RT Journal Article SR Electronic T1 70 Whole genome CRISPR-Cas9 screens in a cancer cell line panel co-cultured with antigen-specific cytotoxic CD8 T cells are a powerful engine for immuno-oncology drug target discovery JF Journal for ImmunoTherapy of Cancer JO J Immunother Cancer FD BMJ Publishing Group Ltd SP A75 OP A75 DO 10.1136/jitc-2022-SITC2022.0070 VO 10 IS Suppl 2 A1 Gueroussov, Serge A1 Min, Chengyin A1 Huang, Alan A1 Meier, Samuel A1 Finkler, Jessica A1 Ji, Lei A1 Choi, Ashley A1 Khendu, Tenzing A1 Subramanya, Disha A1 Liu, Shangtao A1 Shen, Binzhang A1 Teng, Teng A1 Pan, Xuewen A1 Yu, Yi YR 2022 UL http://jitc.bmj.com/content/10/Suppl_2/A75.abstract AB Background Cytotoxic T lymphocytes (CTLs) are a key driver of the anti-tumor immune response. Understanding the molecular mechanisms mediating this process can reveal therapeutic targets whose pharmacological inhibition can increase responses to immunotherapy. In recent years, forward genetic screens with CRISPR-Cas9 have been successfully applied to study the interaction between tumor cells and CTLs in vitro. Here, we extend this approach to a broad panel of human cancer cell lines and define methods for prioritization and validation of immuno-oncology therapeutic targets.Methods A panel of seven HLA-A*02 cancer cell lines were prioritized to span multiple cancer lineages. Tumor cells were infected with a whole-genome CRISPR-Cas9 library and co-cultured with primary human CD8+ T cells expressing the NYESO1 HLA-A*02-restricted T cell receptor. Next-generation sequencing and statistical analysis were used to define the top genes that affected tumor cell killing by CTLs. We validated the top hits from the screen in vitro and developed an adoptive cell transfer model to validate the sensitizing effects in vivo.Results Comparison of screen hits uncovered both known and novel pathways that sensitize tumor cell lines to CTL killing, including surface checkpoint molecules, epigenetic regulators, genes that control cytokine response, autophagy, post-transcriptional regulation, and cell surface glycosylation. We prioritized genes for validation based on effect size, druggability, and TCGA correlation between target expression and an immune-deficient tumor microenvironment. We showcase our approach using the known immune regulator, PTPN2. PTPN2 knockout in tumor cells sensitized them to CTL-mediated killing in co-culture assay in vitro and adoptive cell transfer model in vivo.Conclusions Our cancer cell and T cell co-culture CRISPR screening platform revealed multiple known as well as novel genes to comprehensively characterize the mechanisms regulating tumor cell killing by CTLs, providing a rich resource of therapeutic targets to advance into drug discovery.