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Updated: May 2, 2026

A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Synthetic cytotoxicity: digenic interactions with TEL1/ATM mutations reveal sensitivity to low doses of camptothecin
Xuesong Li1, Nigel J O'Neil1, Noushin Moshgabadi1
1Michael Smith Laboratories, University of British Columbia, Vancouver, British Columbia V6T 1Z4, Canada.
Abstract:
Many tumors contain mutations that confer defects in the DNA-damage response and genome stability. DNA-damaging agents are powerful therapeutic tools that can differentially kill cells with an impaired DNA-damage response. The response to DNA damage is complex and composed of a network of coordinated pathways, often with a degree of redundancy. Tumor-specific somatic mutations in DNA-damage response genes could be exploited by inhibiting the function of a second gene product to increase the sensitivity of tumor cells to a sublethal concentration of a DNA-damaging therapeutic agent, resulting in a class of conditional synthetic lethality we call synthetic cytotoxicity. We used the Saccharomyces cerevisiae nonessential gene-deletion collection to screen for synthetic cytotoxic interactions with camptothecin, a topoisomerase I inhibitor, and a null mutation in TEL1, the S. cerevisiae ortholog of the mammalian tumor-suppressor gene, ATM. We found and validated 14 synthetic cytotoxic interactions that define at least five epistasis groups. One class of synthetic cytotoxic interaction was due to telomere defects. We also found that at least one synthetic cytotoxic interaction was conserved in Caenorhabditis elegans. We have demonstrated that synthetic cytotoxicity could be a useful strategy for expanding the sensitivity of certain tumors to DNA-damaging therapeutics.
Insights
This study introduces synthetic cytotoxicity, a method to selectively kill cancer cells with DNA repair defects using targeted gene inhibition. This approach enhances tumor cell sensitivity to DNA-damaging drugs, offering a promising new therapeutic strategy.
Area of Science:
- Molecular Biology
- Cancer Research
- Genetics
Background:
- Many tumors exhibit defects in DNA-damage response and genome stability pathways.
- DNA-damaging agents show differential efficacy against cancer cells with impaired DNA repair.
- Exploiting these vulnerabilities offers therapeutic potential.
Purpose of the Study:
- To screen for synthetic cytotoxic interactions with camptothecin and a TEL1 (ATM ortholog) mutation in yeast.
- To identify novel gene targets that sensitize cancer cells to DNA-damaging agents.
- To explore the therapeutic potential of synthetic cytotoxicity.
Main Methods:
- Utilized the Saccharomyces cerevisiae nonessential gene-deletion collection for screening.
- Employed camptothecin, a topoisomerase I inhibitor, as the DNA-damaging agent.
- Focused on synthetic cytotoxic interactions with a null mutation in TEL1.
Main Results:
- Identified and validated 14 synthetic cytotoxic interactions, defining at least five epistasis groups.
- Discovered that telomere defects constitute one class of synthetic cytotoxicity.
- Demonstrated conservation of at least one synthetic cytotoxic interaction in Caenorhabditis elegans.
Conclusions:
- Synthetic cytotoxicity is a viable strategy for enhancing tumor cell sensitivity to DNA-damaging therapeutics.
- This approach can be leveraged to exploit specific genetic defects in cancer cells.
- The findings provide a foundation for developing targeted cancer therapies.
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