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CoREST complex inhibition alters RNA splicing to promote neoantigen expression and enhance tumor immunity
Robert J. Fisher, Kihyun Park, Kwangwoon Lee, Katarina Pinjusic, Allison Vanasse, Christina S. Ennis, Parisa Farokh, Scott B. Ficaro, Jarrod A. Marto, Hanjie Jiang, Eunju Nam, Stephanie Stransky, Joseph Duke-Cohan, Melis A. Akinci, Anupa Geethadevi, Eric Raabe, Ana Fiszbein, Shadmehr Demehri, Simone Sidoli, Chad W. Hicks, Derin B. Keskin, Catherine J. Wu, Philip A. Cole, Rhoda M. Alani
Robert J. Fisher, Kihyun Park, Kwangwoon Lee, Katarina Pinjusic, Allison Vanasse, Christina S. Ennis, Parisa Farokh, Scott B. Ficaro, Jarrod A. Marto, Hanjie Jiang, Eunju Nam, Stephanie Stransky, Joseph Duke-Cohan, Melis A. Akinci, Anupa Geethadevi, Eric Raabe, Ana Fiszbein, Shadmehr Demehri, Simone Sidoli, Chad W. Hicks, Derin B. Keskin, Catherine J. Wu, Philip A. Cole, Rhoda M. Alani
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Research Article Dermatology Oncology Therapeutics

CoREST complex inhibition alters RNA splicing to promote neoantigen expression and enhance tumor immunity

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Abstract

Epigenetic macromolecular enzyme complexes tightly regulate gene expression at the chromatin level and have recently been found to colocalize with RNA splicing machinery during active transcription; however, the precise functional consequences of these interactions are uncertain. Here, we identify unique interactions of the CoREST repressor complex (LSD1-HDAC1-CoREST) with components of the RNA splicing machinery and their functional consequences in tumorigenesis. Using mass spectrometry, in vivo binding assays, and cryo-EM, we find that CoREST complex–splicing factor interactions are direct and perturbed by the CoREST complex selective inhibitor, corin, leading to extensive changes in RNA splicing in melanoma and other malignancies. Moreover, these corin-induced splicing changes are shown to promote global effects on oncogenic and survival-associated splice variants, leading to a tumor-suppressive phenotype. Using machine learning models, MHC IP-MS, and ELISpot assays, we identify thousands of neopeptides derived from unannotated splice sites that generate corin-induced splice-neoantigens that are demonstrated to be immunogenic in vitro. Corin is further shown to reactivate the response to immune checkpoint blockade, effectively sensitizing tumors to anti–PD-1 immunotherapy. These data position CoREST complex inhibition as a unique therapeutic opportunity that perturbs oncogenic splicing programs while also creating tumor-associated neoantigens that enhance the immunogenicity of current therapeutics.

Authors

Robert J. Fisher, Kihyun Park, Kwangwoon Lee, Katarina Pinjusic, Allison Vanasse, Christina S. Ennis, Parisa Farokh, Scott B. Ficaro, Jarrod A. Marto, Hanjie Jiang, Eunju Nam, Stephanie Stransky, Joseph Duke-Cohan, Melis A. Akinci, Anupa Geethadevi, Eric Raabe, Ana Fiszbein, Shadmehr Demehri, Simone Sidoli, Chad W. Hicks, Derin B. Keskin, Catherine J. Wu, Philip A. Cole, Rhoda M. Alani

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Figure 6

Corin affects RNA splicing across cancers.

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Corin affects RNA splicing across cancers.
(A) Histogram depicting the f...
(A) Histogram depicting the frequency of altered mRNA expression alteration in CoREST complex–regulated RNA splicing factors between cancer and matched normal tissue from cBioPortal stratified by cancer type. Pink bars indicate the frequency of overexpression events, and blue bars indicate the frequency of downregulation events. (B) Gene Set Enrichment Analysis plots for “KEGG Spliceosome” in ATRT and breast cancer cell lines treated with corin. (C) Venn diagram of splicing factors significantly downregulated by corin in melanoma, ATRT, and breast cancer. (D) Summary of corin-induced RNA splicing changes in ATRT and breast cancer cells. (E) Jaccard similarity index comparing corin-induced splicing events across all cell lines and cancer types. (F) Gene ontology analysis of common significant pathways affected by corin-induced SE splicing events in ATRT and breast cancer. Enrichment analysis was performed using the hypergeometric test with multiple test correction by the Benjamini-Hochberg method.

Copyright © 2026 American Society for Clinical Investigation
ISSN 2379-3708

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