Discovery of synthetic lethal interactions from large-scale pan-cancer perturbation screens

Despite the progress in precision oncology, development of cancer therapies is limited by the dearth of suitable drug targets1. Novel candidate drug targets can be identified based on the concept of synthetic lethality (SL), which refers to pairs of genes for which an aberration in either gene alone is non-lethal, but co-occurrence of the aberrations is lethal to the cell. We developed SLIdR (Synthetic Lethal Identification in R), a statistical framework for identifying SL pairs from large-scale perturbation screens. SLIdR successfully predicts SL pairs even with small sample sizes while minimizing the number of false positive targets. We applied SLIdR to Project DRIVE data2 and found both established and novel pan-cancer and cancer type-specific SL pairs. We identified and experimentally validated a novel SL interaction between AXIN1 and URI1 in hepatocellular carcinoma, thus corroborating the potential of SLIdR to identify new SL-based drug targets