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Tumor-associated-fibrosis and active collagen-CD44 axis characterize a poor-prognosis subtype of gastric cancer and contribute to tumor immunosuppression.

作者信息

Yang Yingqi, Sun Haohan, Yu Hongkai, Wang Luyao, Gao Chang, Mei Haokun, Jiang Xiaomeng, Ji Minghui

机构信息

The Second School of Clinical Medicine, Nanjing Medical University, Nanjing, 211166, China.

The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing, 211166, China.

出版信息

J Transl Med. 2025 Jan 27;23(1):123. doi: 10.1186/s12967-025-06070-9.


DOI:10.1186/s12967-025-06070-9
PMID:39871345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11773867/
Abstract

BACKGROUND: Tumor-associated fibrosis modifies the tumor microenvironment (TME), hinders the infiltration and activity of cytotoxic immune cells, and is a critical pathological process leading to the ineffectiveness of tumor immunotherapy in gastric cancer (GC). However, the specific mechanisms and interventions are yet to be fully explored. METHODS: Our study included 375 gastric cancer samples from TCGA, 1 single-cell RNA sequencing (scRNA-seq) dataset comprising of 15 gastric cancer samples from GEO, 19 cohorts of immunotherapy and 2 GWAS datasets. Consensus clustering identified a gastric cancer subtype characterized primarily by fibrosis, and various methods such as pseudotime analysis, CellChat analysis and Colocalization analysis were used to explore its mechanisms. RESULTS: A subtype of gastric cancer was identified with poor prognosis, characterized by higher malignancy, drug resistance, and poor immune infiltration, associated with elevated expression of genes related with Extracellular matrix (ECM). Single-cell transcriptome analysis showed active Collagen-CD44 signaling axis between cancer-associated fibroblasts (CAFs) and immune cells in gastric cancer, with ECM-related genes upregulated during tumor progression. The expression of CD44 was significantly elevated in the subtype, associated with poor prognosis and tumor immune suppression in gastric cancer, potentially involved in the recruitment of immunosuppressive cells such as M2 macrophages and regulatory T cells (Tregs) and the upregulation of multiple immune checkpoints including PD-1/PD-L1. CONCLUSION: Our study identified a new subtype of gastric cancer, revealing that fibrosis is a critical mechanism driving immune suppression in gastric cancer and emphasizing the central role of the Collagen-CD44 signaling axis. The Collagen-CD44 signaling axis has the potential to serve as a novel therapeutic target for gastric cancer by enhancing immune cell-mediated tumor suppression. By combining it with immune checkpoint inhibitors (ICIs), it may improve the efficacy of immunotherapy for gastric cancer and offer new hope for treatment.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/bf7065e78385/12967_2025_6070_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/395969692be8/12967_2025_6070_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/e2c3c58a6696/12967_2025_6070_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/fbf5084b9799/12967_2025_6070_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/37835040ef22/12967_2025_6070_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/7b7b7ed82677/12967_2025_6070_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/bf7065e78385/12967_2025_6070_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/395969692be8/12967_2025_6070_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/e2c3c58a6696/12967_2025_6070_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/fbf5084b9799/12967_2025_6070_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/37835040ef22/12967_2025_6070_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/7b7b7ed82677/12967_2025_6070_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc6/11773867/bf7065e78385/12967_2025_6070_Fig6_HTML.jpg

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[1]
Tumor-associated-fibrosis and active collagen-CD44 axis characterize a poor-prognosis subtype of gastric cancer and contribute to tumor immunosuppression.

J Transl Med. 2025-1-27

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引用本文的文献

[1]
Mimicking Gastric Cancer Collagen Reorganization with Decellularized ECM-Based Scaffolds.

Biology (Basel). 2025-8-16

[2]
A comprehensive characterization of metabolic signatures-hypoxia, glycolysis, and lactylation-in non-healing diabetic foot ulcers.

Front Mol Biosci. 2025-7-9

[3]
FN1 from cancer-associated fibroblasts orchestrates pancreatic cancer metastasis via integrin-PI3K/AKT signaling.

Front Oncol. 2025-7-3

[4]
Deciphering the cellular and molecular landscape of cervical cancer progression through single-cell and spatial transcriptomics.

NPJ Precis Oncol. 2025-5-28

本文引用的文献

[1]
Leukemia inhibitory factor (LIF) receptor amplifies pathogenic activation of fibroblasts in lung fibrosis.

Proc Natl Acad Sci U S A. 2024-12-10

[2]
FAP gastric cancer mesenchymal stromal cells via paracrining INHBA and remodeling ECM promote tumor progression.

Int Immunopharmacol. 2025-1-10

[3]
The dysadherin/MMP9 axis modifies the extracellular matrix to accelerate colorectal cancer progression.

Nat Commun. 2024-11-30

[4]
APOE expression in papillary thyroid carcinoma: Influencing tumor progression and macrophage polarization.

Immunobiology. 2024-9

[5]
A Concept of "Athero-Oncology": Tumor-Like Smooth Muscle Cells Drive Atherosclerosis.

Circulation. 2024-6-11

[6]
Integrative molecular and spatial analysis reveals evolutionary dynamics and tumor-immune interplay of in situ and invasive acral melanoma.

Cancer Cell. 2024-6-10

[7]
CD74 supports accumulation and function of regulatory T cells in tumors.

Nat Commun. 2024-5-3

[8]
Oncogene-induced matrix reorganization controls CD8+ T cell function in the soft-tissue sarcoma microenvironment.

J Clin Invest. 2024-4-23

[9]
Omental Preadipocytes Stimulate Matrix Remodeling and IGF Signaling to Support Ovarian Cancer Metastasis.

Cancer Res. 2024-7-2

[10]
Blocking EGR1/TGF-β1 and CD44s/STAT3 Crosstalk Inhibits Peritoneal Metastasis of Gastric Cancer.

Int J Biol Sci. 2024

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