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Updated: Jul 10, 2026

In vitro Organoid Culture of Primary Mouse Colon Tumors
Published on: May 17, 2013
The bone morphogenetic protein pathway is active in human colon adenomas and inactivated in colorectal cancer
Liudmila L Kodach1, Sylvia A Bleuming, Alex R Musler
1Center for Experimental and Molecular Medicine, Academic Medical Center, Amsterdam, the Netherlands.
Background:
Transforming growth factor beta (TGFbeta) is important in colorectal cancer (CRC) progression. Bone morphogenetic proteins (BMPs), a subgroup within the TGFbeta superfamily, recently also have been implicated in CRC, but their precise role in CRC has yet to be investigated.
Methods:
The authors used a tissue microarray and immunohistochemistry of BMP receptors and signal transduction elements in adenomas and CRC specimens to elucidate the role of BMP signaling in CRC carcinogenesis.
Results:
The adenoma specimens expressed all 3 BMP receptors (BMPRs) (BMPR type 1a [BMPR1a], BMPR1b, and BMPR2) and expressed SMAD family member 4 (SMAD4); and 20 of 22 adenomas (90.9%) exhibited active BMP signaling, as determined by nuclear phosphorylated SMAD1,5,8 (pSMAD1,5,8) expression. In contrast, pSMAD1,5,8 nuclear staining was present in 5 CRC specimens (22.7%) but was lost in 17 CRC specimens (77.3%; cancer vs adenoma; P< .0001). The earliest loss of pSMAD1,5,8 nuclear staining was detected in regions of high-grade dysplasia/carcinoma in situ within adenomas. CRCs showed frequent loss of BMPR2 (P< .0001) and SMAD4 (P< .01) compared with adenomas. Negative expression of BMPR2 was observed more frequently in earlier stage cancers (Dukes stage B) than in advanced cancers (Dukes stage C; P< .05).
Conclusions:
Taken together, the current results indicated that loss of BMP signaling correlates tightly with progression of adenomas to cancer and occurs relatively early during cancer progression.
Insights
Loss of bone morphogenetic protein (BMP) signaling is strongly linked to colorectal cancer (CRC) progression. This critical BMP signaling loss occurs early, during the transition from adenomas to CRC, indicating its importance in cancer development.
Area of Science:
- Oncology
- Molecular Biology
- Gastroenterology
Background:
- Transforming growth factor beta (TGFbeta) superfamily plays a role in colorectal cancer (CRC) progression.
- Bone morphogenetic proteins (BMPs), a subgroup of TGFbeta, are implicated in CRC, but their specific function remains unclear.
Purpose of the Study:
- To investigate the role of BMP signaling in colorectal cancer (CRC) carcinogenesis.
- To elucidate the expression and activity of BMP receptors and signaling pathways in adenomas and CRC.
Main Methods:
- Utilized a tissue microarray and immunohistochemistry on adenoma and CRC specimens.
- Assessed the expression of BMP receptors (BMPR1a, BMPR1b, BMPR2) and SMAD4.
- Determined active BMP signaling via nuclear phosphorylated SMAD1,5,8 (pSMAD1,5,8) expression.
Main Results:
- Adenomas showed high expression of BMP receptors and SMAD4, with 90.9% exhibiting active BMP signaling (nuclear pSMAD1,5,8).
- Colorectal cancer (CRC) specimens displayed significantly reduced active BMP signaling (22.7% vs 90.9%; P< .0001).
- Loss of BMP signaling was detected early in high-grade dysplasia/carcinoma in situ. Frequent loss of BMPR2 and SMAD4 was observed in CRCs compared to adenomas.
Conclusions:
- Loss of BMP signaling is tightly correlated with the progression from adenomas to colorectal cancer (CRC).
- The disruption of BMP signaling appears to be an early event in colorectal cancer (CRC) progression.
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