Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Shraga Segal Department of Microbiology and Immunology, The Cancer Research Centre, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Mol Oncol. 2021 Oct;15(10):2766-2781. doi: 10.1002/1878-0261.12960. Epub 2021 Jun 15.
Somatic mutations in the KRAS oncogene are associated with poor outcomes in locally advanced rectal cancer but the underlying biologic mechanisms are not fully understood. We profiled mRNA in 76 locally advanced rectal adenocarcinomas from patients that were enrolled in a prospective clinical trial and investigated differences in gene expression between KRAS mutant (KRAS-mt) and KRAS-wild-type (KRAS-wt) patients. We found that KRAS-mt tumors display lower expression of genes related to the tumor stroma and remodeling of the extracellular matrix. We validated our findings using samples from The Cancer Genome Atlas (TCGA) and also by performing immunohistochemistry (IHC) and immunofluorescence (IF) in orthogonal cohorts. Using in vitro and in vivo models, we show that oncogenic KRAS signaling within the epithelial cancer cells modulates the activity of the surrounding fibroblasts in the tumor microenvironment.
KRAS 癌基因中的体细胞突变与局部晚期直肠癌的不良预后相关,但潜在的生物学机制尚不完全清楚。我们对 76 名入组前瞻性临床试验的局部晚期直肠腺癌患者的 mRNA 进行了分析,并研究了 KRAS 突变型(KRAS-mt)和 KRAS 野生型(KRAS-wt)患者之间基因表达的差异。我们发现 KRAS-mt 肿瘤中与肿瘤基质和细胞外基质重塑相关的基因表达水平较低。我们使用来自癌症基因组图谱(TCGA)的样本和通过在正交队列中进行免疫组织化学(IHC)和免疫荧光(IF)验证了我们的发现。通过体外和体内模型,我们表明上皮癌细胞中的致癌 KRAS 信号会调节肿瘤微环境中周围成纤维细胞的活性。