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Publication : αSMA<sup>+</sup> fibroblasts suppress Lgr5<sup>+</sup> cancer stem cells and restrain colorectal cancer progression.

First Author  McAndrews KM Year  2021
Journal  Oncogene Volume  40
Issue  26 Pages  4440-4452
PubMed ID  34108617 Mgi Jnum  J:307137
Mgi Id  MGI:6718687 Doi  10.1038/s41388-021-01866-7
Citation  McAndrews KM, et al. (2021) alphaSMA(+) fibroblasts suppress Lgr5(+) cancer stem cells and restrain colorectal cancer progression. Oncogene
abstractText  The development and progression of solid tumors is dependent on cancer cell autonomous drivers and the tumor microenvironment (TME). Cancer-associated fibroblasts (CAFs) in the TME possess both tumor-promoting and tumor-restraining functions. In the current study, we interrogated the role of alphaSMA(+) CAFs in a genetic mouse model of metastatic colorectal cancer (CRC). Selective depletion of alphaSMA(+) CAFs resulted in increased tumor invasiveness, lymph node metastasis, and reduced overall survival. Depletion of alphaSMA(+) CAFs reduced BMP4 and increased TGFbeta1 secretion from stromal cells, and was associated with increased Lgr5(+) cancer stem-like cells (CSCs) and the generation of an immunosuppressive TME with increased frequency of Foxp3(+) regulatory T cells and suppression of CD8(+) T cells. This study demonstrates that alphaSMA(+) CAFs in CRC exert tumor-restraining functions via BMP4/TGFbeta1 paracrine signaling that serves to suppress Lgr5(+) CSCs and promote anti-tumor immunity, ultimately limiting CRC progression.
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