Abstract

Simple SummaryLong non-coding RNAs (lncRNAs) are a recently discovered class of molecules in the cell, with potential to be utilized as therapeutic targets in cancer. A number of lncRNAs have been described to play important roles in tumor progression and drive molecular processes involved in cell proliferation, apoptosis or invasion. However, the vast majority of lncRNAs have not been studied in the context of cancer thus far. With the advent of CRISPR/Cas genome editing, high-throughput functional screening approaches to identify lncRNAs that impact cancer growth are becoming more accessible. Here, we review currently available methods to study hundreds to thousands of lncRNAs in parallel to elucidate their role in tumorigenesis and cancer progression.Recent technological advancements such as CRISPR/Cas-based systems enable multiplexed, high-throughput screening for new therapeutic targets in cancer. While numerous functional screens have been performed on protein-coding genes to date, long non-coding RNAs (lncRNAs) represent an emerging class of potential oncogenes and tumor suppressors, with only a handful of large-scale screens performed thus far. Here, we review in detail currently available screening approaches to identify new lncRNA drivers of tumorigenesis and tumor progression. We discuss the various approaches of genomic and transcriptional targeting using CRISPR/Cas9, as well as methods to post-transcriptionally target lncRNAs via RNA interference (RNAi), antisense oligonucleotides (ASOs) and CRISPR/Cas13. We discuss potential advantages, caveats and future applications of each method to provide an overview and guide on investigating lncRNAs as new therapeutic targets in cancer.

Highlights

  • In recent years, The Cancer Genome Atlas (TCGA) and other large-scale cancer genomics projects have revealed that many cancer-associated mutations are located in non-coding regions of the genome, including non-coding RNA genes [1,2,3,4,5]

  • High-throughput functional screens are an invaluable asset to the field of cancer genomics

  • Previous identification of Long non-coding RNAs (lncRNAs) for therapeutic targeting centered around differential expression analysis, candidate selection on this basis does not imply function

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Summary

Introduction

The Cancer Genome Atlas (TCGA) and other large-scale cancer genomics projects have revealed that many cancer-associated mutations are located in non-coding regions of the genome, including non-coding RNA genes [1,2,3,4,5]. Long non-coding RNAs (lncRNAs) comprise the largest and most diverse class of non-coding transcripts, with over 100,000 transcripts identified to date [6]. While individual characterization has successfully revealed a number of lncRNAs for therapeutic targeting (as reviewed in [13]), recent technical advances allow for high-throughput screens to test the functionality of thousands of lncRNAs in parallel. Analysis of negative or “drop-out” screens seek LOF constructs that are decreased, indicating the targeted gene plays a role in the intended phenotype, such as cancer viability or sensitivity to drug treatment (as reviewed in [18]). Positive screens aim to identify LOF constructs that remain or increase throughout the screen, indicating the role of the targeted gene in the observed phenotype, such as conferring resistance in the presence of cancer therapeutics (as reviewed in [18]). We highlight the current functional screening techniques available for lncRNAs and their applications in cancer research (Table A1)

Genomic and Transcriptional Targeting
CRISPRi
CRiNCL Screen for Drivers of Cell Growth
CRiNCL Screen for Radiation Sensitizers
MYCncLibrary Screen
CRISPRa
CRISPRa Screen for Vemurafenib Resistance Genes
CRISPRa Screen for Cytarabine Resistance Genes
Methods for Direct Targeting
RNAi Screen Targeting Autophagy Related lncRNAs
RNAi Screen Targeting lncRNAs Important for Cell Division
RNAi Screen In Vivo
Future Directions
Spheroids
Organoids
Animal Models
Findings
Conclusions
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