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Updated: Jun 7, 2026

Isolation of Circulating Tumor Cells in an Orthotopic Mouse Model of Colorectal Cancer
Published on: July 18, 2017
An Msh2 conditional knockout mouse for studying intestinal cancer and testing anticancer agents
Melanie H Kucherlapati1, Kyeryoung Lee, Andrew A Nguyen
1Department of Medicine/Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. mkucherlapati@partners.org
Background & Aims:
Mutations in the DNA mismatch repair (MMR) gene MSH2 cause Lynch syndromes I and II and sporadic colorectal cancers. Msh2(null) mice predominantly develop lymphoma and do not accurately recapitulate the colorectal cancer phenotype.
Methods:
We generated and examined mice with a conditional Msh2 disruption (Msh2(LoxP)), permitting tissue-specific gene inactivation. ECMsh2(LoxP/LoxP) mice carried an EIIa-Cre transgene, and VCMsh2(LoxP/LoxP) mice carried a Villin-Cre transgene. We combined the VCMsh2(LoxP) allele with either Msh2(Delta7null) (VCMsh2(LoxP/null)) or Msh2(G674D) mutations (VCMsh2(LoxP/G674D)) to create allelic phase mutants. These mice were given cisplatin or 5-fluorouracil/leucovorin and oxaliplatin (FOLFOX), and their tumors were measured by magnetic resonance imaging.
Results:
Embryonic fibroblasts from ECMsh2(LoxP/LoxP) mice do not express MSH2 and are MMR deficient. Reverse transcription, polymerase chain reaction, and immunohistochemistry from VCMsh2(LoxP/LoxP) mice demonstrated specific loss of Msh2 messenger RNA and protein from epithelial cells of the intestinal tract. Microsatellite instability was observed in all VCMsh2 strains and limited to the intestinal mucosa. Resulting adenomas and adenocarcinomas had somatic truncation mutations to the adenomatous polyposis coli (Apc) gene. VCMsh2(LoxP/LoxP) mice did not develop lymphoma. Comparison of allelic phase tumors revealed significant differences in multiplicity and size. When treated with cisplatin or FOLFOX, tumor size was reduced in VCMsh2(LoxP/G674D) but not VCMsh2(LoxP/null) tumors. The apoptotic response to FOLFOX was partially sustained in the intestinal mucosa of VCMsh2(LoxP/G674D) animals.
Conclusions:
Msh2(LoxP/LoxP) mice in combination with appropriate Cre recombinase transgenes have excellent potential for preclinical modeling of Lynch syndrome, MMR-deficient tumors of other tissue types, and use in drug development.
Insights
Conditional Msh2 disruption in mice models Lynch syndrome and colorectal cancer. These models accurately show microsatellite instability and response to chemotherapy, aiding drug development for MMR-deficient tumors.
Area of Science:
- Genetics and Molecular Biology
- Cancer Research
- Animal Models
Background:
- Mutations in the DNA mismatch repair (MMR) gene MSH2 are linked to Lynch syndromes and sporadic colorectal cancers.
- Msh2-deficient mice typically develop lymphoma, not accurately modeling colorectal cancer phenotypes.
Purpose of the Study:
- To create and examine mice with tissue-specific Msh2 gene inactivation for improved colorectal cancer modeling.
- To evaluate the efficacy of chemotherapy in these novel mouse models.
Main Methods:
- Generated conditional Msh2 knockout mice (Msh2(LoxP)) with tissue-specific Cre recombinase expression (EIIa-Cre and Villin-Cre).
- Created allelic phase mutants by combining Msh2(LoxP) with null or specific mutation alleles.
- Treated mice with cisplatin or FOLFOX chemotherapy and monitored tumor growth using MRI.
Main Results:
- Villin-Cre mediated Msh2 deletion specifically in intestinal epithelial cells, leading to MMR deficiency and microsatellite instability.
- Tumors in these mice exhibited somatic mutations in the Apc gene, characteristic of colorectal cancer.
- Msh2(LoxP/G674D) mice showed reduced tumor size and sustained apoptosis in response to FOLFOX, unlike Msh2(LoxP/null) mice.
Conclusions:
- Msh2(LoxP/LoxP) mice with specific Cre transgenes serve as effective preclinical models for Lynch syndrome and MMR-deficient colorectal cancers.
- These models are valuable for evaluating drug efficacy in MMR-deficient tumor contexts.
- The study highlights the potential for developing targeted therapies for MSH2-associated cancers.
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