1. Polyclonality overcomes fitness barriers in Apc-driven tumorigenesis.
- Author
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Sadien ID, Adler S, Mehmed S, Bailey S, Sawle A, Couturier DL, Eldridge M, Adams DJ, Kemp R, Lourenço FC, and Winton DJ
- Subjects
- Animals, Female, Humans, Male, Mice, Disease Progression, Genes, APC, Intestinal Neoplasms genetics, Intestinal Neoplasms pathology, Intestinal Neoplasms metabolism, Loss of Function Mutation genetics, Proto-Oncogene Proteins c-myc metabolism, Proto-Oncogene Proteins c-myc genetics, Proto-Oncogene Proteins p21(ras) genetics, Proto-Oncogene Proteins p21(ras) metabolism, Signal Transduction, Transcription, Genetic, Adenomatous Polyposis Coli Protein genetics, Adenomatous Polyposis Coli Protein metabolism, Cell Lineage, Cell Transformation, Neoplastic genetics, Cell Transformation, Neoplastic pathology, Clone Cells metabolism, Clone Cells pathology, Genetic Fitness genetics, Mutation, Neoplastic Stem Cells pathology, Neoplastic Stem Cells metabolism
- Abstract
Loss-of-function mutations in the tumour suppressor APC are an initial step in intestinal tumorigenesis
1,2 . APC-mutant intestinal stem cells outcompete their wild-type neighbours through the secretion of Wnt antagonists, which accelerates the fixation and subsequent rapid clonal expansion of mutants3-5 . Reports of polyclonal intestinal tumours in human patients and mouse models appear at odds with this process6,7 . Here we combine multicolour lineage tracing with chemical mutagenesis in mice to show that a large proportion of intestinal tumours have a multiancestral origin. Polyclonal tumours retain a structure comprising subclones with distinct Apc mutations and transcriptional states, driven predominantly by differences in KRAS and MYC signalling. These pathway-level changes are accompanied by profound differences in cancer stem cell phenotypes. Of note, these findings are confirmed by introducing an oncogenic Kras mutation that results in predominantly monoclonal tumour formation. Further, polyclonal tumours have accelerated growth dynamics, suggesting a link between polyclonality and tumour progression. Together, these findings demonstrate the role of interclonal interactions in promoting tumorigenesis through non-cell autonomous pathways that are dependent on the differential activation of oncogenic pathways between clones., (© 2024. The Author(s).)- Published
- 2024
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