Alterations in expression and/or activity of splicing factors as well as mutations in cis-acting
splicing regulatory sequences contribute to cancer phenotypes. Genome-wide
studies have revealed more than 15,000 tumor-associated splice variants derived from
genes involved in almost every aspect of cancer cell biology, including proliferation,
differentiation, cell cycle control, metabolism, apoptosis, motility, invasion, and
angiogenesis. In the past decades, several RNA binding proteins (RBPs) have been
implicated in tumorigenesis. SAM68 (SRC associated in mitosis of 68 kDa) belongs to
the STAR (signal transduction and activation of RNA metabolism) family of RBPs.
SAM68 is involved in several steps of mRNA metabolism, from transcription to
alternative splicing and then to nuclear export. Moreover, SAM68 participates in signaling
pathways associated with cell response to stimuli, cell cycle transitions, and viral
infections. Recent evidence has linked this RBP to the onset and progression of
different tumors, highlighting misregulation of SAM68-regulated splicing events as a
key step in neoplastic transformation and tumor progression. Here we review recent
studies on the role of SAM68 in splicing regulation and we discuss its contribution to
aberrant pre-mRNA processing in cancer.