Identification of genetic regulators of antibody-drug conjugate toxicity using CRISPR-Cas9 screens

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Abstract/Contents

Abstract
Antibody-drug conjugates (ADCs) selectively deliver highly toxic chemotherapeutic agents to target antigen-expressing cells and have become an important cancer treatment in recent years. However, the molecular mechanisms by which ADCs are internalized and activated within cells remain unclear. Here we use CRISPR-Cas9 screens to identify genes that control the toxicity of ADCs targeting different cancer antigens and cell types. Our results demonstrate critical roles for a range of known and novel intracellular trafficking regulators in ADC toxicity. We identify and characterize C18orf8/RMC1 as a regulator of ADC toxicity through its role in endosomal maturation. Through comparative analysis of CRISPR screens with ADCs bearing a noncleavable linker versus a cleavable valine-citrulline (VC) linker, we show that a subset of late endo/lysosomal and retrograde trafficking regulators selectively influence toxicity of noncleavable linker ADCs. We further show that cleavable VC linkers are rapidly processed upon internalization and therefore surprisingly appear to bypass the requirement of lysosomal delivery. Lastly, we show that depletion of sialic acids sensitizes cells to anti-CD22 and anti-Her2 ADCs by increasing the rate of ADC lysosomal delivery. In contrast, deletion of sialic acid biosynthesis genes protects cells from anti-CD30 ADCs, suggesting that proper sialylation is required for CD30 cell surface-expression. Together, these results reveal novel regulators of endolysosomal trafficking, provide important insights to guide future ADC design, and identify candidate combination therapy targets as well as potential mechanisms of ADC resistance.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2019; ©2019
Publication date 2019; 2019
Issuance monographic
Language English

Creators/Contributors

Author Tsui, Chung Yin Kimberly
Degree supervisor Bassik, Michael
Thesis advisor Bassik, Michael
Thesis advisor Brunet, Anne, 1972-
Thesis advisor Gitler, Aaron D
Thesis advisor Pfeffer, Suzanne
Thesis advisor Wyss-Coray, Anton
Degree committee member Brunet, Anne, 1972-
Degree committee member Gitler, Aaron D
Degree committee member Pfeffer, Suzanne
Degree committee member Wyss-Coray, Anton
Associated with Stanford University, Department of Genetics.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility C. Kimberly Tsui.
Note Submitted to the Department of Genetics.
Thesis Thesis Ph.D. Stanford University 2019.
Location electronic resource

Access conditions

Copyright
© 2019 by Chung Yin Kimberly Tsui
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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