Research Papers:

Targeting the spliceosome for cutaneous squamous cell carcinoma therapy: a role for c-MYC and wild-type p53 in determining the degree of tumour selectivity

Lydia A. Hepburn _, Angela McHugh, Kenneth Fernandes, Garry Boag, Charlotte M. Proby, Irene M. Leigh and Mark K. Saville

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Oncotarget. 2018; 9:23029-23046. https://doi.org/10.18632/oncotarget.25196

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Lydia A. Hepburn1, Angela McHugh1, Kenneth Fernandes1, Garry Boag1, Charlotte M. Proby1, Irene M. Leigh1,2 and Mark K. Saville1

1Division of Cancer Research, School of Medicine, University of Dundee, Dundee DD1 9SY, UK

2Centre for Cutaneous Research, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AT, UK

Correspondence to:

Mark K. Saville, email: [email protected]

Keywords: squamous cell carcinoma; spliceosome; c-MYC; p53; MDM2

Received: December 09, 2017     Accepted: April 04, 2018     Published: May 01, 2018


We show that suppression of the spliceosome has potential for the treatment of cutaneous squamous cell carcinoma (cSCC). The small-molecule inhibitors of the spliceosome at the most advanced stage of development target the splicing factor SF3B1/SF3b155. The majority of cSCC cell lines are more sensitive than normal skin cells to death induced by the SF3B1 inhibitor pladienolide B. Knockdown of SF3B1 and a range of other splicing factors with diverse roles in the spliceosome can also selectively kill cSCC cells. We demonstrate that endogenous c-MYC participates in conferring sensitivity to spliceosome inhibition. c-MYC expression is elevated in cSCC lines and its knockdown reduces alterations in mRNA splicing and attenuates cell death caused by interference with the spliceosome. In addition, this study provides further support for a key role of the p53 pathway in the response to spliceosome disruption. SF3B1 inhibition causes wild-type p53 upregulation associated with altered mRNA splicing and reduced protein expression of both principal p53 negative regulators MDMX/MDM4 and MDM2. We observed that wild-type p53 can promote pladienolide B-induced death in tumour cells. However, p53 is commonly inactivated by mutation in cSCCs and p53 participates in killing normal skin cells at high concentrations of pladienolide B. This may limit the therapeutic window of SF3B1 inhibitors for cSCC. We provide evidence that, while suppression of SF3B1 has promise for treating cSCCs with mutant p53, inhibitors which target the spliceosome through SF3B1-independent mechanisms could have greater cSCC selectivity as a consequence of reduced p53 upregulation in normal cells.

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