RT Journal Article T1 Impact of alternative splicing on mechanisms of resistance to anticancer drugs. A1 Reviejo, Maria A1 Soto, Meraris A1 Lozano, Elisa A1 Asensio, Maitane A1 Martínez-Augustin, Olga A1 Sánchez de Medina, Fermín A1 Marin, Jose J G K1 Alternative splicing K1 Chemoresistance K1 Chemotherapy K1 Pharmacoresistance K1 Spliceosome K1 Tumor AB A shared characteristic of many tumors is the lack of response to anticancer drugs. Multiple mechanisms of pharmacoresistance (MPRs) are involved in permitting cancer cells to overcome the effect of these agents. Pharmacoresistance can be primary (intrinsic) or secondary (acquired), i.e., triggered or enhanced in response to the treatment. Moreover, MPRs usually result in the lack of sensitivity to several agents, which accounts for diverse multidrug-resistant (MDR) phenotypes. MPRs are based on the dynamic expression of more than one hundred genes, constituting the so-called resistome. Alternative splicing (AS) during pre-mRNA maturation results in changes affecting proteins involved in the resistome. The resulting splicing variants (SVs) reduce the efficacy of anticancer drugs by lowering the intracellular levels of active agents, altering molecular targets, enhancing both DNA repair ability and defensive mechanism of tumors, inducing changes in the balance between pro-survival and pro-apoptosis signals, modifying interactions with the tumor microenvironment, and favoring malignant phenotypic transitions. Reasons accounting for cancer-associated aberrant splicing include mutations that create or disrupt splicing sites or splicing enhancers or silencers, abnormal expression of splicing factors, and impaired signaling pathways affecting the activity of the splicing machinery. Here we have reviewed the impact of AS on MPR in cancer cells. YR 2021 FD 2021-10-19 LK https://hdl.handle.net/10668/25027 UL https://hdl.handle.net/10668/25027 LA en DS RISalud RD Apr 10, 2025