The prognosis of patients with colorectal cancer depends on the stage of disease at diagnosis and the underlying tumorigenic mutations. The gene encoding the tumor suppressor adenomatous polyposis coli (APC) is commonly mutated in colorectal cancers and results in deregulation of the Wnt/β-catenin pathway. Marion Lapierre and colleagues at the Montpellier Cancer Research Institute identified transcriptional cofactor RIP140 as a positive regulator of APC and genes encoding members of the β-catenin degradation complex. Expression of human RIP140 in mouse intestinal villi reduced intestinal epithelial cell turnover, while RIP140 overexpression in human colon cancer cells blocked cell proliferation in vitro and reduced tumor growth in a murine xenograft model. RIP140 directly activated APC transcription, leading to enhanced APC expression and inhibition of the proto-oncogenic Wnt pathway. In a mouse model of colon cancer, mutations in both Apc and Rip140 dramatically reduced survival compared to animals with only an Apc mutation. Furthermore, RIP140 expression in human colorectal tumor biopsies correlated with APC expression and longer survival, suggesting RIP140 has potential as a prognostic indicator for colon cancer. The accompanying image reveals varying levels of RIP140 (dark purple) in adenocarinomas isolated from colon cancer patients. Patients with low levels (top row) of RIP140 in tumors had lower survival rates compared to patients with higher levels (bottom row) of RIP140.
Deregulation of the Wnt/APC/β-catenin signaling pathway is an important consequence of tumor suppressor
Marion Lapierre, Sandrine Bonnet, Caroline Bascoul-Mollevi, Imade Ait-Arsa, Stéphan Jalaguier, Maguy Del Rio, Michela Plateroti, Paul Roepman, Marc Ychou, Julie Pannequin, Frédéric Hollande, Malcolm Parker, Vincent Cavailles