Cytidine diphosphate diacylglycerol synthase 2 is a synthetic lethal target in mesenchymal-like cancers

Tim Arnoldus1, Alex van Vliet1, Onno B Bleijerveld2

  • 1Division of Molecular Oncology and Immunology, Oncode Institute, Netherlands Cancer Institute, Amsterdam, The Netherlands.

Nature Genetics
|July 4, 2025
PubMed

Insights

Synthetic lethal interactions identified a new target in cancer therapy. Targeting cytidine diphosphate diacylglycerol synthase 2 (CDS2) shows promise for treating mesenchymal-like cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Synthetic lethal interactions (SLIs) are therapeutically explored based on genomic alterations in cancer.
  • Investigating SLIs based on differential RNA expression in cancer and normal tissues is crucial for identifying novel therapeutic targets.

Purpose of the Study:

  • To uncover cancer-specific SLIs by analyzing functional genomic and gene expression data.
  • To identify potential therapeutic targets in mesenchymal-like cancers based on SLIs.

Main Methods:

  • Computational analysis of functional genomic and gene expression resources.
  • Genome-wide CRISPR-Cas9 knockout screens in CDS1-negative cancer cells.
  • Assessing the essentiality of CDS2 for cell survival in relation to CDS1 expression.

Main Results:

  • A cancer-specific SLI was discovered between cytidine diphosphate diacylglycerol synthase 1 (CDS1) and CDS2.
  • CDS2 is essential for cell survival in mesenchymal-like cancers with low or absent CDS1 expression.
  • The CDS1-2 SLI disrupts lipid homeostasis, leading to apoptosis, and shows robustness against escape mechanisms.

Conclusions:

  • CDS2 is a pharmacologically tractable target in mesenchymal-like cancers.
  • The synthetic lethality is dependent on CDS2 dosage and catalytic activity.
  • Targeting CDS2 offers a promising therapeutic strategy for a significant proportion of cancers.

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