Molecular characterization of colorectal cancer related peritoneal metastatic disease

  • Kristiaan J Lenos*
  • , Sander Bach
  • , Leandro Ferreira Moreno
  • , Sanne Ten Hoorn
  • , Nina R Sluiter
  • , Sanne Bootsma
  • , Felipe A Vieira Braga
  • , Lisanne E Nijman
  • , Tom van den Bosch
  • , Daniel M Miedema
  • , Erik van Dijk
  • , Bauke Ylstra
  • , Ruth Kulicke
  • , Fred P Davis
  • , Nicolas Stransky
  • , Gromoslaw A Smolen
  • , Robert R J Coebergh van den Braak
  • , Jan N M IJzermans
  • , John W M Martens
  • , Sally Hallam
  • Andrew D Beggs, Geert J P L Kops, Nico Lansu, Vivian P Bastiaenen, Charlotte E L Klaver, Maria C Lecca, Khalid El Makrini, Clara C Elbers, Mark P G Dings, Carel J M van Noesel, Onno Kranenburg, Jan Paul Medema, Jan Koster, Lianne Koens, Cornelis J A Punt, Pieter J Tanis, Ignace H de Hingh, Maarten F Bijlsma, Jurriaan B Tuynman, Louis Vermeulen*
*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A significant proportion of colorectal cancer (CRC) patients develop peritoneal metastases (PM) in the course of their disease. PMs are associated with a poor quality of life, significant morbidity and dismal disease outcome. To improve care for this patient group, a better understanding of the molecular characteristics of CRC-PM is required. Here we present a comprehensive molecular characterization of a cohort of 52 patients. This reveals that CRC-PM represent a distinct CRC molecular subtype, CMS4, but can be further divided in three separate categories, each presenting with unique features. We uncover that the CMS4-associated structural protein Moesin plays a key role in peritoneal dissemination. Finally, we define specific evolutionary features of CRC-PM which indicate that polyclonal metastatic seeding underlies these lesions. Together our results suggest that CRC-PM should be perceived as a distinct disease entity.

Original languageEnglish
Article number4443
Number of pages14
JournalNature Communications
Volume13
Issue number1
DOIs
Publication statusPublished - 4 Aug 2022

Keywords

  • Colorectal Neoplasms/pathology
  • Humans
  • Neoplasms, Second Primary
  • Peritoneal Neoplasms/genetics
  • Peritoneum/metabolism
  • Quality of Life
  • ERM PROTEINS
  • INSTABILITY
  • PROGNOSIS
  • COLON
  • PREVALENCE
  • IDENTIFICATION
  • FAMILY
  • BRAF MUTATION
  • CARCINOMATOSIS
  • KRAS

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