1. Plasticity of Lgr5-Negative Cancer Cells Drives Metastasis in Colorectal Cancer
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Arianna Fumagalli, Lotte Bruens, Hugo J. Snippert, Daniel Postrach, Debajit Bhowmick, Saskia J.E. Suijkerbuijk, Maria Azkanaz, Lisa Spaargaren, John W.M. Martens, Laura Bornes, Anieta M. Sieuwerts, Nienke Vrisekoop, Jessica Morgner, Stefan van der Elst, Danielle Seinstra, Evelyne Beerling, Jacco van Rheenen, Martijn van Baalen, Saskia I.J. Ellenbroek, Koen C. Oost, Maria C. Heinz, Tim Schelfhorst, Lennart Kester, and Medical Oncology
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cancer stem cells ,Colorectal cancer ,Cell of origin ,colorectal cancer ,circulating tumor cells ,Biology ,Article ,Receptors, G-Protein-Coupled ,Metastasis ,Lgr5 ,03 medical and health sciences ,0302 clinical medicine ,Circulating tumor cell ,SDG 3 - Good Health and Well-being ,Cancer stem cell ,intravital microscopy ,Genetics ,medicine ,metastasis ,Humans ,030304 developmental biology ,0303 health sciences ,LGR5 ,Cell Biology ,medicine.disease ,microenvironment ,plasticity ,Colonic Neoplasms ,Cancer cell ,Neoplastic Stem Cells ,Cancer research ,Molecular Medicine ,Stem cell ,Colorectal Neoplasms ,030217 neurology & neurosurgery - Abstract
Summary Colorectal cancer stem cells (CSCs) express Lgr5 and display extensive stem cell-like multipotency and self-renewal and are thought to seed metastatic disease. Here, we used a mouse model of colorectal cancer (CRC) and human tumor xenografts to investigate the cell of origin of metastases. We found that most disseminated CRC cells in circulation were Lgr5− and formed distant metastases in which Lgr5+ CSCs appeared. This plasticity occurred independently of stemness-inducing microenvironmental factors and was indispensable for outgrowth, but not establishment, of metastases. Together, these findings show that most colorectal cancer metastases are seeded by Lgr5− cells, which display intrinsic capacity to become CSCs in a niche-independent manner and can restore epithelial hierarchies in metastatic tumors., Graphical Abstract, Highlights • The majority of disseminating cells of colorectal cancer are Lgr5− • Lgr5− cancer cells are the main seeds of colorectal cancer metastatic lesions • Long-term metastatic growth from Lgr5− cells requires appearance of Lgr5+ cells • Lgr5− metastases have the intrinsic capacity to re-establish the cellular hierarchy, Van Rheenen and colleagues study Lgr5+ cancer stem cells during colorectal cancer metastasis. They demonstrate that the majority of metastases are seeded by Lgr5− cells, which upon arrival seed metastases in which Lgr5+ cells appear. This plasticity can occur independently of stemness-inducing factors and is indispensable for long-term metastatic growth.
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