Phenotypic plasticity underlies local invasion and distant metastasis in colon cancer

Phenotypic plasticity represents the most relevant hallmark of the carcinoma cell as it bestows it with the capacity of transiently altering its morphological and functional features while en route to the metastatic site. However, the study of phenotypic plasticity is hindered by the rarity of these...

Full description

Bibliographic Details
Main Authors: Andrea Sacchetti, Miriam Teeuwssen, Mathijs Verhagen, Rosalie Joosten, Tong Xu, Roberto Stabile, Berdine van der Steen, Martin M Watson, Alem Gusinac, Won Kyu Kim, Inge Ubink, Harmen JG Van de Werken, Arianna Fumagalli, Madelon Paauwe, Jacco Van Rheenen, Owen J Sansom, Onno Kranenburg, Riccardo Fodde
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2021-05-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/61461
_version_ 1811199227405008896
author Andrea Sacchetti
Miriam Teeuwssen
Mathijs Verhagen
Rosalie Joosten
Tong Xu
Roberto Stabile
Berdine van der Steen
Martin M Watson
Alem Gusinac
Won Kyu Kim
Inge Ubink
Harmen JG Van de Werken
Arianna Fumagalli
Madelon Paauwe
Jacco Van Rheenen
Owen J Sansom
Onno Kranenburg
Riccardo Fodde
author_facet Andrea Sacchetti
Miriam Teeuwssen
Mathijs Verhagen
Rosalie Joosten
Tong Xu
Roberto Stabile
Berdine van der Steen
Martin M Watson
Alem Gusinac
Won Kyu Kim
Inge Ubink
Harmen JG Van de Werken
Arianna Fumagalli
Madelon Paauwe
Jacco Van Rheenen
Owen J Sansom
Onno Kranenburg
Riccardo Fodde
author_sort Andrea Sacchetti
collection DOAJ
description Phenotypic plasticity represents the most relevant hallmark of the carcinoma cell as it bestows it with the capacity of transiently altering its morphological and functional features while en route to the metastatic site. However, the study of phenotypic plasticity is hindered by the rarity of these events within primary lesions and by the lack of experimental models. Here, we identified a subpopulation of phenotypic plastic colon cancer cells: EpCAMlo cells are motile, invasive, chemo-resistant, and highly metastatic. EpCAMlo bulk and single-cell RNAseq analysis indicated (1) enhanced Wnt/β-catenin signaling, (2) a broad spectrum of degrees of epithelial to mesenchymal transition (EMT) activation including hybrid E/M states (partial EMT) with highly plastic features, and (3) high correlation with the CMS4 subtype, accounting for colon cancer cases with poor prognosis and a pronounced stromal component. Of note, a signature of genes specifically expressed in EpCAMlo cancer cells is highly predictive of overall survival in tumors other than CMS4, thus highlighting the relevance of quasi-mesenchymal tumor cells across the spectrum of colon cancers. Enhanced Wnt and the downstream EMT activation represent key events in eliciting phenotypic plasticity along the invasive front of primary colon carcinomas. Distinct sets of epithelial and mesenchymal genes define transcriptional trajectories through which state transitions arise. pEMT cells, often earmarked by the extracellular matrix glycoprotein SPARC together with nuclear ZEB1 and β-catenin along the invasive front of primary colon carcinomas, are predicted to represent the origin of these (de)differentiation routes through biologically distinct cellular states and to underlie the phenotypic plasticity of colon cancer cells.
first_indexed 2024-04-12T01:45:31Z
format Article
id doaj.art-edd28e2414b842c4998587deaa94f069
institution Directory Open Access Journal
issn 2050-084X
language English
last_indexed 2024-04-12T01:45:31Z
publishDate 2021-05-01
publisher eLife Sciences Publications Ltd
record_format Article
series eLife
spelling doaj.art-edd28e2414b842c4998587deaa94f0692022-12-22T03:53:06ZengeLife Sciences Publications LtdeLife2050-084X2021-05-011010.7554/eLife.61461Phenotypic plasticity underlies local invasion and distant metastasis in colon cancerAndrea Sacchetti0Miriam Teeuwssen1Mathijs Verhagen2https://orcid.org/0000-0003-3126-8379Rosalie Joosten3Tong Xu4Roberto Stabile5Berdine van der Steen6Martin M Watson7Alem Gusinac8Won Kyu Kim9Inge Ubink10Harmen JG Van de Werken11https://orcid.org/0000-0002-9794-1477Arianna Fumagalli12Madelon Paauwe13Jacco Van Rheenen14Owen J Sansom15https://orcid.org/0000-0001-9540-3010Onno Kranenburg16Riccardo Fodde17https://orcid.org/0000-0001-9839-4324Department of Pathology, Erasmus MC, Rotterdam, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsDepartment of Otorhinolaryngology, Head and Neck Surgery, Erasmus University Medical Center, Erasmus MC, Rotterdam, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsNatural Product Research Center, Korea Institute of Science and Technology, Gangneung, Republic of KoreaDepartment of Surgical Oncology, Cancer Centre, University Medical Centre Utrecht, Utrecht, NetherlandsCancer Computational Biology Center and Department of Urology; Erasmus University Medical Center, Rotterdam, NetherlandsPrincess Máxima Center for Pediatric Oncology, Utrecht, NetherlandsCancer Research UK Beatson Institute, Glasgow, United KingdomDepartment of Molecular Pathology, Oncode Institute, Netherlands Cancer Institute, Amsterdam, NetherlandsCancer Research UK Beatson Institute, Glasgow, United Kingdom; Institute of Cancer Sciences, University of Glasgow, Glasgow, United KingdomDepartment of Surgical Oncology, Cancer Centre, University Medical Centre Utrecht, Utrecht, NetherlandsDepartment of Pathology, Erasmus MC, Rotterdam, NetherlandsPhenotypic plasticity represents the most relevant hallmark of the carcinoma cell as it bestows it with the capacity of transiently altering its morphological and functional features while en route to the metastatic site. However, the study of phenotypic plasticity is hindered by the rarity of these events within primary lesions and by the lack of experimental models. Here, we identified a subpopulation of phenotypic plastic colon cancer cells: EpCAMlo cells are motile, invasive, chemo-resistant, and highly metastatic. EpCAMlo bulk and single-cell RNAseq analysis indicated (1) enhanced Wnt/β-catenin signaling, (2) a broad spectrum of degrees of epithelial to mesenchymal transition (EMT) activation including hybrid E/M states (partial EMT) with highly plastic features, and (3) high correlation with the CMS4 subtype, accounting for colon cancer cases with poor prognosis and a pronounced stromal component. Of note, a signature of genes specifically expressed in EpCAMlo cancer cells is highly predictive of overall survival in tumors other than CMS4, thus highlighting the relevance of quasi-mesenchymal tumor cells across the spectrum of colon cancers. Enhanced Wnt and the downstream EMT activation represent key events in eliciting phenotypic plasticity along the invasive front of primary colon carcinomas. Distinct sets of epithelial and mesenchymal genes define transcriptional trajectories through which state transitions arise. pEMT cells, often earmarked by the extracellular matrix glycoprotein SPARC together with nuclear ZEB1 and β-catenin along the invasive front of primary colon carcinomas, are predicted to represent the origin of these (de)differentiation routes through biologically distinct cellular states and to underlie the phenotypic plasticity of colon cancer cells.https://elifesciences.org/articles/61461partial EMTcolon cancerphenotypic plasticity
spellingShingle Andrea Sacchetti
Miriam Teeuwssen
Mathijs Verhagen
Rosalie Joosten
Tong Xu
Roberto Stabile
Berdine van der Steen
Martin M Watson
Alem Gusinac
Won Kyu Kim
Inge Ubink
Harmen JG Van de Werken
Arianna Fumagalli
Madelon Paauwe
Jacco Van Rheenen
Owen J Sansom
Onno Kranenburg
Riccardo Fodde
Phenotypic plasticity underlies local invasion and distant metastasis in colon cancer
eLife
partial EMT
colon cancer
phenotypic plasticity
title Phenotypic plasticity underlies local invasion and distant metastasis in colon cancer
title_full Phenotypic plasticity underlies local invasion and distant metastasis in colon cancer
title_fullStr Phenotypic plasticity underlies local invasion and distant metastasis in colon cancer
title_full_unstemmed Phenotypic plasticity underlies local invasion and distant metastasis in colon cancer
title_short Phenotypic plasticity underlies local invasion and distant metastasis in colon cancer
title_sort phenotypic plasticity underlies local invasion and distant metastasis in colon cancer
topic partial EMT
colon cancer
phenotypic plasticity
url https://elifesciences.org/articles/61461
work_keys_str_mv AT andreasacchetti phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT miriamteeuwssen phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT mathijsverhagen phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT rosaliejoosten phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT tongxu phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT robertostabile phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT berdinevandersteen phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT martinmwatson phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT alemgusinac phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT wonkyukim phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT ingeubink phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT harmenjgvandewerken phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT ariannafumagalli phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT madelonpaauwe phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT jaccovanrheenen phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT owenjsansom phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT onnokranenburg phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer
AT riccardofodde phenotypicplasticityunderlieslocalinvasionanddistantmetastasisincoloncancer