2020
DOI: 10.1016/j.bbcan.2020.188356
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Fibrosis and cancer: A strained relationship

Abstract: Tumors are characterized by extracellular matrix (ECM) deposition, remodeling, and cross-linking that drive fibrosis to stiffen the stroma and promote malignancy. The stiffened stroma enhances tumor cell growth, survival and migration and drives a mesenchymal transition. A stiff ECM also induces angiogenesis, hypoxia and compromises anti-tumor immunity. Not surprisingly, tumor aggression and poor patient prognosis correlate with degree of tissue fibrosis and level of stromal stiffness. In this review, we discu… Show more

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Cited by 422 publications
(338 citation statements)
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References 184 publications
(230 reference statements)
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“…The presence of CAFs in many solid tumors such as pancreatic, lung, colon and breast cancers has been recognized for many years. They contribute to a desmoplastic reaction, increase tumor tissue stiffness and promote the proliferation and invasion of cancer cells [ 7 , 8 ]. CAFs represent a heterogeneous population of mesenchymal cells expressing a variety of markers such as fibroblast specific protein (FSP)-1 (aka S100A4), fibroblast activation protein-α (FAP)-α, (aka dipeptidyl peptidase IV), α-SMA, platelet-derived growth factor receptor (PDGFR)-β, and β1 integrin (CD29) in addition to other proteins such as thrombospondin-1, tenascin-C, stromelysin, desmin-1, and VEGF-A [ 9 , 10 ].…”
Section: Cafs New Players Cooperating With Tams In Nb Progressionmentioning
confidence: 99%
“…The presence of CAFs in many solid tumors such as pancreatic, lung, colon and breast cancers has been recognized for many years. They contribute to a desmoplastic reaction, increase tumor tissue stiffness and promote the proliferation and invasion of cancer cells [ 7 , 8 ]. CAFs represent a heterogeneous population of mesenchymal cells expressing a variety of markers such as fibroblast specific protein (FSP)-1 (aka S100A4), fibroblast activation protein-α (FAP)-α, (aka dipeptidyl peptidase IV), α-SMA, platelet-derived growth factor receptor (PDGFR)-β, and β1 integrin (CD29) in addition to other proteins such as thrombospondin-1, tenascin-C, stromelysin, desmin-1, and VEGF-A [ 9 , 10 ].…”
Section: Cafs New Players Cooperating With Tams In Nb Progressionmentioning
confidence: 99%
“…Not surprisingly, tumor aggression and poor patient prognosis correlate with degree of tissue fibrosis in addition to the level of stromal stiffness [ 101 ]. Fibrosis promoting malignancy is a result of extracellular matrix (ECM) remodeling, deposition and cross-linking.…”
Section: Targets Of Resveratrol In Tumor Microenvironmentmentioning
confidence: 99%
“…CAFs regulate ECM deposition, remodeling, and cross-linking, thereby stiffening stroma [ 95 ]. The resultant rigid stroma can enhance cancer cell survival, growth, and migration, induce its EMT, enhance hypoxia and subsequent angiogenesis, and compromise tumor immunity [ 95 , 96 ].…”
Section: Cafs In Bone Metastasis Formationmentioning
confidence: 99%
“…CAFs regulate ECM deposition, remodeling, and cross-linking, thereby stiffening stroma [ 95 ]. The resultant rigid stroma can enhance cancer cell survival, growth, and migration, induce its EMT, enhance hypoxia and subsequent angiogenesis, and compromise tumor immunity [ 95 , 96 ]. ECM solidification activates glycolysis in CAFs, which provided aspartate to sustain cancer cell proliferation and simultaneously triggered glutamine metabolism in cancer cells, which consequently balanced the redox states of CAFs to accelerate ECM modeling [ 97 ].…”
Section: Cafs In Bone Metastasis Formationmentioning
confidence: 99%