Knockout of TCF7L2 and JMJD6 depletes target gene expression, reduces cell viability, and resensitizes OTX-P/R cells to the lethal effects of BETi treatment. (A) SET-2 and SET-2-OTX P/R cells were transfected with negative control sgRNA or sgRNAs against TCF7L2 exon 3 or exon 6 and incubated for 5 days. Then, cells were cytospun onto glass slides and stained with anti-β-catenin, TCF7L2, or TBL1 antibodies. Nuclei were stained with 4′,6-diamidino-2-phenylindole (DAPI). Confocal microscopy analysis was performed (original magnification ×100). Representative images are shown for each condition. (B) Representative immunoblot analysis of SET-2 and SET-2-OTX P/R cells transfected with negative control sgRNA or sgRNAs against TCF7L2 and incubated for 5 days. The expression levels of β-actin in the cell lysates served as the loading control. KO, knockout. (C) SET-2 and SET-2-OTX P/R cells were transfected with negative control sgRNA or sgRNAs against TCF7L2. Following this, the percent cell viability was monitored over 8 days. **P < .01; ***P < .005 for cell viability values significantly less in SET-2-OTX P/R cells transfected with TCF7L2 sgRNA compared with SET-2 parental cells transfected with TCF7L2 sgRNA. (D) SET-2 and SET-2-OTX P/R cells were transfected with negative control sgRNA or sgRNA against JMJD6 and incubated for 5 days. Immunoblot analysis was conducted on the total cell lysates. The expression levels of β-actin in the cell lysates served as the loading control. (E) SET-2 and SET-2-OTX P/R cells were transfected with negative control sgRNA or sgRNAs against JMJD6. Following this, the percent cell viability was monitored over 10 days. Asterisks (***) indicate cell viability values significantly less (P < .005) in SET-2-OTX P/R cells transfected with JMJD6 sgRNA compared with SET-2 parental cells transfected with JMJD6 sgRNA. (F) SET-2-OTX P/R and HEL-OTX P/R cells were transfected with negative control sgRNA or TCF7L2 or JMJD6 sgRNAs and incubated for 3 days. Following this, cells were treated with the indicated concentrations of OTX015 for 48 hours. The percentage of annexin V–positive, apoptotic cells were determined by flow cytometry. (G) SET-2 cells were transfected with a vector for overexpression of TCF7L2 or JMJD6. The overexpression was confirmed by immunoblot analysis. The expression levels of β-actin in the cell lysates served as the loading control. (H) SET-2 cells were transfected with a vector for overexpression of TCF7L2 or JMJD6. Parental and TCF7L2 or JMJD6-overexpressing cells were treated with the indicated concentrations of OTX015 for 48 hours. Then, the percentage of annexin V–positive, apoptotic cells from each group was determined by flow cytometry.