You have accessJournal of UrologyCME1 Apr 2023MP20-09 GENOME-WIDE CRISPR SCREENS IDENTIFY NOVEL TARGET GENES WHICH ALTER PROSTATE CANCER SENSITIVITY TO RADIATION THERAPY Koji Hatano, Toshiki Oka, Keisuke Nimura, Sassi Nesrine, Yohei Okuda, Akinaru Yamamoto, Toshihiro Uemura, Gaku Yamamichi, Eisuke Tomiyama, Yu Ishizuya, Yoshiyuki Yamamoto, Taigo Kato, Atsunari Kawashima, Kazutoshi Fujita, and Norio Nonomura Koji HatanoKoji Hatano More articles by this author , Toshiki OkaToshiki Oka More articles by this author , Keisuke NimuraKeisuke Nimura More articles by this author , Sassi NesrineSassi Nesrine More articles by this author , Yohei OkudaYohei Okuda More articles by this author , Akinaru YamamotoAkinaru Yamamoto More articles by this author , Toshihiro UemuraToshihiro Uemura More articles by this author , Gaku YamamichiGaku Yamamichi More articles by this author , Eisuke TomiyamaEisuke Tomiyama More articles by this author , Yu IshizuyaYu Ishizuya More articles by this author , Yoshiyuki YamamotoYoshiyuki Yamamoto More articles by this author , Taigo KatoTaigo Kato More articles by this author , Atsunari KawashimaAtsunari Kawashima More articles by this author , Kazutoshi FujitaKazutoshi Fujita More articles by this author , and Norio NonomuraNorio Nonomura More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003245.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radiation therapy (RT), including radioligand therapy, is widely used for the treatment of prostate cancer (PCa). Although the majority of PCa can be effectively treated with RT, approximately 50% of men with high risk PCa will recur. A number of mechanisms, including DNA repair, cell cycle and apoptotic pathways can influence cellular sensitivity to radiation and chemotherapy. Despite recent progress in genomic profiling of PCa, RT-related biomarkers for improving outcome and reducing toxicity remain unknown. Here, we used genome-wide CRISPR screens to systematically map radiosensitivity and gene interactions and to identify novel therapeutic targets in PCa. METHODS: PCa cells lines, DU145, 22Rv1, and LNCaP, were used to establish CRISPR/Cas9 cell libraries. CRISPR library contained 90,709 sgRNAs targeting 18,010 genes. CRISPR/Cas9 cell libraries were irradiated (4 or 6 Gy) or untreated (control), and cultured for 11 days. The number of each sgRNA was evaluated by sequencing and compared to controls (Figure 1). sgRNA dropoff indicates radiosensitizing genes and sgRNA enrich indicates radioprotective genes. Robust Rank Aggregation (RRA) score was utilized as an estimation for robust identification of CRISPR-screen hits. Top ranked radiosensitizing genes were selected by RRA score in CRISPR screen by three PCa cell lines. RESULTS: CRISPR screens showed that radiosensitizing genes abundantly contain DNA repair pathway genes, while radioprotective genes contain cell cycle and apoptosis-related genes. Among PCa-related genes, ATM, NBN and PTEN were identified as radiosensitizing genes, while CHEK2 and TP53 were identified as radioprotective genes. The top ranked radiosensitizing genes were identified by CRISPR screens of three PCa cell lines, and validated by each gene knockout using multiple cell lines. The interaction of androgen receptor signaling and radiosensitizing genes was demonstrated using androgen suppression and testosterone addition in LNCaP cells. CONCLUSIONS: Functional CRISPR screens revealed genome-wide RT responses in PCa, providing new information for the development of personalized RT. Source of Funding: Japan Society for the Promotion of Science KAKENHI, grant number 20K18090 © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e278 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Koji Hatano More articles by this author Toshiki Oka More articles by this author Keisuke Nimura More articles by this author Sassi Nesrine More articles by this author Yohei Okuda More articles by this author Akinaru Yamamoto More articles by this author Toshihiro Uemura More articles by this author Gaku Yamamichi More articles by this author Eisuke Tomiyama More articles by this author Yu Ishizuya More articles by this author Yoshiyuki Yamamoto More articles by this author Taigo Kato More articles by this author Atsunari Kawashima More articles by this author Kazutoshi Fujita More articles by this author Norio Nonomura More articles by this author Expand All Advertisement PDF downloadLoading ...