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The intestinal stem cell signature identifies colorectal cancer stem cells and predicts disease relapse

  • Anna Merlos-Suárez
  • , Francisco M. Barriga
  • , Peter Jung
  • , Mar Iglesias
  • , María Virtudes Céspedes
  • , David Rossell
  • , Marta Sevillano
  • , Xavier Hernando-Momblona
  • , Victoria Da Silva-Diz
  • , Purificación Muñoz
  • , Hans Clevers
  • , Elena Sancho
  • , Ramón Mangues
  • , Eduard Batlle

Research output: Contribution to journalArticlepeer-review

804 Citations (Scopus)

Abstract

A frequent complication in colorectal cancer (CRC) is regeneration of the tumor after therapy. Here, we report that a gene signature specific for adult intestinal stem cells (ISCs) predicts disease relapse in CRC patients. ISCs are marked by high expression of the EphB2 receptor, which becomes gradually silenced as cells differentiate. Using EphB2 and the ISC marker Lgr5, we have FACS-purified and profiled mouse ISCs, crypt proliferative progenitors, and late transient amplifying cells to define a gene program specific for normal ISCs. Furthermore, we discovered that ISC-specific genes identify a stem-like cell population positioned at the bottom of tumor structures reminiscent of crypts. EphB2 sorted ISC-like tumor cells display robust tumor-initiating capacity in immunodeficient mice as well as long-term self-renewal potential. Taken together, our data suggest that the ISC program defines a cancer stem cell niche within colorectal tumors and plays a central role in CRC relapse.

Original languageEnglish
Pages (from-to)511-524
Number of pages14
JournalCell stem cell
Volume8
Issue number5
DOIs
Publication statusPublished - 6 May 2011
Externally publishedYes

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