bioRxiv · 10.64898/2026.05.20.726635
Long read sequencing reveals novel isoforms and spliceosome-mutant-enriched transcripts in AML and MDS
Abstract
The alternative splicing landscape of the leukemia transcriptome remains poorly characterized, since short-read sequencing cannot resolve complete transcript structures. Using the Oxford Nanopore cDNA platform, we generated nearly 2 billion long reads (median 25.8 million per sample) from 71 human samples, including 48 acute myeloid leukemia or myelodysplastic syndrome samples, 25 of which had splicing-factor gene mutations (in SRSF2, U2AF1, or SF3B1). An additional 23 samples were from sorted hematopoietic cell populations from healthy individuals. Using this dataset, we created a transcript assembly containing 174,162 novel isoforms that are not described in the reference transcriptome. Deep-scale proteomic validation confirmed that many of these transcripts are translated into protein. We also identified isoforms enriched in spliceosome-mutant samples and found proteomic evidence of frequent nonsense-mediated decay regulation of novel transcripts. This dataset is a valuable community resource, enabling detection of new transcripts in short-read data sets. An interactive portal to explore splicing patterns in these data is available at https://leylab.org/isoforms/. Key PointsLong-read sequencing enables the detection of many novel transcripts in AML, including many from splice-factor-mutant patient samples This expanded transcriptome is a valuable community resource and can be used to improve analyses of short-read RNAseq data
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Miller, C. A., Srivatsan, S. N., Kramer, M. H., Ramakrishnan, S. M., Fronick, C. C., Fulton, R. S., Helton, N. M., Ley, T. J., Walter, M. J.. 2026-05-21. Long read sequencing reveals novel isoforms and spliceosome-mutant-enriched transcripts in AML and MDS. https://doi.org/10.64898/2026.05.20.726635
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