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Short-circuiting pancreatic cancer

Fluorescent green-stained organoid cells viewed under a microscope, clustered against a dark background.
CSHL鈥檚 Krainer lab has discovered a key oncogenic circuit driving aggressive pancreatic ductal adenocarcinoma (PDAC) progression. Using human PDAC tumor organoids, seen here, the team developed a potential RNA splicing-based therapeutic that collapses the circuit.

Pancreatic ductal adenocarcinoma (PDAC) is the most lethal form of pancreas cancer. It鈥檚 also the most common form of the disease. Potential treatments typically target a key mutated oncogene called KRAS. In some cases, PDAC tumors with these mutations have resisted therapeutic efforts. However, combination therapies involving alternative drug targets may one day help clinicians overwhelm these defenses.

In 2023, 黑料吃瓜资源 (CSHL) Professor Adrian Krainer鈥檚 lab discovered how the protein SRSF1 jumpstarts PDAC tumor development. Now, after revisiting data from that study, a team led by former CSHL graduate student Alexander Kral has found that SRSF1 doesn鈥檛 act alone. Instead, the protein is one of three pillars in a key circuit promoting aggressive PDAC progression.

鈥淥ur theory was that some of the changes caused by increased levels of SRSF1 were playing a role in the accelerated tumor growth we were seeing,鈥 Kral explains. 鈥淲e homed in on a molecule we thought could be an important driver of this called Aurora kinase A (AURKA). We found it鈥檚 part of a complex regulatory circuit that includes not only AURKA and SRSF1, but another key oncogene called MYC.鈥

Side-by-side images of PDAC tumor organoids; right side also shows scattered red cells on a dark background.
The Krainer lab developed 12 initial ASO drug candidates. The best performing ASO鈥擜SO-A鈥攃ompletely broke the SRSF1-AURKA-MYC circuit, leading to slower tumor growth and cell death. Left: Untreated PDAC tumor organoid. Right: PDAC tumor organoid after treatment with ASO-A

In this circuit, SRSF1 regulates AURKA through a process called alternative splicing. This increases AURKA production, which allows it to stabilize and protect the MYC protein. MYC then increases SRSF1 levels, restarting the loop.

鈥淏its and pieces of this circuit were known previously, but we didn鈥檛 have the full picture until now,鈥 Krainer says. 鈥淥nce we figured out alternative splicing of AURKA was involved, we could start looking into ways to disrupt it.鈥

The team developed an antisense oligonucleotide (ASO) to alter the process. These molecules are a specialty of the Krainer lab. They previously developed an ASO called Spinraza, the first-ever FDA-approved treatment for spinal muscular atrophy. Based on their observations, the team hoped their new ASO could obstruct AURKA鈥檚 alternative splicing. Remarkably, in pancreatic cancer, the ASO didn鈥檛 just interfere. It collapsed the entire oncogenic circuit. This reduced tumor cells鈥 overall viability and triggered a programmed cell death called apoptosis.

鈥淚t鈥檚 like killing three birds with one stone,鈥 Krainer explains. 鈥淪RSF1, AURKA, and MYC are all oncogenes contributing to PDAC progression. Just by targeting AURKA splicing with our ASO, we see the loss of these other two molecules as well.

The Krainer lab is now working to refine their ASO. Potential clinical applications are still a long way off. However, Krainer says every clinical breakthrough begins with such basic research. That was true of Spinraza, which has saved thousands of lives. So, hopefully, it will be for the next lifesaving cancer treatment.

Written by: Nick Wurm, Communications Specialist | [email protected] | 516-367-5940


Funding

National Cancer Institute

Citation

Kral, A.J., et al., 鈥淪plice-switching ASOs targeting the AURKA 5鈥橴TR collapse an SRSF1-AURKA-MYC oncogenic circuit in pancreatic cancer鈥, Molecular Cell, December 30, 2025. DOI:

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Principal Investigator

Adrian R. Krainer

Adrian R. Krainer

Professor
St. Giles Foundation Professor
Cancer Center Program Co-Leader
Ph.D., Harvard University, 1986

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