA Binding Protein 4)
over2years
METTL3 Dysregulates RNA Splicing by Translational Control of Splicing Factors via m6A Modification in CLL (ASH 2021)
We propose that METTL3 regulates splicing factor expression through m 6 A-mediated translational control. Our study highlights a post-transcriptional layer of m 6 A modification as a major contributor to genetic lesion-independent splicing defects in CLL.
IO biomarker
|
BCL2 (B-cell CLL/lymphoma 2) • SF3B1 (Splicing Factor 3b Subunit 1) • ALKBH5 (AlkB Homolog 5, RNA Demethylase) • METTL3 (Methyltransferase Like 3)
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SF3B1 mutation
over2years
Modulation of RNA Splicing Enhances Response to BCL2 Inhibition in Acute Myeloid Leukemia (ASH 2021)
We therefore utilized a series of selective pan-CLK/DYRK1A inhibitors, including SM09419 and SM08502, that potently suppress SR protein phosphorylation. Therapeutically, pharmacologic inhibition of SR protein function via inhibiting CLK/DYRK1A-mediated phosphorylation of splicing factors is an effective strategy used in combination with venetoclax or to overcome venetoclax resistance. Overall, our findings underscore the central importance of RNA splicing in drug response and provides a therapeutic rationale for modulating RNA splicing to enhance current AML therapies.
IO biomarker
|
TP53 (Tumor protein P53) • RBM10 (RNA Binding Motif Protein 10) • BCL2A1 (BCL2 Related Protein A1) • CDK1 (Cyclin-dependent kinase 1)
|
TP53 mutation • BCL2 expression
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Venclexta (venetoclax) • SM09419 • cirtuvivint (SM08502)
over2years
Single-Cell Multi-Omics Defines the Cell-Type Specific Impact of SF3B1 Splicing Factor Mutations on Hematopoietic Differentiation in Human Clonal Hematopoiesis and Myelodysplastic Syndromes (ASH 2021)
We revealed that SF3B1 mutations exert cell-type specific mis-splicing that leads to abnormal erythropoiesis. Finally, we demonstrated that the impact of SF3B1 mutations on EP cells begins before disease onset, as observed in CH subjects.
IO biomarker
|
TP53 (Tumor protein P53) • BCL2 (B-cell CLL/lymphoma 2) • SF3B1 (Splicing Factor 3b Subunit 1) • CCNE1 (Cyclin E1) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • CD34 (CD34 molecule) • CD36 (thrombospondin receptor) • TFRC
|
SF3B1 mutation
over2years
Molecular Responses Are Observed across Mutational Spectrum in Treatment-Naïve Higher-Risk Myelodysplastic Syndrome Patients Treated with Venetoclax Plus Azacitidine (ASH 2021)
Pts with higher-risk MDS treated with Ven + Aza had rapid, durable responses and high remission rates. Pts across key mutational profiles achieved meaningful clinical and molecular responses, supporting an all-comers approach. Updated data will be presented, which will provide more follow up time and durability of responses among mutational subsets.
Clinical • IO biomarker
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TP53 (Tumor protein P53) • RUNX1 (RUNX Family Transcription Factor 1) • ASXL1 (ASXL Transcriptional Regulator 1) • U2AF1 (U2 Small Nuclear RNA Auxiliary Factor 1)
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TP53 mutation • ASXL1 mutation • U2AF1 mutation
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Archer® VariantPlex® Myeloid panel
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Venclexta (venetoclax) • azacitidine