Background Cancer-associated fibroblasts (CAFs) are crucial for tumor microenvironment (TME) remodeling and correlated with tumor progression. Dynamic interactions between CAFs and tumor cells and immune cells in lung adenocarcinoma (LAC) are still not clear. Method The role of CAFs in LAC and potential novel mediators of their functions were investigated. Hallmark signals associated with CAFs and immune components in LAC were analyzed in cohorts from TCGA and GEO databases. These cohorts were analyzed by bioinformatic method with R and Bioconductor packages. Twenty LAC patients who were treated with anti-PD-1 drug were involved to evaluate their pathological response. Result Genes based on CAF markers in the literature were clustered and sieved in LAC to find representative biomarkers which reflect TME and predict the effect of immunotherapy. Most of the cancer hallmark signaling pathways were enriched in extracellular matrix organization-related GO terms. COL5A2 were upregulated in CAFs compared to normal tissue. The expression of COL5A2 as negatively correlated with CD8+ T cells. COL5A2 indicated poor prognostic outcomes and might be correlated with the immunosuppressive tumor microenvironment (TME). LACs with COL5A2 overexpression had better clinical outcomes after anti-PD-1 inhibitor in twenty LAC with neoadjuvant therapy. Conclusion CAFs play an essential role in tumor progression and the TME. We identified an extracellular protein, COL5A2, as a prognostic marker and potential therapeutic target in LACs.