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Conservation of oncogenic signaling pathways in C. elegans
Cancer is driven by combinations of genetic and epigenetic alterations that perturb proliferation, differentiation, survival, genome maintenance, metabolism, and interactions with the microenvironment. C. elegans cannot reproduce every feature of human malignancy, but it can isolate conserved pathway functions in a whole-animal context. The most informative models, therefore, pair a defined molecular lesion with a measurable phenotype and a clearly stated human-cancer analogy.
RTK-RAS-ERK signaling
Receptor tyrosine kinase (RTK) activation promotes receptor dimerization or rearrangement and trans-autophosphorylation of cytoplasmic tyrosine residues7. Phosphotyrosine docking sites recruit adaptor proteins and guanine nucleotide exchange factors, which convert RAS from the GDP-bound to the GTP-bound state7,8. RAS-GTP recruits RAF kinases to the plasma membrane, where RAF activation initiates the RAF–MEK–ERK kinase cascade8,9. Activated ERK phosphorylates cytoplasmic and nuclear substrates that regulate proliferation, differentiation, survival, and cell fate10. Oncogenic RAS mutations or aberrant RTK activity can therefore sustain pathway output independently of normal extracellular control8,11.
C. elegans encodes multiple RTKs, including LET-23/EGFR and EGL-15/FGFR12. During vulval induction, LIN-3/EGF activates LET-23 and the conserved SEM-5/GRB2–SOS-1–LET-60/RAS–LIN-45/RAF–MEK-2–MPK-1/ERK cascade12,13,14. ERK-dependent regulation of LIN-1 and LIN-31 determines vulval precursor-cell fates12,15. Reduced pathway activity produces a vulvaless phenotype, whereas excessive activation—such as gain-of-function let-60 alleles—produces the multivulva (Muv) phenotype15,16. The same pathway also regulates excretory duct development, uterine-vulval connections, and several male and germline processes12,17,18,19. EGL-15/FGFR signaling controls sex-myoblast migration, muscle maintenance, axon guidance, and fluid homeostasis20,21,22,23. Because pathway output is tissue- and stage-dependent, informative cancer-related models are defined by a specified molecular lesion, relevant tissue context, and quantitative readout12.
Notch signaling
Notch is a contact-dependent signaling pathway in which a membrane-bound Delta/Serrate/LAG-2 (DSL) ligand on one cell activates a Notch receptor on an adjacent cell24,25. During receptor maturation, an S1 cleavage occurs in the secretory pathway24. Ligand binding then exposes the S2 site to ADAM-family proteases, followed by S3 cleavage by γ-secretase24,25. The released Notch intracellular domain enters the nucleus and forms a transcriptional complex with CSL-family DNA-binding proteins and Mastermind-family coactivators24. In C. elegans, the corresponding nuclear factors are LAG-1 and SEL-825.
C. elegans has two Notch receptors, LIN-12 and GLP-125. In the adult germline, distal tip cells (DTCs) provide DSL ligands, principally LAG-2 and APX-1, to GLP-1 on adjacent germline stem/progenitor cells (GSCs)26,27. High GLP-1 activity maintains mitotic proliferation; as cells move away from the DTC, reduced Notch signaling permits the GLD pathways to promote meiotic entry28,29. Gain-of-function glp-1 alleles can maintain ectopic mitosis and produce germline tumors25,30. LIN-12 controls several somatic cell-fate decisions, including the anchor-cell/ventral-uterine decision; constitutive LIN-12 activity in vulval precursor cells produces a multivulva (Muv) phenotype, and activated GLP-1 can ectopically specify vulval fates25,31,32.
Proximal germline tumors can also arise through a non-cell-autonomous “latent niche” mechanism33. In pro-1 mutants or glp-1(ar202) gain-of-function mutants, delayed meiotic entry allows undifferentiated proximal germ cells to encounter DSL ligands, including APX-1 and ARG-1, from maturing gonadal sheath cells33. Continued GLP-1/Notch activation then sustains mitosis and tumor maintenance33. By contrast, loss of gld-1 causes germline tumors through failure of meiotic differentiation and should not be classified as direct activation of the Notch pathway34.
Wnt signaling
Wnt signaling regulates cell fate, polarity, migration, and proliferation through multiple context-dependent branches35,36. In the canonical β-catenin pathway, Wnt binding to Frizzled and LRP5/6 inhibits the AXIN–APC–GSK3–CK1 destruction complex, allowing β-catenin to accumulate and cooperate with TCF/LEF factors in the nucleus35,36. Dysregulation of this pathway is central to several human cancers, particularly colorectal cancer36.
C. elegans uses both a BAR-1/β-catenin canonical pathway and a divergent Wnt/β-catenin asymmetry pathway37,38. BAR-1-dependent signaling contributes to postembryonic cell-fate decisions, including vulval development37,38. In the asymmetry pathway, WRM-1/β-catenin and LIT-1/NLK reduce nuclear POP-1/TCF in one daughter cell, while SYS-1/β-catenin acts as a transcriptional coactivator; unequal POP-1 and SYS-1 levels generate distinct daughter-cell fates37,38,39. These worm-specific features differ from the mammalian canonical Wnt pathway and should be interpreted as distinct signaling architectures37,38.
Non-canonical Wnt signaling controls cell polarity and migration through Frizzled-dependent and receptor tyrosine kinase-like pathways35,40. In C. elegans, Wnt ligands and receptors guide neuronal and mesodermal migrations and orient asymmetric divisions37,41. These readouts are relevant to cancer biology because altered polarity and motility are prerequisites for invasion, although the worm does not model metastatic dissemination itself36,37.
Representative Wnt-pathway phenotypes include vulval-development defects in bar-1 loss-of-function animals42, embryonic polarity defects in mom-2 or mom-5 mutants37,43, and cell-migration or axon-guidance defects in mig-1 or prkl-1 mutants37,41. These strains are pathway-specific developmental models and are not direct equivalents of malignant tumors36,37.
Selection of cancer-relevant phenotypes and readouts
The term “tumor” should be used cautiously in C. elegans cancer-related models6. C. elegans germline tumors contain ectopically proliferating, differentiation-defective germ cells and therefore provide the closest worm analog of neoplastic overgrowth30,34,44. In contrast, the multivulva (Muv) phenotype reflects ectopic vulval cell-fate induction and tissue outgrowth; it is a sensitive readout of RAS/MAPK or Notch pathway activity but is not a malignant tumor15,16,25. In the distal germline, distal tip cell (DTC)-derived Notch signaling maintains the mitotic progenitor pool28,44. Gain-of-function glp-1 alleles or defects in meiotic differentiation genes such as gld-1 can expand mitotic germ cells30,34,44. In vulval precursor cells, let-60/RAS gain-of-function or reduced activity of negative regulators such as LIP-1 can produce or enhance Muv phenotypes15,16,45. These phenotype categories are summarized schematically in Figure 1. Figure 1A shows the normal anatomical context and baseline readouts used in C. elegans cancer-related assays. Figure 1D links LIN-3/LET-23-dependent RAS/MAPK signaling to vulval precursor-cell fate decisions, whereas Figure 1E illustrates GLP-1/Notch signaling in the distal germline stem-cell niche and latent-niche tumor mechanisms. Figure 1F further separates the BAR-1-dependent canonical Wnt branch from the Wnt/β-catenin asymmetry pathway, emphasizing that Wnt-related readouts in C. elegans should be interpreted as developmental or pathway-sensitive phenotypes rather than direct malignant-tumor models. Recommended quantitative endpoints include the percentage of Muv animals, number of ectopic vulval protrusions, mitotic-zone length, phospho-histone H3-positive germ cells, gonad area, fertility, reporter localization, and dose-response relationships15,28,30,44,45. Table 1 summarizes representative strains, their molecular lesions, phenotypes, quantitative assays, and cancer-related applications.
Genetic and experimental tools
C. elegans models can be generated by classical mutagenesis, transgenesis, RNA interference (RNAi), or targeted genome editing46,47,48. Gonadal microinjection efficiently creates extrachromosomal arrays46, whereas irradiation, microparticle bombardment, and single-copy insertion systems can generate integrated or low-copy transgenic lines and reduce copy-number and mosaicism artifacts47,48. Site-specific recombinases, Mos1-mediated single-copy insertion, zinc-finger nucleases, TALENs, and especially CRISPR/Cas9 enable targeted deletions, point mutations, endogenous tagging, conditional alleles, and humanized variants48,49. The method should be selected based on whether the study requires transient knockdown, stable loss, gain-of-function, tissue specificity, endogenous expression, or replacement with a human cancer variant48,49.
RNAi can be delivered by gonadal injection, soaking, or feeding bacteria that express double-stranded RNA50. It is rapid and scalable, but knockdown efficiency varies among tissues and genes, and RNAi produces a phenocopy rather than a defined heritable allele50. For compound studies, model validation should include genetic rescue or epistasis, independent alleles, and orthogonal readouts to distinguish pathway-specific effects from toxicity, developmental delay, or reduced food intake6,44.
The practical workflow for applying these models is summarized in Figure 2. In this framework, a cancer-related question is first mapped to a conserved signaling pathway and a defined molecular lesion, followed by selection of an appropriate C. elegans strain or engineered model, a quantitative phenotype, and validation controls. This stepwise design helps distinguish pathway-specific modulation from general toxicity or developmental delay and provides a rational basis for subsequent applications in mechanism studies, compound prioritization, or chemosensation-based assays.
Previous applications
Published studies illustrate how pathway-defined C. elegans models can support early-stage compound prioritization. In a mutation-specific EGFR platform, Bae et al. expressed LET-23 chimeric receptors containing the human EGFR tyrosine-kinase domain in vulval cells, including wild-type, L858R, and T790M/L858R variants. The activating L858R and T790M/L858R chimeras produced a multivulva (Muv) phenotype, enabling the percentage of Muv animals to serve as a quantitative screening endpoint. Gefitinib and erlotinib suppressed the L858R-associated Muv phenotype but not the T790M/L858R-associated phenotype. In a pilot screen of 8,960 small molecules, AG1478 and U0126 were identified as inhibitors of EGFR- or MEK-dependent signaling, respectively51. Medina et al. further evaluated the repurposing candidates itraconazole, disulfiram, etodolac, and ouabain in pathway-defined mutant strains representing Wnt, Notch, and RAS–ERK perturbations. Rescue of sterility, infertility, or Muv phenotypes was used as a phenotypic endpoint for compound prioritization52. More recently, Makhoul et al. tested EAPB02303 in MT2124 let-60(n1046gf) and MT4698 let-60(n1700gf) animals. They quantified both the proportion of animals displaying the Muv phenotype and the number of ectopic vulvae per animal and observed phenotypic suppression consistent with reduced LET-60/RAS–MAPK pathway activity. Their complementary lifespan and DAF-16 localization experiments also supported an effect on insulin/IGF-1–PI3K–AKT signaling53. Nevertheless, phenotypic rescue in these worm models should be interpreted as evidence of pathway modulation and early-stage compound prioritization, rather than direct proof of anticancer efficacy in mammalian tumors.
Germline tumor models distinguish mechanistically different routes from persistent proliferation. Gain-of-function glp-1 alleles sustain GLP-1/Notch-dependent mitosis in the germline, whereas pro-1 mutants reveal a non-cell-autonomous latent-niche mechanism in which proximal sheath-cell DSL ligands support aberrant mitotic maintenance. In contrast, gld-1 loss-of-function causes germline tumor formation primarily through defective meiotic differentiation rather than through direct activation of the Notch pathway. These models therefore provide complementary systems for studying stem-cell maintenance, differentiation failure, and microenvironment-dependent tumor initiation30,33,34.
Other cancer-related applications include LIN-35/Rb synthetic-lethal screens, CEP-1/p53-dependent apoptosis assays, and studies of AMPK and PI3K signaling6,44. Chemosensation-based applications should be considered separately from tumor modeling and drug screening. In these studies, C. elegans are exposed to cancer-associated volatile or urinary metabolites, and behavioral responses are measured as potential diagnostic signals. Such assays do not model tumor growth or anticancer drug activity and require analytical and clinical validation before diagnostic translation54,55.
Perspectives
C. elegans is most valuable when the biological question depends on conserved cell-autonomous or systemic mechanisms that can be tied to a quantitative phenotype. Its limitations—including absence of adaptive immunity, vasculature, organ-specific epithelia, and natural metastasis—preclude direct modeling of many tumor–stroma and immune interactions. Future opportunities include endogenous editing of patient-derived variants, tissue-specific perturbation, high-content imaging, automated phenotyping, and integration of worm genetics with human cancer genomics. Findings should be treated as mechanism- or target-generating evidence and validated in mammalian cells or vertebrate models before translational conclusions are drawn.