Intrinsic WNT pathway hyperactivation dictates metastasis in mesenchymal colorectal cancer
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ABSTRACT: Colorectal cancer (CRC) can be divided into 4 distinct subtypes of which consensus molecular subtype 4 (CMS4) is most aggressive and associated with metastasis and poor survival. Previously, we reported that the KPN mouse model, containing a Kras mutation, Trp53 deletion and Notch1 intracellular domain overexpression, resembles human CMS4. Strikingly, although tumor formation in this model is slow and limited in number, effective metastasis is observed pointing to in vivo selection. To understand this aggressive behavior, we compared two distinct in vitro KPN models, organoids and tumoroids. The organoid model represents a system driven by its original mutations, while the tumoroids were derived from in vivo grown tumors that allowed for selection during their development. Here, we reveal that tumoroids harbor endogenous WNT pathway activity driven by tankyrase activity and Cdx2 downregulation. The importance of this WNT pathway activation was evident for metastasis development, but less so for primary tumor growth. Intriguingly, these findings reflect a specific subset of aggressive human CMS4 cancers that display low CDX2 expression and lack of classical WNT pathway mutations, that have a higher tendency to metastasize. Together, these data propose a novel mechanism for WNT pathway hyperactivation that drives metastasis formation in an aggressive CRC model.
ORGANISM(S): Mus musculus
PROVIDER: GSE277663 | GEO | 2025/02/03
REPOSITORIES: GEO
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