CRISPR-Cas9 Genome and Double-Knockout Screening to Identify Novel Therapeutic Targets for Chemoresistance in

Shuai Shao1,2, Shangjia Li1, Yang Huo1

  • 1Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.

Cancers
|December 11, 2025
PubMed

Insights

Triple-negative breast cancer (TNBC) is deadly due to chemotherapy resistance. This study identified new gene targets and synthetic lethal pairs to overcome resistance to cisplatin and doxorubicin treatments in TNBC.

Area of Science:

  • Oncology
  • Genomics
  • Cancer Research

Background:

  • Triple-negative breast cancer (TNBC) accounts for a significant portion of breast cancer cases and deaths.
  • Chemotherapy resistance is a major challenge in treating TNBC.

Purpose of the Study:

  • To identify novel therapeutic targets and strategies to overcome chemoresistance in TNBC.
  • To find genes that re-sensitize TNBC cells to cisplatin and doxorubicin.

Main Methods:

  • Transcriptomic profiling to select a representative TNBC cell line (MDA-MB-231).
  • Genome-wide CRISPR-Cas9 screening and RNA-seq analysis.
  • Gene combination double-knockout screening in cell death pathways.

Main Results:

  • Identified 96 and 93 genes that re-sensitize TNBC to cisplatin and doxorubicin, respectively.
  • Discovered MCM9 as a novel TNBC chemoresistance target, with its drug KPT-185 showing additive effects with cisplatin.
  • Uncovered 242 synthetic lethal gene pairs to combat TNBC chemoresistance.

Conclusions:

  • Genome-wide and gene-combination screenings successfully identified synthetic lethal targets for TNBC treatment.
  • This research provides new targets and strategies to improve chemotherapy efficacy in TNBC.