CRISPR screens reveal convergent targeting strategies against evolutionarily distinct chemoresistance in cancer

Author:

Zhong ChungeORCID,Jiang Wen-JieORCID,Yao Yingjia,Li ZexuORCID,Li You,Wang Shengnan,Wang Xiaofeng,Zhu Wenjuan,Wu Siqi,Wang Jing,Fan Shuangshuang,Ma Shixin,Liu Yeshu,Zhang Han,Zhao Wenchang,Zhao Lu,Feng Yi,Li ZihanORCID,Guo Ruifang,Yu Li,Pei Fengyun,Hu Jun,Feng Xingzhi,Yang ZihuanORCID,Yang Zhengjia,Yang Xueying,Hou YueORCID,Zhang Danni,Xu DakeORCID,Sheng RenORCID,Li Yihao,Liu Lijun,Wu Hua-JunORCID,Huang Jun,Fei TengORCID

Abstract

AbstractResistance to chemotherapy has been a major hurdle that limits therapeutic benefits for many types of cancer. Here we systematically identify genetic drivers underlying chemoresistance by performing 30 genome-scale CRISPR knockout screens for seven chemotherapeutic agents in multiple cancer cells. Chemoresistance genes vary between conditions primarily due to distinct genetic background and mechanism of action of drugs, manifesting heterogeneous and multiplexed routes towards chemoresistance. By focusing on oxaliplatin and irinotecan resistance in colorectal cancer, we unravel that evolutionarily distinct chemoresistance can share consensus vulnerabilities identified by 26 second-round CRISPR screens with druggable gene library. We further pinpoint PLK4 as a therapeutic target to overcome oxaliplatin resistance in various models via genetic ablation or pharmacological inhibition, highlighting a single-agent strategy to antagonize evolutionarily distinct chemoresistance. Our study not only provides resources and insights into the molecular basis of chemoresistance, but also proposes potential biomarkers and therapeutic strategies against such resistance.

Publisher

Springer Science and Business Media LLC

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