Cited by 1,067Cancer Cells and MetastasisGenetic factors in colorectal cancerCRISPR and Genetic Engineering

Sequential cancer mutations in cultured human intestinal stem cells

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Drost, Jarno, van Jaarsveld, Richard H., Ponsioen, Bas, Zimberlin, Cheryl, van Boxtel, Ruben, Buijs, Arjan, Sachs, Norman, Overmeer, René M. +11 more·2015·Nature

Abstract

Crypt stem cells represent the cells of origin for intestinal neoplasia. Both mouse and human intestinal stem cells can be cultured in medium containing the stem-cell-niche factors WNT, R-spondin, epidermal growth factor (EGF) and noggin over long time periods as epithelial organoids that remain genetically and phenotypically stable. Here we utilize CRISPR/Cas9 technology for targeted gene modification of four of the most commonly mutated colorectal cancer genes (APC, P53 (also known as TP53), KRAS and SMAD4) in cultured human intestinal stem cells. Mutant organoids can be selected by removing individual growth factors from the culture medium. Quadruple mutants grow independently of all stem-cell-niche factors and tolerate the presence of the P53 stabilizer nutlin-3. Upon xenotransplantation into mice, quadruple mutants grow as tumours with features of invasive carcinoma. Finally, combined loss of APC and P53 is sufficient for the appearance of extensive aneuploidy, a hallmark of tumour progression.

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Crossref · 10.1038/nature14415

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  • In normal conditions, addition of Nutlin3a to the medium causes activation of TP53 leading to cell death.

    “In normal condition, the addition of Nutlin3a to the medium will cause the activation of TP53 leading to cell death.”

    From Protocol to create isogenic disease models from adult stem cell-derived organoids using next-generation CRISPR tools (2024) · cites this paper as [32]

    The Abstract (page unavailable) identifies nutlin-3 as a P53 stabilizer, supporting the claim that it affects TP53. Our copy does not state that adding it to normal culture medium causes cell death; it reports only that quadruple-mutant organoids tolerate its presence. (LLM, conf=0.78)

    Experimental — accuracy not yet measured
  • Organoids engineered with TP53 point mutation or knockout can grow in the presence of Nutlin3a.

    “Similarly, organoids engineered with TP53 point mutation or KO can grow in the presence of Nutlin3a.”

    From Protocol to create isogenic disease models from adult stem cell-derived organoids using next-generation CRISPR tools (2024) · cites this paper as [32]

    The indexed Abstract says CRISPR/Cas9 was used to modify P53 (TP53) in human intestinal organoids and that quadruple-mutant organoids tolerated nutlin-3. It does not establish that organoids with either a TP53 point mutation or a TP53 knockout, considered separately, could grow in its presence. (LLM, conf=0.79)

    Experimental — accuracy not yet measured
  • TP53 mutant organoids can be functionally selected for by addition of Nutlin-3 to the selection medium.

    “TP53 mutant organoids can be functionally selected for by addition of the compound Nutlin-3 to the selection medium13,14”

    From One-step generation of tumor models by base editor multiplexing in adult stem cell-derived organoids (2023) · cites this paper as [13]

    The Abstract says the engineered organoids include TP53 mutations and that quadruple mutants tolerate the P53 stabilizer nutlin-3. It does not say that adding nutlin-3 to the medium functionally selects TP53-mutant organoids; it describes mutant-organoid selection by removing growth factors instead. (LLM, conf=0.79)

    Experimental — accuracy not yet measured
  • TP53 mutants can be functionally selected by addition of Nutlin-3 to selection medium.

    “TP53 mutants can be functionally selected by addition of the compound Nutlin-3 to the selection medium13,14.”

    From One-step generation of tumor models by base editor multiplexing in adult stem cell-derived organoids (2023) · cites this paper as [13]

    The Abstract says that quadruple mutants, which include a TP53 mutation, tolerate nutlin-3. It does not say that adding nutlin-3 to the medium functionally selects TP53 mutants; the selection method it describes is removal of growth factors. (LLM, conf=0.79)

    Experimental — accuracy not yet measured
  • Wild-type organoids heavily rely on Wnt-3A in expansion medium for sustained growth, so APC mutants can be selected by removing Wnt from selection medium.

    “Since wild-type organoids heavily rely on Wnt-3A in the expansion medium for sustained growth, APC mutants can be readily selected by removing Wnt from the “selection” medium13,14.”

    From One-step generation of tumor models by base editor multiplexing in adult stem cell-derived organoids (2023) · cites this paper as [13]

    The indexed Abstract says intestinal organoids can be maintained in medium containing WNT, that APC was among the genes modified, and that mutant organoids can be selected by removing individual growth factors. It does not explicitly say that removing WNT selects APC mutants, or specify Wnt-3A and the claimed dependence of wild-type organoids on it. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

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Authors
Drost, J., van Jaarsveld, R. H., Ponsioen, B., Zimberlin, C., van Boxtel, R., Buijs, A., Sachs, N., Overmeer, R. M., Offerhaus, G. J., Begthel, H., Korving, J., van de Wetering, M., Schwank, G., Logtenberg, M., Cuppen, E., Snippert, H. J., Medema, J. P., Kops, G. J. P. L., & Clevers, H.
Affiliations
  • Royal Netherlands Academy of Arts and Sciences (NL)
  • University Medical Center Utrecht (NL)
  • Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
Clevers, Hans
Venue
Nature
Published
2015-04-29
Volume
521
Issue
7550
Pages
43-47
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W2088245621
Cited by
1,067
References
8
Citations by year
2026: 70 · 2025: 78 · 2024: 83 · 2023: 99 · 2022: 107 · 2021: 132 · 2020: 126 · 2019: 89 · 2018: 80 · 2017: 102 · 2016: 75 · 2015: 22
FWCI
37.34
Type
journal article
Language
en
Open access
Locations
  • Nature (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion, other-oa)
  • KNAW research portal (Royal Academy of Art and Sciences (KNAW)) (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • Utrecht University Repository (Utrecht University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
Keywords
colorectal cancer, intestinal stem cells, organoids, tumor organoids, APC mutation, TP53 mutation, KRAS mutation, SMAD4 mutation, CRISPR/Cas9 genome editing, aneuploidy, tumor progression, xenotransplantation, stem cell niche, Nutlin-3, small intestine
MeSH terms
Aneuploidy, Animals, Child, Child, Preschool, Female, Humans, Imidazoles, Intestinal Mucosa, Intestines, Middle Aged, Mutation, Neoplasm Invasiveness, Neoplasm Transplantation, Organoids, Piperazines, Stem Cells, Colorectal Neoplasms, Genes, p53, Proto-Oncogene Proteins p21(ras), Mutagenesis, Site-Directed, Genes, APC, Intercellular Signaling Peptides and Proteins, Mice, Smad4 Protein, Stem Cell Niche, CRISPR-Cas Systems, Heterografts

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