Ozmen Ece, Demir Tevriz Dilan, Ozcan Gulnihal
Koç University Graduate School of Health Sciences, Istanbul, Türkiye.
Koç University Research Center for Translational Medicine (KUTTAM), Istanbul, Türkiye.
Front Mol Biosci. 2024 Mar 18;11:1340124. doi: 10.3389/fmolb.2024.1340124. eCollection 2024.
Enhanced knowledge of the interaction of cancer cells with their environment elucidated the critical role of tumor microenvironment in tumor progression and chemoresistance. Cancer-associated fibroblasts act as the protagonists of the tumor microenvironment, fostering the metastasis, stemness, and chemoresistance of cancer cells and attenuating the anti-cancer immune responses. Gastric cancer is one of the most aggressive cancers in the clinic, refractory to anti-cancer therapies. Growing evidence indicates that cancer-associated fibroblasts are the most prominent risk factors for a poor tumor immune microenvironment and dismal prognosis in gastric cancer. Therefore, targeting cancer-associated fibroblasts may be central to surpassing resistance to conventional chemotherapeutics, molecular-targeted agents, and immunotherapies, improving survival in gastric cancer. However, the heterogeneity in cancer-associated fibroblasts may complicate the development of cancer-associated fibroblast targeting approaches. Although single-cell sequencing studies started dissecting the heterogeneity of cancer-associated fibroblasts, the research community should still answer these questions: "What makes a cancer-associated fibroblast protumorigenic?"; "How do the intracellular signaling and the secretome of different cancer-associated fibroblast subpopulations differ from each other?"; and "Which cancer-associated fibroblast subtypes predominate specific cancer types?". Unveiling these questions can pave the way for discovering efficient cancer-associated fibroblast targeting strategies. Here, we review current knowledge and perspectives on these questions, focusing on how CAFs induce aggressiveness and therapy resistance in gastric cancer. We also review potential therapeutic approaches to prevent the development and activation of cancer-associated fibroblasts via inhibition of CAF inducers and CAF markers in cancer.
对癌细胞与其环境相互作用的深入了解阐明了肿瘤微环境在肿瘤进展和化疗耐药中的关键作用。癌症相关成纤维细胞是肿瘤微环境的主要参与者,促进癌细胞的转移、干性和化疗耐药性,并减弱抗癌免疫反应。胃癌是临床上最具侵袭性的癌症之一,对抗癌治疗具有耐药性。越来越多的证据表明,癌症相关成纤维细胞是胃癌患者肿瘤免疫微环境不良和预后不佳的最主要危险因素。因此,靶向癌症相关成纤维细胞可能是克服对传统化疗药物、分子靶向药物和免疫疗法耐药性、提高胃癌患者生存率的核心。然而,癌症相关成纤维细胞的异质性可能会使癌症相关成纤维细胞靶向治疗方法的开发变得复杂。尽管单细胞测序研究开始剖析癌症相关成纤维细胞的异质性,但研究界仍需回答以下问题:“是什么使癌症相关成纤维细胞具有促肿瘤作用?”;“不同癌症相关成纤维细胞亚群的细胞内信号传导和分泌组有何不同?”;以及“哪些癌症相关成纤维细胞亚型在特定癌症类型中占主导地位?”。揭示这些问题可为发现有效的癌症相关成纤维细胞靶向策略铺平道路。在此,我们综述了关于这些问题的现有知识和观点,重点关注癌症相关成纤维细胞如何在胃癌中诱导侵袭性和治疗耐药性。我们还综述了通过抑制癌症中的癌症相关成纤维细胞诱导剂和癌症相关成纤维细胞标志物来预防癌症相关成纤维细胞发展和激活的潜在治疗方法。
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