New opportunities to treat bowel cancer

Research in mice identifies new treatment options for one of the most common cancers

2013-07-08

(Press-News.org) Researchers have discovered the genetic processes that cause specific types of bowel cancer. Using this knowledge, they identified cancer drugs that target these genes. Their findings offer the opportunity to develop personalised treatment based on a person's genetic profile.

More than one million people develop bowel cancer each year, which is one of the most common causes of death in cancer patients. One in ten colon cancers are caused by mutations in the BRAF gene, a gene commonly associated with skin cancers. Although successful treatments against BRAF mutations in skin cancers have been developed, these treatments have not been effective against BRAF mutations in colon cancer.

"Our approach encapsulates the aim of cancer genomics: to discover changes to DNA responsible for cancer development and pinpoint the "Achilles heels" of cancer in order to identify new treatments," says Professor Roland Rad, lead author from the Technical University of Munich and the German Cancer Research Center. "Our studies in mice revealed how genes co-operate to cause a specific subset of colon cancers. We identified main players, the order in which they occur during tumour progression, and the molecular processes how they turn relatively benign cell growth into threatening cancers. Such processes are targets for new treatments."

The team looked at the development of BRAF associated bowel cancer in mice, replacing the normal gene with a version containing a mutation identical with that in human cancers. Mice with the mutated BRAF gene developed hyperplastic polyps – abnormal growth of cell bundles in their intestine wall. These polyps progressed from benign growths to malignant cancers.

In the mutant mice, the team uncovered a stepwise process of genetic alterations, which drive the development of this type of colon cancer. Some alterations activate genes such a BRAF, making them potentially cancerous. Others disrupt protective proteins such as p53, inactivating their ability to suppress cancer progression.

"Understanding the genetic makeup of different colorectal cancer subtypes will guide therapeutic decision making in the future" says Professor Allan Bradley, senior author from the Wellcome Trust Sanger Institute. "Our ability to engineer specific genetic alterations in mice allows us to study the function of cancer genes and to model specific cancer subtypes at an organismal level. Such mouse models are also invaluable for testing anticancer drugs before using them in clinical trials".

The team tested a wide range of existing and candidate drugs for their ability to slow down or prevent growth of mouse colon cancer and human colon cancer cells, finding several highly effective approaches. These were tested individually or in combination with one another to find the most powerful therapies.

Mice with the Braf-associated colon cancer had very similar therapeutic responses to those of BRAF-associated cancer cells from patients with colon cancer, highlighting the effectiveness of mice in preclinical cancer research.

The team found multiple drugs and drug combinations that were effective against human colon cancer cells. These are promising results for alternative second- or third-line treatments after resistance to the first round of treatment against this occurs.

"Our results illustrate the power of combining genomic information with large-scale drug screening to provide new targeted treatment strategies for patients with specific cancer subtypes," says Dr Ultan McDermott, author from the Wellcome Trust Sanger Institute.

### Notes to Editors Publication Details Roland Rad, Juan Cadiñanos, Lena Rad, et al (2013). 'A genetic progression model of BrafV600E-induced intestinal tumourigenesis reveals targets for therapeutic intervention'

Advanced online publication in Cancer Cell, 08 June 2013. DOI: 10.1016/j.ccr.2013.05.014

Funding The work was supported by the Wellcome Trust and the Helmholtz Gemeinschaft, Deutsche Forschungsgemeinschaft, FEBS, and International Human Frontiers Science Program Organization.

Participating Centres Department of Medicine II, Klinikum Rechts der Isar, Technische Universität München, 81675, München, Germany German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), 69120 Heidelberg, Germany Wellcome Trust Sanger Institute, Genome Campus, Hinxton/Cambridge CB10 1SA, UK Instituto de Medicina Oncológica y Molecular de Asturias (IMOMA), 33193 Oviedo, Spain Instituto de Biomedicina y Biotecnología de Cantabria, 39011 Santander, Spain Department of Pathology, Ludwig-Maximilians-Universität, 80337 München, Germany Department of Veterinary Medicine, University of Cambridge, CB3 0ES Cambridge, UK Instituto Universitario de Oncología, Universidad de Oviedo, 33006 Oviedo, Spain Department of Immunology and Oncology, Centro Nacional de Biotecnología/CSIC, 28049 Madrid, Spain School of Pathology and Laboratory Medicine, University of Western Australia, WA 6009, Australia

Selected Websites The Wellcome Trust Sanger Institute is one of the world's leading genome centres. Through its ability to conduct research at scale, it is able to engage in bold and long-term exploratory projects that are designed to influence and empower medical science globally. Institute research findings, generated through its own research programmes and through its leading role in international consortia, are being used to develop new diagnostics and treatments for human disease. http://www.sanger.ac.uk

The Wellcome Trust is a global charitable foundation dedicated to achieving extraordinary improvements in human and animal health. We support the brightest minds in biomedical research and the medical humanities. Our breadth of support includes public engagement, education and the application of research to improve health. We are independent of both political and commercial interests. http://www.wellcome.ac.uk

Contact details Don Powell Media Manager
Wellcome Trust Sanger Institute
Hinxton, Cambridge, CB10 1SA, UK
Tel +44 (0)1223 496 928
Mobile +44 (0)7753 7753 97
Email press.office@sanger.ac.uk

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[Press-News.org] New opportunities to treat bowel cancer
Research in mice identifies new treatment options for one of the most common cancers

New opportunities to treat bowel cancer

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