Breast cancer is a heterogeneous disease that comprises multiple histological and molecular subtypes. To gain insight into mutations that drive breast tumorigenesis, we describe a pipeline for the identification and validation of tumor suppressor genes. Based on an
in vivo
genome‐wide CRISPR/Cas9 screen in
Trp53
+/–
heterozygous mice, we identified tumor suppressor genes that included the scaffold protein
Axin1
, the protein kinase A regulatory subunit gene
Prkar1a
, as well as the proof‐of‐concept genes
Pten
,
Nf1
, and
Trp53
itself.
Ex vivo
editing of primary mammary epithelial organoids was performed to further interrogate the roles of
Axin1
and
Prkar1a
. Increased proliferation and profound changes in mammary organoid morphology were observed for
Axin1/Trp53
and
Prkar1a/Trp53
double mutants compared to
Pten/Trp53
double mutants. Furthermore, direct
in vivo
genome editing via intraductal injection of lentiviruses engineered to express dual short‐guide RNAs revealed that mutagenesis of
Trp53
and either
Prkar1a
,
Axin1
, or
Pten
markedly accelerated tumor development compared to
Trp53
‐only mutants. This proof‐of‐principle study highlights the application of
in vivo
CRISPR/Cas9 editing for uncovering cooperativity between defects in tumor suppressor genes that elicit mammary tumorigenesis.