NOTUM from Apc-mutant cells biases clonal competition to initiate cancer.

NOTUM from Apc-mutant cells biases clonal competition to initiate cancer.
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来自APC突变细胞的NOTUM使克隆竞争偏向于引发癌症。

DOI:
10.1038/s41586-021-03525-z
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发表时间:
2021-06
期刊:
影响因子:
64.8
通讯作者:
Sansom OJ
Sansom OJ
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Flanagan DJ;Pentinmikko N;Luopajärvi K;Willis NJ;Gilroy K;Raven AP;Mcgarry L;Englund JI;Webb AT;Scharaw S;Nasreddin N;Hodder MC;Ridgway RA;Minnee E;Sphyris N;Gilchrist E;Najumudeen AK;Romagnolo B;Perret C;Williams AC;Clevers H;Nummela P;Lähde M;Alitalo K;Hietakangas V;Hedley A;Clark W;Nixon C;Kirschner K;Jones EY;Ristimäki A;Leedham SJ;Fish PV;Vincent JP;Katajisto P;Sansom OJ

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APC肿瘤抑制基因是结直肠癌中最常见的突变基因。肠干细胞(ISC)中Apc的丧失通过增加Wnt信号传导驱动小鼠中的腺瘤形成,但减少的Wnt-配体分泌令人惊讶地增加Apc突变型ISC定殖隐窝(固定)的能力。在这里,我们研究了APC突变细胞如何获得比野生型对应物的克隆优势,以实现固定。我们发现,APC突变细胞富含编码几种分泌的Wnt拮抗剂的转录本,Notum是最高表达的。来自APC突变细胞的条件培养基以Notum依赖性方式抑制野生型类器官的生长。此外,Notum分泌的APC突变克隆积极抑制周围野生型隐窝细胞的增殖,并驱动其分化,从而在竞争中击败它们。重要的是,Notum的遗传或药理学抑制消除了APC突变细胞扩增和形成肠腺瘤的能力。总而言之,我们将Notum确定为突变固定早期阶段的关键介体,可以有针对性地恢复野生型细胞竞争力,从而为高危患者提供新的预防策略。
The APC tumour suppressor is the most commonly mutated gene in colorectal cancer. Loss of Apc in intestinal stem cells (ISCs) drives adenoma formation in mice via increased Wnt signalling , but reduced Wnt-ligand secretion surprisingly increases the ability of Apc-mutant ISCs to colonise a crypt (fixation) . Here, we investigate how Apc-mutant cells gain a clonal advantage over wild-type counterparts to achieve fixation. We find that Apc-mutant cells are enriched for transcripts encoding several secreted Wnt antagonists, with Notum being the most highly expressed. Conditioned medium from Apc-mutant cells suppresses the growth of wild-type organoids in a Notum-dependent manner. Furthermore, Notum-secreting Apc-mutant clones actively inhibit the proliferation of surrounding wild-type crypt cells and drive their differentiation, thereby outcompeting them from the niche. Importantly, genetic or pharmacological inhibition of Notum abrogates the ability of Apc-mutant cells to expand and form intestinal adenomas. Taken together, we identify Notum as a key mediator during the early stages of mutation fixation, which can be targeted to restore wild-type cell competitiveness, thus, offering novel preventative strategies for high-risk patients.
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