Cancer-associated fibroblast heterogeneity in axillary lymph nodes drives metastases in breast cancer through complementary mechanisms.
Adult
Aged
Aged, 80 and over
Axilla
Breast Neoplasms
/ mortality
Cancer-Associated Fibroblasts
/ metabolism
Cell Proliferation
Cell Separation
Chemokine CXCL12
/ metabolism
Epithelial-Mesenchymal Transition
Female
Flow Cytometry
Follow-Up Studies
Humans
Kaplan-Meier Estimate
Lymph Nodes
/ cytology
Lymphatic Metastasis
/ pathology
Middle Aged
Myofibroblasts
/ metabolism
Neoplasm Invasiveness
/ pathology
Primary Cell Culture
Prognosis
Progression-Free Survival
Receptors, Notch
/ metabolism
Signal Transduction
Transforming Growth Factor beta
/ metabolism
Tumor Cells, Cultured
Tumor Microenvironment
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
21 01 2020
21 01 2020
Historique:
received:
13
02
2019
accepted:
17
12
2019
entrez:
23
1
2020
pubmed:
23
1
2020
medline:
12
5
2020
Statut:
epublish
Résumé
Although fibroblast heterogeneity is recognized in primary tumors, both its characterization in and its impact on metastases remain unknown. Here, combining flow cytometry, immunohistochemistry and RNA-sequencing on breast cancer samples, we identify four Cancer-Associated Fibroblast (CAF) subpopulations in metastatic lymph nodes (LN). Two myofibroblastic subsets, CAF-S1 and CAF-S4, accumulate in LN and correlate with cancer cell invasion. By developing functional assays on primary cultures, we demonstrate that these subsets promote metastasis through distinct functions. While CAF-S1 stimulate cancer cell migration and initiate an epithelial-to-mesenchymal transition through CXCL12 and TGFβ pathways, highly contractile CAF-S4 induce cancer cell invasion in 3-dimensions via NOTCH signaling. Patients with high levels of CAFs, particularly CAF-S4, in LN at diagnosis are prone to develop late distant metastases. Our findings suggest that CAF subset accumulation in LN is a prognostic marker, suggesting that CAF subsets could be examined in axillary LN at diagnosis.
Identifiants
pubmed: 31964880
doi: 10.1038/s41467-019-14134-w
pii: 10.1038/s41467-019-14134-w
pmc: PMC6972713
doi:
Substances chimiques
CXCL12 protein, human
0
Chemokine CXCL12
0
Receptors, Notch
0
Transforming Growth Factor beta
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
404Références
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