@article{7ab1abf2797b4ab2b9310b9393ea8539,
title = "Molecular characterization of colorectal cancer related peritoneal metastatic disease",
abstract = "A significant proportion of colorectal cancer (CRC) patients develop peritoneal metastases (PM) in the course of their disease. PMs are associated with a poor quality of life, significant morbidity and dismal disease outcome. To improve care for this patient group, a better understanding of the molecular characteristics of CRC-PM is required. Here we present a comprehensive molecular characterization of a cohort of 52 patients. This reveals that CRC-PM represent a distinct CRC molecular subtype, CMS4, but can be further divided in three separate categories, each presenting with unique features. We uncover that the CMS4-associated structural protein Moesin plays a key role in peritoneal dissemination. Finally, we define specific evolutionary features of CRC-PM which indicate that polyclonal metastatic seeding underlies these lesions. Together our results suggest that CRC-PM should be perceived as a distinct disease entity.",
keywords = "Colorectal Neoplasms/pathology, Humans, Neoplasms, Second Primary, Peritoneal Neoplasms/genetics, Peritoneum/metabolism, Quality of Life",
author = "Lenos, {Kristiaan J} and Sander Bach and {Ferreira Moreno}, Leandro and {Ten Hoorn}, Sanne and Sluiter, {Nina R} and Sanne Bootsma and {Vieira Braga}, {Felipe A} and Nijman, {Lisanne E} and {van den Bosch}, Tom and Miedema, {Daniel M} and {van Dijk}, Erik and Bauke Ylstra and Ruth Kulicke and Davis, {Fred P} and Nicolas Stransky and Smolen, {Gromoslaw A} and {Coebergh van den Braak}, {Robert R J} and IJzermans, {Jan N M} and Martens, {John W M} and Sally Hallam and Beggs, {Andrew D} and Kops, {Geert J P L} and Nico Lansu and Bastiaenen, {Vivian P} and Klaver, {Charlotte E L} and Lecca, {Maria C} and {El Makrini}, Khalid and Elbers, {Clara C} and Dings, {Mark P G} and {van Noesel}, {Carel J M} and Onno Kranenburg and Medema, {Jan Paul} and Jan Koster and Lianne Koens and Punt, {Cornelis J A} and Tanis, {Pieter J} and {de Hingh}, {Ignace H} and Bijlsma, {Maarten F} and Tuynman, {Jurriaan B} and Louis Vermeulen",
note = "{\textcopyright} 2022. The Author(s).",
year = "2022",
month = aug,
day = "4",
doi = "10.1038/s41467-022-32198-z",
language = "English",
volume = "13",
pages = "4443",
journal = "Nature Communications",
issn = "2041-1723",
publisher = "Nature Publishing Group",
number = "1",
}