[HTML][HTML] Molecular characterization of colorectal cancer related peritoneal metastatic disease

KJ Lenos, S Bach, L Ferreira Moreno… - Nature …, 2022 - nature.com
KJ Lenos, S Bach, L Ferreira Moreno, S Ten Hoorn, NR Sluiter, S Bootsma, FA Vieira Braga
Nature communications, 2022nature.com
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 …
Abstract
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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