Evidence map›Paper›PMID 26595814›Full record

ArticleThe Journal of clinical investigation2016

Antisense oligonucleotide-mediated MDM4 exon 6 skipping impairs tumor growth.

Michael Dewaele, Tommaso Tabaglio, Karen Willekens, Marco Bezzi, Shun Xie Teo, Diana H P Low, Cheryl M Koh, Florian Rambow, Mark Fiers, Aljosja Rogiers and 17 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed
6.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 165 citations in OpenAlex.

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  18. Targeting RNA splicing modulation: new perspectives for anticancer strategy?Journal of experimental & clinical cancer research : CR · 2025
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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 7 institutions in 5 countries.

Michael Dewaele
Tommaso Tabaglio
Karen Willekens
Marco Bezzi
Shun Xie Teo
Diana H P Low
Cheryl M Koh
Florian Rambow
Mark Fiers
Aljosja Rogiers
Enrico Radaelli
Muthafar Al-Haddawi
Soo Yong Tan
Els Hermans
Frederic Amant
Hualong Yan
Manikandan Lakshmanan
Ratnacaram Chandrahas Koumar
Soon Thye Lim
Frederick A Derheimer
Robert M Campbell
Zahid Bonday
Vinay Tergaonkar
Mark Shackleton
Christine Blattner
Jean-Christophe Marine
Ernesto Guccione
Eli Lilly (United States) · USNational University of Singapore · SGKarlsruhe Institute of Technology · DEInstitute of Molecular and Cell Biology · SGPeter MacCallum Cancer Centre · AUSingapore General Hospital · SGVIB-KU Leuven Center for Cancer Biology · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

MDM4 is a promising target for cancer therapy, as it is undetectable in most normal adult tissues but often upregulated in cancer cells to dampen p53 tumor-suppressor function. The mechanisms that underlie MDM4 upregulation in cancer cells are largely unknown. Here, we have shown that this key oncogenic event mainly depends on a specific alternative splicing switch. We determined that while a nonsense-mediated, decay-targeted isoform of MDM4 (MDM4-S) is produced in normal adult tissues as a result of exon 6 skipping, enhanced exon 6 inclusion leads to expression of full-length MDM4 in a large number of human cancers. Although this alternative splicing event is likely regulated by multiple splicing factors, we identified the SRSF3 oncoprotein as a key enhancer of exon 6 inclusion. In multiple human melanoma cell lines and in melanoma patient-derived xenograft (PDX) mouse models, antisense oligonucleotide-mediated (ASO-mediated) skipping of exon 6 decreased MDM4 abundance, inhibited melanoma growth, and enhanced sensitivity to MAPK-targeting therapeutics. Additionally, ASO-based MDM4 targeting reduced diffuse large B cell lymphoma PDX growth. As full-length MDM4 is enhanced in multiple human tumors, our data indicate that this strategy is applicable to a wide range of tumor types. We conclude that enhanced MDM4 exon 6 inclusion is a common oncogenic event and has potential as a clinically compatible therapeutic target.

Indexed as

ExonsAnimalsCell Cycle ProteinsCell Line, TumorCell ProliferationHumansMelanomaMiceNuclear ProteinsOligonucleotides, AntisenseProto-Oncogene ProteinsRNA-Binding ProteinsSerine-Arginine Splicing FactorsTumor Suppressor Protein p53Cell Cycle ProteinsMDM4 protein, humanNuclear ProteinsOligonucleotides, AntisenseProto-Oncogene ProteinsRNA-Binding ProteinsSerine-Arginine Splicing FactorsSRSF3 protein, humanTumor Suppressor Protein p53

Identifiers

PMID26595814
PMCPMC4701541
OpenAlexW2174441123

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.