PROJECT SUMMARY
Colorectal cancer (CRC) metastasis is a major cause of mortality, yet there is a distinct lack of therapies targeting
metastasis. Among the major modifiable external factors known to affect CRC risk are diet and obesity; however,
unlike cancer initiation, how pro-obesity high fat diets (HFD) can impact cancer metastasis remains an essential
question. Our understanding of the biology of metastatic cells is significantly impeded by a lack of in-vivo CRC
models that recapitulate metastatic disease. This proposal leverages our orthotopic transplantation model of
CRC, where genetically-engineered CRC organoids harboring common mutations found in human CRC are
transplanted via colonoscopy into recipient host colons, forming tumors that later metastasize to the liver. Using
this system, we have begun to study how CRC with different driver mutations such as APC, KRAS and p53,
metastasize and adapt to the liver microenvironment in diet induced obesity. We have observed that diet induced
obesity increases CRC metastasis to the liver. Our initial single cell RNA-Sequencing analyses of the primary
colon and liver metastatic tumors have identified tumor intrinsic and extrinsic changes in response to an
obesogenic HFD. Tumor intrinsic responses to HFD include increased YAP1 signaling and tumor-specific “revival
stem cell” or revSC like populations. In our AIM1 of mentored K99 phase, using CRISPR mediated knock out
models and untargeted metabolite profiling, we will identify the role of Hippo/YAP1 signaling in tumor metastasis
and metabolic adaptations in pro-obesity HFD. In our AIM2 (K99 phase), leveraging reporter mouse models and
single cell RNA-Sequencing, we will identify the contribution of revSCs in metastatic seeding, and the role of
YAP1 regenerative signaling in mediating revSC like phenotypes in obesity. In our AIM3 of independent R00
phase, we will identify tumor extrinsic niche factors that contribute to increased metastasis in HFD. In our
preliminary single cell profiling of the tumor niche in HFD, we observe evolution of specific Spp1 and Cxcl1
expressing cancer associated fibroblasts (CAFs) in the colon and liver metastatic niche. AIM3 will specifically
characterize the origin, role and interactions of these CAF populations. The K99 training will mainly focus on
cancer stem cell niche and modeling, single cell analyses, and tumor metabolism. This will be accomplished by
training with the primary mentor, Dr Omer Yilmaz, with expertise in intestinal stem cells and their niche, colorectal
cancer and gastrointestinal pathology, and mentoring team Dr Alex Shalek (single cell and computational
analysis), Drs Alpaslan Tasdogan and Matthew Vander Heiden (tumor metabolism) and Dr Jacqueline Lees
(cancer stem cells). This will be supplemented with conference, coursework and workshops in Metabolomics,
Metastasis and Bioinformatics, and mentorship and teaching exercises to prepare for future academic career in
the independent R00 phase. Successful completion of this study will identify mechanisms integral to initiate and
maintain metastasis, revealing targetable vulnerabilities as well as provide insights to guide dietary interventions.