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Updated: Apr 1, 2026

A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Inferring synthetic lethal interactions from mutual exclusivity of genetic events in cancer
Sriganesh Srihari1, Jitin Singla2, Limsoon Wong3
1Institute for Molecular Bioscience, The University of Queensland, St. Lucia, Queensland, 4072, Australia.
Background:
Synthetic lethality (SL) refers to the genetic interaction between two or more genes where only their co-alteration (e.g. by mutations, amplifications or deletions) results in cell death. In recent years, SL has emerged as an attractive therapeutic strategy against cancer: by targeting the SL partners of altered genes in cancer cells, these cells can be selectively killed while sparing the normal cells. Consequently, a number of studies have attempted prediction of SL interactions in human, a majority by extrapolating SL interactions inferred through large-scale screens in model organisms. However, these predicted SL interactions either do not hold in human cells or do not include genes that are (frequently) altered in human cancers, and are therefore not attractive in the context of cancer therapy.
Results:
Here, we develop a computational approach to infer SL interactions directly from frequently altered genes in human cancers. It is based on the observation that pairs of genes that are altered in a (significantly) mutually exclusive manner in cancers are likely to constitute lethal combinations. Using genomic copy-number and gene-expression data from four cancers, breast, prostate, ovarian and uterine (total 3980 samples) from The Cancer Genome Atlas, we identify 718 genes that are frequently amplified or upregulated, and are likely to be synthetic lethal with six key DNA-damage response (DDR) genes in these cancers. By comparing with published data on gene essentiality (~16000 genes) from ten DDR-deficient cancer cell lines, we show that our identified genes are enriched among the top quartile of essential genes in these cell lines, implying that our inferred genes are highly likely to be (synthetic) lethal upon knockdown in these cell lines. Among the inferred targets are tousled-like kinase 2 (TLK2) and the deubiquitinating enzyme ubiquitin-specific-processing protease 7 (USP7) whose overexpression correlates with poor survival in cancers.
Conclusion:
Mutual exclusivity between frequently occurring genetic events identifies synthetic lethal combinations in cancers. These identified genes are essential in cell lines, and are potential candidates for targeted cancer therapy. Availability: http://bioinformatics.org.au/tools-data/underMutExSL
Insights
Synthetic lethality (SL) identifies gene pairs lethal when mutated together. This study uses mutual exclusivity of gene alterations in human cancers to predict novel SL interactions, offering new therapeutic targets for cancer treatment.
Area of Science:
- Genomics
- Computational Biology
- Cancer Therapeutics
Background:
- Synthetic lethality (SL) describes genetic interactions where co-altering genes cause cell death.
- SL is a promising cancer therapy strategy, targeting cancer-specific gene alterations.
- Existing methods often fail to identify human-relevant SL interactions or those involving frequently altered cancer genes.
Purpose of the Study:
- To develop a computational method for predicting SL interactions directly from frequently altered genes in human cancers.
- To identify potential SL partners for key DNA-damage response (DDR) genes.
- To find novel therapeutic targets for cancer treatment.
Main Methods:
- Utilized genomic copy-number and gene-expression data from The Cancer Genome Atlas (TCGA) for four cancer types.
- Applied a computational approach based on the mutual exclusivity of gene alterations.
- Validated identified genes for essentiality in DDR-deficient cancer cell lines.
Main Results:
- Identified 718 genes likely to be synthetic lethal with six key DNA-damage response (DDR) genes in human cancers.
- Found that these identified genes are enriched among essential genes in DDR-deficient cancer cell lines.
- Highlighted tousled-like kinase 2 (TLK2) and ubiquitin-specific-processing protease 7 (USP7) as potential therapeutic targets.
Conclusions:
- Mutual exclusivity of genetic events effectively identifies synthetic lethal combinations in cancer.
- The identified genes are essential in cancer cell lines and represent promising candidates for targeted cancer therapy.
- A computational tool and dataset are available for further research.
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