Cell Reports (Aug 2024)

RPL22 is a tumor suppressor in MSI-high cancers and a splicing regulator of MDM4

  • Hannah N.W. Weinstein,
  • Kevin Hu,
  • Lisa Fish,
  • Yih-An Chen,
  • Paul Allegakoen,
  • Julia H. Pham,
  • Keliana S.F. Hui,
  • Chih-Hao Chang,
  • Meltem Tutar,
  • Lorena Benitez-Rivera,
  • Maria B. Baco,
  • Hanbing Song,
  • Andrew O. Giacomelli,
  • Francisca Vazquez,
  • Mahmoud Ghandi,
  • Hani Goodarzi,
  • Franklin W. Huang

Journal volume & issue
Vol. 43, no. 8
p. 114622

Abstract

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Summary: Microsatellite instability-high (MSI-H) tumors are malignant tumors that, despite harboring a high mutational burden, often have intact TP53. One of the most frequent mutations in MSI-H tumors is a frameshift mutation in RPL22, a ribosomal protein. Here, we identified RPL22 as a modulator of MDM4 splicing through an alternative splicing switch in exon 6. RPL22 loss increases MDM4 exon 6 inclusion and cell proliferation and augments resistance to the MDM inhibitor Nutlin-3a. RPL22 represses the expression of its paralog, RPL22L1, by mediating the splicing of a cryptic exon corresponding to a truncated transcript. Therefore, damaging mutations in RPL22 drive oncogenic MDM4 induction and reveal a common splicing circuit in MSI-H tumors that may inform therapeutic targeting of the MDM4-p53 axis and oncogenic RPL22L1 induction.

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