Modeling Wnt signaling by CRISPR-Cas9 genome editing recapitulates neoplasia in human Barrett epithelial organoids

作者:Liu, Xi; Cheng, Yulan; Abraham, John M.; Wang, Zhixiong; Wang, Zhe; Ke, Xiquan; Yan, Rong; Shin, Eun Ji; Ngamruengphong, Saowanee; Khashab, Mouen A.; Zhang, Guanjun; McNamara, George; Ewald, Andrew J.; Lin, DeChen; Liu, Zhengwen; Meltzer, Stephen J.*
来源:Cancer Letters, 2018, 436: 109-118.
DOI:10.1016/j.canlet.2018.08.017

摘要

Primary organoid cultures generated from patient biopsies comprise a novel improved platform for disease modeling, being genetically stable and closely recapitulating in vivo scenarios. Barrett esophagus (BE) is the major risk factor for esophageal adenocarcinoma. There has been a dearth of long-term in vitro expansion models of BE neoplastic transformation. We generated a long-term virus-free organoid expansion model of BE neoplasia from patient biopsies. Both wild-type and paired APC-knockout (APC(KO)) BE organoids genome-edited by CRISPR-Cas9 showed characteristic goblet cell differentiation. Autonomous Wnt activation was confirmed in APC(KO) organoids by overexpression of Wnt target genes and nuclear-translocated beta-catenin expression after withdrawal of Wnt-3A and R-spondin-1. Wnt-activated organoids demonstrated histologic atypia, higher proliferative and replicative activity, reduced apoptosis, and prolonged culturability. Wnt-activated organoids also showed sustained protrusive migration ability accompanied by disrupted basement membrane reorganization and integrity. This CRISPR-Cas9 editing human-derived organoid model recapitulates the critical role of aberrant Wnt/beta-catenin signaling activation in BE neoplastic transformation. This system can be used to study other 'driver' pathway alterations in BE-associated neoplasia, avoiding signaling noise present in immortalized or cancer-derived cell lines.