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Publication : Smad4 Deficiency in S100A4(+) Macrophages Enhances Colitis-associated Tumorigenesis by Promoting Macrophage Lipid Metabolism Augmented M2 Polarization.

First Author  Liu T Year  2024
Journal  Int J Biol Sci Volume  20
Issue  15 Pages  6114-6129
PubMed ID  39664586 Mgi Jnum  J:359446
Mgi Id  MGI:7787595 Doi  10.7150/ijbs.98529
Citation  Liu T, et al. (2024) Smad4 Deficiency in S100A4(+) Macrophages Enhances Colitis-associated Tumorigenesis by Promoting Macrophage Lipid Metabolism Augmented M2 Polarization. Int J Biol Sci 20(15):6114-6129
abstractText  S100A4 is primarily expressed in intestinal macrophages, and promotes colonic inflammation and colitis-associated colon tumorigenesis. Smad4 is also expressed in the colon; however, it inhibits colitis-associated cancer (CAC) development. The specific role of Smad4 in S100A4(+) cells in CAC remains unknown. In this study, an azoxymethane (AOM)/dextran sodium sulfate (DSS)-induced CAC model was established in mice with S100A4(+) cell-specific Smad4 deletion (S100A4 (Smad4-/-)). Smad4 deficiency in S100A4(+) cells exacerbated DSS-induced colitis and promoted colorectal tumorigenesis. In addition, S100A4(+) cell-specific Smad4 ablation promoted the M2 polarization of macrophages in CAC. Mechanistically, Smad4 depletion in macrophages enhanced lipid metabolism by activating the FA binding protein 2 (Fabp2)/STAT6 pathway. Furthermore, Smad4 deficiency in macrophages promoted MC38 tumor growth in myeloid-specific Smad4 deficient (Lyz (Smad4-/-)) mice, whereas blocking Fabp2 expression reversed the tumor growth. Additionally, high Smad4 expression was associated with prolonged survival in patients with colorectal cancer. Thus, Smad4 in S100A4(+) macrophages plays a tumor-inhibiting role in CAC development and supports its use as a prognostic marker in CRC patients.
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