Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screening

Colorectal cancer (CRC) organoids can be derived from almost all CRC patients and therefore capture the genetic diversity of this disease. We assembled a panel of CRC organoids carrying either wild-type or mutant RAS, as well as normal organoids and tumor organoids with a CRISPR-introduced oncogenic...

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Main Authors: Carla S Verissimo, René M Overmeer, Bas Ponsioen, Jarno Drost, Sander Mertens, Ingrid Verlaan-Klink, Bastiaan van Gerwen, Marieke van der Ven, Marc van de Wetering, David A Egan, René Bernards, Hans Clevers, Johannes L Bos, Hugo J Snippert
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2016-11-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/18489
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author Carla S Verissimo
René M Overmeer
Bas Ponsioen
Jarno Drost
Sander Mertens
Ingrid Verlaan-Klink
Bastiaan van Gerwen
Marieke van der Ven
Marc van de Wetering
David A Egan
René Bernards
Hans Clevers
Johannes L Bos
Hugo J Snippert
author_facet Carla S Verissimo
René M Overmeer
Bas Ponsioen
Jarno Drost
Sander Mertens
Ingrid Verlaan-Klink
Bastiaan van Gerwen
Marieke van der Ven
Marc van de Wetering
David A Egan
René Bernards
Hans Clevers
Johannes L Bos
Hugo J Snippert
author_sort Carla S Verissimo
collection DOAJ
description Colorectal cancer (CRC) organoids can be derived from almost all CRC patients and therefore capture the genetic diversity of this disease. We assembled a panel of CRC organoids carrying either wild-type or mutant RAS, as well as normal organoids and tumor organoids with a CRISPR-introduced oncogenic KRAS mutation. Using this panel, we evaluated RAS pathway inhibitors and drug combinations that are currently in clinical trial for RAS mutant cancers. Presence of mutant RAS correlated strongly with resistance to these targeted therapies. This was observed in tumorigenic as well as in normal organoids. Moreover, dual inhibition of the EGFR-MEK-ERK pathway in RAS mutant organoids induced a transient cell-cycle arrest rather than cell death. In vivo drug response of xenotransplanted RAS mutant organoids confirmed this growth arrest upon pan-HER/MEK combination therapy. Altogether, our studies demonstrate the potential of patient-derived CRC organoid libraries in evaluating inhibitors and drug combinations in a preclinical setting.
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spelling doaj.art-7501d8e3fc1b4a42aa7676d2bb0a2f092022-12-22T03:33:53ZengeLife Sciences Publications LtdeLife2050-084X2016-11-01510.7554/eLife.18489Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screeningCarla S Verissimo0René M Overmeer1Bas Ponsioen2Jarno Drost3Sander Mertens4Ingrid Verlaan-Klink5Bastiaan van Gerwen6Marieke van der Ven7Marc van de Wetering8David A Egan9René Bernards10Hans Clevers11Johannes L Bos12Hugo J Snippert13Molecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, Netherlands; Cancer Genomics Netherlands, Utrecht, NetherlandsMolecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, Netherlands; Cancer Genomics Netherlands, Utrecht, NetherlandsMolecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, Netherlands; Cancer Genomics Netherlands, Utrecht, NetherlandsCancer Genomics Netherlands, Utrecht, Netherlands; Hubrecht Institute – KNAW, University Medical Center Utrecht, Utrecht, The NetherlandsMolecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, Netherlands; Cancer Genomics Netherlands, Utrecht, NetherlandsMolecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, Netherlands; Cancer Genomics Netherlands, Utrecht, NetherlandsMouse Clinic for Cancer and Aging, Netherlands Cancer Institute, Amsterdam, The NetherlandsMouse Clinic for Cancer and Aging, Netherlands Cancer Institute, Amsterdam, The NetherlandsCancer Genomics Netherlands, Utrecht, Netherlands; Hubrecht Institute – KNAW, University Medical Center Utrecht, Utrecht, The NetherlandsCell Biology, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, The NetherlandsCancer Genomics Netherlands, Utrecht, Netherlands; Division of Molecular Carcinogenesis, Netherlands Cancer Institute, Amsterdam, The NetherlandsCancer Genomics Netherlands, Utrecht, Netherlands; Hubrecht Institute – KNAW, University Medical Center Utrecht, Utrecht, The NetherlandsMolecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, Netherlands; Cancer Genomics Netherlands, Utrecht, NetherlandsMolecular Cancer Research, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, Netherlands; Cancer Genomics Netherlands, Utrecht, NetherlandsColorectal cancer (CRC) organoids can be derived from almost all CRC patients and therefore capture the genetic diversity of this disease. We assembled a panel of CRC organoids carrying either wild-type or mutant RAS, as well as normal organoids and tumor organoids with a CRISPR-introduced oncogenic KRAS mutation. Using this panel, we evaluated RAS pathway inhibitors and drug combinations that are currently in clinical trial for RAS mutant cancers. Presence of mutant RAS correlated strongly with resistance to these targeted therapies. This was observed in tumorigenic as well as in normal organoids. Moreover, dual inhibition of the EGFR-MEK-ERK pathway in RAS mutant organoids induced a transient cell-cycle arrest rather than cell death. In vivo drug response of xenotransplanted RAS mutant organoids confirmed this growth arrest upon pan-HER/MEK combination therapy. Altogether, our studies demonstrate the potential of patient-derived CRC organoid libraries in evaluating inhibitors and drug combinations in a preclinical setting.https://elifesciences.org/articles/18489organoidscolorectal cancertargeted therapyKRAS
spellingShingle Carla S Verissimo
René M Overmeer
Bas Ponsioen
Jarno Drost
Sander Mertens
Ingrid Verlaan-Klink
Bastiaan van Gerwen
Marieke van der Ven
Marc van de Wetering
David A Egan
René Bernards
Hans Clevers
Johannes L Bos
Hugo J Snippert
Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screening
eLife
organoids
colorectal cancer
targeted therapy
KRAS
title Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screening
title_full Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screening
title_fullStr Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screening
title_full_unstemmed Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screening
title_short Targeting mutant RAS in patient-derived colorectal cancer organoids by combinatorial drug screening
title_sort targeting mutant ras in patient derived colorectal cancer organoids by combinatorial drug screening
topic organoids
colorectal cancer
targeted therapy
KRAS
url https://elifesciences.org/articles/18489
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