Colorectal Cancer Modeling with Organoids: Discriminating between Oncogenic RAS and BRAF Variants

Trends Cancer. 2020 Feb;6(2):111-129. doi: 10.1016/j.trecan.2019.12.005. Epub 2020 Jan 21.

Abstract

RAS and BRAF proteins are frequently mutated in colorectal cancer (CRC) and have been associated with therapy resistance in metastatic CRC patients. RAS isoforms are considered to act as redundant entities in physiological and pathological settings. However, there is compelling evidence that mutant variants of RAS and BRAF have different oncogenic potentials and therapeutic outcomes. In this review we describe similarities and differences between various RAS and BRAF oncogenes in CRC development, histology, and therapy resistance. In addition, we discuss the potential of patient-derived tumor organoids for personalized therapy, as well as CRC modeling using genome editing in preclinical model systems to study similarities and discrepancies between the effects of oncogenic MAPK pathway mutations on tumor growth and drug response.

Keywords: BRAF; CRC; RAS; organoids; targeted therapy.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Cell Culture Techniques
  • Cell Line, Tumor
  • Colorectal Neoplasms / genetics*
  • Colorectal Neoplasms / pathology
  • Drug Resistance, Neoplasm / genetics
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Mutation
  • Organoids / pathology*
  • Proto-Oncogene Proteins B-raf / genetics*
  • Xenograft Model Antitumor Assays / methods
  • ras Proteins / genetics*

Substances

  • Antineoplastic Agents
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf
  • ras Proteins