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Updated: Sep 16, 2025

Dual CRISPR-Interference Strategy for Targeting Synthetic Lethal Interactions Between Non-Coding RNAs in Cancer Cells
Published on: May 30, 2025
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.
Abstract:
Synthetic lethal interactions (SLIs) based on genomic alterations in cancer have been therapeutically explored. We investigated the SLI space as a function of differential RNA expression in cancer and normal tissue. Computational analyses of functional genomic and gene expression resources uncovered a cancer-specific SLI between the paralogs cytidine diphosphate diacylglycerol synthase 1 (CDS1) and CDS2. The essentiality of CDS2 for cell survival is observed for mesenchymal-like cancers, which have low or absent CDS1 expression and account for roughly half of all cancers. Mechanistically, the CDS1-2 SLI is accompanied by disruption of lipid homeostasis, including accumulation of cholesterol esters and triglycerides, and apoptosis. Genome-wide CRISPR-Cas9 knockout screens in CDS1-negative cancer cells identify no common escape mechanism of death caused by CDS2 ablation, indicating the robustness of the SLI. Synthetic lethality is driven by CDS2 dosage and depends on catalytic activity. Thus, CDS2 may serve as a pharmacologically tractable target in mesenchymal-like cancers.
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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