Genome-wide CRISPR-KO library screens provide a platform for identifying synthetic lethal combinations that may be leveraged for new precision medicine approaches, particularly in diseases with limited therapeutic options. Mutations in ARID1A, a gene that, together with ARID1B, encodes one of two mutually exclusive DNA binding subunits of the SWI/SNF (SWItch/Sucrose Non-Fermentable) chromatin remodelling complex, are present in 6‑10% of all human malignancies. This presents a therapeutic vulnerability, whereby harnessing ARID1A synthetic lethal interactions could serve as a strategy for selectively killing cancer cells.
Somatic ARID1A mutations are present in up to two thirds of a rare epithelial ovarian cancer subtype, ovarian clear cell carcinoma (OCCC). Current first-line treatment involves surgical debulking and platinum- and taxol-based chemotherapy; however, this is only successful in 11‑27% of cases and is mostly ineffective at treating recurrent disease. Consequently, new treatments are urgently needed. ARID1B is a known ARID1A synthetic lethal partner and is recognised as a target for ARID1A mutant malignancy, however, treatments exploiting this relationship are yet to be revealed. To uncover new synthetic lethal strategies for targeting ARID1A mutant OCCC, we screened a CRISPR-Cas9 engineered ARID1A-KO isogenic cell line panel, derived from the OCCC cell line RMG-1, using the TKOv3 (Toronto Knockout version 3) CRISPR library.
Canonical pathway enrichment analysis of genes uniquely negatively selected in ARID1A-KO cells highlighted an enrichment of pathways connected with ribosome biogenesis; namely, rRNA processing in the nucleolus and cytosol, eukaryotic translation initiation, ribosomal quality control signalling, and eukaryotic translation termination. This suggests that disruptions to ribosome assembly and function may represent a key genetic vulnerability in ARID1A mutant cells. Targeting ribosome biogenesis, for example with RNA polymerase Ι inhibitors, could therefore offer new strategies for treating ARID1A mutant OCCC.