We present a CRISPR-based multi-gene knockout screening system and toolkits for extensible assembly of barcoded high-order combinatorial guide RNA libraries en masse. We apply this system for systematically identifying not only pairwise but also three-way synergistic therapeutic target combinations and successfully validate double- and triple-combination regimens for suppression of cancer cell growth and protection against Parkinson's disease-associated toxicity. This system overcomes the practical challenges of experimenting on a large number of high-order genetic and drug combinations and can be applied to uncover the rare synergistic interactions between druggable targets.
Keywords: CRISPR; CombiGEM; Parkinson's disease; cancer; combination therapy; combinatorial genetics; drug interaction; genetic interaction; high-throughput screening; neurodegeneration.
Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.