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BIOLOGICAL SCIENCES / MEDICAL SCIENCES
Alternative inclusion of fibroblast growth factor receptor 2 exon IIIc in Dunning prostate tumors reveals unexpected epithelial mesenchymal plasticity

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Departments of *Molecular Genetics and Microbiology,
Radiation Oncology, and 
Medicine,
Center for RNA Biology, and ||University Program in Genetics and Genomics, Duke University Medical Center, Durham, NC 27710
Edited by Joan A. Steitz, Yale University, New Haven, CT, and approved July 26, 2006 (received for review April 17, 2006)
In epithelial cells, alternative splicing of fibroblast growth factor receptor 2 (FGFR2) transcripts leads to the expression of the FGFR2(IIIb) isoform, whereas in mesenchymal cells, the same process results in the synthesis of FGFR2(IIIc). Expression of the FGFR2(IIIc) isoform during prostate tumor progression suggests a disruption of the epithelial character of these tumors. To visualize the use of FGFR2 exon IIIc in prostate AT3 tumors in syngeneic rats, we constructed minigene constructs that report on alternative splicing. Imaging these alternative splicing decisions revealed unexpected mesenchymalepithelial transitions in these primary tumors. These transitions were observed more frequently where tumor cells were in contact with stroma. Indeed, these transitions were frequently observed among lung micrometastases in the organ parenchyma and immediately adjacent to blood vessels. Our data suggest an unforeseen relationship between epithelial mesenchymal plasticity and malignant fitness.
alternative splicing | mesenchymalepithelial transitions | tumor plasticity
Present address: Department of Biomedical Engineering, University of Florida, 130 BME Building, P.O. Box 116131, Gainesville, FL 32611-6131.
¶Present address: Cryolife, Inc., Kennesaw, GA 30144.
**Present address: Mirus Corporation, Madison, WI 53719.
Author contributions: S.O., B.S.S., R.M.B., M.W.D., and M.A.G.-B. designed research; S.O., B.S.S., T.A., and V.I.B. performed research; T.A. contributed new reagents/analytic tools; S.O., B.S.S., V.I.B., R.M.B., M.W.D., and M.A.G.-B. analyzed data; and S.O., V.I.B., and M.A.G.-B. wrote the paper.
Conflict of interest statement: M.A.G.-B. is a founder and consultant for Intronn, Inc., which owns and is commercializing the use of transsplicing reactions in gene therapy.
This paper was submitted directly (Track II) to the PNAS office.

To whom correspondence should be addressed. E-mail: garci001{at}mc.duke.edu
© 2006 by The National Academy of Sciences of the USA
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