@misc{10481/71900, year = {2021}, month = {10}, url = {http://hdl.handle.net/10481/71900}, abstract = {A shared characteristic of many tumors is the lack of response to anticancer drugs. Multiple mechanisms of pharmacoresistance (MPRs) are involved in permitting cancer cells to overcome the effect of these agents. Pharmacoresistance can be primary (intrinsic) or secondary (acquired), i.e., triggered or enhanced in response to the treatment. Moreover, MPRs usually result in the lack of sensitivity to several agents, which accounts for diverse multidrug-resistant (MDR) phenotypes. MPRs are based on the dynamic expression of more than one hundred genes, constituting the so-called resistome. Alternative splicing (AS) during pre-mRNA maturation results in changes affecting proteins involved in the resistome. The resulting splicing variants (SVs) reduce the efficacy of anticancer drugs by lowering the intracellular levels of active agents, altering molecular targets, enhancing both DNA repair ability and defensive mechanism of tumors, inducing changes in the balance between pro-survival and pro-apoptosis signals, modifying interactions with the tumor microenvironment, and favoring malignant phenotypic transitions. Reasons accounting for cancer-associated aberrant splicing include mutations that create or disrupt splicing sites or splicing enhancers or silencers, abnormal expression of splicing factors, and impaired signaling pathways affecting the activity of the splicing machinery. Here we have reviewed the impact of AS on MPR in cancer cells.}, organization = {CIBERehd EHD15PI05/2016}, organization = {Instituto de Salud Carlos III PI16/00598 PI19/00819}, organization = {European Regional Development Fund/European Social Fund, "Investing in your future"}, organization = {Spanish Ministry of Economy, Industry and Competitiveness SAF201675197-R SAF2017-88457-R AGL2017-85270-R}, organization = {Junta de Castilla y Leon SA063P17}, organization = {Junta de Andalucia CTS235 CTS164}, organization = {AECC Scientific Foundation, Spain}, organization = {University of Salamanca 18.K137/463AC01 18. K140/463AC01}, organization = {"Centro Internacional sobre el Envejecimiento" (OLDHEPAMARKER), Spain 0348_CIE_6_E}, organization = {Fundacion University of Salamanca, Spain PC-TCUE18-20_051}, organization = {Fundacio Marato TV3 201916-31}, organization = {Ministry of Science, Innovation and Universities, Spain}, publisher = {Elsevier}, keywords = {Alternative splicing}, keywords = {Chemoresistance}, keywords = {Chemotherapy}, keywords = {Pharmacoresistance}, keywords = {Tumor}, keywords = {Spliceosome}, title = {Impact of alternative splicing on mechanisms of resistance to anticancer drugs}, doi = {10.1016/j.bcp.2021.114810}, author = {Reviejo, María and Martínez Augustín, María Olga and Sánchez De Medina López-Huertas, Fermín}, }