The CSF1 receptor (CSF1R) encoding mRNA represents a direct target of miR-34a. However, the
in vivo
relevance of the suppression of
CSF1R
by miR-34a for intestinal tumor suppression mediated by the p53/miR-34a pathway has remained unknown. Here,
Apc
Min/+
mice with intestinal-epithelial cell (IEC)-specific deletions of
Mir34a
showed increased formation of adenomas and decreased survival, whereas deletion of
Csf1r
decreased adenoma formation and increased survival. In adenomas deletion of
Mir34a
enhanced proliferation, STAT3 signaling, infiltration with fibroblasts, immune cells and microbes, and tumor stem cell abundance and decreased apoptosis. Deletion of
Csf1r
had the opposite effects. In addition, homeostasis of intestinal secretory and stem cells, and tumoroid formation were affected in opposite directions by deletion of
Mir34a
and
CSF1R
. Concomitant deletion of
Csf1r
and
Mir34a
neutralized the effects of the single deletions. mRNAs containing Mir34a seed-matching sites, which encode proteins related to EMT (epithelial-mesenchymal transition), stemness and Wnt signaling, were enriched after
Mir34a
inactivation in adenomas and derived tumoroids.
Netrin-1/Ntn1
and
Transgelin/Tagln
were characterized as direct targets of Mir34a and Csf1r signaling.
Mir34a
-inactivation related expression signatures were associated with CMS4/CRISB+D, stage 4 CRCs and poor patient survival. In tumoroids the loss of
Mir34a
conferred resistance to 5-FU which was mediated by
Csf1r
. This study provides genetic evidence for a requirement of Mir34a-mediated
Csf1r
suppression for intestinal stem/secretory cell homeostasis and tumor suppression, and suggests that therapeutic targeting of CSF1R may be effective for the treatment of CRCs with defects in the p53/miR-34a pathway.