Colorectal cancer (CRC) is the third most common cancer globally with around 1.3 million cases diagnosed annually. In cases of inherited CRC where none of the rare, high-risk mutations associated with familial syndromes are observed it has been theorised that the heritable risk is due to common, low-risk variants in the genome. Identifying these variants of modest or small effect size has become possible due to the use of large genome-wide association studies (GWAS). Through a meta-analysis of five previous GWAS, Dunlop et al. identified three novel susceptibility loci at 6p21, 11q13.4 and Xp22.2. The aims of this study were to further characterise the Xp22.2 risk locus and investigate the function of the putative risk gene SHROOM2. The variant originally identified in the Dunlop et al. study as showing an association with CRC risk rs5934683 is located between SHROOM2 and GPR143. Genome–wide expression analysis has shown that the variant is an eQTL (expression quantitative locus), affecting expression of SHROOM2, but not GPR143. An important caveat to this analysis was that the commercial array used to measure gene expression does not detect all predicted GPR143 transcripts. Hence it was important to understand whether GPR143 might be involved at the locus and whether there was altered expression in normal colonic mucosa. I have analysed the expression of GPR143 and shown that it is poorly expressed in normal mucosa and that expression of the alternative transcripts is rare. This provided further evidence for the gene of interest at Xp22.2 being SHROOM2 and thus became the focus for further investigation. In order to understand SHROOM2 function a knockout mouse was generated allowing studies of gene function beyond the previously used in vitro systems. Embryonic stem cells containing a Shroom2 knockout first allele were obtained from the International Knockout Mouse Consortium and a novel mouse line established. This mouse line was found to be an incomplete knockout and a Cre recombination strategy was employed to remove the critical exon and create a true null allele for Shroom2. This model was validated as being a true knockout of Shroom2 at both the RNA and protein level and the model subjected to initial phenotyping focusing on tissues where the gene has previously been identified as expressed. To investigate the role of Shroom2 as a CRC susceptibility gene preliminary data has been gathered from crosses to the ApcMin/+ CRC model, and analysis of the intestines of the Shroom2KO line has been undertaken. Two spontaneously occurring anorectal adenomas have been identified in Shroom2 null mice, and an additional mid-colonic polyp phenotype identified when crossed onto the ApcMin/+ background. Additionally, embryonic fibroblasts have been used in growth and wound healing assays to determine what effect total loss of Shroom2 has at a cellular level. Proteomics analysis to identify significantly altered pathways associated with Shroom2 loss has also been carried out and has highlighted a number of interesting targets for further investigation. In summary, a novel Shroom2 knockout mouse model has been developed to investigate the CRC susceptibility locus identified at Xp22.2. Preliminary data from this mouse model appears to confirm SHROOM2 as having a role in tumour development in the large intestine.
|Publication status||Published - 2016|
- colorectal cancer
- mouse model