Abstract In addition to activating and inactivating mutations in protein coding genes, cancer cells commonly show gross structural abnormalities in their genomes. These include deletions, duplications, inversions, and translocations. Unfortunately, conventional gene targeting- and RNAi-based approaches are not easily applied to study chromosome rearrangements. To enable this, we developed flexible CRISPR-based in vivo models systems that drive the generation of targeted genomic breaks, and the induction of gross chromosomal aberrations, without the need for viral delivery of CRISPR components. Using this approach we have produced novel transgenic systems to recapitulate two recurrent genomic rearrangements observed in human colorectal cancer and provide the first evidence that these events are sufficient to initiate tumor development. Further, we show that these tumors, while histologically similar to Apc mutant CRC, are molecularly distinct and are exquisitely sensitive to therapies targeting the Wnt pathway. We are now using this and other genome-editing platforms to systematically investigate the role of other recurrent genetic alterations in GI malignancies. Citation Format: Teng Han, Emma M. Schatoff, Charles Murphy, Maria Paz Zafra, John Wilkinson, Olivier Elemento, Lukas E. Dow. Modeling colorectal cancer in vivo through CRISPR-based genome editing [abstract]. In: Proceedings of the AACR Special Conference: Advances in Modeling Cancer in Mice: Technology, Biology, and Beyond; 2017 Sep 24-27; Orlando, Florida. Philadelphia (PA): AACR; Cancer Res 2018;78(10 Suppl):Abstract nr PR01.
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