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. 2023 May 25;26(6):106958. doi: 10.1016/j.isci.2023.106958

Table 1.

A yearly chronological listing of selected apc mouse models and their phenotypes

Year published Alterations Description of Genotypea Phenotype Reference
1990 Apc Min/+ Nonsense mutation in codon 850 of the Apc gene (Armadillo repeats present). Adenomas of small intestine upon loss of heterozygosity, high mortality with increasing age, is a result of intestinal obstruction and anemia, no progression to adenocarcinoma. Moser et al.21
1994 Apc 1638N Truncation mutation at Exon 15 (1638 aa) made using cellular homologous recombination (Armadillo repeats present). Adenomas of small intestine (fewer than Apc Min/+) often duodenal, occasionally in colon. Fibromatosis (desmoid tumors), gastric carcinoma, cutaneous cysts, occasional liver metastasis found. Fodde et al.32
1995 Apc Δ716/+ Nonsense mutation in codon 716 of the Apc gene using cellular homologous recombination (Armadillo repeats disrupted, C57BL/6J background). Adenomas of the small intestine, ten-fold increase over Apc Min/+. Oshima et al.36
1995 Apc Min/+
p53−/−
Apc Min/+ mutation21 simultaneous with p53 mutation.37 Adenomas of the small intestine, no difference to Apc Min/+ mutation alone. Clarke et al.38
1996 Apc Min/+/Msh2+/+ and Apc Min/+/Msh2+/− and Apc Min/+/Msh2−/− Apc Min/+ mutation21 simultaneous with Msh2 null mutation.39 Accelerated small intestinal tumor formation (MSH2-deficient mice develop lymphomas). Reitmair et al.39
1997 Apc 580S Apc Exon 14 flanked by loxP, induction by Adenovirus-Cre (AxCANCre or AxSRaCre) causes exon fourteen deletion and introduces a frameshift mutation at codon 580 (Armadillo repeats disrupted). Homozygotes develop adenomas of distal rectum attributed to the location of virus delivery. When mice were left to age over one year, approximately 50% progressed to invasive adenocarcinoma, no metastasis. Shibata et al.40
1997 Apc Min/+p53−/− and Apc Min/+ p53+/− Apc Min mutation21 simultaneous with homozygous recessive and heterozygous p53 mutation.41 Adenomas of the small intestine, no difference to Apc Min/+ mutation alone. Fazeli et al.42
1998 Apc 1309/+ Nonsense mutation at codon 1309 (Armadillo repeats and beta-catenin sites present). Adenomas of small intestine, fewer in number and more proximal than Apc Min/+. Quesada et al.43
1998 Apc 1638N p53−/− Apc 1638N mutation32 simultaneous with p53 homozygous recessive mutation.41 Seven-fold increase in desmoid multiplicity. Smits et al.44
1998 Apc +/Δ716/Dpc4/+ Apc Δ716 mutation36 in combination with Dpc4 (known at present as SMAD4) inactivated in the study. Dpc4 (SMAD4) and Apc D716 double heterozygous mice lead to adenomas that develop to adenocarcinomas in the small intestine and colon with submucosal infiltration. Takaku et al.45
1999 Apc 1638N/+/Mlh1 −/− Apc 1638N32 mutation simultaneous with Mlh1 homozygous recessive mutation inactivated in the study. Increased tumor incidence and multiplicity, 30% adenocarcinomas, significantly reduced lifespan, high number of tumors outside the intestine. Edelmann et al.46
2000 Apc Min/+
Mom1/+/
p53−/−
Apc Min/+21 simultaneous with Mom1AKR,47 (known at present as PLA2G2A) heterozygotes and p53 homozygous recessive mutations.48 In this study, contrary to earlier model implications, p53 deficiency increases intestinal adenoma multiplicity, and malignancy mutations were on congenic background (C57BL6/J). Halberg et al.49
2000 Apc Min/+ Msh2−/− Apc 1638N Msh2−/− Apc Min/+21 or Apc1638N/+32 simultaneous with Msh2 null knockout (exon 7 deletion).50 Rapid tumor formation in the small intestine, early death (2–3 months), more tumors in Apc Min/+ Msh2 −/− mice. Smits et al.50
2000 Apc Δ474 Mutant form of mRNA encoding only 474 aa of the Apc gene, created by exon duplication using homologous recombination. Adenomas of the small intestine are present in duodenum, stomach, colon, and mammary gland. Mice treated with COX-2 inhibitor reduced the number of polyps. Sasai et al.51
2002 Apc Min/+ treated with azoxymethane (AOM) Apc Min/+21 simultaneous with random unidentified mutations. Significantly increased incidence of colonic adenocarcinomas. Møllersen, Suzui et al.52,53
2002 Apc Δ716/+ SMAD2/+ Nonsense mutation in codon 716 of the Apc gene36 and heterozygous mutation of SMAD2 inactivated in the study. Combination of Apc mutation and loss of SMAD2 leads to no changes in tumor size or properties compared to Apc Δ716/+ mice. Takaku et al.54
2002 Apc Δ580/+ SMAD2/+ Nonsense mutation in codon 580 of the Apc gene40 and heterozygous mutation of SMAD2 inactivated in study. Combination of Apc mutation and loss of SMAD2 leads to larger tumors, higher incidence of malignant phenotype compared to Apc Δ580/+ mice. Hamamoto et al.55
2002 Apc 1638N/+ Fen1/+ Apc 1638N/+32 and Fen1/+ double heterozygous mice inactivated in study. Increased malignancy of intestinal tumors compared to Apc1638N mice, Fen1 heterozygosity led to microsatellite instability in tumors. Kucherlapati et al.56
2002 Apc Δ716/+ Smad4
Apc Δ716/+ PTGS2(COX-2)
Apc Δ716/+ PTGER2
Nonsense mutation in codon 716 of the Apc gene36 with Smad4,45 PTGS2(COX-2),57 or PTGER258 alterations. Micro-vessel density (MVD) is determined in tumors. Apc Δ716 alone produced polyps, with Smad4 polyps progress to adenocarcinomas, MVD was size dependent; with PTGS and PTGER2, adenoma growth was suppressed, MVD did not increase. Seno et al.59
2003 Apc Δ716/+ CDX2/+ Apc Δ716/+36 and CDX2/+ inactivated in the study, double heterozygous mice. Increased adenoma formation in the colon reported, reduced number of polyps in the small intestine. Aoki et al.60
2004 Apc Δ14/+ Heterozygotes have Apc Exon 14 deletion (Armadillo repeats deleted), Cre-loxP strategy (MeuCre40 transgene). Reported shift of tumors to distal colon and rectum associated with rectal prolapse. Colnot et al.61
2004 Apc Min/+ treated with PhIP PHIP (2-amino-1-methyl-6 phenylimidazo[4,5-b] pyridine) treatment of Apc Min/+21 mice leads to APC LOH. Increased tumor initiation two- to three-fold compared to Apc Min/+ mice. Møllersen et al.62
2005 Apc Min/+ BubR1/+ Apc Min/+21 BubR1/+ double heterozygous mice. Increased colonic tumor initiation compared to Apc Min/+ (ten-fold) and progression by chromosomal instability. Rao et al.63
2005 Apc Min/+ EphB2 −/+ Apc Min/+ EphB3 −/+ Apc Min/+ EphB3 −/− Apc Min/+21 mutation simultaneous with homozygous recessive and heterozygous EphB364 and heterozygous EphB2 mutation65 (dominant negative, transgenic). Reduced adenomas of the small intestine, increased adenocarcinomas of the colorectum. Batlle et al.66
2005 Apc Min/+ MIF −/− Apc Min/+ mutations simultaneous with homozygous MIF (cytokine macrophage migratory inhibitory factor) MIF expression and “tautomerase” activity were higher in Apc Min/+ tumors (epithelial and stromal cells) over normal mucosa, increasing with higher grade tumors. Loss of MIF associated with reduction in the number of adenomas and angiogenesis suggesting MIF drives tumorigenesis. Wilson et al.67
2006 Apc CKO/FRT Exon 14 of Apc flanked by loxP and FRT sites, “FLP e-deleter” used to make Apc CKO/+ mice. Hung et al. used this conditional knockout to create sporadic colon tumors with metastasis by laparoscopy. Kuraguchi et al.68, Hung et al.14
2006 Apc Min/+ treated with dextran sulfate sodium salt (DSS) Apc Min/+ mutation21 in the presence of inflammation and disruption of the intestinal epithelial lining caused by DSS. High incidence of well-differentiated colonic carcinomas. Tanaka et al.69
2006 Apc 580S AhCreT/+ Kras/LSLV12/+ Apc Exon 14 flanked by loxP,40 induction and deletion by AhCre, and Kras V12 mutation. (Cre induction in liver and intestine by napthoflavone treatment). Kras V12 mutation has no effect on intestinal epithelium, APC loss in the presence of activated Kras increases tumor progression, 17% are invasive adenocarcinomas. Sansom et al.70
2006 Apc 1638N/TGFBR2flx/flx Villin-Cre Apc1638N/+32 simultaneous with TGFRB2 −/− predominantly in intestine and colon Tumor incidence unchanged, tumor progression to invasive adenocarcinoma Muñoz et al.71
2006 Apc Min/+ SMAD3−/− Apc Min/+ mutation21 simultaneous with SMAD3 homozygous recessive mutation Tumor progression in distal colon with mixed histology reduces lifespan, no metastases Sodir et al.72
2006 Apc 1638N SMAD4/+ Apc +/1638N32 mutation simultaneous with SMAD4/DPC4 (SMAD4 E6sad, single nucleotide deletion in the exon 6 splice acceptor site results in unstable mRNA). Genes map to the same chromosome and are therefore analyzed "in cis" and "intrans" to each other. Increased tumor multiplicity for double heterozygotes both "incis" and "intrans" LOH of SMAD4 occurs at later stages of tumor progression Alberici et al.73
2007 Apc 1638N/+ Exo1 +/− Fen1+/− Double and triple heterozygous mice combinations for Apc 1638N,32 Exonuclease 1,74 and Flap endonuclease 1.56 Increased tumor incidence, higher progression to malignancy, high incidence of hematopoietic cancers. Kucherlapati et al.75
2007 Apc Min/+
MYD88 −/−
Apc Min/+21
MYD88−/− (innate immune signal transduction adaptor)
MYD88 reduced the number of polyps, mortality decreased. Rakoff-Nahoum et al.76
2008 Apc 2lox14/+ Kras LSL-G12D/+
Apc 2lox14/+ Nras LSL-G12D/+
Fapbl-Cre (or) Villin-Cre
APC Exon 14 flanked by loxP
Kras and Nras flanked by loxP.
Induction and deletion by Fapbl-Cre77 (or) Villin-Cre78
Kras G12D, but not NrasG12D, drives colon cancer progression. Haigis et al.79
2008 Apc1638N
Rb1−/−
Villin-Cre
Apc1638N32
Rbtm2Brn80 Rb1 exon 19(20) flanked by loxP
Villin-Cre78
Tumors of the small and large intestine. The small intestinal tumors are a mixture of adenomas and adenocarcinomas. Tumors of the cecum and proximal colon are mostly adenomas. Kucherlapati et al.81
2009 Apc Min/+ (C57BL/6)
Apc Min/+ (SWR/J)
Apc Min/+ (C57BR/cdcJ
Apc Min/+ (Nbs1DB)
C57BL/6J Apc Min/+21 bred with mice of different backgrounds to make hybrids (SWR/J or C57BR/cdcJ); APC Min/+ also bred with Nbs1DB (Nijmegen breakage syndrome alteration) Hybrid Apc Min/+ mice had decreased adenoma frequency, longer survival, increased adenocarcinomas with occasional metastasis to the lymph nodes.
The presence Nbs1 DB alteration created MSI that did not affect tumor multiplicity, mouse lifespan, or tumor progression
Halberg et al.82
2009 cis-ApcΔ716/+Smad4/+ Mmp7−/− Apc truncated at codon 716 heterozygote,36 Smad4 heterozygote,45 with metalloproteinase (MMP7−/−)83 homozygous recessive MMP7 knockout reduces tumor frequency and size but not invasiveness Kitamura et al.84
2009 Apc 1638N/+ Notch1 Apc 1638N32 mutation simultaneous with a constitutively activated NOTCH1 receptor Notch1 activation reported to result in increased adenoma formation at an earlier age, decreased survival, dysplastic lesions in the colon Fre et al.85
2009 Apc 1322T Nonsense mutation at codon 1322, transcript retain the first 20- armadillo repeats High number of adenomas of the proximal small intestine, small number in the colon and stomach Pollard et al.86
2010 APC Δ242 Gene trap cassette placed between exons 7 and 8 of Apc gives truncated fusion transcript without armadillo repeats Adenomas found higher in numbers, smaller in size, histology same as for ApcMin/+ mice Crist et al.87
2010 Apc 15lox/+ Exon 15 flanked by loxP sites, induction by Fabpl (Fatty acid binding protein) Cre Increased survival due to small number of tumors, larger tumors found in the colon. Ninety-one percent of mice have low-grade adenoma, 50% adenocarcinoma Robanus-Maandag et al.88
2010 Apc 580S/+ Nonsense mutation in codon 580 of the Apc gene40 (armadillo repeats present), induction by Cre transgene under control of Carbonic anhydrase 1 promoter (limited to large intestine) Transgene expression limited to the large intestine, adenoma formation without malignancy. Xue et al.89
2010 Apc fle 1-15 Complete deletion of the entire APC gene (exons 1–15) by Villin-Cre More severe polyposis compared to Apc Min/+ mice Cheung et al.90
2010 APC CKO/FRT/Kras Removal of exon 14 of APC68 by orthotopic application of Adenoviral-Cre, mated to mice with K-ras G12D activation mutation Adenocarcinomas of the colon, 20% liver metastasis Hung et al.,14 Roper et al.91
2010 Apc Min/+ Fbw7ΔG APC Min/+ mutation21 simultaneous with E3 ubiquitination ligase F box and WD repeat containing 7 (Fbw7) exon 5 deleted APC Min+/− Fbw7 −/− mice had enhanced tumor numbers and tumor size, APC Min+/− Fbw7 +/− mice increased tumor number but not tumor size. Sancho et al.92
2010 Apc Min/+
IL17A −/−
Apc Min/+21
IL17A (exons 1 and 2 deleted)93
Intestinal tumorigenesis reduced, recovery of thymic and splenic cellularity. Chae et al.94
2010 Apc Min/+
MYD88 −/−
Apc Min/+21 mutation simultaneous with MYD8895 (innate immune signal transduction adaptor) removal. Lower phospho-ERK levels, fewer and smaller intestinal epithelial cell tumors than Apc Min/+ mice. Lee et al.96
2011 Apc Min/+
IL-17F −/−
Apc Min/+21
IL-17F (exons two deleted)97
Inhibition of spontaneous intestinal tumorigenesis, partially restores thymic atrophy, does not affect splenomegaly. Chae et al.98
2012 Apc Min/+
MCP1 −/−
Apc Min/+21
MCP1/CCL2 −/−
(Monocyte chemoattractant protein, purchased from Jackson Labs)
MCP1 knockout decreased polyps 20–45%. McClellan et al.99
2012 Apc Min/+
IKKβ(transgene/overexpression)
Apc Min/+21
IKKβ (inhibitor of NF-kB).
More early lesions and visible small intestinal and colonic tumors than Apc Min/+. Shaked et al.100
2013 Apc 580S/+ CDX2P-CreERT2 APC 580S40 conditional knockout by CDX2P-CreERT2-Cre regulation through tamoxifen added to chow. Apc knockout led to changes in proliferation, apoptosis, morphology, mitotic spindle axis misorientation, b-catenin nuclear localization, induction of stem cell marker and Sox9, ectopic Paneth-like cell so observed. Feng et al.101
2013 APC CKO/FRT/BrafVE Removal of exon fourteen of APC68 and exons 15–17 of Braf (BrafV600E) by orthotopic application of Adenoviral-Cre leads to focal inactivation of Apc and activation of Braf. Sessile serrated adenoma with dysplasia, adenocarcinoma, and invasive carcinoma. Coffee et al.102
2013 Apc Min/+
IL-8 human transgene/overexpression
Apc Min/+21 IL-8 (interleukin 8/initiator of inflammation) transgene not found naturally in mice. Increased tumorigenesis with transgene. Asfaha et al.103
2014 Apc Min/+ on hybrid background Apc Min/+21 model described earlier82 on different backgrounds, treated with DSS Histology reassessed, tumors develop in the distill colon, with occasional progression to adenocarcinoma. Paul Olson et al.104
2014 Apc 580S/+ Kras LSL-G12D/+ CAC+ CAC-Cre under the control of Carbonic anhydrase promoter inactivates APC40 and Kras Adenomas formed. Byun et al.105
2014 Apc 580S
Pten fl/fl
Kras LSL/+
Villin-Cre (ERT)
APC 580S: conditional knockout40
PTEN: Exons 4–5 flanked by LoxP106
Kras (LoxP/Stop/LoxP)107 gives G12V inducible oncogenic mutation.
Villin-Cre ERT78 is under the control of the Estrogen receptor promoter.
Survival reduction, adenomas, occasional adenocarcinomas of the small intestine, no metastasis. Davies et al.108
2015 Sh Apc
Kras G12D
P53 fl/fl
Lgr5 +/+
Short hairpin RNA regulated by doxycycline responsive promoter/Cre suppresses Apc expression in colonic epithelium. The effects of compound mutations to Kras (activation) and p53 (deactivation) and reversible Apc loss are examined. The histological and molecular features of colon cancer are recapitulated and are reversed upon Apc re-expression. Apc loss increases MYC-dependent proliferation. Dow et al.109
2015 Apc Δ 716
TGFBR2 fl/fl
Villin-Cre (ERT)
Apc36 and TGFBR2 are conditionally knocked down using Villin-Cre (ERT) Only invasive adenocarcinomas found to have inflammatory microenvironment; treatment with DSS caused invasive colon cancer. TGFΒ signaling disruption in the presence of inflammation is sufficient to produce colon cancer Oshima et al.110
2015 Apc fl/fl
KrasG12D/+
PIK3CA+
Apc fl/fl68
Kras G12D
PIK3CA
Cre-Adenovirus (orthotopic injection)
Additional mutations to Apc cause progression to adenocarcinoma and metastasis. Hadac et al.111
2016 A/J Apc Min/+ Apc Min/+21 on A/J background Increased tumor initiation in intestine, increased progression (50% adenocarcinoma). Carcinoma of the colon (21%). Sødring et al.112
2016 Apc CKO/FRT
LSL Kras G12D
CDX2P9.5-G22Cre
Apc68 inactivation, Kras activation by CDX2P9.5-G22Cre (“CDX2” is caudal type homeobox protein, normally expressed in the proximal colon). Moderately differentiated adenocarcinomas of the proximal colon, Kras mutation did not increase malignancy. Kawaguchi et al.113
2016 Apc CKO/FRT
Kras LSL G12D/+
P53KO
Smad4 fl/fl
Car1CreER
Apc68 inactivation, Kras activation, p53 knockout, Smad4 inactivation using Car1CreERT2 (Carbonic anhydrase promoter enhancer under the control of Estrogen receptor 2 controls Cre recombinase upon tamoxifen induction). No adenomas of the small intestine. Apc and Kras led to colonic adenomas. Compound mutations Apc, Kras, p53, Smad4 led to aggressive colonic carcinomas with occasional lymph-node invasion. Tetteh et al.114
2017 Apc Δ716
TP53 +/LSL-R270H
Apc Δ716
TP53 LSL-R270H/LSL-R270H
Villin-Cre ER
Apc36 inactivation by Villin-Cre, TP53 mutant allele TP53R270H/R270H generated after removal of floxed TP53 by Villin-Cre ER. Apc Δ716 with homozygous mutation to p53 die of lymphoma, heterozygotes have invasive adenocarcinomas with evidence of epithelial to mesenchyme transition (EMT). Nakayama et al.115
2017 Apc CKO/FRT Orthotopic injection of PGK::Cre lentivirus, Ad5CMV::Cre, Villin-Cre ER, or U6::sgApc-EFS::Cas9-P2A-GFP into “mucosa bubble” of Apc CKO/FRT68 mice inactivates Apc. Rapid tumor formation with histological features of adenomatous change and CTNNB1 nuclear localization using PGK::Cre lentivirus, Villin-Cre ER.
U6::sgAPC-efs::Cas9-P2A-GFP delivered the Crispr-Cas9 system and inactivated Apc produced tumors in 34% of the mice. (The study also looked at tumor-associated genes TP52 and Kras in combination with Apc).
Roper et al.116
2017 Apc Min/+
TDG fl/fl
Fabpl:Cre
Apc Min/+21 mutation with Thymine DNA Glycosylase (TDG) exons 3–6 are deleted by Fabpl::Cre TDG knockout in Apc Min/+ mice led to a two-fold increase in adenomas in female mice. Xu et al.117
2017 Apc Min/+
PLD1 −/−
AOM/DSS
Apc Min/+21
PLD −/− exons 13–14 deleted.
Decreased number of adenomas. Kang et al.118
2018 Apc Δ716
Kras +/LSL-G12D TGFBR2 fl/fl
TRP53 +/LSL-R270H FBXW7fl/fl
Villin-CreER
Various combinations examined:
Apc Δ71636
Kras +/LSL-G12D119
TGFBR2 fl/fl120
TRP53 +/LSL-R270H121
FBXW7fl/fl122
Villin-CreER78
Apc alteration led to adenomas, addition of TRP53R270H or TGFBR2 deletion induced submucosal invasion. KrasG12D activation led to epithelial-mesenchymal transition (EMT) and lymph vessel intravasation.
Apc alteration with Kras G12D and FBXW7 insufficient for submucosal invasion but not EMT histology. Apc, Kras, TGFBR2 were sufficient for metastasis.
Sakai et al.123
2018 Apc Min/+ Apc Min/+21 Computer learning-based algorithm gives quantitative analysis of immunofluorescence staining on whole colon sections, used to characterize the immune environment. Total leukocytes and T cell sub-populations are counted in colonic mucosa, lymphoid follicles, and tumors. T cells quantified in lymphoid follicles. Cassé et al.124
2018 Apc Min/+
Tob1
AOM/DSS treated
Apc Min/+21
Tob1 −/−
Reduced tumorigenesis Li et al.125
2019 Apc Min/+
Apc 580S
Villin-Cre ERT2 Rosa
Apc Min/+21
Apc 580S40
Villin-Cre ERT2 Rosa (reference not given)
Vaccine to MYB (overexpressed transcription factor in polyps) given to both models with anti PD-1 antibody.
The TetMYB vaccine is shown to be effective in both prophylactic and therapeutic animal models, the vaccine will be used in a future clinical trial. Pham et al.126
2019 Apc580S
Cdx2-CreERT2
Mcl1 fl/fl
LysMCre
AOM/DSS
Apc580S40
Mcl1−/− (neutrophil deficient)127
Microbiota assessed
Neutrophils slowed colon tumor growth and progression over controls by restricting numbers of bacteria and tumor-associated inflammatory response. Triner et al.128
2019 Apc fle 1-15 Apc fle 1–1590
Villin-Cre
TFAMfl/fl129
TFAM deficiency diminishes mitochondrial formation and oxidative phosphorylation, site-specific removal prevented tumorigenesis in Apc-mutant mouse intestines. Wen et al.130
2020 Apc Min/+
Mucin 2 −/−(Winnie)
Apc Min/+21
Mucin 2 −/−(Winnie)131
Winnie-ApcMin/+ mice combine an inflammatory background with a genetic predisposition to CRC. Aberrant crypt foci form in the colon recapitulating human CRC. De Santis et al.132
2021 Apc Min/+ Apc Min/+21 pretreated with rapamycin Rapamycin extended lifespan of Apc Min/+ mice. Parihar et al.133
2021 Apc Min/+ Apc Min/+21 inoculated with Fusobacterium nucleatum, treated with aspirin. Aspirin-supplemented chow is sufficient to inhibit F. nucleatum-potentiated colonic tumorigenesis. Brennan et al.134
2021 Apc fle 1-15
Cdx2P-CreERT2
Apc fle 1–1590 or Apc Min/+ animals treated with NSAID (sulindac) and rexinoid (bexarotene). Significant polyp reduction. Bowen et al.135
a

In Table 1, the first time an Apc mutation is mentioned the alteration is described under “Description of Genotype” and the reference for its creation given under “Reference”. When mentioned in a second study, references for all alterations are given under “Description of Genotype”, and the study examining compound gene alterations is under “Reference”.