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Updated: Jun 25, 2025

Inducible and Reversible Dominant-negative DN Protein Inhibition
Published on: January 7, 2019
A synthetic lethal dependency on casein kinase 2 in response to replication-perturbing therapeutics in RB1-deficient
Daria Bulanova1,2, Yevhen Akimov2, Wojciech Senkowski1
1Biotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Abstract:
Resistance to therapy commonly develops in patients with high-grade serous ovarian carcinoma (HGSC) and triple-negative breast cancer (TNBC), urging the search for improved therapeutic combinations and their predictive biomarkers. Starting from a CRISPR knockout screen, we identified that loss of RB1 in TNBC or HGSC cells generates a synthetic lethal dependency on casein kinase 2 (CK2) for surviving the treatment with replication-perturbing therapeutics such as carboplatin, gemcitabine, or PARP inhibitors. CK2 inhibition in RB1-deficient cells resulted in the degradation of another RB family cell cycle regulator, p130, which led to S phase accumulation, micronuclei formation, and accelerated PARP inhibition-induced aneuploidy and mitotic cell death. CK2 inhibition was also effective in primary patient-derived cells. It selectively prevented the regrowth of RB1-deficient patient HGSC organoids after treatment with carboplatin or niraparib. As about 25% of HGSCs and 40% of TNBCs have lost RB1 expression, CK2 inhibition is a promising approach to overcome resistance to standard therapeutics in large strata of patients.
Insights
Loss of RB1 in ovarian and breast cancers creates a vulnerability to CK2 inhibition, offering a new therapeutic strategy. Targeting CK2 may overcome resistance to standard treatments like carboplatin and PARP inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- High-grade serous ovarian carcinoma (HGSC) and triple-negative breast cancer (TNBC) frequently develop therapy resistance.
- Identifying predictive biomarkers and novel therapeutic combinations is crucial for improving patient outcomes.
Purpose of the Study:
- To identify synthetic lethal dependencies in RB1-deficient cancer cells.
- To evaluate casein kinase 2 (CK2) inhibition as a therapeutic strategy against HGSC and TNBC.
Main Methods:
- CRISPR knockout screens were employed to identify genetic dependencies.
- RB1-deficient cell lines and patient-derived organoids were treated with CK2 inhibitors.
- Cell cycle progression, DNA damage, and cell death were analyzed.
Main Results:
- Loss of RB1 confers a synthetic lethal dependency on CK2 in cells treated with replication-perturbing agents.
- CK2 inhibition in RB1-deficient cells leads to p130 degradation, S phase accumulation, and aneuploidy.
- CK2 inhibition demonstrated efficacy in patient-derived HGSC organoids, preventing regrowth after carboplatin or niraparib treatment.
Conclusions:
- CK2 inhibition represents a promising therapeutic approach for RB1-deficient HGSC and TNBC.
- This strategy could overcome resistance to standard therapies in a significant proportion of patients with these cancers.
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