Molecular characterization of colorectal cancer related peritoneal metastatic disease
Open accessAbstract
A significant proportion of colorectal cancer (CRC) patients develop peritoneal metastases (PM) in the course of their disease. PMs are associated with a poor quality of life, significant morbidity and dismal disease outcome. To improve care for this patient group, a better understanding of the molecular characteristics of CRC-PM is required. Here we present a comprehensive molecular characterization of a cohort of 52 patients. This reveals that CRC-PM represent a distinct CRC molecular subtype, CMS4, but can be further divided in three separate categories, each presenting with unique features. We uncover that the CMS4-associated structural protein Moesin plays a key role in peritoneal dissemination. Finally, we define specific evolutionary features of CRC-PM which indicate that polyclonal metastatic seeding underlies these lesions. Together our results suggest that CRC-PM should be perceived as a distinct disease entity.
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Trial data are mostly including patients with CRC liver metastasis, excluding or at least under-representing especially peritoneal metastasis as a major unmet research need.
“Further, trial data are mostly including patients with CRC liver metastasis, excluding or at least under-representing especially peritoneal metastasis as a major unmet research need.17”
From Current and emerging concepts for systemic treatment of metastatic colorectal cancer (2025) · cites this paper as [17]
CMS4 is present in the vast majority of peritoneal metastases.
“was shown to be present in the vast majority of peritoneal metastases (24).”
From Clinical Challenges of Consensus Molecular Subtype CMS4 Colon Cancer in the Era of Precision Medicine (2024) · cites this paper as [24]
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- [59]Lenos, K. J. et al. Molecular characterization of colorectal cancer related peritoneal metastatic disease. GitHub, 10.5281/zenodo.6779129 (2022). PMC9352687 35927254 · DOI
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Mouillet-Richard, S., Cazelles, A., Sroussi, M., Gallois, C., Taieb, J., & Laurent-Puig, P. (2024) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-23-3964 · Cited by 43 · see citing works
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- Authors
- Lenos, K. J., Bach, S., Ferreira Moreno, L., ten Hoorn, S., Sluiter, N. R., Bootsma, S., Vieira Braga, F. A., Nijman, L. E., van den Bosch, T., Miedema, D. M., van Dijk, E., Ylstra, B., Kulicke, R., Davis, F. P., Stransky, N., Smolen, G. A., Coebergh van den Braak, R. R. J., IJzermans, J. N. M., Martens, J. W. M., Hallam, S., Beggs, A. D., Kops, G. J. P. L., Lansu, N., Bastiaenen, V. P., Klaver, C. E. L., Lecca, M. C., El Makrini, K., Elbers, C. C., Dings, M. P. G., van Noesel, C. J. M., Kranenburg, O., Medema, J. P., Koster, J., Koens, L., Punt, C. J. A., Tanis, P. J., de Hingh, I. H., Bijlsma, M. F., Tuynman, J. B., & Vermeulen, L.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Cancer Center Amsterdam (NL)
- Celsius Therapeutics (United States) (US)
- Erasmus MC (NL)
- University of Birmingham (GB)
- University Medical Center Utrecht (NL)
- Utrecht University (NL)
- Corresponding author
- Lenos, Kristiaan J.
- Vermeulen, Louis
- ORCID
- Lenos, Kristiaan J.
- Bach, Sander
- Sluiter, Nina R.
- Bootsma, Sanne
- Nijman, Lisanne E.
- van den Bosch, Tom
- van Dijk, Erik
- Ylstra, Bauke
- Kulicke, Ruth
- Davis, Fred P.
- Stransky, Nicolas
- Smolen, Gromoslaw A.
- Coebergh van den Braak, Robert R. J.
- IJzermans, Jan N. M.
- Martens, John W. M.
- Hallam, Sally
- Beggs, Andrew D.
- Kops, Geert J. P. L.
- Bastiaenen, Vivian P.
- Klaver, Charlotte E. L.
- Elbers, Clara C.
- Dings, Mark P. G.
- Kranenburg, Onno
- Medema, Jan Paul
- Koster, Jan
- Koens, Lianne
- Punt, Cornelis J. A.
- Tanis, Pieter J.
- Bijlsma, Maarten F.
- Tuynman, Jurriaan B.
- Vermeulen, Louis
- Venue
- Nature Communications
- Published
- 2022-08-04
- Volume
- 13
- Issue
- 1
- Pages
- 4443-4443
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC9352687
- OpenAlex
- W4289836879
- Cited by
- 125
- References
- 68
- Citations by year
- 2026: 24 · 2025: 36 · 2024: 39 · 2023: 21 · 2022: 3
- FWCI
- 25.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
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- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- KWF Kankerbestrijding (13435, 10529)
- ZonMw (Vidi 016.156.308)
- This work is supported by the Academic Medical Center (Amsterdam), The New York Stem Cell Foundation, L.V. is a New York Stem Cell Foundation – Robertson Investigator.
- Topics
- Health Sciences › Medicine › Surgery › Intraperitoneal and Appendiceal Malignancies
- Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Keywords
- colorectal cancer, peritoneal carcinomatosis, molecular subtypes, CMS4, moesin, tumor evolution, molecular characterization
- MeSH terms
- Humans, Peritoneal Neoplasms, Peritoneum, Quality of Life, Colorectal Neoplasms, Neoplasms, Second Primary
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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