Surveying the landscape of RNA isoform diversity and expression across 9 GTEx tissues using long-read sequencing data
Authors: Page Madeline L. , Aguzzoli Heberle Bernardo , Brandon J. Anthony , Wadsworth Mark E. , Gordon Lacey A. , Nations Kayla A. , Ebbert Mark T. W. 
Published: February 2024

AbstractEven though alternative RNA splicing was discovered nearly 50 years ago (1977), we still understand very little about most isoforms arising from a single gene, including in which tissues they are expressed and if their functions differ. Human gene annotations suggest remarkable transcriptional complexity, with approximately 252,798 distinct RNA isoform annotations from 62,710 gene bodies (Ensembl v109; 2023), emphasizing the need to understand their biological effects. For example, 256 gene bodies have ≥50 annotated isoforms and 30 have ≥100, where one protein-coding gene (MAPK10) even has 192 distinct RNA isoform annotations. Whether such isoform diversity results from biological redundancy or spurious alternative splicing (i.e., noise), or whether individual isoforms have specialized functions (even if subtle) remains a mystery for most genes. Recent studies by Aguzzoli-Heberle et al., Leung et al., and Glinos et al. demonstrated long-read RNAseq enables improved RNA isoform quantification for essentially any tissue, cell type, or biological condition (e.g.,disease, development, aging, etc.), making it possible to better assess individual isoform expression and function. While each study provided important discoveries related to RNA isoform diversity, deeper exploration is needed. We sought to quantify and characterize real isoform usage across tissues (compared to annotations). We used long-read RNAseq data from 58 GTEx samples across nine tissues (three brain, two heart, muscle, lung, liver, and cultured fibroblasts) generated by Glinos et al. and found considerable isoform diversity within and across tissues. Cerebellar hemisphere was the most transcriptionally complex tissue (22,522 distinct isoforms; 3,726 unique); liver was least diverse (12,435 distinct isoforms; 1,039 unique). We highlight gene clusters exhibiting high tissue-specific isoform diversity per tissue (e.g., TPM1expresses 19 in heart’s atrial appendage). We also validated 447 of the 700 new isoforms discovered by Aguzzoli-Heberle et al. and found that 88 were expressed in all nine tissues, while 58 were specific to a single tissue. This study represents a broad survey of the RNA isoform landscape, demonstrating isoform diversity across nine tissues and emphasizes the need to better understand how individual isoforms from a single gene body contribute to human health and disease.Dear reviewersWe sincerely appreciate the time and effort you are taking to review our manuscript. We recognize it is a substantial commitment and welcome your feedback to ensure this work is accurate and helpful to furthering the field’s understanding of the human genome and its relevance to human health and disease. Because we recognize how important it is for all scientists to receive proper credit for their contributions to the field,we specifically invite you to notify us if we failed to cite or give proper credit to any relevant publications, whether they be yours or another group’s work.Of course, we also welcome all other feedback and will do our best to respond to your suggestions and concerns.Sincerely,Mark T. W. Ebbert