Cited by 39Genetic factors in colorectal cancerPluripotent Stem Cells ResearchWnt/β-catenin signaling in development and cancer

Modeling APC mutagenesis and familial adenomatous polyposis using human iPS cells

Open access
Sommer, Cesar A., Capilla, Amalia, Molina-Estevez, Francisco J., Gianotti-Sommer, Andreia, Skvir, Nicholas, Caballero, Ignacio, Chowdhury, Sanjib, Mostoslavsky, Gustavo·2018·PLOS ONE

Abstract

Mutations in the gene Adenomatous Polyposis Coli or APC appear in most sporadic cases of colorectal cancer and it is the most frequent mutation causing hereditary Familial Adenomatous Polyposis. The detailed molecular mechanism by which APC mutations predispose to the development of colorectal cancer is not completely understood. This is in part due to the lack of accessibility to appropriate models that recapitulate the early events associated with APC mediated intestinal transformation. We have established a novel platform utilizing human induced Pluripotent Stem cells or iPSC from normal or FAP-specific APC mutant individuals and evaluated the effect of the mutation in the cells before and after differentiation into intestinal organoids. In order to minimize genetic background effects, we also established an isogenic platform using TALEN-mediated gene editing. Comparison of normal and APC mutant iPSC revealed a significant defect in cell identity and polarity due to the presence of APC in heterozygosity as well as chromosomal aberrations including abnormal anaphases and centrosome numbers. Importantly, upon specification into intestinal progeny, APC heterozygosity was responsible for a major change in the transcriptional identity of the cells with dysregulation of key signaling pathways, including metabolic reprogramming, abnormal lipid metabolism and intestinal-specific cadherin expression. In conclusion, we have developed a novel iPSC/intestinal model of APC mutagenesis and provide strong evidence that APC in heterozygosity imparts a clear phenotypic and molecular defect, affecting basic cellular functions and integrity, providing novel insights in the earlier events of APC-mediated tumorigenesis.

AI snapshot

Written from the paper’s full text.

TL;DR

The authors generated human iPSC from FAP patients and an isogenic TALEN-edited APC+/- line, then differentiated them into intestinal organoids to model early APC mutagenesis. APC heterozygosity caused spontaneous differentiation, polarity/chromosomal defects, and a large transcriptional shift in intestinal progeny, including metabolic, lipid, and cadherin dysregulation.

Key findings

  • FAP-specific iPSC and isogenic APC+/- iPSC showed no major proliferation difference by EdU, but APC mutant cells displayed spontaneous differentiation, increased WNT target genes, impaired centrosome reorientation in scratch assays, almost double abnormal anaphases, and increased cells with 2 or 4 centrosomes.
  • In isogenic APC+/- iPSC, TALEN-induced indels occurred at ~15–20%, but heterozygous non-in-frame mutations were low (1 out of 16); after screening more than 400 colonies, no homozygous APC mutant line was recovered, suggesting a selection disadvantage.
  • DGE showed 2124 differentially expressed genes between normal and mutant intestinal organoids versus only 322 in undifferentiated cells; CDH17 was the 13th most dysregulated gene (FDR 1.54E-81), and IDH1, LDHA, and VIMENTIN were also upregulated.
  • IPA top categories included cancer (86.2% of genes), cellular growth and proliferation (39.4%), and organismal development (30.4%); PPAR signaling and lipid metabolism were among the top affected pathways.

Methods

  • Normal and FAP fibroblasts were reprogrammed with the excisable STEMCCA lentiviral system; iPSC were differentiated into intestinal organoids using sequential NODAL/FGF4/WNT3A or CHIR99021-based mid/hindgut induction and Matrigel culture.
  • An isogenic platform was made by TALEN targeting near APC codon 1309/1320, puromycin selection, PCR/sequencing screening, and Western blot for wild-type and truncated APC.
  • Phenotypic assays included flow cytometry for EdU and CXCR4/c-KIT, immunofluorescence, scratch-wound MTOC polarity, anaphase bridge index and centrosome counts, qRT-PCR, and 3′ digital gene expression RNA sequencing analyzed with edgeR, GO, GSEA, and IPA (GEO GSE99821); statistics used Student’s t-tests with *p<0.05 and p<0.01.

Limitations

  • The paper states that inter-patient variability blurred differences in FAP-derived lines, that APC mutant lines were unstable with spontaneous differentiation requiring extra maintenance, and that obtaining heterozygous APC mutant clones was inefficient.
  • The authors state that no homozygous APC mutant iPSC lines were recovered and that further studies using homozygous mutations mimicking loss of heterozygosity are warranted.
  • Evident from the text: the isogenic transcriptional comparison used four APC+/+ versus four APC+/- iPSC subclones, but the study remains limited to heterozygous APC and does not model advanced biallelic APC loss.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1371/journal.pone.0200657

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

18 of 29 cited sources checked · 9 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    The accepted causal relationship between mutated APC, dysregulated Wnt signaling, proliferation and colorectal cancer development does not hold at least during the earliest stages of malignant transformation.

    “improved diagnostic tools and better access to early lesions have found that this is not the case, at least during the earliest stages of malignant transformation [6–8]”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [6] CB Anderson, 2002, Subcellular distribution of Wnt pathway proteins in normal and neoplastic colon, Proc Natl Acad Sci U S A source
    • cites [7] H Blaker, 2003, Somatic mutations in familial adenomatous polyps. Nuclear translocation of beta-catenin requires more than biallelic APC inactivation, Am J Clin Pathol source
    • cites [8] RA Phelps, 2009, A two-step model for colon adenoma initiation and progression caused by APC loss, Cell source
  • Premisecitation

    Loss of heterozygosity of APC is one of the earliest and rate-limiting events in the progression from normal epithelium to adenoma formation and then cancer.

    “loss of heterozygosity (LOH) of APC has been shown to be one of the earliest and rate-limiting events in the progression from normal epithelium to adenoma formation and then cancer [3–5].”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites [3] KW Kinzler, 1996, Lessons from hereditary colorectal cancer, Cell source

      In “Rate-Limiting Events in Tumorigenesis” (indexed as Abstract; page unavailable), the paper says studies of FAP patients and analogous mice suggest that mutation of the remaining wild-type APC allele is rate-limiting for tumor initiation. It also reports complete APC inactivation in very early lesions that may precede adenomas. The copy does not specifically identify that mutation as loss of heterozygosity, or establish it as rate-limiting for the entire progression through cancer. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [4] P Galiatsatos, 2006, Familial adenomatous polyposis, Am J Gastroenterol source
    • cites [5] S Segditsas, 2006, Colorectal cancer and genetic alterations in the Wnt pathway, Oncogene source
  • Premisecitation

    Recent studies using in vitro organoids grown from different intestinal tumors showed a strong correlation, functionally and molecularly, with their primary tissue counterparts.

    “Recent studies using in vitro organoids grown from different intestinal tumors [33, 34] showed a strong correlation, functionally and molecularly with their primary tissue counterparts, providing a strong argument in favor of the potential for in vitro systems to model intestinal disease.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [33] T Sato, 2011, Long-term expansion of epithelial organoids from human colon, adenoma, adenocarcinoma, and Barrett&apos;s epithelium, Gastroenterology source
    • cites [34] M van de Wetering, 2015, Prospective derivation of a living organoid biobank of colorectal cancer patients, Cell source

      The Results sections on the CRC biobank and genomic characterization report preserved tumor morphology and high concordance of somatic variants between organoids and matched biopsies. The drug-screen Results measure responses in organoids, but do not establish that their functional responses strongly correlate with those of the primary tumors. Thus, the molecular resemblance is supported; the functional comparison is not. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Premisecitation

    Changes in APC dosage can affect cellular motility, migration and polarity.

    “Several studies have previously shown that changes in APC dosage can affect cellular motility, migration and polarity [24, 38, 39], and can induce the development of early intestinal neoplasms [40].”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [24] CM Caldwell, 2007, APC mutations lead to cytokinetic failures in vitro and tetraploid genotypes in Min mice, J Cell Biol source

      The Discussion (page unavailable) says that APC-mutant changes in microtubule behavior can alter cell polarity, and the Results report misoriented mitotic spindles in Min mice. The paper does not report an effect on cellular motility or migration; the evidence concerns APC mutations and mutant expression rather than APC dosage specifically. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [38] SA Nelson, 2012, Tumorigenic fragments of APC cause dominant defects in directional cell migration in multiple model systems, Dis Model Mech source
    • cites [39] AJ Quyn, 2010, Spindle orientation bias in gut epithelial stem cell compartments is lost in precancerous tissue, Cell Stem Cell source
  • Premisecitation

    A limited number of reports describe APC mutant lines, all done on mouse ESC expressing either hypomorphic mutant variants of APC or specifically overexpressing β-catenin APC mutations.

    “This is supported by the existence of a limited number of reports describing APC mutant lines, which were all done on mouse ESC expressing either hypomorphic mutant variants of APC [35] or specifically overexpressing β-catenin APC mutations [36].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [35] Y Atlasi, 2013, Wnt signaling regulates the lineage differentiation potential of mouse embryonic stem cells through Tcf3 down-regulation, PLoS Genet source
    • cites [36] MF Kielman, 2002, Apc modulates embryonic stem-cell differentiation by controlling the dosage of beta-catenin signaling, Nat Genet source
  • May combine two claims. 18
  • Classified as probably not a substantial claim. 12
  • May combine two claims.

    Findingcitation

    Fibroblasts from four previously diagnosed FAP individuals were reprogrammed using the STEMCCA system to generate three independent iPSC lines.

    “Fibroblasts from four previously diagnosed FAP individuals were obtained from Coriell and reprogrammed using the STEMCCA system to generate three independent iPSC lines, as described [12, 18]”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites [12] A Somers, 2010, Generation of transgene-free lung disease-specific human induced pluripotent stem cells using a single excisable lentiviral stem cell cassette, Stem Cells source

      The Methods section, “Human Fibroblast Reprogramming and Characterization of iPSC” (page unavailable), describes using hSTEMCCA-loxP to reprogram human fibroblasts into iPSC. The Results section, “Generation of human lung disease specific iPSC” (page unavailable), describes cells from people with lung-related diseases, including some obtained from Coriell. Neither passage supports the specific account of four FAP individuals yielding three independent iPSC lines. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [18] CA Sommer, 2009, Induced pluripotent stem cell generation using a single lentiviral stem cell cassette, Stem Cells source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    BU1 iPSC has been extensively characterized and used in the lab at the CReM.

    “We chose BU1 iPSC as our targeting clone, which has been extensively characterized and used in our lab at the CReM [21].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [21] S Park, 2017, A Comprehensive, Ethnically Diverse Library of Sickle Cell Disease-Specific Induced Pluripotent Stem Cells, Stem Cell Reports source

      The Results section on genetic characterization describes the paper’s banked sickle-cell iPSC lines, and Experimental Procedures describes how the library was generated. Neither identifies BU1 or establishes that it was extensively characterized and used at the CReM; searches for BU1, BU-1, and CReM did not find a passage addressing that claim. (LLM, conf=0.73)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Position 1320 of the APC coding sequence is a known hotspot commonly mutated in FAP patients.

    “TALENs targeting position 1320 of the APC coding sequence (Fig 3A), a known hotspot commonly mutated in FAP patients [2].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [2] N Cancer Genome Atlas, 2012, Comprehensive molecular characterization of human colon and rectal cancer, Nature source

      The Results section on gene mutations reports frequent APC mutations in colorectal tumours (81% of non-hypermutated and 51% of hypermutated tumours). It does not identify position 1320 as a hotspot or establish how commonly that position is mutated in FAP patients; those specific parts of the claim are unsupported. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    More than 50% of hypermutated colorectal tumors and more than 80% of non-hypermutated colorectal tumors have mutations in APC.

    “more than 50% of hypermutated tumors and more than 80% of non-hypermutated tumors have mutations in APC [1, 2].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [1] ER Fearon, 1990, A genetic model for colorectal tumorigenesis, Cell source
    • cites [2] N Cancer Genome Atlas, 2012, Comprehensive molecular characterization of human colon and rectal cancer, Nature source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Several ongoing studies have started targeting IDH1/2 metabolic genes as selective targets for new anticancer therapeutics.

    “Several ongoing studies have started targeting these IDH1/2 metabolic genes as selective targets for new anticancer therapeutics [43].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [43] J Mondesir, 2016, IDH1 and IDH2 mutations as novel therapeutic targets: current perspectives, Journal of blood medicine source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    APC has known functions in cellular motility and cytoskeletal integrity.

    “The known functions of APC in cellular motility and cytoskeletal integrity [22, 23]”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [22] S Etienne-Manneville, 2003, Cdc42 regulates GSK-3beta and adenomatous polyposis coli to control cell polarity, Nature source
    • cites [23] T Watanabe, 2004, Interaction with IQGAP1 links APC to Rac1, Cdc42, and actin filaments during cell polarization and migration, Dev Cell source
  • May combine two claims.

    Premisecitation

    These studies showed that abnormal catenin regulation induced dysregulated in vitro differentiation (and not proliferation), findings in keeping with the APC heterozygous human iPSC line.

    “These studies showed that abnormal catenin regulation induced dysregulated in vitro differentiation (and not proliferation), findings in keeping with our APC heterozygous human iPSC line.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [35] Y Atlasi, 2013, Wnt signaling regulates the lineage differentiation potential of mouse embryonic stem cells through Tcf3 down-regulation, PLoS Genet source

      The Results section (pages not provided) reports that constitutive Wnt signaling prevented differentiation in a short-term in vitro assay and that Apc-mutant mouse ESCs showed defective neural differentiation in vitro. It does not establish the claim’s “and not proliferation” distinction; the Results also report that very high Wnt signaling could compromise colony formation and growth. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [36] MF Kielman, 2002, Apc modulates embryonic stem-cell differentiation by controlling the dosage of beta-catenin signaling, Nat Genet source
  • Classified as probably not a substantial claim.

    Premisecitation

    Changes in APC dosage can induce the development of early intestinal neoplasms.

    “Several studies have previously shown that changes in APC dosage can affect cellular motility, migration and polarity [24, 38, 39], and can induce the development of early intestinal neoplasms [40].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [40] JM Amos-Landgraf, 2012, Monoallelic silencing and haploinsufficiency in early murine intestinal neoplasms, Proc Natl Acad Sci U S A source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Metabolic reprogramming is a hallmark of cancer based on the discovery of mutations and alterations in IDH1 and IDH2 along with SDH, FH, and PKM2.

    “There is a renewed interest in the area of cancer metabolism with metabolic reprogramming coined as a hallmark of cancer based on the discovery of mutations and alterations in IDH1 and IDH2 along with succinate dehydrogenase (SDH), fumarate hydratase (FH), and pyruvate kinase M2 (PKM2) [41, 42].”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [41] BA Teicher, 2012, Targeting cancer metabolism, Clin Cancer Res source

      The Abstract names IDH1, IDH2, SDH, FH, and PKM2 and says discoveries involving these enzymes renewed interest in cancer metabolism. The Introduction (“Cancer requires Specific Metabolic Programming for Proliferation”) makes the same point, but neither passage says metabolic reprogramming was coined a hallmark of cancer on that basis. No page numbers are provided in our copy. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites [42] ZJ Reitman, 2010, Isocitrate dehydrogenase 1 and 2 mutations in cancer: alterations at a crossroads of cellular metabolism, Journal of the National Cancer Institute source

      The opening summary (page not specified in our copy) says metabolic dysregulation is common in cancer and reports frequent IDH1 and IDH2 mutations in certain cancers. It does not establish that metabolic reprogramming was designated a cancer hallmark on the basis of the full list of enzymes. SDH and FH appear in a cited reference, while the searched passages do not substantiate the PKM2 part of the claim. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    APC has been implicated in the regulation of chromosomal segregation and the formation of the mitotic spindle, with APC mutations causing chromosomal abnormalities.

    “As APC has also been implicated in the regulation of chromosomal segregation and the formation of the mitotic spindle, with APC mutations causing chromosomal abnormalities [24]”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [24] CM Caldwell, 2007, APC mutations lead to cytokinetic failures in vitro and tetraploid genotypes in Min mice, J Cell Biol source
  • May combine two claims.

    Findingown data

    APC mutant iPSC display an increase in chromosomal instability, as evidenced by increase in abnormal anaphases and higher number of centrosomes.

    “APC mutant iPSC display an increase in chromosomal instability, as evidenced by increase in abnormal anaphases (quantitated by Anaphase Bridge Index or ABI) and higher number of centrosomes (cen).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Two FAP patient lines contain a C>T mutation at position 1621 and the other two contain an AG deletion at position 4611, both inducing production of truncated versions of APC protein.

    “Two of the patient lines (FAP 3948–1 and FAP 3954–1) contain a C>T mutation in the coding sequence of the APC gene at position 1621 and the other two (FAP 6965–1 and FAP 6888–1) contain a AG deletion at position 4611 (Fig 1B), both inducing production of truncated versions of APC protein.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    APC heterozygosity causes dysregulation of key signaling pathways, including metabolic reprogramming, abnormal lipid metabolism and intestinal-specific cadherin expression.

    “with dysregulation of key signaling pathways, including metabolic reprogramming, abnormal lipid metabolism and intestinal-specific cadherin expression.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    FAP-specific iPSC evidenced faster differentiation towards endoderm than control lines, with expression of SOX17 already detectable after short 3.0 days NODAL activation.

    “we consistently observed that FAP-specific iPSC evidenced faster differentiation towards endoderm than control lines, with expression of SOX17 already detectable after short (3.0 days) NODAL activation (Fig 2C and S4 Fig).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The differentiation protocol yielded definitive endoderm and intestinal specification, with formation of 3D human intestinal organoids from both normal and mutated APC iPSC.

    “we were able to obtain definitive endoderm and intestinal specification, with formation of 3D human intestinal organoids (HIOs) upon expansion in matrigel embedded cultures (Fig 2B) from both normal and mutated APC iPSC.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Immunohistochemistry confirmed efficient expression of CDX2 (95% of cells were CDX2+), VILLIN and β-CATENIN in intestinal organoids.

    “Immunohistochemistry confirmed efficient expression of CDX2 (95% of cells were CDX2+), VILLIN and β-CATENIN in intestinal organoids (Fig 2D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    APC mutant cells showed a significant increase in cells containing 2 centrosomes and even 4 centrosomes compared with normal APC+/+ cells, which rarely contained 2 and never 4 centrosomes.

    “Similarly, while most normal APC+/+ cells contained 1 centrosome and rarely 2, APC mutant cells showed a significant increase in cells containing 2 centrosomes and even 4 centrosomes, which was never observed in the normal cells (Fig 3G).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The APC+/- mutant iPSC line can be efficiently differentiated into endoderm and intestinal organoids, with CDX2 expression and organoid formation similar to the WT isogenic line.

    “As shown in Fig 4, we were able to obtain efficient differentiation with the APC mutant line, first into endoderm (Fig 4A) with significant CDX2 expression upon addition of FGF4 and WNT3A as observed with the WT isogenic line (Fig 4B) and robust formation of intestinal organoids upon culture in matrigel (Fig 4C–4E).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Spontaneous differentiation was always evident in cultures of APC mutant lines, requiring extra care in maintenance and passaging.

    “Spontaneous differentiation was always evident in our cultures requiring extra care in the maintenance and passaging of the lines, and was further supported by the faster induction of markers such as SOX17 and CDX2 in the APC mutant cells.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Real-time RT-PCR showed FABP1, ALDH1A1 and APO1 overexpressed more than 100 fold, reinforcing evidence of altered fatty acid metabolism.

    “Real-time RT-PCR of representative genes reinforced the evidence pointing towards a fatty acids altered metabolism, being FABP1, ALDH1A1 and APO1 overexpressed more than 100 fold (S5 Fig).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The isogenic APC+/- and APC+/+ iPSC lines differ only in APC mutation status, so observed differences are attributable to APC.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationnone given

    The ring morphology was likely a consequence of spontaneous differentiation.

    “likely a consequence of spontaneous differentiation.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    The study established a novel platform using human iPSC from normal or FAP-specific APC mutant individuals and evaluated the effect of the mutation before and after differentiation into intestinal organoids.

    “We have established a novel platform utilizing human induced Pluripotent Stem cells or iPSC from normal or FAP-specific APC mutant individuals and evaluated the effect of the mutation in the cells before and after differentiation into intestinal organoids.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The detailed molecular mechanism by which APC mutations predispose to colorectal cancer is not completely understood.
    • Rests on an assumption: There is a lack of accessibility to appropriate models that recapitulate the early events associated with APC-mediated intestinal transformation.
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The APC +/+ and APC+/- iPSC isogenic lines were expanded and maintained in identical culture conditions for the rest of the studies.

    “The APC +/+ and APC+/- iPSC isogenic lines were then expanded and maintained in identical culture conditions for the rest of the studies.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    This effect is exacerbated upon differentiation into intestinal organoids with a major impact on the gene expression profile of the cells, and the emergence of a molecular signature resembling several features of intestinal tumorigenesis and abnormal metabolism.

    “This effect is exacerbated upon differentiation into intestinal organoids with a major impact on the gene expression profile of the cells, and the emergence of a molecular signature resembling several features of intestinal tumorigenesis and abnormal metabolism.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The isogenic APC+/- iPSC line and its differentiated intestinal organoids model the cellular and molecular events of early APC-driven intestinal tumorigenesis.
    • Rests on an assumption: The isogenic APC+/- and APC+/+ iPSC lines differ only in APC mutation status, so observed differences are attributable to APC.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All human samples collected at the CReM were processed and handled according to protocol # H-29791 approved by the Institutional Review Board (IRB) Committee of Boston University.

    “All human samples collected at the CReM were processed and handled according to the procotol # H-29791 approved by the Institutional Review Board (IRB) Committee of Boston University.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationcitation

    The finding that APC in heterozygosity has such an impact on the phenotypic and molecular characteristics of iPSC and their intestinal progeny is not completely unexpected.

    “The finding that APC in heterozygosity has such an impact on the phenotypic and molecular characteristics of our iPSC and their intestinal progeny is not completely unexpected.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The isogenic APC+/- and APC+/+ iPSC lines differ only in APC mutation status, so observed differences are attributable to APC.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All raw and processed data has been deposited in GEO (GSE99821).

    “All raw and processed data has been deposited in GEO (GSE99821).”
    Quote in the paperNot a substantial claim
27 of 27
  • The paper relies on this without support.

    The detailed molecular mechanism by which APC mutations predispose to colorectal cancer is not completely understood.

    “The detailed molecular mechanism by which APC mutations predispose to the development of colorectal cancer is not completely understood.”
  • The paper relies on this without support.

    There is a lack of accessibility to appropriate models that recapitulate the early events associated with APC-mediated intestinal transformation.

    “This is in part due to the lack of accessibility to appropriate models that recapitulate the early events associated with APC mediated intestinal transformation.”
  • The paper relies on this without support.

    The APC1309 mutation is one of the most common APC germline mutations leading to severe intestinal phenotypes.

    “The APC1309 mutation is one of the most common APC germline mutations leading to severe intestinal phenotypes.”
  • The paper relies on this without support.

    Inter-individual genetic background variability can create noise in comparisons between iPSC lines.

    “In order to minimize the potential noise created by inter-individual genetic background variability”
  • The paper relies on this without support.

    APC is the most frequent mutation causing hereditary Familial Adenomatous Polyposis.

    “it is the most frequent mutation causing hereditary Familial Adenomatous Polyposis.”
  • The paper relies on this without support.

    FAP patient somatic cells are APC heterozygous.

    “Taking advantage of the fact that patient somatic cells are APC heterozygous, we sought to recapitulate the primordial developmental state of gut epithelia and study the cellular and molecular “milieu” that may provide a bona fide environment for the development of intestinal tumors.”
  • The paper relies on this without support.

    The isogenic APC+/- iPSC line and its differentiated intestinal organoids model the cellular and molecular events of early APC-driven intestinal tumorigenesis.

    “In the case of iPSC, access to intestinal epithelial cells offers a unique approach to study in a cell intrinsic manner the earliest cellular and molecular events associated with APC mutagenesis and its potential role in CRC development.”
  • The paper relies on this without support.

    The isogenic APC+/- and APC+/+ iPSC lines differ only in APC mutation status, so observed differences are attributable to APC.

    “Once we moved into the isogenic system, we were able to find robust and significant differences between normal and APC mutant intestinal epithelial cells.”
8 of 8

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Differentially expressed gene total changes from 2124 to 2125

    Minor

    The text says 2124 differentially expressed genes were uploaded for pathway analysis, but Table 1 labels its percentage denominator as 2125 genes.

  • Differentiation reagent differs between methods and results

    Minor

    The methods specify CHIR99021 instead of Wnt3a protein during mid/hindgut differentiation, whereas the results attribute the treatment to addition of WNT3A.

2 of 2

Cited works that were retracted

Works this paper cites that were later retracted, from the retraction notices publishers deposit. Major when the notice came out before this paper was published.

  • Cites a retracted work: 10.1371/journal.pone.0010105

    Info

    The cited work was retracted on 2019-03-21 (notice 10.1371/journal.pone.0214006), not before this paper was published (2018-07-19).

    Cited work 10.1371/journal.pone.0010105 · retracted 2019-03-21 · notice 10.1371/journal.pone.0214006 · this paper published 2018-07-19

1 of 1

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Authors
Sommer, C. A., Capilla, A., Molina-Estevez, F. J., Gianotti-Sommer, A., Skvir, N., Caballero, I., Chowdhury, S., & Mostoslavsky, G.
Affiliations
Boston University (US)
Corresponding author
Mostoslavsky, Gustavo
Venue
PLOS ONE
Published
2018-07-19
Volume
13
Issue
7
Pages
e0200657
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2884321202
Cited by
39
References
45
Citations by year
2026: 2 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 2 · 2021: 9 · 2020: 4 · 2019: 5 · 2018: 2
FWCI
3.21
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (submittedVersion, cc-by)
  • PubMed Central (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
Funders
  • National Cancer Institute (1R01CA175727-01)
  • National Heart, Lung, and Blood Institute (R24HL123828)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Wnt/β-catenin signaling in development and cancer
Keywords
APC gene, familial adenomatous polyposis, colorectal cancer, induced pluripotent stem cells, intestinal organoids, isogenic iPSC lines, TALEN gene editing, centrosome abnormalities, metabolic reprogramming, lipid metabolism, cadherin expression, intestinal tumorigenesis
MeSH terms
Cell Differentiation, Cell Transformation, Neoplastic, Cells, Cultured, Humans, Intestines, Mutation, Organoids, Adenomatous Polyposis Coli, Signal Transduction, Mutagenesis, Gene Expression Regulation, Developmental, Adenomatous Polyposis Coli Protein, Induced Pluripotent Stem Cells, HEK293 Cells

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.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-23.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-23.

Cited sources are checked by gpt-6-sol.

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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