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Deconvoluting the multi-faceted roles of alternative splicing events in cancer: From underlying mechanisms to innovative therapeutics.

Created on 21 Sep 2026

Authors

Lei Hu, Xiaofang Wang, Bo Fan, Qian Zhao, Yajun Zhong, Yingying Lu, Minru Liao, Hongyao Li, Xiangyu Fu, Huiping Wang, Cheng Du, Bo Han, Leilei Fu

Published in

Acta pharmaceutica Sinica. B. Volume 16. Issue 9. Pages 5622-5649. Epub Jul 16, 2026.

Abstract

Alternative splicing (AS) is well-known to be a critical mechanism to enhance proteomic diversity from a limited genome. Dysregulation of AS may represent a key tumor-specific molecular feature; thereby driving tumorigenesis and progression. Elucidating the mechanisms underlying AS dysregulation in oncogenesis is paramount for developing more novel therapeutic targets and agents. Thus, in this review, we comprehensively demonstrate the pivotal roles of AS dysregulation across the 14 established cancer hallmarks. We systematically summarize current therapeutic targets and related strategies for targeting AS in cancer, including small molecules and antisense oligonucleotides (ASOs). Moreover, we further discuss the progress, challenges, and potential solutions in drug development by providing both preclinical data and clinical trial outcomes for AS-targeted therapies. In summary, this review aims to deconvolute the multi-faceted roles of alternative splicing events in cancer from underlying mechanisms to innovative therapeutics.

PMID:
42764959
Bibliographic data and abstract were imported from PubMed on 21 Sep 2026.

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