Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancer

BackgroundGenome integrity is essential for the survival of an organism. DNA mismatch repair (MMR) genes (e.g., MLH1, MSH2, MSH6, and PMS2) play a critical role in the DNA damage response pathway for genome integrity maintenance. Germline mutations of MMR genes can lead to Lynch syndrome or constitu...

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Main Authors: Yurong Song, Travis D. Kerr, Chelsea Sanders, Lisheng Dai, Shaneen S. Baxter, Brandon Somerville, Ryan N. Baugher, Stephanie D. Mellott, Todd B. Young, Heidi E. Lawhorn, Teri M. Plona, Bingfang Xu, Lei Wei, Qiang Hu, Song Liu, Alan Hutson, Baktiar Karim, Sandra Burkett, Simone Difilippantonio, Ligia Pinto, Johannes Gebert, Matthias Kloor, Steven M. Lipkin, Shizuko Sei, Robert H. Shoemaker
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1223915/full
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author Yurong Song
Travis D. Kerr
Chelsea Sanders
Lisheng Dai
Shaneen S. Baxter
Brandon Somerville
Ryan N. Baugher
Stephanie D. Mellott
Todd B. Young
Heidi E. Lawhorn
Teri M. Plona
Bingfang Xu
Lei Wei
Qiang Hu
Song Liu
Alan Hutson
Baktiar Karim
Sandra Burkett
Simone Difilippantonio
Ligia Pinto
Johannes Gebert
Matthias Kloor
Steven M. Lipkin
Shizuko Sei
Robert H. Shoemaker
author_facet Yurong Song
Travis D. Kerr
Chelsea Sanders
Lisheng Dai
Shaneen S. Baxter
Brandon Somerville
Ryan N. Baugher
Stephanie D. Mellott
Todd B. Young
Heidi E. Lawhorn
Teri M. Plona
Bingfang Xu
Lei Wei
Qiang Hu
Song Liu
Alan Hutson
Baktiar Karim
Sandra Burkett
Simone Difilippantonio
Ligia Pinto
Johannes Gebert
Matthias Kloor
Steven M. Lipkin
Shizuko Sei
Robert H. Shoemaker
author_sort Yurong Song
collection DOAJ
description BackgroundGenome integrity is essential for the survival of an organism. DNA mismatch repair (MMR) genes (e.g., MLH1, MSH2, MSH6, and PMS2) play a critical role in the DNA damage response pathway for genome integrity maintenance. Germline mutations of MMR genes can lead to Lynch syndrome or constitutional mismatch repair deficiency syndrome, resulting in an increased lifetime risk of developing cancer characterized by high microsatellite instability (MSI-H) and high mutation burden. Although immunotherapy has been approved for MMR-deficient (MMRd) cancer patients, the overall response rate needs to be improved and other management options are needed.MethodsTo better understand the biology of MMRd cancers, elucidate the resistance mechanisms to immune modulation, and develop vaccines and therapeutic testing platforms for this high-risk population, we generated organoids and an orthotopic mouse model from intestine tumors developed in a Msh2-deficient mouse model, and followed with a detailed characterization.ResultsThe organoids were shown to be of epithelial origin with stem cell features, to have a high frameshift mutation frequency with MSI-H and chromosome instability, and intra- and inter-tumor heterogeneity. An orthotopic model using intra-cecal implantation of tumor fragments derived from organoids showed progressive tumor growth, resulting in the development of adenocarcinomas mixed with mucinous features and distant metastasis in liver and lymph node.ConclusionsThe established organoids with characteristics of MSI-H cancers can be used to study MMRd cancer biology. The orthotopic model, with its distant metastasis and expressing frameshift peptides, is suitable for evaluating the efficacy of neoantigen-based vaccines or anticancer drugs in combination with other therapies.
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spelling doaj.art-0d2e5d6b71eb4b909e5643961c4ff61e2023-09-08T20:41:35ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-09-011310.3389/fonc.2023.12239151223915Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancerYurong Song0Travis D. Kerr1Chelsea Sanders2Lisheng Dai3Shaneen S. Baxter4Brandon Somerville5Ryan N. Baugher6Stephanie D. Mellott7Todd B. Young8Heidi E. Lawhorn9Teri M. Plona10Bingfang Xu11Lei Wei12Qiang Hu13Song Liu14Alan Hutson15Baktiar Karim16Sandra Burkett17Simone Difilippantonio18Ligia Pinto19Johannes Gebert20Matthias Kloor21Steven M. Lipkin22Shizuko Sei23Robert H. Shoemaker24Frederick National Laboratory for Cancer Research, Vaccine, Immunity, and Cancer Directorate, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Vaccine, Immunity, and Cancer Directorate, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Laboratory Animal Sciences Program, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Vaccine, Immunity, and Cancer Directorate, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Vaccine, Immunity, and Cancer Directorate, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Vaccine, Immunity, and Cancer Directorate, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Clinical Laboratory Improvement Amendments (CLIA) Molecular Diagnostics Laboratory, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Clinical Laboratory Improvement Amendments (CLIA) Molecular Diagnostics Laboratory, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Clinical Laboratory Improvement Amendments (CLIA) Molecular Diagnostics Laboratory, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Clinical Laboratory Improvement Amendments (CLIA) Molecular Diagnostics Laboratory, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Clinical Laboratory Improvement Amendments (CLIA) Molecular Diagnostics Laboratory, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Genomics Laboratory, Frederick, MD, United StatesDepartment of Biostatistics and Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United StatesDepartment of Biostatistics and Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United StatesDepartment of Biostatistics and Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United StatesDepartment of Biostatistics and Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, United StatesMolecular Histopathology Laboratory, Frederick National Laboratory for Cancer Research, Frederick, MD, United StatesMolecular Cytogenetics Core Facility, National Cancer Institute, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Laboratory Animal Sciences Program, Frederick, MD, United StatesFrederick National Laboratory for Cancer Research, Vaccine, Immunity, and Cancer Directorate, Frederick, MD, United StatesDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, GermanyDepartment of Applied Tumor Biology, Institute of Pathology, University of Heidelberg, Heidelberg, GermanyDepartment of Medicine, Weill Cornell Medical College, Cornell University, New York, NY, United States0Chemopreventive Agent Development Research Group, Division of Cancer Prevention, National Cancer Institute, Bethesda, MD, United States0Chemopreventive Agent Development Research Group, Division of Cancer Prevention, National Cancer Institute, Bethesda, MD, United StatesBackgroundGenome integrity is essential for the survival of an organism. DNA mismatch repair (MMR) genes (e.g., MLH1, MSH2, MSH6, and PMS2) play a critical role in the DNA damage response pathway for genome integrity maintenance. Germline mutations of MMR genes can lead to Lynch syndrome or constitutional mismatch repair deficiency syndrome, resulting in an increased lifetime risk of developing cancer characterized by high microsatellite instability (MSI-H) and high mutation burden. Although immunotherapy has been approved for MMR-deficient (MMRd) cancer patients, the overall response rate needs to be improved and other management options are needed.MethodsTo better understand the biology of MMRd cancers, elucidate the resistance mechanisms to immune modulation, and develop vaccines and therapeutic testing platforms for this high-risk population, we generated organoids and an orthotopic mouse model from intestine tumors developed in a Msh2-deficient mouse model, and followed with a detailed characterization.ResultsThe organoids were shown to be of epithelial origin with stem cell features, to have a high frameshift mutation frequency with MSI-H and chromosome instability, and intra- and inter-tumor heterogeneity. An orthotopic model using intra-cecal implantation of tumor fragments derived from organoids showed progressive tumor growth, resulting in the development of adenocarcinomas mixed with mucinous features and distant metastasis in liver and lymph node.ConclusionsThe established organoids with characteristics of MSI-H cancers can be used to study MMRd cancer biology. The orthotopic model, with its distant metastasis and expressing frameshift peptides, is suitable for evaluating the efficacy of neoantigen-based vaccines or anticancer drugs in combination with other therapies.https://www.frontiersin.org/articles/10.3389/fonc.2023.1223915/fullmismatch repair deficiencyLynch syndromemicrosatellite instabilitychromosome instabilityMSH2organoid
spellingShingle Yurong Song
Travis D. Kerr
Chelsea Sanders
Lisheng Dai
Shaneen S. Baxter
Brandon Somerville
Ryan N. Baugher
Stephanie D. Mellott
Todd B. Young
Heidi E. Lawhorn
Teri M. Plona
Bingfang Xu
Lei Wei
Qiang Hu
Song Liu
Alan Hutson
Baktiar Karim
Sandra Burkett
Simone Difilippantonio
Ligia Pinto
Johannes Gebert
Matthias Kloor
Steven M. Lipkin
Shizuko Sei
Robert H. Shoemaker
Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancer
Frontiers in Oncology
mismatch repair deficiency
Lynch syndrome
microsatellite instability
chromosome instability
MSH2
organoid
title Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancer
title_full Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancer
title_fullStr Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancer
title_full_unstemmed Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancer
title_short Organoids and metastatic orthotopic mouse model for mismatch repair-deficient colorectal cancer
title_sort organoids and metastatic orthotopic mouse model for mismatch repair deficient colorectal cancer
topic mismatch repair deficiency
Lynch syndrome
microsatellite instability
chromosome instability
MSH2
organoid
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1223915/full
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