期刊
CANCER PREVENTION RESEARCH
卷 8, 期 10, 页码 952-961出版社
AMER ASSOC CANCER RESEARCH
DOI: 10.1158/1940-6207.CAPR-15-0003
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资金
- Funk Out Cancer
- Conquer Cancer Foundation of the American Society of Clinical Oncology
- NIH [T32 CA09017, T32 CA009135, R21 CA170876, R01 CA123438]
- AACR Career Development Award for Colorectal Cancer Research [12-20-01-HALB]
- UW Division of Gastroenterology and Hepatology
- UW Department of Medicine
- UW School of Medicine and Public Health
- UW Carbone Cancer Center
- UW Graduate School through the Wisconsin Alumni Research Foundation
- University of Wisconsin Carbone Cancer Center [P30 CA014520]
- UW Carbone Cancer Center Gastrointestinal Disease Oriented Working Group
Human colorectal cancers often possess multiple mutations, including three to six driver mutations per tumor. The timing of when these mutations occur during tumor development and progression continues to be debated. More advanced lesions carry a greater number of driver mutations, indicating that colon tumors might progress from adenomas to carcinomas through the stepwise accumulation of mutations following tumor initiation. However, mutations that have been implicated in tumor progression have been identified in normal-appearing epithelial cells of the colon, leaving the possibility that these mutations might be present before the initiation of tumorigenesis. We utilized mouse models of colon cancer to investigate whether tumorigenesis still occurs through the adenoma-to-carcinoma sequence when multiple mutations are present at the time of tumor initiation. To create a model in which tumors could concomitantly possess mutations in Apc, Kras, and Pik3ca, we developed a novel minimally invasive technique to administer an adenovirus expressing Cre recombinase to a focal region of the colon. Here, we demonstrate that the presence of these additional driver mutations at the time of tumor initiation results in increased tumor multiplicity and an increased rate of progression to invasive adenocarcinomas. These cancers can even metastasize to retroperitoneal lymph nodes or the liver. However, despite having as many as three concomitant driver mutations at the time of initiation, these tumors still proceed through the adenoma-to-carcinoma sequence. (C) 2015 AACR.
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