Unbiased CRISPR synthetic lethal screening for genetic vulnerabilities in a succinate dehydrogenase-loss model of

Fatimah J Al Khazal1,2, Michael J Emch1, Cristina Correia3

  • 1Department of Biochemistry and Molecular Biology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.

Iscience
|May 25, 2026
PubMed

Insights

Succinate dehydrogenase (SDH)-deficient paraganglioma and pheochromocytoma (PPGL) are rare tumors lacking targeted therapies. Researchers identified the neddylation pathway as a potential therapeutic target, with inhibitors showing promise in preclinical models.

Area of Science:

  • Biochemistry
  • Oncology
  • Genetics

Background:

  • Succinate dehydrogenase (SDH)-deficient paraganglioma and pheochromocytoma (PPGL) are rare neuroendocrine neoplasms.
  • Currently, no effective targeted therapies exist for SDH-deficient PPGL.

Purpose of the Study:

  • To identify potential therapeutic targets for SDH-deficient PPGL.
  • To investigate the role of the neddylation pathway in SDH-deficient PPGL.

Main Methods:

  • Unbiased CRISPR-Cas9 genetic screen in immortalized mouse chromaffin cells (imCCs) with and without Sdhb loss.
  • Assessed differential gene effects on cell proliferation in Sdhb-deficient vs. normal imCCs.
  • Utilized neddylation inhibitors MLN4924 (Pevonedistat) and HA-9104.

Main Results:

  • Loss of transcriptional mediator complex subunits selectively promoted growth of Sdhb-deficient cells.
  • The neddylation pathway is critical for Sdhb-deficient imCC growth and survival.
  • Neddylation inhibitors selectively inhibited growth of Sdhb-deficient imCCs by reducing UBE2F activity.

Conclusions:

  • The neddylation pathway represents a druggable vulnerability in SDH-deficient PPGL.
  • Neddylation inhibitors show therapeutic potential for treating SDH-deficient PPGL.
  • Further study of the neddylation pathway is warranted for SDH-deficient PPGL treatment.