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Constitutive Wnt activation upon loss of Adenoma polyposis coli (APC) acts as main driver of colorectal cancer (CRC). Targeting Wnt signaling has proven difficult because the pathway is crucial for homeostasis and stem cell renewal. To distinguish oncogenic from physiological Wnt activity, we have performed transcriptome and proteome profiling in isogenic human colon organoids. Culture in the presence or absence of exogenous ligand allowed us to discriminate receptor-mediated signaling from the effects of CRISPR/Cas9-induced APC loss. We could catalog two nonoverlapping molecular signatures that were stable at distinct levels of stimulation. Newly identified markers for normal stem/progenitor cells and adenomas were validated by immunohistochemistry and flow cytometry. We found that oncogenic Wnt signals are associated with good prognosis in tumors of the consensus molecular subtype 2 (CMS2). In contrast, receptor-mediated signaling was linked to CMS4 tumors and poor prognosis. Together, our data represent a valuable resource for biomarkers that allow more precise stratification of Wnt responses in CRC.
Uncontrolled constitutive activation of Wnt signaling is a hallmark of colorectal cancer (CRC), which is responsible for the initiation of the vast majority of CRC cases (Fearon and Vogelstein, 1990; Morin et al., 1997; Wood et al., 2007). Paneth cells support the small intestinal stem cells by providing them with the required niche factors and especially Wnt3. Although the normal colonic epithelium does not contain Paneth cells, Paneth cell metaplasia is frequently observed in human and mouse adenoma (Joo et al., 2009). The occurrence of Paneth cells suggests the presence of high levels of Wnt ligands with unknown function in the tumor microenvironment of Wnt-independent tumor cells. Tumor progression is recognized as result of evolving crosstalk between tumor cells and their surrounding non-transformed stromal cells (Hanahan and Weinberg, 2011; Wang et al., 2017). Although Wnt signaling has been intensively studied in colorectal cancer (CRC) cells (Zhan et al., 2017), it remains unclear whether Wnt activity in the tumor-associated stroma contributes to the tumor malignancy. The present thesis used the organoid 3D cell culture system, genetically modified mouse models as well as next generation sequencing technology to identify and characterise the role of Wnt signaling in the tumor microenvironment of CRC.