Sam68 influences the alternative splicing of a number of genes central to processes such as
neurogenesis and
adipogenesis as well as diseases such as
spinal muscular atrophy (SMA) and
cancer.
Neurogenesis Sam68 was demonstrated to be involved in the alternative splicing of mRNAs implicated in normal
neurogenesis using splicing-sensitive microarrays. Sam68 was also shown to participate in the epithelial-to-mesenchymal transition by regulating the alternative splicing of SF2/ASF. Sam68 was shown to regulate the activity-dependent alternative splicing of the
neurexin-1 in the central nervous system with implications for neurodevelopment disorders.
Adipogenesis Sam68 influences alternative splicing of the
mTOR kinase contributing to the lean phenotype observed in the Sam68 deficient mice.
Spinal muscular atrophy The role of Sam68 was further highlighted in spinal muscular atrophy (SMA), as Sam68 promotes the skipping of exon 7 leading to a non-functional SMN2 protein.
CD44 is a cell surface protein whose expression has been linked to cancer, with its expression predicting prognosis in a number of tumour types. In
prostate cancer, Sam68 also interacts with splicing complex proteins
KHDRBS3 (T-STAR) and
Metadherin (MTDH) which also alter CD44 splicing. In addition, Sam68 in conjunction with hnRNPA1 influences the choice of the alternative 5' splice sites of Bcl-x regulating pro-survival and apoptotic pathways. The RNA binding activity of Sam68 is regulated by post-translational modifications such that Sam68 is often referred to as a STAR (Signal Transduction Activator of RNA) protein by which signals from growth factors or soluble
tyrosine kinases, such as
Src family kinases, act to regulate cellular RNA processes such as alternative splicing. For example, the Sam68-dependent CD44 alternative splicing of exon v5 is regulated by
ERK phosphorylation of Sam68 hepatocyte growth factor (HGF)/Met receptor (
c-Met),
leptin and
tumor necrosis factor (TNF) receptors. While the role of Sam68 in these pathways is slowly emerging much remains to be determined. Sam68 has also been shown to re-localize in the cytoplasm near the plasma membrane, where it functions to transport and regulate the translation of certain mRNAs and regulates cell migration. == Gene knockout studies ==