Disruption of the circadian clock drives Apc loss of heterozygosity to accelerate colorectal cancer

• Published in: Science advances Vol. 8; no. 32; p. eabo2389
• Main Authors: Chun, Sung Kook, Fortin, Bridget M, Fellows, Rachel C, Habowski, Amber N, Verlande, Amandine, Song, Wei A, Mahieu, Alisa L, Lefebvre, Austin E Y T, Sterrenberg, Jason N, Velez, Leandro M, Digman, Michelle A, Edwards, Robert A, Pannunzio, Nicholas R, Seldin, Marcus M, Waterman, Marian L, Masri, Selma
• Format: Journal Article
• Language: English
• Published: United States American Association for the Advancement of Science 12.08.2022
• Subjects: Biomedicine and Life Sciences; Cancer; Circadian Clocks - genetics; Circadian Rhythm - genetics; Colorectal Neoplasms - genetics; Colorectal Neoplasms - metabolism; Humans; Loss of Heterozygosity; Molecular Biology; Organoids - metabolism; SciAdv r-articles; Wnt Signaling Pathway
• ISSN: 2375-2548; 2375-2548
• DOI: 10.1126/sciadv.abo2389

An alarming rise in young onset colorectal cancer (CRC) has been reported; however, the underlying molecular mechanism remains undefined. Suspected risk factors of young onset CRC include environmental aspects, such as lifestyle and dietary factors, which are known to affect the circadian clock. We find that both genetic disruption and environmental disruption of the circadian clock accelerate driven CRC pathogenesis in vivo. Using an intestinal organoid model, we demonstrate that clock disruption promotes transformation by driving loss of heterozygosity, which hyperactivates Wnt signaling. This up-regulates , a known Wnt target, which drives heightened glycolytic metabolism. Using patient-derived organoids, we show that circadian rhythms are lost in human tumors. Last, we identify that variance between core clock and Wnt pathway genes significantly predicts the survival of patients with CRC. Overall, our findings demonstrate a previously unidentified mechanistic link between clock disruption and CRC, which has important implications for young onset cancer prevention.