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CRISPR Screens Identify Cholesterol Biosynthesis As A Therapeutic Target
CRISPR Screens Identify Cholesterol Biosynthesis As A Therapeutic Target
Shanshan Gao1,2, Fraser Soares2, Shiyan Wang2, Chi Chun Wong1, Huarong Chen1,
Zhenjie Yang1, Weixin Liu1, Minnie YY Go1, Musaddeque Ahmed2, Yong Zeng2,
Catherine Adell O’Brien2, Joseph JY Sung1, Housheng Hansen He2,3*, Jun Yu1*
ammonium salt (F6892) and cholesterol-water soluble (C4951) were all from Sigma-
Aldrich. Lovastatin was obtained from J&K scientific (Beijing, China). Recombinant
human TGF-beta 1 protein (240-B-002/CF), TGF-β receptor (TβR) I/II kinase inhibitor
LY2109761 (A11133) were separately purchased from R&D systems (MN, USA) and
Adooq Bioscience (CA, USA). All the compounds were dissolved according to the
Fisher and their sequences are listed in Supplementary Table S4 and S5.
CRISPR Screening
sgRNA library design, synthesis and amplification. Pooled Epi-Drug sgRNA library
oligonucleotides (CustomArray, NJ, USA), amplified by PCR and then cloned into
achieve an adequate library representation. The plasmid was sequenced to confirm the
sgRNA library viral packaging. 293FT cells (1x107) were seeded in each 15cm dish
with 70-90% confluency. Lentivirus particles were generated with library plasmids,
reagent (Sigma-Aldrich). Viral supernatants were harvested at 48h and 72h, and then
CRISPR dropout screens. Cas9 lentiviral particles were first transduced into colon
CSC-enriched spheroids. After blasticidin selection (10 μg/ml) for 2 weeks, Cas9-
expressing spheroids were used for library transduction. To validate the editing
efficiency of the CRISPR/Cas9 system, two specific sgRNAs targeting METTL3 were
were seeded in 6-well plates (3x106 cells per well). The concentrated viruses were
added to the cell suspension with 8 μg/ml polybrene (Sigma). The plates were
centrifuged at 37ºC, 1000 rpm for 1-2 h, and then incubated at 37ºC incubator for 8h.
Transduced cells were then resuspended in 40 ml stem cell primitive medium in T175
flask. At 24h post-transduction, puromycin was added into the medium at 3 μg/ml for
POP92 and 4 μg/ml for POP66. At 72h post-transduction, selective medium was
replaced by medium without puromycin and 15 million cells were harvested for DNA
extraction and data analysis as “Day 0” timepoint. 8 days and 16 days later, cells (about
30 million) were collected for DNA extraction separately as “Day 8” and “Day 16”
sgRNA was computed by a custom python script. A web-based tool MAGeCK was used
enrichment analysis was done by a web-based gene set analysis toolkit (WebGestalt,
Cells were treated with indicated compounds in 96-well plate. Cell viability was
measured with the CellTiter one solution cell proliferation assay (Promega) for spheres,
and for PDOs, CellTiter-Blue cell viability assay (Promega, WI, USA) was adopted.
Colon tumor specimens and matched non-tumor tissues were kindly provided by
Professor NG Siu Man, Simon, the Prince of Wales Hospital, Hong Kong, with prior
ethic approval and informed consent. Protein extracts (30 μg) were subjected to SDS-
PAGE and then transferred to nitrocellulose membrane for western blot analysis.
Multiple tumor tissue pairs were embedded in parafilm, sectioned and analyzed by IHC
staining. Immunostaining intensity was determined using Allred IHC score system for
intensity score (negative, 0; weak, 1; intermediate 2; strong 3) and proportion score (no
cells, 0; <1% of cells, 1; <1/10 of cells, 2; <1/3 of cells, 3; <2/3 of cells, 4; 100% of
cells, 5). The following antibodies were used: HMGCR (13533-1-AP, Proteintech, IL,
Flow cytometry
Colon CSC-enriched spheroids were digested into single cell suspension, washed with
Biotec) and CD44 (BD Pharmingen). Propidium iodide (1ug/mL) was used to identify
isotype control. Flow cytometry and analysis were on a Becton Dickinson LSR II.
Cholesterol/Cholesteryl ester assay kit (Abcam, ab65359) provides a simple tool for
after indicated treatments for lipid extracted and then subjected to fluorometric assay
protocol.
Chou-Talalay method was used for the analysis of drug combination effect.
Combination index (CI) score was used to estimate the interaction between two drugs
with quantitative definition for synergism (CI<1), additive (CI=1) and antagonism
(CI>1) effects.
A POP92 POP66
105 105
28.95% 32.88%
104 104
FL2 CD44-Log_Height
FL2 CD44-Log_Height
28.53% 34.34%
103 103
102 102
101 101
25.94% 17.06%
100 100
100 101 102 103 104 105 100 101 102 103 104 105
B C
POP92 POP66 100
100
number (40xHP)
Cell viability (%)
Sphere-forming
3 -1
3 -2
3 -1
3 -2
*
* 50
D13
D13
D13
D13
50 * *
acZ
acZ
*
*
sgC
sgC
sgC
sgC
*
sgL
sgL
*
CD133 0
0
acZ
acZ
3-1
3-2
3-1
3-2
3 -1
3 -2
3 -1
3 -2
acZ
acZ
Actin
D13
D13
D13
D13
D13
D13
D13
D13
sgL
sgL
sgL
sgL
sgC
sgC
sgC
sgC
sgC
sgC
sgC
sgC
10
* *
*
Non-tumor
2
n=20
0
N T N T N T
Tumor
Supplementary Figure 2. IHC analysis of several key cholesterol biosynthetic genes. A, IHC analysis was used to evaluate expression of HMGCR,
FDPS and SQLE in 20 pairs of tumor (T) and matched non-tumor (N) tissues. Representative images are shown (scale bar, 100μM). B, IHC analysis
scores of indicated genes were shown and analyzed by paired t-test. * P<0.05 (paired t-test).
A n=308 8 n=308 n=308 n=308
log2(HMGCS1 TPM)
9.0
log2(FDFT1 TPM)
log2(FDPS TPM)
log2(HMGCR TPM) r=0.4690 r=0.3606 r=0.3606 9 r=0.3317
6 7
p=3e-05 p=0.013 8.5 p=0.011 p=0.039
6 8
5 8.0
5 7
4 7.5
4
7.0 6
3 3
6.5 5
2
4 5 6 7 8 9 4 5 6 7 8 9 4 5 6 7 8 9 4 5 6 7 8 9
log2(CD44 TPM) log2(CD44 TPM) log2(CD44 TPM) log2(CD44 TPM)
9.0
log2(FDFT1 TPM)
r=0.6326
log2(HMGCS1 TPM)
6 r=0.5657 r=0.3873 r=0.5292
log2(FDPS TPM)
p=1.1e-15 7 p=0.0044 p=4.3e-08
p=6.2e-10 8.5 8
5 6
8.0
5 7
4 7.5
4 6
7.0
3 3 5
6.5
2
2 3 4 5 6 7 8 2 3 4 5 6 7 8 2 3 4 5 6 7 8
2 3 4 5 6 7 8
log2(EphB2 TPM) log2(EphB2 TPM) log2(EphB2 TPM) log2(EphB2 TPM)
B 30 30 30 30
HMGCS1 protein levels
n = 57 n = 55 n = 58 n = 61
MVK protein levels
25
20 20 20
20 15 15 15
15 20 25 30 15 20 25 30 15 20 25 30 15 20 25 30
EphB2 protein levels EphB2 protein levels EphB2 protein levels EphB2 protein levels
30 30 35 30
n = 10 n = 67 n = 60 n = 15
FDPS protein levels
20 25 25
20
15 20
10 20 15 15
20 25 30 15 20 25 30 15 20 25 30 15 20 25 30
EphB2 protein levels EphB2 protein levels EphB2 protein levels EphB2 protein levels
30 30 30 30
CYP51A1 protein levels
n = 61 n = 63 n = 65 n = 42
LSS protein levels
20 20 20 20
15 15 15 15
15 20 25 30 15 20 25 30 15 20 25 30 15 20 25 30
EphB2 protein levels EphB2 protein levels EphB2 protein levels EphB2 protein levels
Supplementary Figure 3. Correlation analysis between cholesterol biosynthetic genes and stemness markers CD44 or
EphB2. A, Cholesterol biosynthetic genes HMGCR, HMGCS1, FDPS, FDFT1, are positively correlated with stemness marker
EphB2 and CD44 at mRNA level in TCGA colorectal cancer (COADREAD, n=308). B, Correlation between EphB2 and cholesterol
pathway enzymes, HMGCS1, MVK, PMVK, MVD, IDI1, FDPS, FDFT1, SQLE, LSS, CYP51A1, NSDHL, DHCR24, were analyzed
at protein level (mass spectrometry by CPTAC) in colon cancer specimens obtained from TCGA RPPA database (n=indicated
number).
A B
POP92 POP66 POP92-xenografts
0.3 0.4
sgLacZ
Total cholesterol
Total cholesterol
(OD570nm)
Total cholesterol
(OD570nm)
0.2 * * sgHMGCR-2
0.3 * sgHMGCR-1
(OD570nm)
sgFDPS-1 * * 0.3 * sgFDPS-1
0.2
sgFDPS-2 0.2 *
0.1 * * 0.1
0.1
0 0 0
Supplementary Figure 4. The effect of HMGCR/FDPS depletion on total cholesterol level in vitro and in
vivo. A-B, Total cholesterol levels were measured after HMGCR/FDPS knockout in colon CSC-enriched
spheroids and POP92-derived xenografts, using cholesterol/cholesteryl ester assay kit. *P < 0.05. Error bar,
mean ± SD.
A 100 150
Cell viability (%) NCM460
POP92
100 POP66
50
50
0 0
0 1 2 0 1 2
Log(Lovastatin [μM]) Log(Zoledronate acid [μM])
Relative expression
Histidine Metabolism
Glycolysis Gluconeogenesis
O Glycan Biosynthesis 1.0
Glycerolipid Metabolism *
Fructose And Mannose Metabolism
0.5 * * * * ** *
Abc Transporters ** * * ** ** ** * ** **
** * *** ** *
Tight Junction * ** * *
Ribosome 0
Erbb Signaling Pathway 6 7 1 2 3 4 6 7 1 2 3 4
AD AD ID ID ID ID AD AD ID ID ID ID
Insulin Signaling Pathway
SM SM SM SM
Focal Adhesion
TGF-β Signaling Pathway D POP92 E POP92
MAPK Signaling Pathway
N Glycan Biosynthesis
μM
μM
Log2 (Fold change) 1.5 Control Lova 5μM Lova 10μM
Relative expression
RNA Polymerase
10
50
ro
Zole 25μM Zole 50μM
nt
DNA Replication
va
le
Co
Zo
Lo
-1 0 1 2 1.0
50 100 150 0.04 0.00 p-SMAD2
NES * * *
SIZE P-val * * ** SMAD2
0.5 *
** *
*
* *
** * ID1
B sgFDPS vs Control 0
** **
*
Ribosome β-Actin
6 7 1 2 3 4
sgLacZ vs sgFDPS Starch And Sucrose Metabolism AD AD ID ID ID ID
Retinol Metabolism SM SM
-Log10 (Adjusted p value)
PS 2
PS 2
Glycolysis Gluconeogenesis
HM R-
FD R-
HM R-
FD R-
FD -1
-2
FD -1
-2
sg GC
sg GC
sg GC
C
PS
PS
Arginine And Proline Metabolism
G
sg Z
sg Z
c
c
HM
HM
La
La
Arachidonic Acid Metabolism
sg
sg
sg
sg
sg
Tight Junction Zeb1
Cytokine Receptor Interaction
E-cadherin
P53 Signaling Pathway
ECM Receptor Interaction Snail
40 60 80 100 0.04 0.00 -1 0 1 2 β-Actin
Log2 (Fold change) SIZE P-val NES
Supplementary Figure 6. RNA-seq analysis shows significantly dysregulated gene expression profiles after depletion of HMGCR or FDPS. A-B,
Volcano plots and gene set enrichment analysis of significantly altered genes after HMGCR or FDPS knockout in colon CSC-enriched spheroid POP92.
Common altered pathways are shown in RED. C, Significantly downregulated TGF-β signaling pathway members after HMGCR or FDPS knockout are
validated in another two colon spheroid models, CSC28 and POP66. D-E, TGF-β signaling members were checked after lovastatin/zoledronate acid treatment
at indicated concentrations in POP92 by real time PCR and western blot. F, The effect of HMGCR or FDPS depletion on EMT markers were investigated in
CSC28 and POP66 by western blot. *P < 0.05. Error bar, mean ± SD.
A B
Relative cell viability(%)
150 POP92 200
150 POP92
POP66 250
50 50
50 50
0 0
-2 -1 0 1 2
116 T29 480 P92 P66 0 0
T H -2 -1 0 1 2
Log(5-FU[μM]) HC SW PO PO 16 T29 480 P92 P66
Log(Oxaliplatin[μM]) T1
H
HC SW PO PO
Supplementary Figure 7. Cytotoxicity and IC50 values of (A) 5-FU and (B) oxaliplatin in colon CSC-enriched spheroids and 2D long-established cancer
cell lines. A-B, 5-FU and oxaliplatin dose response curve and IC50 value for Colon spheroids and 2D cancer cell lines. These cells were exposed to a serial
concentration of 5-FU or oxaliplatin for 72hours, and cell viability was measured using MTS-based proliferation assay. All values (left panels) are normalized
to untreated control. Bar graphs (right panels) show the IC50 values from three independent experiments.
A HCT15/FU SW620/FU
100 Control
Cell viability (%) Lova 5μM
* * Lova 10μM
* Zole 50μM
50 * *
* Zole 100μM
*
*
0
propagation in vitro
POP92 POP66
Gene Adj.
neg|p- neg|p-
symbol neg|fdr Rank neg|fdr Rank Rank
value value
Reverse TTGCAGCATCTCGTCGATGT
Reverse CAAGCTGACGTACCCCTGAC
Reverse GGCATGGTGAAAGAGCAAGC
Reverse TCTCTGGGAACTTGAGCAGC
Reverse TTCAGCCAAATCCGGTCCTC
Reverse TGTTGCTTGTCGAGGTGGTT
Reverse GACAGGGGCATCCTGTTCC
Reverse GGTTCCTTTTCTGCGCCTCC
Reverse CACTGAAGTCCTGCCTGTGT
Reverse TATGGAGGACTTTTCACCCCTG
Reverse TACTTGTTCACAACCCCTGC
Reverse ATGCCTGTGAAAGTTTGGTTCT
Reverse TTTTGGATTCATATGCCTTCTG
Reverse ACACCCCTGTGTTGTTTGCT
Reverse CATCCAGACGCAGGGATTGA
Reverse ACCCCATGGTGTGCAAATTC
Reverse TGGGGTCCTCGTAGGTGAAA
Reverse AGAATCGGACAGATCCAGTGGC
Reverse TGCTGCGGTTGTAAACCCA
Reverse GGAACGCATGCCGCCT
Reverse TGAGCTTGGAGTAGCAGTCG
ID3 Forward AGCGCGTCATCGACTACATT
Reverse TGACAAGTTCCGGAGTGAGC
Reverse TCGCTCTGGGTTTTACGAGG
Table S5. sgRNA sequences used in this study
HMGCR-sg1-F TGGAAGTAAATATACAGGA
HMGCR-sg1-R TCCTGTATATTTACTTCCA
HMGCR-sg2-F ATACTGTGTAGCTTGGTGG
HMGCR-sg2-R CCACCAAGCTACACAGTAT
FDPS-sg1-F TTGGAGGCAAGTATAACCG
FDPS-sg1-R CGGTTATACTTGCCTCCAA
FDPS-sg2-F GGATTCATCCCTTACCCGC
FDPS-sg2-R GCGGGTAAGGGATGAATCC
sgLacZ-F CACCGCCCGAATCTCTATCGTGCGG
sgLacZ-R CCGCACGATAGAGATTCGGGCGGTG
METTL3-sg1-F CACCGTGTGAAGCGTAGCACAGACG
METTL3-sg1-R CGTCTGTGCTACGCTTCACACGGTG
METTL3-sg2-F CACCGACCATCTTACCACTCTTCCA
METTL3-sg2-R TGGAAGAGTGGTAAGATGGTCGGTG