PT - JOURNAL ARTICLE AU - Simone Lieb AU - Silvia Blaha-Ostermann AU - Elisabeth Kamper AU - Katharina Ehrenhöfer-Wölfer AU - Andreas Schlattl AU - Andreas Wernitznig AU - Jesse J. Lipp AU - Kota Nagasaka AU - Gerd Bader AU - Ralph A. Neumüller AU - Norbert Kraut AU - Mark A. Pearson AU - Mark Petronczki AU - Simon Wöhrle TI - Werner syndrome helicase is a selective vulnerability of microsatellite instability-high tumor cells AID - 10.1101/530659 DP - 2019 Jan 01 TA - bioRxiv PG - 530659 4099 - http://biorxiv.org/content/early/2019/01/26/530659.short 4100 - http://biorxiv.org/content/early/2019/01/26/530659.full AB - Targeted cancer therapy is based on exploiting selective dependencies of tumor cells. By leveraging recent large-scale genomic profiling and functional screening of cancer cell lines we identified Werner syndrome helicase (WRN) as a novel specific vulnerability of microsatellite instability-high (MSI-H) cancer cells. MSI, caused by defective mismatch repair is frequently detected in human malignancies, in particular in colorectal, endometrial and gastric cancers. We demonstrate that WRN inactivation selectively impairs the viability of MSI-H but not microsatellite stable (MSS) colorectal and endometrial cancer cell lines. In MSI-H cells, WRN loss results in the emergence of chromosome breaks, chromatin bridges and micronuclei highlighting defective genome integrity. WRN variants harboring mutations abrogating the ATPase function of WRN helicase fail to rescue the viability phenotype of WRN-depleted MSI-H colorectal cells. Our study suggests that pharmacological inhibition of WRN helicase function might represent a novel opportunity to develop a targeted therapy for MSI-H cancers.