Colorectal cancer residual disease at maximal response to EGFR blockade displays a druggable Paneth cell-like phenotype
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Drug tolerance in EGFR-inhibited mCRC involves secretory pseudodifferentiation and rewiring of oncogenic dependencies.
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In RAS-RAF wild-type CRC patient-derived xenograft models, upregulation of Paneth cell lineage markers is observed in surviving CRC cells following EGFR antibody treatment.
“In another study using RAS-RAF wild-type CRC patient-derived xenograft (PDX) models, upregulation of Paneth cell lineage markers is observed in surviving CRC cells following EGFR antibody treatment.25”
From Paneth-like transition drives resistance to dual targeting of KRAS and EGFR in colorectal cancer (2026) · cites this paper as [25]
The Paneth-like state exhibited features similar to residual CRC cells surviving EGFR antibody treatment alone in PDX models.
“The Paneth-like state exhibited features similar to residual CRC cells surviving EGFR antibody treatment alone in PDX models,25 suggesting that the transition to a Paneth-like state could be a broader adaptive mechanism to therapies targeting the RTK-RAS pathway in CRC.”
From Paneth-like transition drives resistance to dual targeting of KRAS and EGFR in colorectal cancer (2026) · cites this paper as [25]
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Self-citation
- Authors
- Lupo, B., Sassi, F., Pinnelli, M., Galimi, F., Zanella, E. R., Vurchio, V., Migliardi, G., Gagliardi, P. A., Puliafito, A., Manganaro, D., Luraghi, P., Kragh, M., Pedersen, M. W., Horak, I. D., Boccaccio, C., Medico, E., Primo, L., Nichol, D., Spiteri, I., Heide, T., Vatsiou, A., Graham, T. A., Élez, E., Argiles, G., Nuciforo, P., Sottoriva, A., Dienstmann, R., Pasini, D., Grassi, E., Isella, C., Bertotti, A., & Trusolino, L.
- Affiliations
- Candiolo Cancer Institute (IT)
- European Institute of Oncology (IT)
- Symphogen (Denmark) (DK)
- Department of Oncology, University of Torino, 10060 Candiolo, Torino, Italy.
- Institute of Cancer Research (GB)
- Queen Mary University of London (GB)
- Vall d'Hebron Institute of Oncology (ES)
- Vall d’Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
- University of Milan (IT)
- Corresponding author
- Lupo, Barbara
- Sassi, Francesco
- Bertotti, Andrea
- Trusolino, Livio
- ORCID
- Lupo, Barbara
- Sassi, Francesco
- Pinnelli, Marika
- Galimi, Francesco
- Zanella, Eugenia R.
- Vurchio, Valentina
- Migliardi, Giorgia
- Gagliardi, Paolo Armando
- Puliafito, Alberto
- Manganaro, Daria
- Luraghi, Paolo
- Kragh, Michael
- Pedersen, Mikkel W.
- Horak, Ivan D.
- Boccaccio, Carla
- Medico, Enzo
- Primo, Luca
- Nichol, Daniel
- Spiteri, Inmaculada
- Heide, Timon
- Graham, Trevor A.
- Élez, Elena
- Nuciforo, Paolo
- Sottoriva, Andrea
- Dienstmann, Rodrigo
- Pasini, Diego
- Grassi, Elena
- Isella, Claudio
- Bertotti, Andrea
- Trusolino, Livio
- Venue
- Science Translational Medicine
- Published
- 2020-08-05
- Volume
- 12
- Issue
- 555
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC7617202
- OpenAlex
- W3046925633
- Cited by
- 83
- References
- 64
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 8 · 2023: 15 · 2022: 11 · 2021: 23 · 2020: 5 · 2017: 1
- FWCI
- 4.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science Translational Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Funders
- European Research Council (ERC Consolidator Grant 724748 - BEAT)
- Associazione Italiana per la Ricerca sul Cancro (20697, 12944, 18532, 21091, AIRC/CRUK/FC AECC Accelerator Award 22795, 19047, IG-2017-20290)
- Fondazione Piemontese per la Ricerca sul Cancro-ONLUS (5x1000 Ministero della Salute 2010, 5x1000 Ministero della Salute 2014, 5x1000 Ministero della Salute 2015, 5x1000 Ministero della Salute 2016)
- H2020 INFRAIA (731105 - EDIReX)
- Eranet Transcan (TACTIC)
- European Union H2020 Programme (754923)
- Topics
- Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Keywords
- metastatic colorectal cancer, EGFR inhibition, residual disease, tumor reprogramming, YAP, PI3K signaling, HER2, HER3, EGFR ligands, tumor recurrence, lineage plasticity, patient-derived xenografts
- MeSH terms
- Humans, Neoplasm Recurrence, Local, Phenotype, Colorectal Neoplasms, Neoplasm, Residual, Phosphatidylinositol 3-Kinases, Paneth Cells, Cell Line, Tumor, ErbB Receptors
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