“…For several cancer types including hepatocellular carcinoma, pancreatic cancer, breast cancer, lung cancer, melanoma, and colon cancer it has been demonstrated that tumor cells interaction with CAFs promotes EMT and the metastatic phenotype (Kubo et al, 2016;Domen et al, 2021;Shelton et al, 2021;Ahmad Zawawi and Musa, 2022;Ando et al, 2022;Hu et al, 2022). Direct and indirect mechanisms have been shown to influence tumor metastasis by CAFs: i) ECM remodeling by secretion of collagens, fibronectin, and proteoglycans (Scott et al, 2019); ii) paracrine communication through exosomes, growth factors and cytokines that promote stemness and metastasis, such as: transforming growth factor β -TGFβ, Chemokine (CC motif) ligand 2 (CCL2), Interleukin-6 (IL-6), Hepatocyte growth factor (HGF), Osteopontin (OPN) and Stromal cell-derived factor 1 (SDF-1) (Linares et al, 2020); iii) direct contact with cancer cells and facilitated invasion and select gene transcription (Yamaguchi and Sakai, 2015;Liu et al, 2019).…”