RT Journal Article SR Electronic T1 Genome-wide chemical mutagenesis screens allow unbiased saturation of the cancer genome and identification of drug resistance mutations JF bioRxiv FD Cold Spring Harbor Laboratory SP 066555 DO 10.1101/066555 A1 Jonathan S. Brammeld A1 Mia Petljak A1 Inigo Martincorena A1 Steven P. Williams A1 Luz Garcia Alonso A1 Alba Dalmases A1 Beatriz Bellosillo A1 Carla Daniela Robles-Espinoza A1 Stacey Price A1 Syd Barthorpe A1 Patrick Tarpey A1 Constantine Alifrangis A1 Graham Bignell A1 Joana Vidal A1 Jamie Young A1 Lucy Stebbings A1 Kathryn Beal A1 Michael R Stratton A1 Julio Saez-Rodriguez A1 Mathew Garnett A1 Clara Montagut A1 Francesco Iorio A1 Ultan McDermott YR 2017 UL http://biorxiv.org/content/early/2017/01/16/066555.abstract AB Drug resistance is an almost inevitable consequence of cancer therapy and ultimately proves fatal for the majority of patients. In many cases this is the consequence of specific gene mutations that have the potential to be targeted to re-sensitize the tumor. The ability to uniformly saturate the genome with point mutations without chromosome or nucleotide sequence context bias would open the door to identify all putative drug resistance mutations in cancer models. Here we describe such a method for elucidating drug resistance mechanisms using genome-wide chemical mutagenesis allied to next-generation sequencing. We show that chemically mutagenizing the genome of cancer cells dramatically increases the number of drug-resistant clones and allows the detection of both known and novel drug resistance mutations. We have developed an efficient computational process that allows for the rapid identification of involved pathways and druggable targets. Such a priori knowledge would greatly empower serial monitoring strategies for drug resistance in the clinic as well as the development of trials for drug resistant patients.