2018
DOI: 10.1016/j.stem.2017.12.009
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Human Pancreatic Tumor Organoids Reveal Loss of Stem Cell Niche Factor Dependence during Disease Progression

Abstract: Despite recent efforts to dissect the inter-tumor heterogeneity of pancreatic ductal adenocarcinoma (PDAC) by determining prognosis-predictive gene expression signatures for specific subtypes, their functional differences remain elusive. Here, we established a pancreatic tumor organoid library encompassing 39 patient-derived PDACs and identified 3 functional subtypes based on their stem cell niche factor dependencies on Wnt and R-spondin. A Wnt-non-producing subtype required Wnt from cancer-associated fibrobla… Show more

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Cited by 445 publications
(538 citation statements)
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“…In contrast to the healthy FT epithelium (Kessler et al , ), we find that HGSOC cancer organoids require a low‐Wnt signaling environment but an active BMP signaling axis. Wnt independence was previously observed in other cancers such as pancreas and colon (Fujii et al , ; Seino et al , ) and positively correlates with the clinical progression. However, in contrast to organoids from other cancers, e.g., metastatic pancreatic cancer, which do not require Wnt but do grow in Wnt/RSPO/Noggin medium, exogenous supplementation of Wnt3a actually prevented formation and growth of all HGSOC cancer organoids.…”
Section: Discussionmentioning
confidence: 60%
“…In contrast to the healthy FT epithelium (Kessler et al , ), we find that HGSOC cancer organoids require a low‐Wnt signaling environment but an active BMP signaling axis. Wnt independence was previously observed in other cancers such as pancreas and colon (Fujii et al , ; Seino et al , ) and positively correlates with the clinical progression. However, in contrast to organoids from other cancers, e.g., metastatic pancreatic cancer, which do not require Wnt but do grow in Wnt/RSPO/Noggin medium, exogenous supplementation of Wnt3a actually prevented formation and growth of all HGSOC cancer organoids.…”
Section: Discussionmentioning
confidence: 60%
“…Although our data indicate that WNT5A overexpression in tumor cells functions in a cellautonomous manner to activate YAP1 oncoprotein, tumor cells may also activate WNT5A signaling through paracrine mechanisms. Notably, WNT5A has been shown to be highly expressed in PDAC stroma fibroblast (46,47), and our preliminary data suggest that the stromal WNT5A level is significantly correlated with tumor cell YAP1 level in human PDAC (data not shown).…”
Section: Discussionmentioning
confidence: 70%
“…In principle, pheno-seq can be applied to any 3D-culture system given that the phenotypic identity is maintained upon spheroid isolation. For example, morphologies of organoids derived from patients with pancreatic ductal adenocarcinoma can be linked to the state of malignant transformation and prognosis 46 . We expect that this combination of functional single cell growth assay with combined image and gene expression profiling will be widely applied in cancer biology, ranging from primary to circulating tumor cells (CTCs 47 ).…”
Section: Discussionmentioning
confidence: 99%