The adenomatous polyposis coli (APC) gene has been found to be mutated
during the development of sporadic colorectal cancers as well as in f
amilial adenomatous polyposis (FAP). These conditions result from init
ially somatic and germ line mutations respectively. In both cases, the
expressed protein in truncated at its carboxyterminal region. Investi
gations into the role of wild-type APC have led to a better understand
ing of the importance of mutations in the genesis and progression of a
denomas. APC was shown to regulate cell growth and cell death, to bind
beta-catenin, and to colocalize with microtubules. APC truncation was
therefore hypothesized to alter cell multiplication and cells are no
longer able to undergo apoptosis. Owing to its beta-catenin binding, A
PC can modify the pool of beta-catenin which is in part utilized in th
e assembly of adherens junctions and in nuclear signalling. Finally, A
PC involvement in microtubule-dependent locomotion may explain some ch
anges in cell movement which are observed in adenomas. The establishem
ent of murine mutants and of normal and malignant intestinal cell cult
ures have allowed to assess biochemical and physiological properties o
f APC and its putative role in the genesis of colorectal carcinogenesi
s. Moreover, these experimental models have suggested a variety of pos
sible therapeutic approaches.