Identification of targetable vulnerabilities of PLK1-overexpressing cancers by synthetic dosage lethality.

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作者:Cunningham Chelsea E, Vizeacoumar Frederick S, Zhang Yue, Kyrylenko Liliia, Both Simon, Maranda Vincent, Dong He, Price Jared D W, Gao Peng, Wagner Konrad, Wu Yingwen, Lazell-Wright Mary, Ganapathysamy Ashtalakshmi, Hari Rithik, Bhanumathy Kalpana K, Denomy Connor, Saxena Anjali, Vizeacoumar Jeff P, Morales Alain Morejon, Khan Faizaan, Mosley Shayla, Chen Angie, Katrii Tetiana, Zoller Ben G E, Rajamanickam Karthic, Walke Prachi, Gong Lihui, Patel Hardikkumar, Elhasasna Hussain, Dahiya Renuka, Abuhussein Omar, Dmitriev Anton, Freywald Tanya, Munhoz Erika Prando, Ruppin Eytan, Lee Joo Sang, Rox Katharina, Koebel Martin, Hopkins Laura, Lee Cheng Han, Yadav Sunil, Gasparoni Gilles, Walter Jörn, Krishnan Anand, Datla Raju, Toosi Behzad, Baker Kristi, Meens Jalna, Cescon David W, Ailles Laurie, Leary Scot C, Wu Yuliang, Empting Martin, Kiemer Alexandra K, Freywald Andrew, Vizeacoumar Franco J
Chromosomal instability (CIN) drives tumor heterogeneity, complicating cancer therapy. Although Polo-like kinase 1 (PLK1) overexpression induces CIN, direct inhibition of PLK1 has shown limited clinical benefits. We therefore performed a genome-wide synthetic dosage lethality (SDL) screen to identify effective alternative targets and validated over 100 candidates using in vivo and in vitro secondary CRISPR screens. We employed direct-capture Perturb-seq to assess the transcriptional consequences and viability of each SDL perturbation at a single-cell resolution. This revealed IGF2BP2 as a critical genetic dependency that, when targeted, downregulated PLK1 and significantly restricted tumor growth. Mechanistic analyses showed that IGF2BP2 loss disrupted cellular energy metabolism and mitochondrial ATP production by downregulating PLK1 levels as well as genes associated with oxidative phosphorylation. Consistent with this, pharmacological inhibition of IGF2BP2 severely impacts the viability of PLK1-overexpressing cancer cells addicted to higher metabolic rates. Our work offers a novel therapeutic strategy against PLK1-driven heterogeneous malignancies.

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