Transcriptional rewiring and diversity underpin the intratumoural heterogeneity in melanoma evolution, and has been linked to cancer metastasis and resistance to therapy1,2. The dysregulated RNA splicing in melanoma facilitates tumour-associated splicing patterns that can drive cancer cell phenotypic plasticity, independent of gene expression alteration3,4. Furthermore, aberrant splicing often produces cancer-specific novel isoforms with unknown molecular functions that are promising anticancer therapeutic targets5,6.
We aim to extensively study the full-length mRNA isoform repertoire in primary and early-metastatic melanomas, and their functional consequences in driving cancer metastasis. By using Nanopore long-read RNA sequencing, we have deeply profiled the transcriptomic landscape of 54 treatment-naïve melanoma tumours collected from 47 patients, representing primary and lymph-node-metastatic disease.
Transcriptomic analysis reveals 86,752 distinct transcript isoforms in the melanoma tumour-microenvironment (TME). While most isoforms are structurally matched to the Ensembl human transcriptome annotations, we have identified 7,929 high-confident novel isoforms with well-supported novel splice junctions. A total of 5,582 novel isoforms are unannotated splice variants of previously characterized genes, suggesting the understudied splicing complexity of the human transcriptome. The analysis also reveals 1,927 uncharacterized gene loci that are supported by 2,347 unannotated isoform variants, with their molecular functions completely undescribed. Transcript abundance estimation reveals that some novel isoforms are aberrantly expressed in melanoma but nearly negligible in benign or healthy states, highlighting that they could be melanoma TME-specific and potentially prognostic to melanoma recurrence and metastasis. Future experimental validation will investigate whether they are potential therapeutic targets of treating melanoma patients.
To our knowledge, this work is the first to leverage long-read RNA-seq to transcriptionally profile a large cohort of melanoma patients. These results highlight the ability to uncover completely new biology by investigating transcript diversity, while emphasizing the necessity of investigating alternative splicing in driving melanoma progression.