Related Experiment Video
Updated: Jun 9, 2025

Discovery of Driver Genes in Colorectal HT29-derived Cancer Stem-Like Tumorspheres
Published on: July 22, 2020
GPA33 expression in colorectal cancer can be induced by WNT inhibition and targeted by cellular therapy
Teresa Börding1, Tobias Janik1, Philip Bischoff1,2,3
1Institute of Pathology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Abstract:
GPA33 is a promising surface antigen for targeted therapy in colorectal cancer (CRC). It is expressed almost exclusively in CRC and intestinal epithelia. However, previous clinical studies have not achieved expected response rates. We investigated GPA33 expression and regulation in CRC and developed a GPA33-targeted cellular therapy. We examined GPA33 expression in CRC cohorts using immunohistochemistry and immunofluorescence. We analyzed GPA33 regulation by interference with oncogenic signaling in vitro and in vivo using inhibitors and conditional inducible regulators. Furthermore, we engineered anti-GPA33-CAR T cells and assessed their activity in vitro and in vivo. GPA33 expression showed consistent intratumoral heterogeneity in CRC with antigen loss at the infiltrative tumor edge. This pattern was preserved at metastatic sites. GPA33-positive cells had a differentiated phenotype and low WNT activity. Low GPA33 expression levels were linked to tumor progression in patients with CRC. Downregulation of WNT activity induced GPA33 expression in vitro and in GPA33-negative tumor cell subpopulations in xenografts. GPA33-CAR T cells were activated in response to GPA33 and reduced xenograft growth in mice after intratumoral application. GPA33-targeted therapy may be improved by simultaneous WNT inhibition to enhance GPA33 expression. Furthermore, GPA33 is a promising target for cellular immunotherapy in CRC.
Insights
GPA33 is a target for colorectal cancer (CRC) therapy, but expression varies. Inhibiting WNT signaling boosts GPA33, enhancing CAR T-cell therapy effectiveness against CRC tumors.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- GPA33 is a surface antigen expressed in colorectal cancer (CRC), showing potential for targeted therapy.
- Previous clinical trials targeting GPA33 in CRC have yielded suboptimal response rates.
- Understanding GPA33 expression dynamics and regulation is crucial for improving CRC treatment strategies.
Purpose of the Study:
- To investigate GPA33 expression patterns and regulation in colorectal cancer.
- To develop and evaluate GPA33-targeted cellular therapy for CRC.
- To identify strategies for enhancing GPA33 expression and therapeutic efficacy.
Main Methods:
- GPA33 expression analysis in CRC cohorts using immunohistochemistry and immunofluorescence.
- In vitro and in vivo investigation of GPA33 regulation via oncogenic signaling interference.
- Engineering and assessment of anti-GPA33-CAR T cells for CRC treatment.
Main Results:
- Consistent intratumoral heterogeneity of GPA33 expression was observed in CRC, with antigen loss at tumor edges and metastatic sites.
- GPA33-positive cells exhibited a differentiated phenotype and low WNT pathway activity.
- Downregulation of WNT activity increased GPA33 expression in vitro and in GPA33-negative subpopulations.
- GPA33-CAR T cells demonstrated activation and reduced xenograft growth upon intratumoral application.
Conclusions:
- GPA33 expression in CRC is heterogeneous and linked to WNT pathway activity and tumor progression.
- Simultaneous WNT inhibition may enhance GPA33 expression, improving GPA33-targeted therapies.
- GPA33 represents a promising target for cellular immunotherapy in colorectal cancer.
Related Concept Videos
Tumor Progression
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Canonical Wnt Signaling Pathway
Abnormal Proliferation
Non-Canonical Wnt Signaling Pathways
Targeted Cancer Therapies
There are several types of targeted therapies against...

