RT Journal Article SR Electronic T1 Tandem duplications lead to loss of fitness effects in CRISPR-Cas9 data JF bioRxiv FD Cold Spring Harbor Laboratory SP 325076 DO 10.1101/325076 A1 Emanuel Gonçalves A1 Fiona M Behan A1 Sandra Louzada A1 Damien Arnol A1 Euan Stronach A1 Fengtang Yang A1 Kosuke Yusa A1 Oliver Stegle A1 Francesco Iorio A1 Mathew J Garnett YR 2018 UL http://biorxiv.org/content/early/2018/05/25/325076.abstract AB CRISPR-Cas9 gene-editing is widely used to study gene function and is being advanced for therapeutic applications. Structural rearrangements are a ubiquitous feature of cancers and their impact on CRISPR-Cas9 gene-editing has not yet been systematically assessed. Utilising CRISPR-Cas9 knockout screens for 163 cancer cell lines, we demonstrate that targeting tandem amplified regions is highly detrimental to cellular fitness, in contrast to amplifications caused by chromosomal duplications which have little to no effect. Genomically clustered Cas9 double-strand DNA breaks are associated with a strong gene-independent decrease in cell fitness. We systematically identified collateral vulnerabilities in 25% of cancer cells, introduced by tandem amplifications of tissue non-expressed genes. Our analysis demonstrates the importance of structural rearrangements in mediating the effect of CRISPR-Cas9-induced DNA damage, with implications for the use of CRISPR-Cas9 gene-editing technology, and how resulting collateral vulnerabilities are a generalisable strategy to target cancer cells.