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骨膜蛋白阳性的肿瘤相关成纤维细胞通过破坏宫颈鳞癌细胞中的淋巴管内皮屏障促进淋巴结转移。

Periostin cancer-associated fibroblasts promote lymph node metastasis by impairing the lymphatic endothelial barriers in cervical squamous cell carcinoma.

机构信息

Department of Obstetrics and Gynecology, the First Affiliated Hospital of Guangzhou Medical University, China.

Department of Gynecological Oncology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Mol Oncol. 2021 Jan;15(1):210-227. doi: 10.1002/1878-0261.12837. Epub 2020 Nov 12.

Abstract

Lymph node metastasis (LNM), a critical prognostic determinant in cancer patients, is critically influenced by the presence of numerous heterogeneous cancer-associated fibroblasts (CAFs) in the tumor microenvironment. However, the phenotypes and characteristics of the various pro-metastatic CAF subsets in cervical squamous cell carcinoma (CSCC) remain unknown. Here, we describe a CAF subpopulation with elevated periostin expression (periostin CAFs), located in the primary tumor sites and metastatic lymph nodes, that positively correlated with LNM and poor survival in CSCC patients. Mechanistically, periostin CAFs impaired lymphatic endothelial barriers by activating the integrin-FAK/Src-VE-cadherin signaling pathway in lymphatic endothelial cells and consequently enhanced metastatic dissemination. In contrast, inhibition of the FAK/Src signaling pathway alleviated periostin-induced lymphatic endothelial barrier dysfunction and its related effects. Notably, periostin CAFs were incapable of impairing endothelial barrier integrity, which may explain the occurrence of CAF-enriched cases without LNM. In conclusion, we identified a specific periostin CAF subset that promotes LNM in CSCC, mainly by impairing the lymphatic endothelial barriers, thus providing the basis for potential stromal fibroblast-targeted interventions that block CAF-dependent metastasis.

摘要

淋巴结转移(LNM)是癌症患者的一个关键预后决定因素,其受到肿瘤微环境中大量异质性癌症相关成纤维细胞(CAFs)的显著影响。然而,在宫颈鳞状细胞癌(CSCC)中,各种促转移 CAF 亚群的表型和特征尚不清楚。在这里,我们描述了一个具有较高骨桥蛋白表达的 CAF 亚群(骨桥蛋白 CAFs),其位于原发性肿瘤部位和转移性淋巴结中,与 CSCC 患者的 LNM 和不良预后呈正相关。在机制上,骨桥蛋白 CAFs 通过激活淋巴管内皮细胞中的整合素-FAK/Src-VE-cadherin 信号通路,损害淋巴管内皮屏障,从而增强转移性扩散。相比之下,抑制 FAK/Src 信号通路可减轻骨桥蛋白诱导的淋巴管内皮屏障功能障碍及其相关作用。值得注意的是,骨桥蛋白 CAFs 无法损害内皮屏障的完整性,这可能解释了富含 CAF 而没有 LNM 的情况的发生。总之,我们鉴定了一个特定的骨桥蛋白 CAF 亚群,它在 CSCC 中促进 LNM,主要通过损害淋巴管内皮屏障,从而为潜在的基质成纤维细胞靶向干预提供了基础,以阻断 CAF 依赖性转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245a/7782076/24e8955e5f9a/MOL2-15-210-g001.jpg

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