Poster Presentation 31st Lorne Cancer Conference 2019

Identifying novel cancer-associated stromal targets for the treatment of colorectal cancer (#187)

Krystyna Gieniec 1 2 , Tongtong Wang 1 2 , Tamsin Lannagan 1 2 , Josephine Wright 1 2 , Laura Vrbanac 1 2 , Jia Ng 1 2 , Nobumi Suzuki 1 3 , Mari Suzuki 1 4 , Hiroki Kobayashi 1 5 , Susan Woods 1 2 , Daniel Worthley 1
  1. Cancer Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia
  2. Adelaide Medical School, University of Adelaide, Adelaide, Australia
  3. Division of Gastroenterology, Institute for Adult Disease, Asahi Life Foundation, Tokyo, Japan
  4. Department of Obstetrics and Gynaecology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
  5. Department of Pathology, Nagoya University Graduate School of Medicine, Nagoya, Japan

Despite colorectal cancer (CRC) remaining a prominent cause of cancer death worldwide, there is little known about how the surrounding connective tissue “stroma” encourages poorer prognosis. While many studies have attempted to interrogate the molecular cross-talk between the tumour and its stroma, the most important tumour-promoting interactions remain ill-defined. We are yet to adequately exploit these pathways for the prevention and treatment of cancer. Tumour development is often likened to the “organ that never develops”, as common developmental programs appear to be shared with tumourigenesis. We therefore postulated that by interrogating all the differentially expressed genes in the stroma during colonic development and tumourigenesis, compared to the normal homeostatic colon, we might identify the common, and thus the most biologically relevant, factors associated with CRC progression – the ‘Activated Stromal Signature’ of CRC. This list was obtained via RNA sequencing (RNAseq) and refined via prognostic relevance and immunohistochemical validation. These top stromal candidates will be investigated predominantly by organoid culture and orthotopic murine CRC models. We expect to not only identify a network of factors involved in CRC progression, but to suggest novel targets for the prevention and treatment of CRC.