PT - JOURNAL ARTICLE AU - Petra van der Lelij AU - Simone Lieb AU - Julian Jude AU - Gordana Wutz AU - Catarina P. Santos AU - Katrina Falkenberg AU - Andreas Schlattl AU - Jozef Ban AU - Raphaela Schwentner AU - Thomas Hoffmann AU - Heinrich Kovar AU - Francisco X. Real AU - Todd Waldman AU - Mark A. Pearson AU - Norbert Kraut AU - Jan-Michael Peters AU - Johannes Zuber AU - Mark Petronczki TI - Synthetic lethality between the cohesin subunits <em>STAG1</em> and <em>STAG2</em> in diverse cancer contexts AID - 10.1101/155309 DP - 2017 Jan 01 TA - bioRxiv PG - 155309 4099 - http://biorxiv.org/content/early/2017/06/25/155309.short 4100 - http://biorxiv.org/content/early/2017/06/25/155309.full AB - Recent genome analyses have identified recurrent mutations in the cohesin complex in a wide range of human cancers. Here we demonstrate that the most frequently mutated subunit of the cohesin complex, STAG2, displays a strong synthetic lethal interaction with its paralog STAG1. Mechanistically, STAG1 loss abrogates sister chromatid cohesion in STAG2 mutated but not in wild-type cells leading to mitotic catastrophe, defective cell division and apoptosis. STAG1 inactivation inhibits the proliferation of STAG2 mutated but not wild-type bladder cancer and Ewing sarcoma cell lines. Restoration of STAG2 expression in a mutated bladder cancer model alleviates the dependency on STAG1. Thus, STAG1 and STAG2 support sister chromatid cohesion to redundantly ensure cell survival. STAG1 represents a vulnerability of cancer cells carrying mutations in the major emerging tumor suppressor STAG2 across different cancer contexts. Exploiting synthetic lethal interactions to target recurrent cohesin mutations in cancer, e.g. by inhibiting STAG1, holds the promise for the development of selective therapeutics.