Publication Date

1-21-2021

Journal

Cell

DOI

10.1016/j.cell.2020.12.031

PMID

33450205

PMCID

PMC8635244

PubMedCentral® Posted Date

1-21-2022

PubMedCentral® Full Text Version

Author MSS

Published Open-Access

yes

Keywords

Adaptive Immunity, Animals, Antiviral Agents, Apoptosis, Cell Line, Tumor, Cytoplasm, Female, Gene Amplification, Humans, Immunity, Introns, Mice, Molecular Targeted Therapy, Proto-Oncogene Proteins c-myc, RNA Splicing, RNA, Double-Stranded, Signal Transduction, Spliceosomes, Triple Negative Breast Neoplasms

Abstract

Many oncogenic insults deregulate RNA splicing, often leading to hypersensitivity of tumors to spliceosome-targeted therapies (STTs). However, the mechanisms by which STTs selectively kill cancers remain largely unknown. Herein, we discover that mis-spliced RNA itself is a molecular trigger for tumor killing through viral mimicry. In MYC-driven triple-negative breast cancer, STTs cause widespread cytoplasmic accumulation of mis-spliced mRNAs, many of which form double-stranded structures. Double-stranded RNA (dsRNA)-binding proteins recognize these endogenous dsRNAs, triggering antiviral signaling and extrinsic apoptosis. In immune-competent models of breast cancer, STTs cause tumor cell-intrinsic antiviral signaling, downstream adaptive immune signaling, and tumor cell death. Furthermore, RNA mis-splicing in human breast cancers correlates with innate and adaptive immune signatures, especially in MYC-amplified tumors that are typically immune cold. These findings indicate that dsRNA-sensing pathways respond to global aberrations of RNA splicing in cancer and provoke the hypothesis that STTs may provide unexplored strategies to activate anti-tumor immune pathways.

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Graphical Abstract

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