Most genetically engineered mouse (GEM) models for colon cancer are based on tissuewide or germline gene modification, resulting in tumors predominantly of the small intestine. Several of these models involve modification of the adenomatous polyposis coli (Apc) gene and are excellent models for familial cancer predisposition syndromes. We have developed a stochastic somatic mutation model for sporadic colon cancer that presents with isolated primary tumors in the distal colon and recapitulates the entire adenoma-carcinoma-metastasis axis seen in human colon cancer. Using this model, we have analyzed tumors that are either solely mutant in the Apc gene or in combination with another colon cancer-associated mutant gene, the Kras G12D allele. Because of the restricted location in the distal colon, the natural history of the tumors can be analyzed by serial colonoscopy. As the mammalian target of rapamycin (mTOR) pathway is a critical component of the complex signaling network in colon cancer, we used this model to assess the efficacy of mTOR blockade through rapamycin treatment of mice with established tumors. After treatment, Apc mutant tumors were more than 80% smaller than control tumors. However, tumors that possessed both Apc and Kras mutations did not respond to rapamycin treatment. These studies suggest that mTOR inhibitors should be further explored as potential colorectal cancer therapies in patients whose tumors do not have activating mutations in KRAS.colon cancer | mouse model | adenovirus | colonoscopy | mammalian target of rapamycin C olon cancer continues to be one of the leading causes of cancerrelated deaths. The prognosis for patients with early stage cancers is good, but the majority of cancers are diagnosed at later stages (1). Most drug development strategies use transplantation of human tumor cells into immunocompromised mice. These models are not truly predictive of response in human patients because they are derived from tumor cell lines grown in vitro and are implanted into ectopic sites that bear no resemblance to the colonic microenvironment (2). Furthermore, these xenograft models fail to recapitulate the heterogeneous nature of cancer and the critical endogenous interplay between tumor and supporting stroma. Genetically engineered mouse (GEM) models circumvent these shortcomings, making them an attractive platform for biomarker discovery, study of cancer biology, and preclinical therapeutic trials (2, 3).Several GEMs that use germline or tissuewide modification of genes known to be mutated in human colon cancer spontaneously develop intestinal tumors (4). Depending on the gene(s) that is modified, these are reasonable models for inherited cancer predisposition syndromes, such as familial adenomatous polyposis (FAP) and hereditary nonpolyposis colon cancer (HNPCC). However, these are not models for sporadic colon cancer, which comprises 75-80% of all cases in humans (5). In these mouse models for FAP and HNPCC, the genetic mutations are present in the germline. Consequently, they are exp...