Division of Gene Regulation, Institute for Advanced Medical Research, Keio University School of Medicine, Tokyo, Japan.
Department of Respiratory Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Cancer Res. 2021 Sep 15;81(18):4751-4765. doi: 10.1158/0008-5472.CAN-20-3941. Epub 2021 Jul 21.
Invasive lung adenocarcinoma (LADC) can be classified histologically as lepidic, acinar, papillary, micropapillary, or solid. Most LADC tumors manifest several of these histological subtypes, with heterogeneity being related to therapeutic resistance. We report here that in immunodeficient mice, human LADC cells form tumors with distinct histological features, MUC5AC-expressing solid-type or cytokeratin 7 (CK7)-expressing acinar-type tumors, depending on the site of development, and that a solid-to-acinar transition (SAT) could be induced by the tumor microenvironment. The TGFβ-Smad signaling pathway was activated in both tumor and stromal cells of acinar-type tumors. Immortalized cancer-associated fibroblasts (CAF) derived from acinar-type tumors induced SAT in 3D cocultures with LADC cells. Exogenous TGFβ1 or overexpression of an active form of TGFβ1 increased CK7 expression and reduced MUC5AC expression in LADC cells, and knockdown of mRNA in CAFs attenuated SAT induction. RNA-sequencing analysis suggested that angiogenesis and neutrophil recruitment are associated with SAT . Our data indicate that CAF-mediated paracrine TGFβ signaling induces remodeling of tumor tissue and determines the histological pattern of LADC, thereby contributing to tumor heterogeneity. SIGNIFICANCE: CAFs secrete TGFβ to induce a solid-to-acinar transition in lung cancer cells, demonstrating how the tumor microenvironment influences histological patterns and tumor heterogeneity in lung adenocarcinoma.
浸润性肺腺癌 (LADC) 在组织学上可分为贴壁型、腺泡型、乳头型、微乳头型或实体型。大多数 LADC 肿瘤表现出几种组织学亚型,异质性与治疗抵抗有关。我们在这里报告,在免疫缺陷小鼠中,人 LADC 细胞形成具有不同组织学特征的肿瘤,MUC5AC 表达的实体型或细胞角蛋白 7 (CK7) 表达的腺泡型肿瘤,这取决于肿瘤的发展部位,并且肿瘤微环境可以诱导实体型向腺泡型的转变 (SAT)。TGFβ-Smad 信号通路在腺泡型肿瘤的肿瘤和基质细胞中均被激活。来自腺泡型肿瘤的永生化癌相关成纤维细胞 (CAF) 在与 LADC 细胞的 3D 共培养中诱导 SAT。外源性 TGFβ1 或 TGFβ1 的活性形式的过表达增加了 LADC 细胞中 CK7 的表达并降低了 MUC5AC 的表达,而 CAFs 中的 mRNA 的敲低减弱了 SAT 的诱导。RNA 测序分析表明,血管生成和中性粒细胞募集与 SAT 有关。我们的数据表明,CAF 介导的旁分泌 TGFβ 信号诱导肿瘤组织的重塑,并决定 LADC 的组织学模式,从而促进肿瘤异质性。意义:CAF 分泌 TGFβ 诱导肺癌细胞发生实体型向腺泡型的转变,证明了肿瘤微环境如何影响肺腺癌的组织学模式和肿瘤异质性。
Free Radic Biol Med. 2018-11-1
Cancers (Basel). 2025-5-22
Neuro Oncol. 2025-2-3
Front Cell Dev Biol. 2024-4-17
Nat Rev Cancer. 2020-1-24
Nat Rev Cancer. 2019-12-13
Trends Cancer. 2019-11