PT - JOURNAL ARTICLE AU - Kuan-Ting Lin AU - Wai-Kit Ma AU - Juergen Scharner AU - Yun-Ru Liu AU - Adrian R. Krainer TI - A human-specific switch of alternatively spliced <em>AFMID</em> isoforms contributes to <em>TP53</em> mutations and tumor recurrence in hepatocellular carcinoma AID - 10.1101/169029 DP - 2017 Jan 01 TA - bioRxiv PG - 169029 4099 - http://biorxiv.org/content/early/2017/07/26/169029.short 4100 - http://biorxiv.org/content/early/2017/07/26/169029.full 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.