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Updated: Oct 22, 2025

A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Uncovering cancer vulnerabilities by machine learning prediction of synthetic lethality
Salvatore Benfatto1, Özdemirhan Serçin1, Francesca R Dejure1
1BioMed X Institute (GmbH), Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.
Background:
Synthetic lethality describes a genetic interaction between two perturbations, leading to cell death, whereas neither event alone has a significant effect on cell viability. This concept can be exploited to specifically target tumor cells. CRISPR viability screens have been widely employed to identify cancer vulnerabilities. However, an approach to systematically infer genetic interactions from viability screens is missing.
Methods:
Here we describe PAn-canceR Inferred Synthetic lethalities (PARIS), a machine learning approach to identify cancer vulnerabilities. PARIS predicts synthetic lethal (SL) interactions by combining CRISPR viability screens with genomics and transcriptomics data across hundreds of cancer cell lines profiled within the Cancer Dependency Map.
Results:
Using PARIS, we predicted 15 high confidence SL interactions within 549 DNA damage repair (DDR) genes. We show experimental validation of an SL interaction between the tumor suppressor CDKN2A, thymidine phosphorylase (TYMP) and the thymidylate synthase (TYMS), which may allow stratifying patients for treatment with TYMS inhibitors. Using genome-wide mapping of SL interactions for DDR genes, we unraveled a dependency between the aldehyde dehydrogenase ALDH2 and the BRCA-interacting protein BRIP1. Our results suggest BRIP1 as a potential therapeutic target in ~ 30% of all tumors, which express low levels of ALDH2.
Conclusions:
PARIS is an unbiased, scalable and easy to adapt platform to identify SL interactions that should aid in improving cancer therapy with increased availability of cancer genomics data.
Insights
We developed PARIS, a machine learning tool to predict synthetic lethal interactions for cancer therapy. PARIS identifies novel cancer vulnerabilities by analyzing CRISPR screens and genomic data, aiding in targeted treatment strategies.
Area of Science:
- Computational Biology
- Genomics
- Cancer Research
Background:
- Synthetic lethality (SL) is a genetic interaction where combined perturbations cause cell death, offering a strategy for tumor-specific targeting.
- CRISPR viability screens are crucial for identifying cancer vulnerabilities, but systematic inference of genetic interactions remains a challenge.
Purpose of the Study:
- To introduce PAn-canceR Inferred Synthetic lethalities (PARIS), a novel machine learning approach for identifying cancer vulnerabilities.
- To systematically infer synthetic lethal interactions using CRISPR screens combined with multi-omics data.
Main Methods:
- PARIS integrates CRISPR viability screening data with genomics and transcriptomics data from hundreds of cancer cell lines in the Cancer Dependency Map.
- The machine learning model predicts synthetic lethal interactions based on integrated multi-omics and screening data.
Main Results:
- PARIS predicted 15 high-confidence synthetic lethal interactions among 549 DNA damage repair (DDR) genes.
- Experimental validation confirmed SL interactions involving CDKN2A, thymidine phosphorylase (TYMP), and thymidylate synthase (TYMS), suggesting patient stratification for TYMS inhibitors.
- A genome-wide mapping identified a synthetic lethal interaction between aldehyde dehydrogenase ALDH2 and BRIP1, highlighting BRIP1 as a potential therapeutic target in ~30% of tumors with low ALDH2 expression.
Conclusions:
- PARIS provides an unbiased, scalable, and adaptable platform for identifying synthetic lethal interactions.
- This approach is expected to enhance cancer therapy by leveraging the increasing availability of cancer genomics data.
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