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Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Nov 15, 2025; 17(11): 112838
Published online Nov 15, 2025. doi: 10.4251/wjgo.v17.i11.112838
RSPO3 rearrangements in advanced colorectal cancer patients and their relationship with disease characteristics
Raquel Tur, Mar Abad, Elena Filipovich, Maria Belen Rivas, Marta Rodriguez, Juan Carlos Montero, José María Sayagués
Raquel Tur, Department of Pathology, Hospital Nuestra Señora de Sonsoles, Avila 05004, Spain
Mar Abad, Maria Belen Rivas, Marta Rodriguez, Juan Carlos Montero, José María Sayagués, Department of Pathology-University Hospital of Salamanca, Institute of Biomedical Research of Salamanca, Salamanca 37007, Spain
Mar Abad, Marta Rodriguez, José María Sayagués, Department of Cell Biology and Pathology, University of Salamanca, Salamanca 37007, Spain
Elena Filipovich, Department of Oncology, Hospital Nuestra Señora de Sonsoles, Avila 05004, Spain
Juan Carlos Montero, José María Sayagués, Centro de Investigación Biomédica en Red Cáncer, Madrid 28029, Spain
Co-first authors: Raquel Tur and Mar Abad.
Co-corresponding authors: Juan Carlos Montero and José María Sayagués.
Author contributions: Tur R and Abad M contributed equally to this work as co-first authors; Abad M, Tur R, Montero JC, and Sayagués JM designed and analyzed the study; Tur R, Rivas MB, Filipovich E, and Abad M performed the experiments; Tur R, Abad M, Rodriguez M, and Filipovich E contributed to data collection; Abad M and Rodriguez M contributed to funding acquisition; Montero JC and Sayagués JM coordinated the study, wrote the manuscript, and performed the critical revision of the article; Montero JC and Sayagués JM contributed equally to this work as co-corresponding authors and should be considered as senior last authors. All authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of the University Hospital of Avila, No. 2024 05 1657.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data generated in the present study may be found in the Zenodo database under accession number 16750586 or at the following URL: https://zenodo.org/uploads/16750586. All other data generated in the present study may be requested from the corresponding author.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: José María Sayagués, PhD, Senior Scientist, Department of Pathology-University Hospital of Salamanca, Institute of Biomedical Research of Salamanca, Paseo de San Vicente, 58-182, Salamanca 37007, Spain. ppmari@usal.es
Received: August 7, 2025
Revised: September 19, 2025
Accepted: October 27, 2025
Published online: November 15, 2025
Processing time: 99 Days and 6 Hours
Core Tip

Core Tip: In our study, we identified key genomic alterations in advanced colorectal cancer using next-generation sequencing. The most frequent mutations occurred in tumor protein p53, Kirsten rat sarcoma viral oncogene homolog, phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha, B-Raf kinase, and fibroblast growth factor receptor 3, with distinct mutational patterns observed between tumors originating in the left and right colon. Notably, protein tyrosine phosphatase receptor type k::R-spondin 3 fusion were detected in 8% of cases, predominantly in right-sided tumors, and were associated with poorer overall survival, supporting their relevance as both a biomarker and therapeutic target. Larger prospective studies are needed to confirm their clinical utility in colorectal cancer.