PT - JOURNAL ARTICLE AU - Shreya Budhiraja AU - Shivani Baisiwala AU - Ella Perrault AU - Sia Cho AU - Khizar Nandoliya AU - Gabriel Dara AU - Andrew Zolp AU - Li Chen AU - Crismita Dmello AU - Cheol H. Park AU - Adam M Sonabend AU - Atique U Ahmed TI - ARF4-mediated Retrograde Trafficking Drives Chemoresistance in Glioblastoma AID - 10.1101/2021.07.18.451328 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.07.18.451328 4099 - http://biorxiv.org/content/early/2021/07/19/2021.07.18.451328.short 4100 - http://biorxiv.org/content/early/2021/07/19/2021.07.18.451328.full AB - Glioblastoma (GBM) is the most common type of adult malignant brain tumor, with a median survival of only 21 months. This is partly due to the high rate of resistance to conventional therapy, including temozolomide (TMZ), leading to recurrence rates close to 100%. It still remains unknown what drives the development of this resistance. To identify the unknown genes driving the development of this resistance, we performed a genome-wide CRISPR knockout screen comparing a DMSO-treated population with a TMZ-treated population over 14 days. We identified 4 previously unstudied genes – ARF4, PLAA, SPTLC1, and PIGK – that showed significant elevations in expression in recurrent tumors in patient datasets, along with significant survival benefits corresponding to low gene expression. Further investigation of ARF4, known to be involved in retrograde trafficking, allowed us to identify a mechanism of resistance that is mediated by increased retrograde transport of EGFR into the nucleus. Ultimately, our CRISPR-Cas9 screen has identified a promising therapeutic target, ARF4, which may drive GBM’s high resistance to chemotherapy.Competing Interest StatementThe authors have declared no competing interest.