RT Journal Article SR Electronic T1 Genome-wide CRISPR screen reveals the synthetic lethality between BCL2L1 inhibition and radiotherapy JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202302353 DO 10.26508/lsa.202302353 VO 7 IS 4 A1 Yin, Ling A1 Hu, Xiaoding A1 Pei, Guangsheng A1 Tang, Mengfan A1 Zhou, You A1 Zhang, Huimin A1 Huang, Min A1 Li, Siting A1 Zhang, Jie A1 Citu, Citu A1 Zhao, Zhongming A1 Debeb, Bisrat G A1 Feng, Xu A1 Chen, Junjie YR 2024 UL https://www.life-science-alliance.org/content/7/4/e202302353.abstract AB Radiation therapy (RT) is one of the most commonly used anticancer therapies. However, the landscape of cellular response to irradiation, especially to a single high-dose irradiation, remains largely unknown. In this study, we performed a whole-genome CRISPR loss-of-function screen and revealed temporal inherent and acquired responses to RT. Specifically, we found that loss of the IL1R1 pathway led to cellular resistance to RT. This is in part because of the involvement of radiation-induced IL1R1-dependent transcriptional regulation, which relies on the NF-κB pathway. Moreover, the mitochondrial anti-apoptotic pathway, particularly the BCL2L1 gene, is crucially important for cell survival after radiation. BCL2L1 inhibition combined with RT dramatically impeded tumor growth in several breast cancer cell lines and syngeneic models. Taken together, our results suggest that the combination of an apoptosis inhibitor such as a BCL2L1 inhibitor with RT may represent a promising anticancer strategy for solid cancers including breast cancer.