High-content CRISPR activation screens identify synthetically lethal RNA-based mechanisms to sensitize cancer cells

Reece Villarin Akana1,2, Jeehyun Yoe1, Olivia Laveroni1

  • 1Department of Genetics, Stanford University, Stanford, CA, USA.

Nature Genetics
|April 7, 2026
PubMed

Insights

This study identifies RNA-based strategies to enhance T cell-mediated killing of cancer cells. By uncovering new gene functions, researchers developed methods to restore targeted T cell therapies.

Area of Science:

  • Immunology
  • Genetics
  • Cancer Biology

Background:

  • T cells are crucial for adaptive immunity, recognizing targets via the T cell receptor (TCR).
  • Enhancing T cell-mediated cytotoxicity is a key goal in cancer immunotherapy.
  • Understanding genetic regulators of target cell sensitization is vital for improving T cell therapies.

Purpose of the Study:

  • To identify RNA-based mechanisms that sensitize target cells to T cell-mediated killing.
  • To uncover regulators of T cell receptor (TCR)-specific cytotoxicity.
  • To develop scalable methods for decoding gene function in cellular and tissue contexts.

Main Methods:

  • Utilized gain-of-function, single-cell, and optical high-content screening.
  • Employed CRISPR activation screens in melanoma cells.
  • Developed and applied in situ Perturb-seq for pooled genetic screens with spatial transcriptomics.

Main Results:

  • Identified diverse regulators of TCR-specific cytotoxicity, including SAFB, KHDRBS1, MYC, CD44, WNT3A, and WNT1.
  • Demonstrated that expressing sensitizing genes restores T cell-mediated killing in cancer and infected cells.
  • Revealed convergence on cell-autonomous and intercellular mechanisms, including Wnt ligand activation of T cells.

Conclusions:

  • Discovered context-specific gene functions to enhance T cell-mediated elimination of dysfunctional cells.
  • Established RNA-based interventions for synthetically lethal approaches in T cell therapy.
  • Provided a scalable platform for dissecting gene function at cellular and tissue levels for therapeutic applications.

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