Bowel cancer cells mimic skin to spread disease

Cancer cells can mimic skin or muscle cells in aggressive bowel cancer to enable them to spread around the body, according to a new study.

Female scientist placing multi well plate containing cells under microscope in laboratory

Researchers found that cancer cells from some aggressive forms of bowel cancer lost their identity and resembled cells from other parts of the body.

This “shapeshifting” ability of cancer cells to change form, known as cellular plasticity, is an important element in bowel cancer metastasis – when it spreads to other parts of the body and becomes harder to treat, experts say.

It is hoped that by identifying this crucial process and preventing it from occurring scientists could help make current treatments for aggressive bowel cancer more effective and prevent the disease from spreading. 

Rising threat

Bowel cancer kills 16,800 people in the UK every year and is increasingly being diagnosed in younger people. 

A recent study showed early-onset bowel cancer rates in adults aged 25-49 are rising in 27 of 50 countries studied and are growing faster in young women in Scotland and England than in young men.

Adaptive cells

The study, led by researchers from the University of Edinburgh and the Cancer Research UK Scotland Centre, examined a particular gene called Atrx which was already associated with aggressive forms of bowel cancer.

In studies of mice and human tissue, the team found that losing this gene led to more metastatic tumours spreading from the bowel to the liver, lymph nodes, and diaphragm.

A key reason these cancer cells can spread is that they lose their original identity as bowel cells and start to resemble skin-like or muscle-like cells.

Experts suggest these cells may adopt skin-like traits, which are resilient to harsh conditions, to become stronger and more capable of spreading throughout the body.

With more and more young people being diagnosed with bowel cancer, it’s vital we understand how this disease grows and develops. Our research has discovered one way that aggressive bowel cancer is able to spread is by ‘shapeshifting’ to resemble skin or muscle cells rather than bowel cancer cells. This finding will hopefully allow us to develop new treatments to stop these cells changing and prevent the cancer spreading when it becomes much harder to treat.

Diagnosing and treating cancer early and preventing spread to other parts of the body offers the best chance of a positive outcome for patients so research like this, which could lead to new ways to stop that spread, offers great hope. Bowel cancer is of increasing concern globally which is why we invested £5.5million to the CRC-STARS initiative (Colorectal Cancer – Stratification of Therapies through Adaptive Responses) jointly led by our Cancer Research UK Scotland Institute, which will bring together more than 40 bowel cancer experts, including researchers who worked on this project, to find new and kinder ways to tackle this disease.

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