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19 3 2007 6 Chinese Bulletin of Life Sciences Vol. 19, No. 3 Jun., 2007 1004-0374(2007)03-0321-05 ( 510405) Wnt Notch BMP R735.35; R730.21 A From crypt stem cell to colorectal cancer WEN Bin*, CHEN Weiwen (Guangzhou University of Chinese Medicine, Guangzhou 510405, China) Abstract: The intestinal epithelium follows the paradigms of stem cell biology established for other self-renewing tissues. With a unique topology, it constitutes a two-dimensional structure folded into valleys and hills: the proliferative crypts and the differentiated villi. Its unprecedented self-renewal rate appears reflected in a high susceptibility to renewal and those that underlie colorectal cancer are remarkably symmetrical. Wnt BMP and Notch signaling cascades play a critical roles in epithelial self-renewal and cancer. The malignant transformation of the intestinal epithelial cells does not rely on mutational changes in generic oncogenes or tumor suppressors, rather, the transformation process appears to specifically subvert the physiological regulators of the epithelium, the mutation of colon stem cell maybe an initial story of oncogenesis, colorectal cancer is the results of depressed of colon stem cell differention. Key words: colorectal cancer; crypt stem cell; tumour stem cell; signaling transduction 10 10 [1-2] [3] 2006-12-29 2007-01-23 (30400602 30672687) (1971 ) * E-mail wen_bin04@yahoo.com.cn

322 [1,4] [2-5] 1 2005 Glinsky [6] 10 (stem cell-like) [7] Sell Pierce [8] (first-hit) 4 7 [9] (second-hit) Trosko Chang [10] (tumor stem cell theory) 2 [4] - (transit-amplifying cell, TA Cells) (binary lineage decisions) [11] [12-13] - - (transit-amplifying cell, TA) TA 3 4 - (transitamplifying zone) (intestinal subepithelial myofibroblasts ISEMFs) [14] ISEMFs Wnt ISEMFs [15] [12] 3 70 50% 5% 1951 Jackman Mayo Dukes - (adenomacarcinoma sequence)

323 - - 3.1 5 7 d - Campbell [16] (the bottom-up theory) Shih [17] ( the top-down theory) Preston [18] Campbell [19] Cairns 1975 (immortal strand) [20] ( )(original strand) TA DNA Cairns [4] 3.2 Wnt - (cell fate) (dominant force) [2-3,21] [21-22] Notch BMP [23-25] Wnt WNT 19 FZ 10 [26] Wnt FZ canonical β-catenin planar Ca 2+ [27] canonical Wnt E-cadherin β-catenin (destruction complex) β-catenin β- catenin Wnt β-catenin FZ β-catenin [26-27] β-catenin TCF4 MYC [28] van de Wetering [29] DNA TCF4/β-catenin [27] Dickkopf 1 (Dkk-1, Wnt ) [30]

324 Tcf Dkk-1 Wnt Wnt 2005 Gregorieff [21] Wnt sfrp-5 Wnt-3 Wnt-6 Wnt-9b Fz-5 BMPs TGF-β Wnts [24,31] (juvenile polyposis syndrome JPS) 50 200 JPS 50% JPS Smad4 BMP1A (Smad TGF-β ) ( )BMP JPS BMP Notch Notch [24-26] Notch HES1 Hes1 Hes1 -/- [32] Math1 Hes1 [32-33] Math1 - Math1 [33] Hes1 -/- Notch Hes1 bhlh 4 - [1] Potten C S, Owen G, Hewitt D, et al. Stimulation and inhibition of proliferation in the small intestinal crypts of the mouse after in vivo administration of growth factors. Gut, 1995, 36(6): 864-873 [2] Pinto D, Clevers H. Wnt, stem cells and cancer in the intestine. Biol Cell, 2005, 97(3): 185-196 [3] Radtke F, Clevers H. Self-renewal and cancer of the gut: two sides of a coin. Science, 2005, 307(5717): 1904-1909 [4] Radtke F, Clevers H, Riccil O. From gut homeostasis to cancer. Curr Mol Med, 2006, 6(3): 275-289 [5] Galderisi U. Stem cells and brain cancer. Cell Death Differ, 2006, 13: 5-11 [6] Glinsky G V, Beregovska O, Glinskn A B. Microarray analysis identifies a death-from-cancer signature predicting therapy failure in patients with multiple types of cancer. J Clin Invest, 2005, 115(6): 1503-1521 [7] Yuspa S H, Morgan D L. Mouse skin cells resistant to terminal differentiation associated with initiation of carcinogenesis. Nature, 1981, 293(5827): 72-74 [8] Sell S, Pierce C B. Maturation arrest stem cell differentiation is a common pathway for the cellular portion of carcinomas and epithelial cancers. Lab Invest, 1994, 70(1): 6-22 [9] Renan M J. How many mutations are required for tumorigenesis: Implications from human cancer data. Mol Carcinogensis, 1993, 7(3):139-146 [10] Trosko J E, Chang C C. Stem cell theory of carcinogenesis. Toxicol Lett, 1989, 49(2-3): 283-295 [11] Marshman E, Booth C, Potten C S. The intestinal epithelial stem cell. Bioessays, 2002, 24(1): 91-98 [12] Walters Julian R F. Cell and molecular biology of the small intestine: new insights into differentiation,growth and repair. Gastroenterol. 2004, 20(2):70-76 [13] Potten C S, Booth C, Pritchard D M. The intestinal epithelial stem cell: the mucosal governor. Int J Path, 1997, 78(4): 219-243 [14] Powell D M, Mifflin R C, Valentich J D, et al. Myofibroblasts

325 intestinal subepithelial myofibroblasts. Am J Physiol, 1999, 277(2pt1), C183-C201 [15] Andoh A, Fujino S, Okuno T, et al. Intestinal subepithelial myofibroblasts in inflammatory bowel disease. J Gastroenterol, 2002, 37(Suppl 14): 33-37 [16] Campbell F, Geraghty J M, Appleton M A, et al. Increased stem cell somatic mutation in the non-neoplastic colorectal mucosa of patients with familial adenomatous polyposis. Hum Pathol, 1998, 29(12): 1531-1535 [17] Shih I M. Top-down morphogenesis of colorectal tumors. Proc Natl Acad Sci USA, 2001, 98(5): 2640-2645 [18] Preston S L. Bottom-up histogenesis of colorectal adenomas: origin in the monocryptal adenoma and initial expansion by crypt fission. Cancer Res, 2003, 63(13): 3819-3825 [19] Campbell F, Appleton M A, Shields C J, et al. No difference in stem cell somatic mutation between the background mucosa of right-and left-sided sporadic colorectal carcinomas. J Pathol, 1998, 186(1): 31-35 [20] Cairns J. Mutation selection and the natural history of cancer. Nature, 1975, 255(5505): 197-200 [21] Gregorieff A. Expression pattern of Wnt signaling components in the adult intestine. Gastroenterology, 2005, 129(2): 626-638 [22] Leedham S J, Brittan M, McDonald S A C, et al. Intestinal stem cells. J Cell Mol Med, 2005, 9(1): 11-24 [23] van Es J H, Clevers H. Notch and Wnt inhibitors as potential new drugs for intestinal neoplastic disease. Trends Mol Med, 2005, 11(11): 496-502 [24] Katoh Y, Katoh M. Hedgehog signaling pathway and gastrointestinal stem cell signaling network. Int J Mol Med, 2006, 18(6): 1019-1023 [25] van Es J H, van Gijn M E, Riccio O. Notch/γ-secretase inhibition turns proliferative cells in intestinal crypts and adenomas into goblet cells. Nature, 2005, 435(7044): 959-963 [26] Reya T, Clevers H. Wnt signalling in stem cells and cancer. Nature, 2005, 434(7043): 843-850 [27] Kohn A D, Moon R T. Wnt and calcium signaling: β-cateninindependent pathways. Cell Calcium, 2005, 38(3-4): 439-446 [28] He T C. Identification of c-myc as a target of the APC pathway. Science, 1998, 281(5382): 1509-1512 [29] van de Wetering M, Sancho E, Verweij C, et al. The β-catenin/ TCF-4 complex imposes a crypt progenitor phenotype on colorectal cancer cells. Cell, 2002, 111(2): 241-250 [30] Pinto D, Gregorieff A, Begthel H, et al. Canonical Wnt signals are essential for homeostasis of the intestinal epithelium. Genes Dev, 2003, 17(14): 1709-1713 [31] Shi Y, Massague J. Mechanisms of TGF-β signaling from cell membrane to the nucleus. Cell, 2003, 113(6): 685-700 [32] Jensen J, Pedersen E E, Galante P, et al. Control of endodermal endocrine development by Hes-1. Nat Genet, 2000, 24 (1): 36-44 [33] Yang Q, Bermingham N A, Finegold M J, et al. Requirement of Math1 for secretory cell lineage commitment in the mouse intestine. Science, 2001, 294(5549): 2155-2116 6 80 http://www.cas.ac.cn