A molecular subtype of colorectal cancers initiates independently of epidermal growth factor receptor and has an accelerated growth rate mediated by IL10-dependent …

C Mantilla-Rojas, M Yu, ES Rinella, RM Lynch, A Perry… - Oncogene, 2021 - nature.com
C Mantilla-Rojas, M Yu, ES Rinella, RM Lynch, A Perry, J Jaimes-Alvarado, KR Anderson…
Oncogene, 2021nature.com
Although epidermal growth factor receptor (EGFR)-targeted therapies are approved for
colorectal cancer (CRC) treatment, only 15% of CRC patients respond to EGFR inhibition.
Here, we show that colorectal cancers (CRC) can initiate and grow faster through an EGFR-
independent mechanism, irrespective of the presence of EGFR, in two different mouse
models using tissue-specific ablation of Egfr. The growth benefit in the absence of EGFR is
also independent of Kras status. An EGFR-independent gene expression signature, also …
Abstract
Although epidermal growth factor receptor (EGFR)-targeted therapies are approved for colorectal cancer (CRC) treatment, only 15% of CRC patients respond to EGFR inhibition. Here, we show that colorectal cancers (CRC) can initiate and grow faster through an EGFR-independent mechanism, irrespective of the presence of EGFR, in two different mouse models using tissue-specific ablation of Egfr. The growth benefit in the absence of EGFR is also independent of Kras status. An EGFR-independent gene expression signature, also observed in human CRCs, revealed that anergy-inducing genes are overexpressed in EGFR-independent polyps, suggesting increased infiltration of anergic lymphocytes promotes an accelerated growth rate that is partially caused by escape from cell-mediated immune responses. Many genes in the EGFR-independent gene expression signature are downstream targets of interleukin 10 receptor alpha (IL10RA). We further show that IL10 is detectable in serum from mice with EGFR-independent colon polyps. Using organoids in vitro and Src ablation in vivo, we show that IL10 contributes to growth of EGFR-independent CRCs, potentially mediated by the well-documented role of SRC in IL10 signaling. Based on these data, we show that the combination of an EGFR inhibitor with an anti-IL10 neutralizing antibody results in decreased cell proliferation in organoids and in decreased polyp size in pre-clinical models harboring EGFR-independent CRCs, providing a new therapeutic intervention for CRCs resistant to EGFR inhibitor therapies.
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