RT Journal Article SR Electronic T1 Genome-wide prediction of synthetic rescue mediators of resistance to targeted and immunotherapy JF bioRxiv FD Cold Spring Harbor Laboratory SP 284240 DO 10.1101/284240 A1 Avinash Das A1 Joo Sang Lee A1 Gao Zhang A1 Zhiyong Wang A1 Ramiro Iglesias-Bartolome A1 Tian Tian A1 Zhi Wei A1 Benchun Miao A1 Nishanth Ulhas Nair A1 Olga Ponomarova A1 Adam A. Friedman A1 Arnaud Amzallag A1 Tabea Moll A1 Gyulnara Kasumova A1 Patricia Greninger A1 Regina K. Egan A1 Leah J. Damon A1 Dennie T. Frederick A1 Allon Wagner A1 Kuoyuan Cheng A1 Seung Gu Park A1 Welles Robinson A1 Kevin Gardner A1 Genevieve Boland A1 Sridhar Hannenhalli A1 Meenhard Herlyn A1 Cyril Benes A1 J. Silvio Gutkind A1 Keith Flaherty A1 Eytan Ruppin YR 2018 UL http://biorxiv.org/content/early/2018/04/08/284240.abstract AB Most patients with advanced cancer eventually acquire resistance to targeted therapies, spurring extensive efforts to identify molecular events mediating therapy resistance. Many of these events involve synthetic rescue (SR) interactions, where the reduction in cancer cell viability caused by targeted gene inactivation is rescued by an adaptive alteration of another gene (the rescuer). Here we perform a genome-wide prediction of SR rescuer genes by analyzing tumor transcriptomics and survival data of 10,000 TCGA cancer patients. Predicted SR interactions are validated in new experimental screens. We show that SR interactions can successfully predict cancer patients’ response and emerging resistance. Inhibiting predicted rescuer genes sensitizes resistant cancer cells to therapies synergistically, providing initial leads for developing combinatorial approaches to overcome resistance proactively. Finally, we show that the SR analysis of melanoma patients successfully identifies known mediators of resistance to immunotherapy and predicts novel rescuers.