Co-targeting Deregulated WNT and MAPK Signaling Pathways Limits Phenotypic Reprogramming of Intestinal Stem Cell

Silvia Palladino1, Rona Yaeger1,2

  • 1Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.

Cancer Research
|July 28, 2026
PubMed

Insights

KRAS-activated colorectal cancer growth stems from reprogrammed stem cells. Targeting WNT and MAPK pathways suppressed plasticity, leading to tumor regression in models.

Area of Science:

  • Oncology
  • Gastroenterology
  • Stem Cell Biology

Background:

  • Colorectal cancer (CRC) progression is complex, involving genetic mutations like KRAS.
  • Intestinal stem cells (Lrg5+) play a critical role in tissue regeneration and cancer development.
  • Understanding stem cell reprogramming in CRC is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate how KRAS hyperactivation reprograms Lrg5+ intestinal stem cells in colorectal cancer.
  • To elucidate the molecular pathways regulating this stem cell plasticity.
  • To evaluate therapeutic strategies targeting these pathways for CRC tumor regression.

Main Methods:

  • Analysis of Lrg5+ intestinal stem cell progeny in KRAS-driven colorectal cancer models.
  • Transcriptional profiling to identify key regulatory pathways (WNT and MAPK).
  • In vitro (cell line) and in vivo (mouse model) experiments to test therapeutic interventions.

Main Results:

  • KRAS hyperactivation induces a regenerative phenotype in Lrg5+ intestinal stem cell progeny.
  • This reprogramming is controlled by a balance between WNT and MAPK signaling pathways.
  • Simultaneous targeting of WNT and MAPK pathways suppressed stem cell plasticity and induced tumor regression.

Conclusions:

  • The interplay between WNT and MAPK pathways is a key driver of colorectal cancer growth via stem cell reprogramming.
  • Targeting this dynamic plasticity offers a promising therapeutic strategy for colorectal cancer.
  • This study provides insights into CRC genomic patterns and novel targeted therapy approaches.

Related Concept Videos

Role Of Notch Signalling In Intestinal Stem Cell Renewal01:12

Role Of Notch Signalling In Intestinal Stem Cell Renewal

Notch signaling was first discovered in Drosophila melanogaster, where it is involved in cell lineage differentiation. Notch signaling regulates the maintenance and differentiation of intestinal stem cells or ISCs by controlling the expression of atonal homolog 1 or Atoh1. Atoh1 directs cells to differentiate into secretory cells.
Direct cell-to-cell contact is needed for the activation of Notch signaling. The signal is initiated when a notch ligand binds to a receptor on an adjacent cell, also...
Canonical Wnt Signaling Pathway02:54

Canonical Wnt Signaling Pathway

The gene encoding the main signaling molecules of the Wnt signaling pathways (the Wnt proteins) was discovered almost four decades ago by Nüsslein-Volhard and Wieschaus. They identified and originally named the gene "wingless" (wg) after a phenotype discovered during their landmark genetic screen in Drosophila for body pattern defects. At around the same time, another researcher named Harold Varmus found that a murine tumor virus activates the mammalian wg homolog, Int-1, which results in tumor...
Role of Ephrin-Eph Signalling in Intestinal Stem Cell Renewal01:22

Role of Ephrin-Eph Signalling in Intestinal Stem Cell Renewal

Erythropoietin-producing hepatocellular carcinoma receptor (Eph) and its ligand, Eph receptor-interacting protein (Ephrin) were first discovered in the human carcinoma cell line, hence the name. Ephrin-Eph interaction guides cells to reach their appropriate location in adult tissues. They also play an essential role in the immune system by helping in immune cell migration, adhesion, and activation. Based on their structure and function, Eph is divided into two classes — EphA and EphB.
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Renewal of Intestinal Stem Cells01:23

Renewal of Intestinal Stem Cells

The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the goblet,...
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...