RT Journal Article T1 Dysregulated splicing factor SF3B1 unveils a dual therapeutic vulnerability to target pancreatic cancer cells and cancer stem cells with an anti-splicing drug A1 Alors-Perez, Emilia A1 Blázquez-Encinas, Ricardo A1 Alcalá, Sonia A1 Viyuela-García, Cristina A1 Pedraza-Arevalo, Sergio A1 Herrero-Aguayo, Vicente A1 Jiménez-Vacas, Juan M. A1 Mafficini, Andrea A1 Sánchez-Frías, Marina E. A1 Cano, María T. A1 Abollo-Jiménez, Fernando A1 Marín-Sanz, Juan A. A1 Cabezas-Sainz, Pablo A1 Lawlor, Rita T. A1 Luchini, Claudio A1 Sánchez, Laura A1 Sánchez-Hidalgo, Juan M. A1 Ventura, Sebastián A1 Martin-Hijano, Laura A1 Gahete, Manuel D. A1 Scarpa, Aldo A1 Arjona-Sánchez, Álvaro A1 Ibáñez-Costa, Alejandro A1 Sainz, Bruno A1 Luque, Raúl M. A1 Castaño, Justo P. K1 Pancreatic cancer K1 Splicing-spliceosome K1 SF3B1 K1 Pladienolide-B K1 Cancer stem cells K1 Carcinoma, pancreatic ductal K1 Cell proliferation K1 Apoptosis K1 Cell line K1 Neoplasias pancreáticas K1 Empalmosomas K1 Células madre neoplásicas K1 Carcinoma ductal pancreático K1 Proliferación celular K1 Línea celular AB BackgroundPancreatic ductal adenocarcinoma (PDAC) is a highly lethal cancer, requiring novel treatments to target both cancer cells and cancer stem cells (CSCs). Altered splicing is emerging as both a novel cancer hallmark and an attractive therapeutic target. The core splicing factor SF3B1 is heavily altered in cancer and can be inhibited by Pladienolide-B, but its actionability in PDAC is unknown. We explored the presence and role of SF3B1 in PDAC and interrogated its potential as an actionable target.MethodsSF3B1 was analyzed in PDAC tissues, an RNA-seq dataset, and publicly available databases, examining associations with splicing alterations and key features/genes. Functional assays in PDAC cell lines and PDX-derived CSCs served to test Pladienolide-B treatment effects in vitro, and in vivo in zebrafish and mice.ResultsSF3B1 was overexpressed in human PDAC and associated with tumor grade and lymph-node involvement. SF3B1 levels closely associated with distinct splicing event profiles and expression of key PDAC players (KRAS, TP53). In PDAC cells, Pladienolide-B increased apoptosis and decreased multiple tumor-related features, including cell proliferation, migration, and colony/sphere formation, altering AKT and JNK signaling, and favoring proapoptotic splicing variants (BCL-XS/BCL-XL, KRASa/KRAS, Δ133TP53/TP53). Importantly, Pladienolide-B similarly impaired CSCs, reducing their stemness capacity and increasing their sensitivity to chemotherapy. Pladienolide-B also reduced PDAC/CSCs xenograft tumor growth in vivo in zebrafish and in mice.ConclusionSF3B1 overexpression represents a therapeutic vulnerability in PDAC, as altered splicing can be targeted with Pladienolide-B both in cancer cells and CSCs, paving the way for novel therapies for this lethal cancer. PB BioMed Central, Springer Nature YR 2021 FD 2021-12-02 LK http://hdl.handle.net/10668/4513 UL http://hdl.handle.net/10668/4513 LA en NO Alors-Perez E, Blázquez-Encinas R, Alcalá S, Viyuela-García C, Pedraza-Arevalo S, Herrero-Aguayo V, et al. Dysregulated splicing factor SF3B1 unveils a dual therapeutic vulnerability to target pancreatic cancer cells and cancer stem cells with an anti-splicing drug. J Exp Clin Cancer Res. 2021 Dec 2;40(1):382 DS RISalud RD Apr 9, 2025