Simultaneous CRISPR/Cas9-induced double-strand breaks are lethal in models of pancreatic cancer

Selina Shiqing K Teh1, Akhil Kotwal2, Alexis Bennett1

  • 1Department of Pathology, The Sol Goldman Pancreatic Cancer Research Center.

Insights

CRISPR/Cas9 gene editing induces more DNA double-strand breaks (DSBs) in pancreatic cancer cells than radiation. This cancer therapy shows over 90% tumor growth inhibition and potential for repeated treatments.

Area of Science:

  • Molecular biology
  • Genetics
  • Cancer research

Background:

  • Radiation therapy is an effective cancer treatment but lacks specificity.
  • CRISPR/Cas9 gene editing has been adapted for cancer therapy.
  • The tumoricidal potential of CRISPR/Cas9 compared to radiation is unclear.

Purpose of the Study:

  • To compare the cytotoxicity of CRISPR/Cas9-induced DNA double-strand breaks (DSBs) with radiation-induced DSBs in pancreatic cancer.
  • To investigate the genomic consequences of CRISPR/Cas9-induced DSBs.
  • To assess the efficacy of repeated CRISPR/Cas9 treatments.

Main Methods:

  • Utilized CRISPR/Cas9 gene editing targeting somatic mutations in pancreatic cancer.
  • Quantified DNA double-strand breaks (DSBs) induced by CRISPR/Cas9 and radiation.
  • Performed bioinformatics and cytogenetics analyses to assess chromosomal rearrangements.
  • Compared tumor growth inhibition and cell death rates between CRISPR/Cas9 and radiation treatments.
  • Evaluated the efficacy of sequential CRISPR/Cas9 treatments on surviving cells.

Main Results:

  • CRISPR/Cas9-induced DSBs were more cytotoxic than radiation-induced DSBs.
  • Targeting 9 sites with cancer-specific sgRNAs resulted in over 90% tumor growth inhibition.
  • CRISPR/Cas9-induced DSBs triggered chromosomal rearrangements, with 87% not directly from initial breaks.
  • Chromosomal instability peaked before cell death.
  • Approximately 3 times more DSBs were required for radiation than CRISPR/Cas9 to achieve equitoxic effects.
  • Surviving cells retained susceptibility to subsequent CRISPR/Cas9 treatments, showing >87% growth inhibition.

Conclusions:

  • CRISPR/Cas9 gene editing demonstrates superior cytotoxicity compared to radiation for pancreatic cancer.
  • CRISPR/Cas9 induces complex genomic instability, contributing to its tumoricidal effect.
  • CRISPR/Cas9 represents a promising, potentially repeatable, anticancer therapeutic strategy.