Uncovering functional variants using a high-efficiency PE3-based screening platform
Shisheng Huang1,2, Wanyu Tao2,3, Xiangyang Li4
1The Second People's Hospital of Changzhou, The Third Affiliated Hospital of Nanjing Medical University, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu 213003, China.
Science Advances
|June 5, 2026
Summary
We developed EvoPRIME, a prime editing (PE) screening platform, to improve high-throughput functional screening. EvoPRIME enhances efficiency for discovering functional genetic variants, including those conferring drug resistance.
Area of Science:
- Molecular Biology
- Genetics
- Biotechnology
Background:
- Prime editing (PE) offers precise genome editing but faces limitations in high-throughput functional screening due to low efficiency.
- Developing efficient and scalable screening platforms is crucial for understanding gene function and identifying therapeutic targets.
Purpose of the Study:
- To develop and validate EvoPRIME, a novel prime editing-based screening platform.
- To enhance the efficiency and applicability of prime editing for high-throughput functional genetic screens.
Main Methods:
- EvoPRIME integrates Csy4-mediated processing of RNA polymerase II-driven guide RNAs with a fluorescence-based enrichment strategy.
- The platform was validated using loss-of-function (LOF) dropout screens and gain-of-function (GOF) saturation mutagenesis screens.
- Functional assessment of gain- and loss-of-phosphorylation (GOP and LOP) mutations was performed.
Main Results:
- EvoPRIME demonstrates comparable editing efficiency to existing prime editing systems without needing mismatch repair suppression.
- The platform showed improved sensitivity and reproducibility in LOF screens targeting essential genes.
- GOF screens identified known and novel osimertinib resistance mutations in the EGFR tyrosine kinase domain.
- A GOP screen identified a GAB1 S419E phosphomimetic mutation activating AKT signaling and conferring osimertinib resistance.
Conclusions:
- EvoPRIME is a versatile and efficient platform for high-throughput functional genetic screening.
- The platform facilitates the discovery of functional variants, including those involved in drug resistance and signaling pathways.
- EvoPRIME advances the utility of prime editing for large-scale genetic studies.


