Colorectal Cancer Cells-Derived Exosomal PIK3CA Mutation DNA Promotes Tumor Metastasis by Activating Fibroblast and

Rui Wang1,2, Wanming Li1, Yuqiong Lv1

  • 1Department of Cell Biology, Key Laboratory of Cell Biology, Ministry of Public Health, Key Laboratory of Medical Cell Biology, Ministry of Education, China Medical University, Shenyang, 110122, China.

Insights

Colorectal cancer (CRC) exosomes carrying PIK3CA mutant DNA activate fibroblasts into cancer-associated fibroblasts (CAFs), promoting metastasis. Detecting exosomal PIK3CA and IL6 may aid CRC diagnosis and treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Metastasis Research

Background:

  • Exosomes mediate tumor metastatic microenvironment (TME) formation via substance delivery.
  • Research on exosomal RNA and proteins is extensive, but exosomal DNA's role remains underexplored.
  • PIK3CA mutations are implicated in various cancers, including colorectal cancer (CRC).

Purpose of the Study:

  • To investigate the role of exosomal PIK3CA mutant DNA in colorectal cancer (CRC) metastasis.
  • To elucidate the mechanism by which exosomal DNA influences the tumor microenvironment.
  • To explore the diagnostic and therapeutic potential of targeting exosomal DNA and related pathways in CRC.

Main Methods:

  • Analysis of colorectal cancer cell-derived exosomes.
  • In vitro co-culture experiments with fibroblasts and exosomes.
  • In vivo metastasis models (e.g., lung metastasis).
  • Detection of PIK3CA mutation in exosomes and cancer-associated fibroblasts (CAFs).
  • Measurement of IL6 levels in CAFs and patient serum.

Main Results:

  • PIK3CAH1047R mutant DNA in CRC exosomes transforms fibroblasts into CAFs by activating the PI3K pathway.
  • CAFs promote tumor cell migration and lung metastasis via elevated IL6 secretion.
  • PIK3CAH1047R mutation is found in CAFs at primary and metastatic sites.
  • CRC patients with PIK3CAH1047R mutation and high IL6 show increased metastasis risk.

Conclusions:

  • Exosomal PIK3CAH1047R DNA drives fibroblast activation and promotes CRC metastasis.
  • Serum exosomal PIK3CA mutation and IL6 levels are potential diagnostic/prognostic biomarkers for CRC metastasis.
  • Targeting PIK3CA mutation and IL6 offers a novel therapeutic strategy for CRC.

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