000000410 001__ 410 000000410 005__ 20260303145320.0 000000410 0247_ $$2DOI$$a10.6083/M4W66HR9 000000410 037__ $$aETD 000000410 245__ $$aStochastic gene alterations for the study of intestinal homeostasis and cancer 000000410 260__ $$bOregon Health and Science University 000000410 269__ $$a2009 000000410 336__ $$aDissertation 000000410 502__ $$bPh.D. 000000410 520__ $$aColorectal cancer (CRC) is a leading cause of cancer morbidity and mortality, yet the contributions of isolated genetic mutations within specific cell types remain poorly understood. This dissertation uses a novel Pms2cre mouse system that induces stochastic, single‑cell gene alterations at frequencies influenced by DNA mismatch repair status, modeling the random mutation events seen in human cancers. Using this approach, activation of oncogenic k‑Ras was found to give stem cells a competitive advantage, producing expanded mutant cell populations and colonic hyperplasia. In contrast, isolated loss of TgfβrII caused a competitive disadvantage and increased apoptosis along the crypt–villus axis. Additional studies showed that stabilization of c‑Myc accelerates Smad4-driven tumorigenesis, producing more aggressive gastrointestinal adenomas enriched with bone‑marrow–derived cells that may represent tumor‑initiating populations. Together, these findings demonstrate how individual genetic changes in different tissue compartments dynamically shape tumor initiation and progression, offering new insight into CRC biology. 000000410 540__ $$fCC BY 000000410 542__ $$fIn copyright - single owner 000000410 650__ $$aIntestinal Neoplasms$$020955 000000410 650__ $$aGenetics$$019472 000000410 650__ $$aStochastic Processes$$026424 000000410 650__ $$aMice$$036842 000000410 650__ $$aDNA Mismatch Repair$$037646 000000410 650__ $$aMice$$036842 000000410 650__ $$aColorectal Neoplasms$$028197 000000410 691__ $$aSchool of Medicine$$041369 000000410 692__ $$aDepartment of Molecular and Medical Genetics$$041428 000000410 7001_ $$aMiller, Ashleigh$$uOregon Health and Science University$$041354 000000410 7201_ $$aLiskay, R. Michael$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor$$eMentor 000000410 8564_ $$946fa574b-3c3f-479e-97fa-b6d33a264423$$s11339077$$uhttps://digitalcollections.ohsu.edu/record/410/files/411_etd.pdf$$ePublic$$227ab1a37c6cb3a212f356fafe301bbe3$$31 000000410 905__ $$a/rest/prod/44/55/8d/29/44558d29f 000000410 909CO $$ooai:digitalcollections.ohsu.edu:410$$pstudent-work 000000410 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000410 980__ $$aTheses and Dissertations