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Updated: Oct 8, 2025

Genome-Wide CRISPR Screen for Unveiling Radiosensitive and Radioresistant Genes
Published on: May 23, 2025
Overcoming multidrug resistance by knockout of ABCB1 gene using CRISPR/Cas9 system in SW620/Ad300 colorectal cancer
Zi-Ning Lei1, Qiu-Xu Teng1, Zhuo-Xun Wu1
1Department of Pharmaceutical Sciences College of Pharmacy and Health Sciences St. John's University Queens New York USA.
Abstract:
Multidrug resistance (MDR) has been extensively reported in colorectal cancer patients, which remains a major cause of chemotherapy failure. One of the critical mechanisms of MDR in colorectal cancer is the reduced intracellular drug level led by the upregulated expression of the ATP-binding cassette (ABC) transporters, particularly, ABCB1/P-gp. In this study, the CRISPR/Cas9 system was utilized to target ABCB1 in MDR colorectal cancer SW620/Ad300 cell line with ABCB1 overexpression. The results showed that stable knockout of ABCB1 gene by the CRISPR/Cas9 system was achieved in the MDR cancer cells. Reversal of MDR against ABCB1 chemotherapeutic drugs increased intracellular accumulation of [3H]-paclitaxel accumulation, and decreased drug efflux activity was observed in MDR SW620/Ad300 cells after ABCB1 gene knockout. Further tests using the 3D multicellular tumor spheroid model suggested that deficiency in ABCB1 restrained tumor spheroid growth and restore sensitivity to paclitaxel in MDR tumor spheroids. Overall, the CRISPR/Cas9 system targeting the ABCB1 gene can be an effective approach to overcome ABCB1-mediated MDR in colorectal cancer SW620/Ad300 cells.
Insights
CRISPR/Cas9 gene editing successfully knocked out the ABCB1 gene in multidrug-resistant colorectal cancer cells. This reversal of drug resistance restored chemotherapy sensitivity, offering a promising strategy for treating colorectal cancer.
Area of Science:
- Oncology
- Molecular Biology
- Gene Editing
Background:
- Multidrug resistance (MDR) is a significant challenge in colorectal cancer chemotherapy.
- Upregulated ATP-binding cassette (ABC) transporters, particularly ABCB1/P-glycoprotein, reduce intracellular drug levels, contributing to MDR.
- Targeting ABCB1 is crucial for overcoming chemotherapy failure in colorectal cancer.
Purpose of the Study:
- To investigate the efficacy of the CRISPR/Cas9 system in targeting and knocking out the ABCB1 gene in multidrug-resistant colorectal cancer cells (SW620/Ad300).
- To evaluate the impact of ABCB1 gene knockout on drug accumulation, efflux, and chemosensitivity in MDR colorectal cancer models.
Main Methods:
- Utilized the CRISPR/Cas9 gene editing system to achieve stable knockout of the ABCB1 gene in SW620/Ad300 cells.
- Assessed intracellular accumulation of [3H]-paclitaxel and drug efflux activity.
- Employed a 3D multicellular tumor spheroid model to evaluate tumor growth and chemosensitivity.
Main Results:
- Achieved stable knockout of the ABCB1 gene in MDR colorectal cancer cells using CRISPR/Cas9.
- Observed reversal of MDR, increased intracellular paclitaxel accumulation, and decreased drug efflux post-ABCB1 knockout.
- Demonstrated that ABCB1 deficiency restrained tumor spheroid growth and restored paclitaxel sensitivity in MDR spheroids.
Conclusions:
- The CRISPR/Cas9 system effectively targets and knocks out the ABCB1 gene in MDR colorectal cancer cells.
- ABCB1 gene knockout can overcome ABCB1-mediated multidrug resistance in colorectal cancer.
- This approach holds potential for improving chemotherapy outcomes in colorectal cancer patients with MDR.
Related Concept Videos
Treatment Resistant Cancers
CRISPR/Cas9 Genome Editing

