Studying the function of liver cancer genes in mini-organs

Organoids and cancer research

Organoids are mini organs that can be grown in the lab, from a very small piece of tissue derived from a variety of organs. They have been used in cancer research for a few years, mainly by comparing organoids derived from healthy organs to those derived from tumors. This approach however is not suitable to investigate the function and the role of specific genes that are already known to be mutated in cancer. In order to learn more about tumor formation, there was a need for a clean model in which organoids with and without such mutation can be compared.

New model

The researchers developed a new model in which organoids from the healthy human liver are genetically altered using molecular scissors called CRISPR/Cas9, to study the function of the altered gene in tumor formation. This is especially important in liver cancer, since it is a very heterogeneous type of cancer: a plethora of mutations in different genes are found in different patients. Until now, the function of many of these genes in tumor development remains unknown. The newly developed model therefore is a valuable tool to address the function of specific genes in liver cancer formation.


The model was exploited to shed light on the function of BAP1, a gene that is mutated in approximately 15-20% of liver cancer patients and of which the specific role in liver tumor development so far remained unknown. The researchers found that organoids in which BAP1 was mutated had very different characteristics compared to the healthy organoids: they turned into solid masses that grew faster, were more motile and fused with other organoids. These observations resemble the characteristics of a more invasive malignant tumor. Furthermore, these changes in organoid morphology and behavior can be reversed by adding normal BAP1 to the organoids. In addition, the researchers made organoids with mutations in four genes that are often mutated in liver cancer, and organoids in which a mutation in BAP1 was added. They found that while the organoids in which the four common liver cancer genes were mutated only formed benign adenoma when transplanted into mice, the organoids in which BAP1 was also mutated formed malignant tumors - the so-called cholangiocarcinoma.

Choosing the right model

By combining different approaches- microscopy, time-lapse imaging and “multi-omics” (RNA, DNA and protein-based) techniques, the researchers dug into the mechanisms through which a mutation in BAP1 can affect tumor development. They found that mutatingBAP1 changes which genes are active in the organoids and that these changes in gene activity can be reversed. In addition, these changes may depend on the cell type in which BAP1 is mutated. This may explain why the previously described functions of BAP1 differ between different types of cells and underlines the importance of studying gene function in a relevant model, derived from the organ and the organism of interest.

Tumor modeling

The researchers show mutations in BAP1 are important for the transition from a benign to a malignant liver tumor. Furthermore, they show that their model can be used to model liver tumors by mutating single genes. Since the model makes it relatively straightforward to manipulate healthy human organoids with CRISPR/Cas9, it may be used to study the function of the many genes with unknown function in liver cancer, both individually and together, to look at the combined effect of different mutations. This will provide more insight into the development of liver tumors.



Probing the Tumour Suppressor Function of BAP1 in CRISPRengineered Human Liver Organoids.Benedetta Artegiani, Lisa van Voorthuijsen, Rik G.H. Lindeboom, Daniëlle

Seinstra, Inha Heo, Pablo Tapia, Carmen López-Iglesias, Daniel Postrach, Talya

Dayton, Rurika Oka, Huili Hu, Ruben van Boxtel, Johan H. van Es, Johan

Offerhaus, Peter J. Peters, Jacco van Rheenen, Michiel Vermeulen and Hans

Clevers. Cell Stem Cell 2019.

Hans Clevers is group leader at the Hubrecht Institute, professor of Molecular Genetics at the University Medical Center Utrecht and Utrecht University, Research Director of the Princess Máxima Center for Pediatric Oncology and Oncode Investigator.

This research is a collaboration between the group of Hans Clevers at the Hubrecht Institute, the group of Michiel Vermeulen at the Radboud Institute for Molecular Life Sciences in Nijmegen, the group of Jacco van Rheenen at the Dutch Cancer Institute, the group of Peter Peters at the Maastricht Multimodal Imaging Institute and the Department of Pathology at University Medical Center Utrecht, the Netherlands.

This research is part of Oncode Institute and funded by the NWO (two VENI grants and a MKMD grant), ZonMW (MKMD grant), an ERC Consolidator grant and the Foundation Friends of the Hubrecht Institute.



About the Hubrecht Institute

The Hubrecht Institute is a research institute focused on developmental and stem cell biology. It encompasses 24 research groups that perform fundamental and multidisciplinary research, both in healthy systems and disease models. The Hubrecht Institute is a research institute of the Royal Netherlands Academy of Arts and Sciences ([email protected]between during 9:00AM and 6:00PM Dutch time.

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