bioRxiv · 10.64898/2026.05.04.722276
Aneuploidy sensitizes cells to SREBP-pathway inhibition in squamous cell carcinoma
Abstract
Squamous cell carcinomas (SCCs) in the lung, head and neck, cervix, and esophagus are characterized by widespread chromosome-arm aneuploidies, most frequently recurrent 3q-gain. However, how these alterations influence cancer development and therapeutic vulnerabilities remains unclear. To identify aneuploidy-driven therapeutic targets, we performed genome-wide CRISPR interference (CRISPRi) and drug-repurposing screens in isogenic immortalized lung epithelial cells harboring chromosome 3-disomy or 3q-gain. Both screens converged on a mevalonate pathway dependency specific to 3q-gain cells, which exhibited heightened sensitivity to sterol regulatory element-binding protein (SREBP) disruption. Rescue experiments demonstrated that these vulnerabilities were on target and that pathway inhibition preferentially causes apoptosis in 3q-gain cells. Transcriptomic and lipidomic profiling revealed 3q-gain-associated alterations in SREBP activation, cholesterol and fatty-acid biosynthesis, and lipid composition. Perturbing SREBP signaling impaired viability in SCC cell lines and suppressed tumor growth in xenografts with 3q-gain. These findings identify an aneuploidy-driven, targetable vulnerability in SCC. SignificanceHere, we demonstrate that SCC-recurrent 3q-gain is a selective vulnerability to SREBP-pathway inhibition. We identify an aneuploidy-driven therapeutic liability in squamous tumors for lipid-targeted precision therapies, providing a framework for targeted treatment in SCC.
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Zhakula, N., Jain, S., Amini-Farsani, Z., Zhang, J., Nakamura, M., Byron, L., Castellano Perez, J. J., Paolucci, C., Munoth, R., Zandkarimi, F., Takemon, Y., Marra, M., Henick, B., Saqi, A., Reya, T., Meyerson, M., Taylor, A. M.. 2026-05-08. Aneuploidy sensitizes cells to SREBP-pathway inhibition in squamous cell carcinoma. https://doi.org/10.64898/2026.05.04.722276
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