The tumor microenvironment (TME) is a dynamic tissue space in which the
tumor exists, plays a significant role in tumor initiation, and is a key
contributor in cancer progression; however, little is known about tumor-induced
changes in the adjacent tissue stroma. Herein, tumor-induced changes in the TME
were explored at the morphological and molecular level to further understand
cancer progression. Tumor-adjacent mammary glands (TAGs) displayed altered
branching morphology, expansion of myofibroblasts, and increased mammosphere
formation, broadly suggesting a tumor-induced field effect. FACS analysis of
TAGs demonstrated an increased number of
Lin−CD24+/CD49+
enriched mammary gland stem cells (MaSCs), suggesting deregulated tissue
homeostasis in TAGs. Comparative transcriptome analysis of TAGs and
contralateral control glands coupled with meta-analysis on differentially
expressed genes with two breast cancer stromal patient microarray datasets
identified shared upregulation of STAT1. Knockdown of STAT1 in cancer-associated
fibroblast (CAFs) co-cultured with human breast cancer cells altered cancer cell
proliferation, indicating a role for STAT1 as a stromal contributor of
tumorigenesis. Furthermore, depletion of STAT1 in CAFs significantly reduced
periductal reactive fibrosis and delayed early breast cancer progression in
vivo. Lastly, co-treatment with fludarabine, a FDA-approved STAT1 activation
inhibitor and DNA synthesis inhibitor, in combination with doxorubicin, showed
enhanced therapeutic efficacy in treating mouse mammary gland tumors. Taken
together, these results demonstrate that stromal STAT1 expression promotes tumor
progression and is a potential therapeutic target for breast cancer.