Di Agostino Silvia, La Padula Davide, Rago Vittoria, Gabriele Caterina, Conforti Francesco, Aprigliano Elio, Urlandini Lidia, Parrotta Elvira, Lofaro Danilo, Vescio Francesca, Sacconi Andrea, Cernaro Valeria, Currò Giuseppe, Alibrandi Angela, Ranieri Girolamo, Zuccalà Valeria, Ieni Antonio, Gaspari Marco, Cuda Giovanni, Ammendola Michele, Abbonante Vittorio
Department of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, 88100, Italy.
Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, 87036, Italy.
J Exp Clin Cancer Res. 2025 Aug 22;44(1):247. doi: 10.1186/s13046-025-03496-3.
BACKGROUND: The tumor microenvironment (TME) plays a pivotal role in the development and progression of colorectal cancer (CRC), yet the complex crosstalk among its components remains incompletely understood. Cancer-associated fibroblasts (CAFs) and tumor-associated macrophages (TAMs) have emerged as key regulators of CRC progression, but their specific contributions, particularly given their heterogeneity, are not fully elucidated. This study identifies podoplanin (PDPN), a transmembrane glycoprotein enriched in CAFs, as highly expressed in the CRC TME, in particular surrounding the tumor, and associated with macrophage infiltration and cancer progression. METHODS: We performed mass spectrometry-based proteomic analysis on matched CRC and adjacent normal tissues from patients to identify altered signaling pathways and protein expression. The clinical relevance of PDPN expression was evaluated in CRC samples from two independent cohorts using immunohistochemistry and immunofluorescence analysis. Publicly available data from the Gene Expression Omnibus (GEO) database were analyzed to assess the association between PDPN expression and patient survival. Functional assays using direct and indirect co-culture systems investigated the influence of macrophage infiltration on stromal PDPN expression and its effect on colon adenocarcinoma cell growth. RESULTS: PDPN expression was significantly elevated in the stroma of the colorectal tumor tissues compared to normal tissues and correlated with M2-like macrophage infiltration. High PDPN expression was associated with reduced relapse-free survival in CRC patients. Stromal cells pre-conditioned with M2-like macrophages upregulated PDPN and more effectively supported the growth of three colon adenocarcinoma cell lines. PDPN depletion impaired the ability of stromal cells to promote tumor cell proliferation. Mechanistically, M2-like macrophage pre-conditioning induced a TGF-β1-dependent increase in YAP/TAZ nuclear localization, RhoA/ROCK/myosin-driven cytoskeletal contractility, and extracellular matrix (ECM) production in stromal cells. Inhibition of TGF-β1 signaling or ROCK activity reduced stromal support for cancer cell growth. CONCLUSION: This study reveals a novel mechanism by which the TME facilitates CRC progression and highlights PDPN as a potential prognostic biomarker and therapeutic target in CRC.
背景:肿瘤微环境(TME)在结直肠癌(CRC)的发生和发展中起关键作用,但其各组成部分之间复杂的相互作用仍未完全阐明。癌症相关成纤维细胞(CAFs)和肿瘤相关巨噬细胞(TAMs)已成为CRC进展的关键调节因子,但其具体作用,尤其是考虑到它们的异质性,尚未完全阐明。本研究确定了血小板反应蛋白-1(PDPN),一种在CAFs中富集的跨膜糖蛋白,在CRC的TME中高表达,特别是在肿瘤周围,并与巨噬细胞浸润和癌症进展相关。 方法:我们对患者的配对CRC和相邻正常组织进行了基于质谱的蛋白质组分析,以确定改变的信号通路和蛋白质表达。使用免疫组织化学和免疫荧光分析在来自两个独立队列的CRC样本中评估PDPN表达的临床相关性。分析来自基因表达综合数据库(GEO)的公开数据,以评估PDPN表达与患者生存之间的关联。使用直接和间接共培养系统的功能测定研究了巨噬细胞浸润对基质PDPN表达的影响及其对结肠腺癌细胞生长的作用。 结果:与正常组织相比,结直肠癌组织基质中PDPN表达显著升高,并与M2样巨噬细胞浸润相关。高PDPN表达与CRC患者无复发生存期缩短相关。用M2样巨噬细胞预处理的基质细胞上调PDPN,并更有效地支持三种结肠腺癌细胞系的生长。PDPN缺失损害了基质细胞促进肿瘤细胞增殖的能力。从机制上讲,M2样巨噬细胞预处理诱导了TGF-β1依赖的YAP/TAZ核定位增加、RhoA/ROCK/肌球蛋白驱动的细胞骨架收缩力增加以及基质细胞中细胞外基质(ECM)的产生。抑制TGF-β1信号或ROCK活性可降低基质对癌细胞生长的支持。 结论:本研究揭示了TME促进CRC进展的新机制,并强调PDPN作为CRC潜在的预后生物标志物和治疗靶点。
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