RT Journal Article SR Electronic T1 A human-specific switch of alternatively spliced AFMID isoforms contributes to TP53 mutations and tumor recurrence in hepatocellular carcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 169029 DO 10.1101/169029 A1 Kuan-Ting Lin A1 Wai-Kit Ma A1 Juergen Scharner A1 Yun-Ru Liu A1 Adrian R. Krainer YR 2017 UL http://biorxiv.org/content/early/2017/07/26/169029.abstract AB Pre-mRNA splicing can contribute to the switch of cell identity that occurs in carcinogenesis. Here we analyze a large collection of RNA-Seq datasets and report that splicing changes in hepatocyte-specific enzymes, such as AFMID and KHK, are associated with HCC patients’ survival and relapse. The switch of AFMID isoforms is an early event in HCC development, and is associated with driver mutations in TP53 and ARID1A. Finally, we show that the switch of AFMID isoforms is human-specific and not detectable in other species, including primates. The integrative analysis uncovers a mechanistic link between splicing switches, de novo NAD+ biosynthesis, driver mutations, and HCC recurrence.