Mutational inactivation of Apc in the intestinal epithelia compromises cellular organisation

The tumour suppressor adenomatous polyposis coli (Apc) regulates diverse effector pathways essential for cellular homeostasis. Truncating mutations in Apc, leading to the loss of its Wnt pathway and microtubule regulatory domains, are oncogenic in human and murine intestinal epithelia and drive malignant transformation. Whereas uncontrolled proliferation via Wnt pathway deregulation is an unequivocal consequence of oncogenic Apc mutations, it is not known whether loss of its other control systems contribute to tumorigenesis. Here we employ in vitro models of tumorigenesis to unmask the molecular barriers erected by Apc that maintain normal epithelial homeostasis in the murine intestinal epithelia. We determine that (i) enterocyte proliferation, (ii) microtubule dynamics and (iii) epithelial morphology are controlled by three independent molecular pathways, each corrupted by oncogenic Apc mutations. The key result of the study is to establish that Apc regulates three individual biological fates in the intestinal epithelia, through three distinct effector pathways, a significant advance to our understanding of normal tissue homeostasis, the molecular architecture of epithelial tissue and the aetiology of intestinal cancer.