Evidence map›Paper›PMID 42046102›Full record

ArticleJournal of translational medicine2026

Pharmacological targeting of SF3a1-MDM4 splicing vulnerability in ovarian cancer with rifaximin and antisense oligonucleotide.

Xueqian Shuai, Yaoqi Sun, Jiale Li, Yuan Gao, Zhongping Cheng, Shupeng Liu

Abstract read
In one paragraph

Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xueqian ShuaiGynecological Minimally Invasive Surgery Institute, Tongji University School of Medicine, Shanghai, 200331, China.
Yaoqi SunDepartment of Obstetrics & Gynecology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Jiale LiSuqian Center for Disease Control and Prevention, Jiangsu, Suqian, 223800, China.
Yuan GaoSenior Department of Obstetrics & Gynecology, the Seventh Medical Center of PLA General Hospital, Beijing, 100700, China. gaoyuan_324@aliyun.com.
Zhongping ChengGynecological Minimally Invasive Surgery Institute, Tongji University School of Medicine, Shanghai, 200331, China. czpwp129@rjh.com.cn.
Shupeng LiuCentral Research Laboratory, Shanghai Fourth People's Hospital, Tongji University School of Medicine, Shanghai, 200434, China. lshup@tongji.edu.cn.ORCID 0000-0002-9276-7086

Funding

2020 Special Research Project of Family Planning 20JSZ12National Natural Science Foundation of China 82373269Shanghai Fourth's People's Hospital SY-XKZT-2025-1002, Sykyqd11701Shanghai Science and Technology Committee 19QA1407700
6 · The paper itself

Abstract

backgroundOvarian cancer (OC) is the most deadly gynecological malignancy, mainly due to insufficient studies on its mechanisms and lack of effective therapies. Alternative splicing (AS) dysregulation has deepened understanding of cancer pathogenesis. As a constitutive molecular consisting spliceosome, the pathogenesis and therapeutic potential of SF3a1 in solid tumors are rarely studied.

methodsThe expressions and prognostic values of SF3a1 were accessed using bioinformatics. The functions of SF3a1 were evaluated using gain- and loss-of-function strategies. Whole transcriptome sequencing and mass spectrometry analysis were conducted to capture signaling axis of SF3a1. Semi-qPCR, qRT–PCR, WB, IHC and rescue experiments were exploited to validate the sequencing results. Targeted antisense oligonucleotide (ASO) was designed and its treatment efficacy was verified. Virtual screening was used to identify small molecule inhibitor of SF3a1, whose therapeutic potential on OC was evaluated via in vitro and in vivo assays.

resultsThis study found SF3a1 played an indispensable role in OC pathogenesis. SF3a1 knockdown impaired malignant behaviors and reprogrammed splicing landscape of OC cells. Skipped exon (SE) event of MDM4-exon6 (exon7 in mouse) increased, leading to formation of MDM4-short (MDM4-s) isoform, which was subsequently degraded. Total MDM4 level was therefore downregulated, leading to P53 pathway activation and OC inhibition. Additionally, ASO targeting MDM4 pre-mRNA sequence bound by SF3a1 mimicked the alternative regulation caused by SF3a1 knockdown, and showed significant inhibitory effect on OC proliferation. Rifaximin, identified as an inhibitor targeting SF3a1, effectively killed OC cells and enhanced cisplatin’s efficacy in combination therapy. Moreover, CDK6 was found to phosphorylate SF3a1 at S359, which decreased its protein half-life and influenced downstream MDM4 splicing.

conclusionsOur findings uncover the oncogenic impact of SF3a1 in OC and highlight the prospects to target it by rifaximin and downstream MDM4 AS by ASO, synergistically improving the therapeutic effectiveness of cisplatin in OC.

Indexed as

Alternative SplicingCell Cycle ProteinsOligonucleotides, AntisenseOvarian NeoplasmsProto-Oncogene ProteinsRNA Splicing FactorsAnimalsCell Line, TumorCell ProliferationFemaleGene Expression Regulation, NeoplasticHumansSignal TransductionCell Cycle ProteinsOligonucleotides, AntisenseProto-Oncogene ProteinsRNA Splicing FactorsAlternative splicingAntisense oligonucleotideCDK6MDM4Ovarian cancerPhosphorylationRifaximinSF3a1

Identifiers

PMID42046102
PMCPMC13267591

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LicenceCC BY-NC-ND
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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.