Nearly ten percent of patients with colorectal cancer will develop
spread of the cancer to the membrane lining their abdomen, called
the peritoneum. The cells which make up this peritoneum,
mesothelial cells, have been shown to be able to influence cancer
progression. Cancer cells can communicate with many types of cells,
and influence healthy cells to help cancer cells grow. This leads to
the presence of several types of normally healthy cells in a tumour. In
the peritoneum, cancer cells influence mesothelial cells to make the
peritoneum, which normally defends against cancer spreading, into
an environment where cancer cells can grow. This process has been
studied in gastric and ovarian cancer, but not yet in colorectal cancer.
We will utilize new techniques to accurately define what types of cells
are present in tumours which have spread to the peritoneum. With
this new technique, we are able to see what genes are active in each
type of cell in these tumours. This way, we can determine where cells
which are present in tumours come from, and what their functions
are. We will perform experiments to find out how cancer cells
communicate with mesothelial cells, and how mesothelial cells help
colorectal cancer grow. Later on, we will try to disrupt this
communication and see if this strategy might be useful to develop
new treatments for treating or preventing colorectal cancer spreading
to the peritoneum.