The First Central Clinical School, Tianjin Medical University, Tianjin, 300070, China.
School of Medicine, Nankai University, Tianjin, 300071, China.
J Transl Med. 2024 Sep 12;22(1):840. doi: 10.1186/s12967-024-05613-w.
BACKGROUND: The tumor microenvironment (TME) exerts profound effects on tumor progression and therapeutic efficacy. In hepatocellular carcinoma (HCC), the TME is enriched with cancer-associated fibroblasts (CAFs), which secrete a plethora of cytokines, chemokines, and growth factors that facilitate tumor cell proliferation and invasion. However, the intricate architecture of the TME in HCC, as well as the mechanisms driving interactions between tumor cells and CAFs, remains largely enigmatic. METHODS: We analyzed 10 spatial transcriptomics and 12 single-cell transcriptomics samples sourced from public databases, complemented by 20 tumor tissue samples from liver cancer patients obtained in a clinical setting. RESULTS: Our findings reveal that tumor cells exhibiting high levels of SPP1 are preferentially localized adjacent to hepatic stellate cells (HSCs). The SPP1 secreted by these tumor cells interacts with the CD44 receptor on HSCs, thereby activating the PI3K/AKT signaling pathway, which promotes the differentiation of HSCs into CAFs. Notably, blockade of the CD44 receptor effectively abrogates this interaction. Furthermore, in vivo studies demonstrate that silencing SPP1 expression in tumor cells significantly impairs HSC differentiation into CAFs, leading to a reduction in tumor volume and collagen deposition within the tumor stroma. CONCLUSIONS: This study delineates the SPP1-CD44 signaling axis as a pivotal mechanism underpinning the interaction between tumor cells and CAFs. Targeting this pathway holds potential to mitigate liver fibrosis and offers novel therapeutic perspectives for liver cancer management.
背景:肿瘤微环境(TME)对肿瘤的进展和治疗效果有深远的影响。在肝细胞癌(HCC)中,TME 富含癌相关成纤维细胞(CAFs),它们分泌大量的细胞因子、趋化因子和生长因子,促进肿瘤细胞的增殖和侵袭。然而,HCC 的 TME 复杂结构以及肿瘤细胞与 CAFs 之间相互作用的机制在很大程度上仍然是个谜。
方法:我们分析了来自公共数据库的 10 个空间转录组学和 12 个单细胞转录组学样本,并补充了 20 个来自肝癌患者的肿瘤组织样本,这些样本是在临床环境中获得的。
结果:我们的研究结果表明,高水平表达 SPP1 的肿瘤细胞优先定位于邻近肝星状细胞(HSCs)的位置。这些肿瘤细胞分泌的 SPP1 与 HSCs 上的 CD44 受体相互作用,从而激活 PI3K/AKT 信号通路,促进 HSCs 向 CAFs 分化。值得注意的是,阻断 CD44 受体可有效阻断这种相互作用。此外,体内研究表明,沉默肿瘤细胞中的 SPP1 表达可显著抑制 HSC 向 CAFs 的分化,导致肿瘤体积减小和肿瘤基质中胶原沉积减少。
结论:本研究描绘了 SPP1-CD44 信号轴作为肿瘤细胞与 CAFs 相互作用的关键机制。靶向该途径有潜力减轻肝纤维化,并为肝癌的治疗提供新的治疗视角。
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