Colorectal cancer (CRC) is a leading cause of death with high prevalence and mortality worldwide1,2. Due to gene mutations and amplifications, cancer cells grow without proliferative control, which contributes to cell survival3, anti-apoptosis4, and cancer stemness5,6,7. Within a tumor tissue, tumor heterogeneity allows tumor cells to adapt and survive during therapeutic treatments8. Cancer stem cells (CSCs), with a higher rate of self-renewal and pluripotency than differential cancer types, are principally responsible for tumor recurrence9,10 and metastatic CRC11. CSCs present more drug resistance12,13,14 and anti-apoptosis properties15,16, thus surviving tumor chemotherapies.
Here, in order to investigate the potential mechanism for stemness in the selected CRC stem cells, RNAseq was performed to screen differentially expressed genes in tumor spheroids. The cancer cells can form spheroids (also called tumorspheres) when grown in low adherence conditions and stimulated by growth factors added to the cultured medium, including EGF, bFGF, HGF, and IL6. Therefore, we selected CRC HT29 tumor cells that resist chemotherapies with an increase in phosphorylated STAT3 when treated with oxaliplatin and irinotecon17. In addition, HT29 expressed higher stemness markers when cultured in the described culture conditions. The HT29-derived CSC model expressed higher amounts of leucine-rich repeat-containing G-protein-coupled receptor 5 (LGR5)18, a specific marker of CRC stem cells19,20. Moreover, CD133, considered a general biomarker for cancer stem cells, is also highly expressed in the HT29 cell line21. This protocol's purpose is to discover groups of driver genes in the established cancer stem-like tumorspheres based on bioinformatics datasets as opposed to investigating individual oncogenes22. It investigates potential molecular mechanisms through RNAseq analysis followed by available bioinformatics analyses.
Next generation sequencing is a high-throughput, easily available, and reliable DNA sequencing method based on computational help, used to comprehensively screen driver genes for guiding tumor therapies23. The technology is also used for detecting gene expression from reverse transcription of an isolated RNA sample24. However, when screening with RNAseq, the most important genes to target with therapy may not have the highest expression differential between experimental and control samples. Therefore, some bioinformatics were developed for classifying and identifying genes based on current datasets such as KEGG25, GO26,27, or PANTHER28, including Ingenuity Pathway Analysis (IPA)29 and NetworkAnalyst30. This protocol shows the integration of RNAseq and NetworkAnalyst to quickly discover a group of genes in the selected HT29-derived spheroids compared to parental HT29 cells. Application of this method to other disease models is also suggested for discovering differences in important genes.
Compared to investigation of individual gene expression, a high-throughput technique provides advantages to find potential driver genes easily for tumor precision medicine. With useful datasets such as KEGG, GO, or PANTHER, specific genes can be identified based on the disease models, signaling pathways, or specific functions, and this allows quickly focusing on specific, important genes, saving time and research costs. A similar application is used in previous studies14,18,31. Particularly, a tumor is more complicated because different types of tumors express distinguishing genes and pathways for survival and proliferation. Therefore, this protocol can pick up genes distinguishing different tumor types under different circumstances. There is the potential to find effective strategies against cancers by understanding the mechanism of specific gene expression.