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Signaling downstream of tumor-stroma interaction regulates mucinous colorectal carcinoma apicobasal polarity

Nicolas Pasquier1,2,#, Meri Pelkonen1,#, Elise Carraz-Billat2,§, Aleksi Isomorsu1,§,**, Raphaël Merand 2,§, Hellyeh Hamidi1, Jacques R.R. Mathieu2, Jouni Härkönen1, Gautier Follain1, Christophe Desterke3, Zoé Fusilier4,5, Junel Solis6, Irina Belaya6, Pasi Kankaanpää6, Valeria Barresi7, Mohammed-Amine Bani8,9, Johanna Protin2, Jérôme Cartry2, Sabrina Bedja2, Klaus Elenius1,10-12, Florent Peglion2, Fanny Jaulin*, ꟸ,2 & Johanna Ivaska*,ꟸ,1,8-11

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Abstract

Mucinous colorectal carcinoma (MUC CRC) metastasis to multiple organs, and to the peritoneum, is associated with poor prognosis. Disseminating MUC CRCs exhibit either conventional (apical-in) or inverted (apical-out) polarity that influence patient outcomes. Therefore, it is critical to identify how MUC CRC polarity is regulated. Here, we analyze patient-derived MUC CRC xenografts with either apical-in or apical-out polarity. Single-cell analyses reveal α2β1-integrin as a key collagen-binding receptor in these models. Collagen–α2β1-integrin interaction activates Src and upregulates SorLA, an endosomal sorting receptor. SorLA supports apical-in polarity by promoting integrin recycling and HER2/HER3 expression. We observe positive correlation between HER2, HER3 and SorLA in patient samples and higher HER2 expression in apical-in-presenting tissues. Clinically relevant HER2/HER3-targeting antibodies revert tumor sphere polarity, and impede collagen remodeling and adhesion to mouse peritoneum. This SorLA—integrin—HER2/HER3 axis could represent a MUC CRC-patient stratification approach and be relevant for other carcinomas with apical-out phenotypes.

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Image data

[Update with links to Fairdata.fi]

Image processing workflow

This repository contains the image processing code used in the manuscript. Download the required image data and metadata (see Image data section).

  • Clone this repository
  • Configure a Python environment using environment.yml
  • Run ./util/convert_to_zarr.py to generate a Zarr dataset of all the input images.
  • Run ./main.py

Organizational affiliations

1Turku Bioscience Centre, University of Turku and Åbo Akademi University, Turku, Finland
2Université Paris-Saclay, Gustave Roussy, Inserm, UMR 1279 Tumor Cell Dynamics, F-94805, Villejuif, France
3INSERM UMR-S1310, Université Paris-Saclay, Hôpital Paul Brousse, Villejuif F-94805, France
4INSERM-U932, Immunity and Cancer, Institut Curie, Paris-Cité University, Paris, France
5INSERM-U932, Immunity and Cancer, Institut Curie, PSL University, Paris, France
6Turku BioImaging, Åbo Akademi University and University of Turku, Turku, Finland
7Department of Diagnostics and Public Health, University of Verona, Verona 37134, Italy
8Medical Biology and Pathology Department, Pathology Laboratory, Gustave Roussy Cancer Campus, Villejuif, France
9Platform for Experimental and Translational Pathology (PETRA), Gustave Roussy Cancer Campus, Villejuif, France
10Institute of Biomedicine, and MediCity Research Laboratory, University of Turku, Turku, Finland
11Department of Oncology, Turku University Hospital, Turku, Finland
12InFLAMES Research Flagship Center, University of Turku, Turku, Finland
13Department of Life Technologies, University of Turku, Turku, Finland
14Foundation for the Finnish Cancer Institute, Helsinki, Finland
15Western Finnish Cancer Center, University of Turku, Turku FI-20520, Finland

#Equal contribution
§Equal contribution
ꟸ Equal contribution
*Correspondence: johanna.ivaska@utu.fi and fanny.jaulin@gustaveroussy.fr
**Current address: Cell Polarity, Migration and Cancer Unit, Institut Pasteur, CNRS UMR3691, Université Paris Cité, Équipe Labellisée Ligue Contre le Cancer, F-75015, Paris, France

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Image processing source code for the paper "Signaling downstream of tumor-stroma interaction regulates mucinous colorectal carcinoma apicobasal polarity" published in Nature Communications, 04 July 2026, ISSN 2041-1723

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