State Key Laboratory of Oral Diseases, National Center of Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Signal Transduct Target Ther. 2021 Jun 10;6(1):218. doi: 10.1038/s41392-021-00641-0.
To flourish, cancers greatly depend on their surrounding tumor microenvironment (TME), and cancer-associated fibroblasts (CAFs) in TME are critical for cancer occurrence and progression because of their versatile roles in extracellular matrix remodeling, maintenance of stemness, blood vessel formation, modulation of tumor metabolism, immune response, and promotion of cancer cell proliferation, migration, invasion, and therapeutic resistance. CAFs are highly heterogeneous stromal cells and their crosstalk with cancer cells is mediated by a complex and intricate signaling network consisting of transforming growth factor-beta, phosphoinositide 3-kinase/AKT/mammalian target of rapamycin, mitogen-activated protein kinase, Wnt, Janus kinase/signal transducers and activators of transcription, epidermal growth factor receptor, Hippo, and nuclear factor kappa-light-chain-enhancer of activated B cells, etc., signaling pathways. These signals in CAFs exhibit their own special characteristics during the cancer progression and have the potential to be targeted for anticancer therapy. Therefore, a comprehensive understanding of these signaling cascades in interactions between cancer cells and CAFs is necessary to fully realize the pivotal roles of CAFs in cancers. Herein, in this review, we will summarize the enormous amounts of findings on the signals mediating crosstalk of CAFs with cancer cells and its related targets or trials. Further, we hypothesize three potential targeting strategies, including, namely, epithelial-mesenchymal common targets, sequential target perturbation, and crosstalk-directed signaling targets, paving the way for CAF-directed or host cell-directed antitumor therapy.
为了繁荣,癌症在很大程度上依赖于其周围的肿瘤微环境(TME),而 TME 中的癌症相关成纤维细胞(CAFs)对于癌症的发生和进展至关重要,因为它们在细胞外基质重塑、维持干细胞特性、血管形成、肿瘤代谢调节、免疫反应以及促进癌细胞增殖、迁移、侵袭和治疗耐药性等方面具有多种作用。CAFs 是高度异质性的基质细胞,它们与癌细胞的相互作用是由一个复杂而精细的信号网络介导的,该网络由转化生长因子-β、磷酸肌醇 3-激酶/AKT/雷帕霉素靶蛋白、丝裂原活化蛋白激酶、Wnt、Janus 激酶/信号转导和转录激活因子、表皮生长因子受体、Hippo 和核因子 kappa 轻链增强子的 B 细胞等信号通路组成。这些 CAFs 中的信号在癌症进展过程中表现出其自身的特殊特征,并有潜力成为抗癌治疗的靶点。因此,全面了解癌细胞和 CAFs 之间这些信号级联的相互作用对于充分认识 CAFs 在癌症中的关键作用是必要的。在此,在本综述中,我们将总结大量关于介导 CAFs 与癌细胞相互作用及其相关靶点或试验的信号。此外,我们假设了三种潜在的靶向策略,包括上皮-间充质共同靶点、顺序靶点干扰和信号级联靶向,为 CAF 靶向或宿主细胞靶向抗肿瘤治疗铺平道路。
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