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Updated: Feb 5, 2026

The Organoid Reconstitution Assay ORA for the Functional Analysis of Intestinal Stem and Niche Cells
Published on: November 20, 2017
An intestinal stem cell niche in
Ayesha T Chawla1, Agnes D Cororaton2, Michael O Idowu3,4
1VCU Wright Center for Clinical and Translational Research, Virginia Commonwealth University, Richmond, VA 23298, USA.
Abstract:
C-terminal binding protein 2 (CtBP2) drives intestinal polyposis in the Apcmin mouse model of human Familial Adenomatous Polyposis. As CtBP2 is targetable by an inhibitor of its dehydrogenase domain, understanding CtBP2's role in adenoma formation is necessary to optimize CtBP-targeted therapies in Apc mutated human neoplasia. Tumor initiating cell (TIC) populations were substantially decreased in ApcminCtbp2+/- intestinal epithelia. Moreover, normally nuclear Ctbp2 was mislocalized to the cytoplasm of intestinal crypt stem cells in Ctbp2+/- mice, both Apcmin and wildtype, correlating with low/absent CD133 expression in those cells, and possibly explaining the lower burden of polyps in Apcmin Ctbp2+/- mice. The CtBP inhibitor 4-chloro-hydroxyimino phenylpyruvate (4-Cl-HIPP) also robustly downregulated TIC populations and significantly decreased intestinal polyposis in Apcmin mice. We have therefore demonstrated a critical link between polyposis, intestinal TIC's and Ctbp2 gene dosage or activity, supporting continued efforts targeting CtBP in the treatment or prevention of Apc mutated neoplasia.
Insights
C-terminal binding protein 2 (CtBP2) drives intestinal polyposis. Reducing CtBP2 levels or inhibiting its activity significantly decreased tumor-initiating cells and polyps in mouse models, supporting CtBP-targeted therapies for Apc-mutated cancers.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- C-terminal binding protein 2 (CtBP2) is implicated in driving intestinal polyposis, particularly in the Apcmin mouse model relevant to human Familial Adenomatous Polyposis.
- Understanding CtBP2's function in adenoma formation is crucial for developing effective CtBP-targeted therapies for Apc-mutated cancers.
Purpose of the Study:
- To investigate the role of CtBP2 gene dosage and activity in intestinal polyposis and tumor-initiating cell (TIC) populations.
- To evaluate the therapeutic potential of a CtBP inhibitor in preclinical models of Apc-mutated neoplasia.
Main Methods:
- Analysis of intestinal epithelia in ApcminCtbp2+/- mice to assess TIC populations and CtBP2 localization.
- Treatment of Apcmin mice with the CtBP inhibitor 4-chloro-hydroxyimino phenylpyruvate (4-Cl-HIPP) to evaluate its effect on TIC populations and polyposis.
Main Results:
- Reduced CtBP2 levels (ApcminCtbp2+/-) significantly decreased intestinal TIC populations.
- CtBP2 mislocalization to the cytoplasm in intestinal crypt stem cells correlated with lower CD133 expression and reduced polyp burden.
- CtBP inhibitor 4-Cl-HIPP administration downregulated TIC populations and decreased intestinal polyposis in Apcmin mice.
Conclusions:
- A critical link exists between intestinal polyposis, TIC populations, and CtBP2 gene dosage or activity.
- Targeting CtBP demonstrates therapeutic promise for the treatment or prevention of Apc-mutated neoplasia.
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