RT Journal Article SR Electronic T1 Genetic and compound screens uncover factors modulating cancer cell response to indisulam JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202101348 DO 10.26508/lsa.202101348 VO 5 IS 9 A1 Ziva Pogacar A1 Kelvin Groot A1 Fleur Jochems A1 Matheus Dos Santos Dias A1 Antonio Mulero-Sánchez A1 Ben Morris A1 Mieke Roosen A1 Leyma Wardak A1 Giulia De Conti A1 Arno Velds A1 Cor Lieftink A1 Bram Thijssen A1 Roderick L Beijersbergen A1 René Bernards A1 Rodrigo Leite de Oliveira YR 2022 UL https://www.life-science-alliance.org/content/5/9/e202101348.abstract AB Discovering biomarkers of drug response and finding powerful drug combinations can support the reuse of previously abandoned cancer drugs in the clinic. Indisulam is an abandoned drug that acts as a molecular glue, inducing degradation of splicing factor RBM39 through interaction with CRL4DCAF15. Here, we performed genetic and compound screens to uncover factors mediating indisulam sensitivity and resistance. First, a dropout CRISPR screen identified SRPK1 loss as a synthetic lethal interaction with indisulam that can be exploited therapeutically by the SRPK1 inhibitor SPHINX31. Moreover, a CRISPR resistance screen identified components of the degradation complex that mediate resistance to indisulam: DCAF15, DDA1, and CAND1. Last, we show that cancer cells readily acquire spontaneous resistance to indisulam. Upon acquiring indisulam resistance, pancreatic cancer (Panc10.05) cells still degrade RBM39 and are vulnerable to BCL-xL inhibition. The better understanding of the factors that influence the response to indisulam can assist rational reuse of this drug in the clinic.