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Copyright © 2008, European Molecular Biology Organization A synthetic lethal siRNA screen identifying genes mediating sensitivity to a PARP inhibitor 1The Breakthrough Breast Cancer Research Centre, The Institute of Cancer Research, London, UK 2Breakthrough Breast Cancer Research Unit, King's College London School of Medicine, Guy's Hospital, London, UK aThe Breakthrough Breast Cancer Research Centre, The Institute of Cancer Research, 237 Fulham Road, London SW3 6JB, UK. Tel.: +44 0 20 7153 5333; Fax: +44 0 20 7153 5340; E-mail: alan.ashworth/at/icr.ac.uk Received September 10, 2007; Accepted March 4, 2008. This article has been cited by other articles in PMC.Abstract Inhibitors of poly (ADP-ribose)-polymerase-1 (PARP) are highly lethal to cells with deficiencies in BRCA1, BRCA2 or other components of the homologous recombination pathway. This has led to PARP inhibitors entering clinical trials as a potential therapy for cancer in carriers of BRCA1 and BRCA2 mutations. To discover new determinants of sensitivity to these drugs, we performed a PARP-inhibitor synthetic lethal short interfering RNA (siRNA) screen. We identified a number of kinases whose silencing strongly sensitised to PARP inhibitor, including cyclin-dependent kinase 5 (CDK5), MAPK12, PLK3, PNKP, STK22c and STK36. How CDK5 silencing mediates sensitivity was investigated. Previously, CDK5 has been suggested to be active only in a neuronal context, but here we show that CDK5 is required in non-neuronal cells for the DNA-damage response and, in particular, intra-S and G2/M cell-cycle checkpoints. These results highlight the potential of synthetic lethal siRNA screens with chemical inhibitors to define new determinants of sensitivity and potential therapeutic targets. Keywords: CDK5, cell cycle, DNA repair, poly(ADP)ribose polymerase, RNAi screen Introduction Poly (ADP-ribose)-polymerase-1 (PARP) is a highly abundant nuclear enzyme involved in the repair of single-strand breaks (SSBs) (Hoeijmakers, 2001). Inhibition of PARP induces accumulation of large numbers of unrepaired SSBs, leading to the collapse of replication forks during S-phase and the consequent generation of double-strand breaks (DSBs). Cells deficient in DNA DSB repair, in particular homologous recombination (HR) by gene conversion, are highly sensitive to chemical inhibitors of PARP (Bryant et al, 2005; Farmer et al, 2005; McCabe et al, 2006). In contrast, cells with intact DNA DSB-response pathways repair damage with high fidelity and accordingly show very little sensitivity to PARP inhibitors. The breast and ovarian cancer predisposition genes, BRCA1 and BRCA2, encode proteins that are required for efficient HR (Moynahan et al, 1999; Tutt et al, 2001). Tumours arising in the carriers of heterozygous germline BRCA mutations have generally lost the wild-type BRCA allele, resulting in defective HR, which may be targeted in a synthetic lethal approach (Farmer et al, 2005). PARP inhibitors have now entered clinical trials and initial results are promising, with frequent sustained responses in BRCA mutation carriers (Yap et al, 2007). Despite the clinical promise of PARP inhibitors in the treatment of BRCA-related cancer, extending the utility of these agents to other cancers is challenging. Little is known about the determinants of PARP-inhibitor sensitivity, other than the profound sensitivity of cells with defects in HR (McCabe et al, 2006). The identification of novel mediators of cellular response to PARP inhibitors may highlight additional patient populations that might benefit form this therapeutic approach. Furthermore, mechanisms of drug resistance and potential combination therapies may also be uncovered. RNA interference (RNAi) screens have the potential to identify novel determinants of drug response and hence enhance the application of novel and existing drugs (Iorns et al, 2007), and have already proven highly effective in the unbiased identification of novel genes involved in biological processes (Aza-Blanc et al, 2003; Mukherji et al, 2006). These screens exploit the naturally occurring mechanism of RNAi that controls gene expression at the post-transcriptional level by mediating degradation of mRNA transcripts in a sequence-specific fashion (Meister and Tuschl, 2004). With the development of RNAi libraries composed of reagents that allow targeting a wide range of transcripts, it is now possible to conduct high-throughput screens (HTS) that simultaneously interrogate phenotypes associated with the loss of function of many genes (Iorns et al, 2007). Here, we have used a high-throughput RNAi screen to identify new determinants of sensitivity to a PARP inhibitor. Results siRNA screen for kinases sensitising to a PARP inhibitor RNAi screens that have previously examined sensitivity to DNA-damaging chemotherapy drugs have been limited by the small relative sensitivity, or therapeutic window, that exists between cells that are sensitive and resistant, limiting screens to identification of genes that cause profound effects when silenced (Bartz et al, 2006). DNA DSB repair-deficient cells are potentially more than a thousandfold more sensitive than resistant cells to PARP inhibitor (Bryant et al, 2005; Farmer et al, 2005; McCabe et al, 2006), probably due to the specificity of the DNA damage induced, increasing the ability of a screen to detect significant but less sensitising effects. We performed a PARP inhibitor synthetic lethal screen with a short interfering RNA (siRNA) library targeting 779 human protein kinase and kinase-associated genes. We selected kinases as they represent drugable targets. CAL51 cells were used for the screen, which are a diploid, TP53 wild-type breast cancer cell line. The HTS assay involved transfecting CAL51 cells with siRNA in a 96-well plate format and dividing the cells the day after transfection into replica plates, treating half with the PARP inhibitor KU0058948 and half with the vehicle (Figure 1A
The screen was completed in duplicate. Comparison of the two duplicates revealed the screen to be highly reproducible (Figure 1B and C
Validation of siRNA screen hits In addition to silencing a target gene, siRNAs potentially suppress the expression of a large number of other genes through off-target effects. Therefore, we repeated the HTS assay separately with each of the four different siRNA species included in the original SMARTPool®. The HTS results were likely to be ‘on-target' when two or more individual siRNA targeting the same gene sensitised to KU0058948 (Echeverri et al, 2006). The top 20 hits from the screen were re-examined (Table I), excluding ATR, ATM and CHK1 as we have established previously that these are determinants of KU0058948 sensitivity (McCabe et al, 2006). Of the remaining 17 hits, 11 were potentially shown to be due to off-target effects of single-siRNA species (data not shown). The six on-target hits (Figure 2A
CDK5 functions in the DNA-damage response CDK5 is an unusual CDK, previously thought to be active only in post-mitotic neurones due to the perceived neuronal-specific expression of its activators, CDK5R1 (p35) and CDK5R2 (p39) (Dhavan and Tsai, 2001). In non-neuronal cells, no role for CDK5 in the DNA-damage response has previously been suggested and we, therefore, chose to examine the biological significance of CDK5 silencing and the mechanism of sensitivity to PARP inhibitor in more detail. Having confirmed CDK5 silencing by siRNA (Supplementary Figure 1), we initially investigated whether CDK5 silencing sensitised to other DNA-damaging agents. CDK5-silenced cells were also more sensitive than control cells to camptothecin and cisplatin (Figure 3A
CDK5 silencing, therefore, induced spontaneous formation of DNA DSB and induced markers of DNA DSB repair. We assessed the relevance of CDK5 kinase activity to PARP-inhibitor sensitivity by transiently expressing a dominant-negative, kinase-dead D145N CDK5 mutant (van den Heuvel and Harlow, 1993). This mutant differs from wild-type CDK5 in only a single amino-acid change that abrogates the kinase activity of CDK5 (van den Heuvel and Harlow, 1993). Expression of dominant-negative CDK5 sensitised to PARP inhibitor, whereas expression of exogenous wild-type CDK5 did not (Figure 4A
The potential mechanism of sensitivity to PARP inhibitor following CDK5 silencing was also investigated. We first examined the integrity of early DNA DSB-damage signalling. Following CDK5 silencing there was normal autophosphorylation of ATM on serine 1981 following irradiation, and normal phosphorylation of CHK1 on serine 317 after ultraviolet light exposure, indicating retained ATR signalling (Jazayeri et al, 2006; Figure 4B The integrity of DNA DSB repair pathways, one determinant of PARP-inhibitor sensitivity (Farmer et al, 2005; McCabe et al, 2006), was investigated in CDK5-silenced cells. Two main DNA DSB repair pathways predominate, HR by gene conversion and non-homologous end joining (NHEJ) (Hoeijmakers, 2001). We measured gene conversion using an adapted single-copy, chromosomally integrated HR reporter construct present in a 293 cell line (Tutt et al,2001; described in Supplementary Figure 4). Transfection of cells with BRCA1 siRNA significantly reduced HR in this assay (Figure 4C CDK5 is required for DNA-damage checkpoint activation A number of partially overlapping DNA-damage response pathways regulate the cell cycle following DNA damage. The intra-S-phase checkpoint inhibits firing of new replication origins after DNA damage, causing a relative decrease in DNA synthesis after irradiation (Bartek et al, 2004). Following CDK5 silencing, radiation-resistant DNA synthesis (RDS) was assayed by 3H-labelled thymidine DNA incorporation and was shown to increase, suggesting a defect in the intra-S-phase checkpoint (Figure 5A
Genes involved in the intra-S-phase checkpoint are frequently involved in the G2/M checkpoint that prevents cells with unrepaired DNA damage from entering mitosis by arresting the cell cycle at the G2/M transition (Mailand et al, 2002). Following CDK5 silencing, an abnormally high percentage of cells remained in mitosis after irradiation, suggesting significant defect in the G2/M checkpoint (Figure 5B and C Discussion Our screen has identified new determinants of sensitivity to PARP inhibitors and highlights how the functional profiling of new cancer drugs may become valuable in the drug development process (Iorns et al, 2007). PARP inhibitors are showing considerable promise as cancer drugs in early clinical trials (Yap et al, 2007), and the work described here identifies new avenues of research to extend the utility of these agents. We have demonstrated that sensitivity to PARP inhibitors can result from defective DNA-damage cell-cycle checkpoints, identifying a novel mechanism of sensitivity to PARP inhibitors. We envisage that tumours with reduced or no expression of the genes identified by us might be selectively sensitive to PARP inhibitors, as has been shown for BRCA1- and BRCA2-deficient cells. In addition, this screen has identified therapeutic targets whose inhibition would potentially synergise with PARP inhibitors in the clinic. Of the novel determinants of PARP sensitivity identified in our screen, some have been previously linked to DNA-damage response pathways. PNKP is a DNA kinase/phosphatase enzyme involved in the processing of damaged DNA ends prior to ligation. PNKP has previously been shown to be involved the repair of SSBs (Jilani et al, 1999) and also in DNA DSBs repair by NHEJ (Chappell et al, 2002). It will be interesting to elucidate which of these potential mechanisms underlie the sensitivity to PARP inhibitors on PNKP silencing. PLK3 has previously been suggested to have a role in the G2/M checkpoint following irradiation (Bahassi el et al, 2004), and in G1/S-phase progression (Zimmerman and Erikson, 2007). MAPK12/P38γ has also been shown previously to be required for the G2/M checkpoint (Wang et al, 2000). These previous observations provide further evidence of the importance of cell-cycle checkpoints in the cellular response to PARP inhibitors. Interestingly the magnitude of sensitivity to PARP inhibitor after silencing of these genes was lower than that observed with BRCA2 silencing (Figure 2 The CDK5 gene is located at the telomeric region of chromosome 7q, distal to the fragile site FRA7I (Ciullo et al, 2002). A re-analysis of previously published data from breast cancers (Chin et al, 2006) revealed that genomic loss of CDK5 occurred in 5.5% (8/145) of breast cancers, with evidence of homozygous loss in one cancer (data not shown). Loss of CDK5 was associated with significant reduction in gene expression. Furthermore, CDK5 expression data in Oncomine (http://www.oncomine.org) reveal that variations in the expression of CDK5 are common during tumour progression (Chen et al, 2002; Graudens et al, 2006; Sanchez-Carbayo et al, 2006). Therefore, a significant population group may exist that could benefit from PARP-inhibitor treatment because of reduced, tumour-specific, CDK5 expression. A number of previous studies have demonstrated that CDK5 is activated in neuronal cells after DNA damage, but its precise role in DNA-damage responses is unclear (Strocchi et al, 2003; Lee and Kim, 2007). Our results demonstrate that CDK5 plays a key role in DNA-damage response and in cell-cycle checkpoint activation in non-neuronal cells. We show that CDK5 is required for intra-S-phase checkpoint, suggesting that the mechanism of sensitivity to PARP inhibitor in CDK5-silenced cells is a failure of this checkpoint. It is possible that in the presence of greatly increased SSBs, failure of this checkpoint leads to increased replication fork collapse and subsequent cell death. The observed induction of γH2AX foci after CDK5 silencing is also likely to result from an impaired intra-S-phase checkpoint, perhaps arising from increased replication fork collapse at sites of endogenous DNA damage. The specific role of CDK5 in cell-cycle checkpoints remains to be determined. CDK5 silencing does not grossly modify the stability of the CDC25A phosphatase that partially determines S-phase delay (NC Turner and A Ashworth, unpublished observations). However, we have identified elements of the SCF (scf, Cullin, F-box containing) ubiquitin ligase complex as CDK5-interacting proteins (R Elliott and A Ashworth, unpublished observations). This is intriguing given the role of SCF ubiquitin ligase components in cell-cycle control (Bai et al, 1996). We provide evidence that kinase activity of CDK5 is required for PARP-inhibitor sensitivity; expression of a dominant-negative, kinase-dead CDK5 mutant sensitises to KU0058948 and CDK5 kinase activity increases after DNA damage. However, we cannot exclude the possibility that the kinase activity identified in the IP kinase assays is due to a CDK5-associated protein and not CDK5 itself. Non-catalytic functions have previously been reported for cyclin A–cdk2 in cell-cycle control through interaction with the SCF complex (Zhu et al, 2004). Potentially, CDK5 could mediate checkpoint activation through a non-catalytic interaction with DNA-damage kinases or complexes such as SCF. CDK5 has also been implicated in Alzheimer's disease pathogenesis through aberrant phosphorylation of TAU and the resultant formation of neuro-fibrillary tangles (Dhavan and Tsai, 2001; Cruz and Tsai, 2004). Neurodegenerative disorders, including Alzheimer's disease, are characterised by reactivation of the cell-cycle machinery in previously quiescent, post-mitotic, neurones (Woods et al, 2007). It is, therefore, possible that the role we have identified for CDK5 in cell-cycle checkpoint regulation is relevant to reactivation of the cell cycle in neurodegeneration. Finally, as germline mutations in other DNA-damage checkpoint genes are linked to development of breast and other cancers (Renwick et al, 2006) our results suggest that it will be important to examine the role of CDK5, and other genes we have identified, in cancer predisposition. Materials and methods Cell lines, compounds and siRNA CAL51 and HeLa cells were obtained from ATCC (USA) and maintained in Dulbecco's modified Eagle's medium (Sigma, Poole, UK) supplemented with 10% fetal calf serum (10% vol/vol) glutamine and antibiotics. The inhibitors of PARP (KU0058684, IC50 3.2 nM) (Farmer et al, 2005) and ATM (KU0055933, IC50 13 nM) (Hickson et al, 2004) have been described previously. Unless otherwise stated, siCDK5 was a pool of four different siRNA all targeting CDK5 (CDK5 SMARTPool). Sequences of all siRNAs are supplied in Supplementary Table 2. The protein kinase siRNA library (siARRAY, targeting 779 known and putative human protein kinase genes) was obtained in 10, 96-well plates from Dharmacon (USA). Each well in this library contained a SMARTPool of four distinct siRNA species targeting different sequences of the target transcript. Antibodies Antibodies targeting the following epitopes were used: ATM (ab2631; Abcam, UK), phospho-Ser1981–ATM (17168; Rockland, USA), BRCA1 (8F7; GeneTex, USA), BRCA2 (Ab-1; Calbiochem, USA), CDK5 (C-8/sc-173; Santa-Cruz, USA), CDK5 (DC17/ab3226; Abcam, UK), CHK1 (Ab2845; Abcam), phospho-S317–CHK1 (BL229; Bethyl, USA), phospho-histone–Ser10-H3 (06-570; Upstate, USA), phospho-Ser139–H2AX (05-636, γH2AX; Upstate, USA), RAD51 (sc-8349; Santa-Cruz, USA), P53 (Ab8; Neomarkers, USA), β-tubulin (T4026; Sigma, UK). HTS screen method CAL51 cells plated in 96-well plates were transfected 24 h later with siRNA (final concentration 100 nM), using Oligofectamine (Invitrogen, USA) as per manufacturer's instructions. Twenty-four hours following transfection, cells were trypsinised and divided into six identical replica plates. At 48 h after transfection, three replica plates were treated with 0.01% (vol/vol) dimethylsulphoxide (DMSO) vehicle in media and three replica plates with 1 μM KU0058948 (PARP inhibitor) in media. Media containing KU0058948 or vehicle was replenished after 48 h, and cell viability was assessed after 5 days of KU0058948 exposure using CellTiter-Glo® Luminescent Cell Viability Assay (Promega, USA) as per manufacturer's instructions. The luminescence reading for each well on a plate was expressed relative to the median luminescence value of all wells on the plate. The screen was completed in duplicate after rejecting plates from the screen if mean growth in siCON wells was less than 60% of untransfected control wells. For each transfection, the following were calculated: Cell growth. The effect of each individual siRNA SMARTPool on cell growth alone was calculated by dividing mean luminescence in the three replica wells treated with DMSO by the mean luminescence of the replica wells transfected with siCON, and expressed as a percentage. Cell growth effect of siRNA (%)=mean (three replica wells with siRNA)/mean (12 replica wells with treated siCON) × 100. PARP-inhibitor sensitivity. Sensitivity to PARP inhibitor for each siRNA SMARTPool was assessed by calculating the surviving fraction following PARP inhibitor. Surviving fraction=log2mean (three replica wells with KU0058948)−log2mean (three replica wells with DMSO). The surviving fractions were centred on the median surviving fraction of all 80 SMARTPools from one 96-well plate transfection, the results from all ten siRNA plates combined and results expressed as a Z-score. For the Z-score the standard deviation of the screen was estimated from the median absolute deviation of all 779 SMARTPools adjusted by a factor of 1.4826 for equivalence with an asymptotically normal distribution. A robust significance threshold of 3 Z-scores was selected to reduce the identification of screen false positives. The Z′-factor was calculated using the siCON and siBRCA1 control wells, as described elsewhere (Zhang et al, 1999). Validation of HTS screen Four distinct siRNA species targeting each gene were used to revalidate hits from the screen. A significance threshold of P<0.0227 was used for each siRNA, to adjust for multiple comparisons, yielding a combined P<0.003 that two or more siRNA sensitise to KU0058948 for any one gene. Following 17 comparisons, P<0.00301 would be considered statistically significant (Sidak's adjustment). Validation of RNAi gene silencing was by real-time reverse transcriptase–PCR, or western blotting, as described previously (McCabe et al, 2006). Clonogenic survival assays to measure drug sensitivity CAL51 cells were transfected with siRNA using Oligofectamine (Invitrogen, UK) as per manufacturer's instructions, divided 48 h following transfection into six-well plates and exposed to various doses of drug from 60 h post transfection. Colonies were fixed and counted at 10–14 days post transfection, and the surviving fraction for each dose of drug was assessed. Survival curves were generated as described previously (Farmer et al, 2005). Drug treatments consisted of either continuous exposure to KU0058948, 24-h exposure to camptothecin and 1 h exposure to cisplatin at 72 h post transfection. For assessment of PARP sensitivity following exogenous CDK5 expression, CAL51 cells were transfected with Fugene HD (Roche Applied Science, USA) as per manufacturer's instructions, with pcDNA3.1 empty vector (Invitrogen), CDK5-HA and CDK5-DN-HA (van den Heuvel and Harlow, 1993). The transfected cells were selected with G418 (Invitrogen) for the initial 4 days of the clonogenic assay. Western blotting and IP/kinase assay Western blots were carried out with precast TA or Bis-Tris gels (Invitrogen) as described previously (Farmer et al, 2005). The IP kinase assay was performed essentially as described previously (Patrick et al, 1999). Immunofluorescence and FACS analysis Formation and quantification of DNA-damage-induced foci and Annexin V fluorescence-activated cell sorting (FACS) were performed as described previously (Farmer et al, 2005). For RAD51 foci, cells were pulsed with 10 μM bromodeoxyuridine (BrDU) for 30 min before irradiation to identify cells in S-phase at time of irradiation. The percentage of BrDU-incorporating cells with 5 RAD51 foci was assessed in irradiated and non-irradiated cells. FACS analysis of histone H3 phosphorylation was carried out on CAL51 cells transfected 72 h earlier. CAL51 cells were irradiated (3 Gy) and then fixed 1 h later with 75% (vol/vol) ethanol, permeabilised with 0.25% (vol/vol) Triton X-100 in phosphate-buffered saline (PBS), incubated with 1 μg/ml anti-phospho-Histone H3 antibody for 3 h and incubated with secondary anti-rabbit-Alexa-555 antibody conjugate (1:1000) for 1 h at room temperature. DNA was stained with propidium iodide in the presence of RNAse A. The proportion of cells in mitosis after irradiation was expressed relative to the proportion of cells in mitosis in a non-irradiated sample. For ATM inhibitor controls, CAL51 cells were exposed to 10 μM KU0055933 for 30 min prior to irradiation and throughout the assay.Radiation resistant DNA synthesis RDS was assessed 72 h post transfection of siRNA. Cells were irradiated (10 Gy), or not, and 1 h post-irradiation pulsed with 10 μM 3H-labelled thymidine (Amersham, UK) in media for 1 h. Cells were washed twice with PBS, followed by a 30 min chase with media lacking 3H-labelled thymidine. Cells were lysed with 0.25 M NaOH, lysates transferred to scintillation vials and counts per minute were measured in a scintillation counter. DNA incorporation after irradiation was expressed relative to DNA incorporation in non-irradiated wells. For ATM-inhibitor controls, CAL51 cells were exposed to 10 μM KU0055933 for 30 min prior to irradiation and throughout the assay. Field-inversion gel electrophoresis FIGE was performed as described previously (Wong et al, 2000). Assay of HR by gene conversion This procedure is described in Supplementary Figure 4. Supplementary Figures Legends Click here to view.(47K, doc) Supplementary Table 1 and Table 2 Click here to view.(103K, xls) Supplementary Figures 1–5 Click here to view.(688K, pdf) Acknowledgments We thank Jorge Reis-Filho of The Institute of Cancer Research for helpful discussions, G Smith at Kudos Pharmaceuticals for provision of inhibitors and A Smith of The Institute of Cancer Research for technical assistance. Grant support was obtained from Breakthrough Breast Cancer Research and Cancer Research UK. References
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