The DOI matches its Crossref record; 69 of the 74 references it cites were found in a registry or an index.
Fibroblast Heterogeneity and Immunosuppressive Environment in Human Breast Cancer
Open accessAbstract
Carcinoma-associated fibroblasts (CAF) are key players in the tumor microenvironment. Here, we characterize four CAF subsets in breast cancer with distinct properties and levels of activation. Two myofibroblastic subsets (CAF-S1, CAF-S4) accumulate differentially in triple-negative breast cancers (TNBC). CAF-S1 fibroblasts promote an immunosuppressive environment through a multi-step mechanism. By secreting CXCL12, CAF-S1 attracts CD4+CD25+ T lymphocytes and retains them by OX40L, PD-L2, and JAM2. Moreover, CAF-S1 increases T lymphocyte survival and promotes their differentiation into CD25 High FOXP3 High, through B7H3, CD73, and DPP4. Finally, in contrast to CAF-S4, CAF-S1 enhances the regulatory T cell capacity to inhibit T effector proliferation. These data are consistent with FOXP3+ T lymphocyte accumulation in CAF-S1-enriched TNBC and show how a CAF subset contributes to immunosuppression.
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“Interestingly, CD276 (B7-H3), known to augment Tregs and inhibit T cell responses (Costa et al., 2018, Prasad et al., 2004, Suh et al., 2003), was expressed most prominently on CAFs and TSKs.”
From Multimodal Analysis of Composition and Spatial Architecture in Human Squamous Cell Carcinoma (2020) · cites this paper as Costa et al., 2018
In the citing paper
“FAP-high fibroblasts are correlated with Treg cell-mediated immunosuppression and a poor outcome119”
From A framework for advancing our understanding of cancer-associated fibroblasts (2020) · cites this paper as [119]
In the citing paper
“Clinical analysis further supports an inverse association between CAFs and CD8+ T cells119.”
From A framework for advancing our understanding of cancer-associated fibroblasts (2020) · cites this paper as [119]
In the citing paper
“Breast cancer also shows divergent CAF phenotypes, with the primary discriminating marker being FAP.”
From A framework for advancing our understanding of cancer-associated fibroblasts (2020) · cites this paper as [119]
In the citing paper
“Additionally, they can help define the immunosuppressive environment, through effects on immune cell activation and impeding infiltration of immune cells into tumors227–231.”
From TGFβ biology in cancer progression and immunotherapy (2021) · cites this paper as [227]
In the citing paper
“Stromal fibroblasts are a major source of TGF-β in the TME40,227.”
From TGFβ biology in cancer progression and immunotherapy (2021) · cites this paper as [227]
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Review of cancer-associated fibroblasts and their microenvironment in post-chemotherapy recurrence
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“In fact, CAFs expressed PD-L1 and PD-L2 bound to PD-1 receptors on T cells and then inhibited T cell activity (146, 151).”
BackgroundDissecting pulmonary fibroblasts heterogeneity in lung development, health and diseases
Zhang, X., Shi, X., Xie, F., Liu, Y., Wei, X., Cai, Y., & Chao, J. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e19428 · Cited by 23
Wang, H., Wei, L., Mao, D., Che, X., Ye, X., Liu, Y., & Chen, Y. (2023) · International Immunopharmacology · doi:10.1016/j.intimp.2023.111026 · Cited by 20
Forces at play: exploring factors affecting the cancer metastasis
Riaz, F., Zhang, J., & Pan, F. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1274474 · Cited by 23
“A recent study revealed a new subtype of CAFs, namely, CAF-S1 in the microenvironment, which performs immunosuppressive functions by attracting and enhancing the growth, differentiation, activation, and survival of CD4 + CD25 + T cells (57).”
BackgroundLootens, T., Roman, B. I., Stevens, C. V., Wever, O. D., & Raedt, R. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25042285 · Cited by 19
“Breast CAFs exhibiting co-expression of α -SMA, PDGFR-β and FAP played key roles in immunosuppression, correlating to an immune regulatory subtype [84,87].”
BackgroundPark, J. G., Roh, P. R., Kang, M. W., Cho, S. W., Hwangbo, S., Jung, H. D., Kim, H. U., Kim, J. H., Yoo, J.-S., Han, J. W., et al. (2024) · Hepatology · doi:10.1097/hep.0000000000000772 · Cited by 20
T cell landscape in the microenvironment of human solid tumors
Maggi, E., Munari, E., Landolina, N., Mariotti, F. R., Azzarone, B. G., & Moretta, L. (2024) · Immunology Letters · doi:10.1016/j.imlet.2024.106942 · Cited by 22
Fibroblasts in cancer: Defining target structures for therapeutic intervention
Boesch, M., Baty, F., Rumpold, H. F., Sopper, S., Wolf, D. G. F., & Brutsche, M. H. (2019) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2019.06.003 · Cited by 20
A Single-Cell Window into Pancreas Cancer Fibroblast Heterogeneity
Belle, J. I., & DeNardo, D. G. (2019) · Cancer Discovery · doi:10.1158/2159-8290.cd-19-0576 · Cited by 20
Unfolding innate mechanisms in the cancer microenvironment: The emerging role of the mesenchyme
Koliaraki, V., Henriques, A. R., Prados, A., & Kollias, G. A. (2020) · The Journal of Experimental Medicine · doi:10.1084/jem.20190457 · Cited by 20
The emerging role of circulating tumor cells in cancer management.
Li, X., Dong, M., Zang, X.-Y., Li, M.-Y., Zhou, J., Ma, J., & Wang, G.-Y. (2020) · PubMed Central · Cited by 20
Characterization of Fibroblasts in Iatrogenic Laryngotracheal Stenosis and Type II Diabetes Mellitus
Lina, I. A., Tsai, H., Ding, D., Davis, R. J., Motz, K., & Hillel, A. T. (2020) · The Laryngoscope · doi:10.1002/lary.29026 · Cited by 21
“In fibrosis, there is a heterogenous population of fibroblasts that includes both normal and “activated” (pathologic) fibroblasts.(4,23) When compared to normal (nonscar) fibroblasts data from our previous study,(4) the T2DM iLTS scar fibroblasts herein demonstrate similar magnitudes of basal respiration but increased…”
ResultHu, X., Liu, Y., Zhang, X., Kong, D., Kong, J., Zhao, D., Guo, Y., Sun, L., Chu, L., Liu, S., et al. (2020) · Neoplasia · doi:10.1016/j.neo.2020.08.007 · Cited by 20
Sun, C., Wang, S., Zhang, Y., Yang, F., Zeng, T., Meng, F., Yang, M., Yang, Y., Hua, Y., Fu, Z., et al. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.628677 · Cited by 20
“We conducted MCP-counter analysis using six CAF markers, including CD29, FAP, SMA, FSP1, PDGFRb, and CAV1, according to the previous report (23).”
BackgroundMethodBueno-Urquiza, L. J., Godínez-Rubí, M., Villegas‐Pineda, J. C., Vega‐Magaña, N., Jave‐Suárez, L. F., Puebla‐Mora, A. G., Aguirre-Sandoval, G. E., Martínez-Silva, M. G., Ramírez-de-Arellano, A., & Pereira-Suárez, A. L. (2024) · Cells · doi:10.3390/cells13070560 · Cited by 19
“This leads us to understand that CAFs subpopulation with increase FAP expression promotes higher tumor aggressiveness and immunosuppression [33,34].”
BackgroundXiong, X., Wang, X., Liu, C., Shao, Z.-M., & Yu, K. (2024) · Biomarker Research · doi:10.1186/s40364-024-00654-1 · Cited by 21
Mi, H., Varadhan, R., Cimino‐Mathews, A., Emens, L. A., Santa-Maria, C. A., & Popel, A. S. (2024) · Modern Pathology · doi:10.1016/j.modpat.2024.100652 · Cited by 19
Li, F., Gao, C., Huang, Y., Qiao, Y., Xu, H., Liu, S., & Wu, H. (2025) · International Journal of Biological Sciences · doi:10.7150/ijbs.108803 · Cited by 20
“They play a pivotal role in facilitating immune evasion [61,62].”
Wang, M., Zhao, Y., Xu, K., Liu, C., Zhong, H., Wu, Y., Zhang, K., & Wei, S. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1617968 · Cited by 23
“The interaction between CAFs and Tregs exempli fi es this immunoregulatory property (46, 47).”
Extracellular vesicles: the “Trojan Horse” within breast cancer host microenvironments
Kang, Y., Meng, L., Bai, S., & Li, S. (2025) · Molecular Cancer · doi:10.1186/s12943-025-02358-y · Cited by 21
Molecular phenotypes and spatial archetypes: A new framework for cancer-associated fibroblasts
Liu, Y., Chen, X., Dai, Y., Jia, Y., Kieffer, Y., Xie, L., Zhou, Z., Tyler, L. A., Kim, A. C., Biffi, G., et al. (2026) · Cancer Cell · doi:10.1016/j.ccell.2026.06.001 · Cited by 19
Abuwarwar, M. H., Baker, A. T., Harding, J. S., Payne, N. L., Nagy, A., Knoblich, K., & Fletcher, A. L. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22041827 · Cited by 20
“CAFs create an immunosuppressive TME that indirectly promotes cancer growth [44] and may directly contribute to immunotherapy resistance [27].”
BackgroundEpigenetic Reprogramming of Tumor-Associated Fibroblasts in Lung Cancer: Therapeutic Opportunities
Alcaraz, J., Ikemori, R., Llorente, A., Díaz‐Valdivia, N., Reguart, N., & Vizoso, M. (2021) · Cancers · doi:10.3390/cancers13153782 · Cited by 21
“It is now clear that TAFs are molecularly and phenotypically heterogeneous in NSCLC and other solid tumors [16,17].”
BackgroundImmune function and dysfunction are determined by lymphoid tissue efficacy
Makris, S., de Winde, C. M., Horsnell, H. L., Cantoral-Rebordinos, J. A., Finlay, R. E., & Acton, S. E. (2022) · Disease Models & Mechanisms · doi:10.1242/dmm.049256 · Cited by 20
“Four CAF subsets (CAF-S1 to CAF-S4) with distinct phenotypes have been identified in breast cancer (Costa et al., 2018).”
BackgroundStromal Characteristics and Impact on New Therapies for Metastatic Triple-Negative Breast Cancer
Fertal, S. A., Poterala, J. E., Ponik, S. M., & Wisinski, K. B. (2022) · Cancers · doi:10.3390/cancers14051238 · Cited by 20
Polack, M., Hagenaars, S. C., Couwenberg, A. M., Kool, W., Tollenaar, R. A. �. �., Vogel, W. V., Snæbjörnsson, P., & Mesker, W. E. (2022) · Clinical & Translational Oncology · doi:10.1007/s12094-022-02832-9 · Cited by 19
Bone Marrow Niches and Tumour Cells: Lights and Shadows of a Mutual Relationship
Granata, V., Crisafulli, L., Nastasi, C., Ficara, F., & Sobacchi, C. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.884024 · Cited by 19
“Moreover, CXCL12-expressing fibroblasts have been associated with a cancer-promoting phenotype in BCa and aggressive solid tumours (94), pointing to a role in bone metastases (95).”
BackgroundCancer-associated fibroblasts as accomplices to confer therapeutic resistance in cancer
Wang, W., Cheng, B., & Yu, Q. (2022) · Cancer Drug Resistance · doi:10.20517/cdr.2022.67 · Cited by 18
Reimche, I., Yu, H., Ariantari, N. P., Liu, Z., Merkens, K., Rotfuß, S., Peter, K., Jungwirth, U., Bauer, N., Kiefer, F., et al. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms231810319 · Cited by 19
“CAFs recruit immunosuppressive cells [39] and are correlated with poor clinical outcome in TNBC patients [40] through mediating tumor growth, metastasis, and drug resistance [41].”
BackgroundWietecha, M. S., Lauenstein, D., Cangkrama, M., Seiler, S., Jin, J., Goppelt, A., Claassen, M., Levesque, M. P., Dummer, R., & Werner, S. (2023) · Matrix Biology · doi:10.1016/j.matbio.2023.03.003 · Cited by 21
GREM1 signaling in cancer: tumor promotor and suppressor?
Gao, Z., Houthuijzen, J. M., ten Dijke, P., & Brazil, D. P. (2023) · Journal of Cell Communication and Signaling · doi:10.1007/s12079-023-00777-4 · Cited by 19
“In various malignancies, CAFs have been identified with myofibroblastic, inflammatory and antigen-presenting functions (myofibloblast myCAFs, inflammatory iCAFs and antigen-presenting apCAFs, respectively) (Elyada et al. 2019; Costa et al. 2018; Sugimoto et al. 2006; Lenox and Bauer 2013).”
BackgroundWu, Y., Chen, R., Ni, S., & Hu, K. (2024) · Journal of Controlled Release · doi:10.1016/j.jconrel.2024.04.053 · Cited by 19
Esposito, F., Boccarelli, A., & Buono, N. D. (2020) · Bioinformatics and Biology Insights · doi:10.1177/1177932220906827 · Cited by 19
Lv, Y., Lv, D., Lv, X., Xing, P., Zhang, J., & Zhang, Y. (2021) · Frontiers in Genetics · doi:10.3389/fgene.2021.616469 · Cited by 18
“Previous studies on TNBC microenvironment subtypes are heterogenous (Costa et al., 2018; Romero-Cordoba et al., 2019; Xiao et al., 2019; Chen et al., 2020).”
BackgroundGamradt, P., Thierry, K., Masmoudi, M., Wu, Z., Hernández‐Vargas, H., Bachy, S., Antonio, T., Savas, B., Hussain, Z., Tomasini, R., et al. (2023) · PNAS Nexus · doi:10.1093/pnasnexus/pgad405 · Cited by 18
“Recently, the complex heterogeneity of CAFs has been revealed by other studies, indicating the existence of CAF subpopulations equipped with pro-and antitumorigenic qualities (19 – 21 , 29 ).”
BackgroundMethodResultInfluentialLian, S. (2024) · American Journal of Cancer Research · doi:10.62347/ziax8828 · Cited by 20
Garate-Soraluze, E., Serrano-Mendioroz, I., Fernández, L., de Andrea, C. E., Barrio‐Alonso, C., Herrero, C., Teijeira, Á., Luri‐Rey, C., Claus, C., Tanos, T., et al. (2025) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2024-009852 · Cited by 18
“FAP expression has been identified as a leading marker to identify activated CAFs across various solid cancer types including colorectal cancer, 11–13 breast cancer 14 15 and melanoma.”
Prognostic Value and Potential Immunoregulatory Role of SCARF1 in Hepatocellular Carcinoma
Patten, D. A., Wilkinson, A. L., O’Rourke, J. M., & Shetty, S. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.565950 · Cited by 18
Lung Cancer Diagnosis Based on an ANN Optimized by Improved TEO Algorithm
Rong, S., & Rezaei, T. (2021) · Computational Intelligence and Neuroscience · doi:10.1155/2021/6078524 · Cited by 18
“Figure 1 shows the statistical information for the lead cancers and their death number in 2019 based on the American Cancer Society of lung cancer screening [7].”
BackgroundAstarita, J. L., Keerthivasan, S., Husain, B., Şenbabaoğlu, Y., Verschueren, E., Gierke, S., Pham, V. C., Peterson, S. M., Chalouni, C. M., Pierce, A. A., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0260800 · Cited by 18
“Fresh human CRC samples digested using a previously published protocol [22].”
MethodTumour microenvironment and heterotypic interactions in pancreatic cancer
Velasco, R. M., García, A. G., Sánchez, P. J., Sellart, I. M., & Lobo, V. J. S.-A. (2022) · Journal of Physiology and Biochemistry · doi:10.1007/s13105-022-00875-8 · Cited by 18
“Despite this initial classification, it is likely that there are additional subtypes depending on the pathophysiology of the disease, as shown by the finding of CAFs subpopulations with low expression of αSMA and IL-6 [92], or the detection of novel subsets in breast cancer [23].”
BackgroundChen, X., Liu, Y., Tao, B.-Y., Xue, X., Zhang, X., Wang, L., Zhong, H., Zhang, J., Yang, S., & Jiang, Q. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.975847 · Cited by 19
“Notably, CAFs are the prominent NT5E cells in the TME of breast cancer (37).”
BackgroundBurley, A., Rullan, A., & Wilkins, A. C. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.1000888 · Cited by 19
“In contrast CAF-S4 did not play a role in the immune response and instead was found to be associated with muscle contraction, regulation of the actin cytoskeleton and oxidative metabolism (53).”
BackgroundMethodExploring the Biology of Cancer-Associated Fibroblasts in Pancreatic Cancer
Bryce, A. S., Dreyer, S. B., Froeling, F. E. M., & Chang, D. K.-F. (2022) · Cancers · doi:10.3390/cancers14215302 · Cited by 19
Immune Regulatory Function of Cancer- Associated Fibroblasts in Non-small Cell Lung Cancer
Lee, H., Hwang, M., Jang, S., & Um, S. (2023) · Tuberculosis & respiratory diseases · doi:10.4046/trd.2022.0129 · Cited by 18
“Successful immunotherapy for cancers requires effective infiltration of CD8+ T cells inside the tumor, and tumors containing CAFs often have low levels of tumor-infiltrating lymphocytes (TILs) 8,9 .”
Yi, C. X., Zou, J., He, M., Hou, X., Wang, H., Xu, J., Yuan, Z., Lan, M., Yang, Y. A., Chen, X., et al. (2024) · Journal of Controlled Release · doi:10.1016/j.jconrel.2023.08.011 · Cited by 18
Muchlińska, A., Wenta, R., Ścińska, W., Markiewicz, A., Suchodolska, G., Senkus, E., Zaczek, A. J., & Bednarz‐Knoll, N. (2023) · Cancers · doi:10.3390/cancers15164169 · Cited by 18
“Interestingly, no CD29+ cCAFs were found, whereas this subtype of cCAF was found predominantly within the primary tumors of luminal BC [33].”
BackgroundWu, X., Lü, W., Zhang, W., Zhang, D., Mei, H., Zhang, M., Cui, Y., & Zhuo, Z. (2023) · Aging · doi:10.18632/aging.205205 · Cited by 21
“Two subpopulations of myofibroblasts with immunosuppressive effects (CAF-S1 and CAF-S4) accumulate differentially in TNBC [22].”
BackgroundFibroblast-induced mammary epithelial branching depends on fibroblast contractility
Sumbal, J., Fré, S., & Koledova, Z. S. (2024) · PLoS Biology · doi:10.1371/journal.pbio.3002093 · Cited by 18
Qian, M., Jiang, G., Guo, W., & Huang, R. (2024) · Nano Letters · doi:10.1021/acs.nanolett.3c05146 · Cited by 18
Ning, L., Quan, C., Wang, Y., Wu, Z., Yuan, P., & Xie, N. (2024) · Frontiers in Oncology · doi:10.3389/fonc.2024.1348299 · Cited by 19
“Meanwhile, in SFRP4+ CAFs, S100A4, CAV1, and FAP were upregulated while ACTA2 and PDGFRB were downregulated suggested that SFRP4+ CAF did not belong to any of four CAF subsets proposed by Costa (12, 20 – 22 ).”
InfluentialMetabolic enzymes expressed by cancer cells impact the immune infiltrate
Stoll, G., Kremer, M., Bloy, N., Joseph, A., Castedo, M., Meurice, G., Klein, C., Galluzzi, L., Michels, J., & Kroemer, G. (2019) · OncoImmunology · doi:10.1080/2162402x.2019.1571389 · Cited by 18
An, Y.-Z., Cho, E. S., Ling, J., & Zhang, X. (2020) · BMC Cancer · doi:10.1186/s12885-020-07495-9 · Cited by 18
Díaz-Maroto, N. G., Garcia‐Vicién, G., Polcaro, G., Bañuls, M., Albert, N., Villanueva, A., & Mollevı́, D. G. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22094960 · Cited by 19
de Reyniès, A., Javelaud, D., Elarouci, N., Marsaud, V., Gilbert, C., & Mauviel, A. (2020) · Scientific Reports · doi:10.1038/s41598-020-71559-w · Cited by 18
Francescone, R., Costa, D. B. V., Franco-Barraza, J., Wagner, J., Muir, A., Lau, A. N., Gabitova, L., Pazina, T., Gupta, S., Luong, T., et al. (2018) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/330209 · Cited by 18
“Recent studies have revealed multiple CAF subsets in a variety of tumors [38, 43, 95-97], each with different functions.”
Grasset, E. M., Deshpande, A. M., Lee, J. W., Cho, Y., Shin, S. M., Coyne, E. M., Hernandez, A., Yuan, X., Zhang, Z., Cimino‐Mathews, A., et al. (2024) · Oncogene · doi:10.1038/s41388-024-03127-9 · Cited by 17
“We noted that T cells and B cells are excluded from cancer cells by Str_V stromal cells and Mac_IV macrophages, both expressing HLADR.”
InfluentialCui, C., Zhang, T., Lin, Q., Huang, T., Rao, E., Du, J., & Fu, L. (2024) · MedComm – Oncology · doi:10.1002/mog2.70004 · Cited by 18
Colon Fibroblasts and Inflammation: Sparring Partners in Colorectal Cancer Initiation?
Onfroy-Roy, L., Hamel, D., Malaquin, L., & Ferrand, A. (2021) · Cancers · doi:10.3390/cancers13081749 · Cited by 20
“Two recent elegant studies made by Mechta-Grigoriou’s team on breast and ovarian cancers provided an overview of how fibroblast populations can be the main actors in tumor development and can drive the resistance to cancer therapies [98,99].”
Nederlof, I., Hajizadeh, S., Sobhani, F., Raza, S. E. A., AbdulJabbar, K., Harkes, R., van de Vijver, M. J., Salgado, R., Desmedt, C., Kok, M., et al. (2022) · npj Breast Cancer · doi:10.1038/s41523-022-00416-y · Cited by 20
Smart Nanoparticles for Breast Cancer Treatment Based on the Tumor Microenvironment
Luo, X. H., Zhang, Q., Chen, H., Hou, K., Zeng, N., & Wu, Y. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.907684 · Cited by 21
“In short, normal fibroblasts inhibit tumor formation, whereas CAFs promote BC cell proliferation, angiogenesis, and the inflammatory response, and remodeling the ECM promotes the malignant phenotype of BC cells, resulting in a poor prognosis (85, 86).”
BackgroundZhang, X. L., Zhang, R., Hou, C., He, R., Wang, Q., Zhou, T.-H., Li, X., Zhai, Q.-L., & Feng, Y.-M. (2022) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2022.102082 · Cited by 17
Ennis, C. S., Llévenes, P., Qiu, Y., Dries, R., & Denis, G. V. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.1044670 · Cited by 20
Xue, X., Liu, Y., Chen, X., Tao, B.-Y., Liu, P., Zhou, H.-W., Zhang, C., Wang, L., Jiang, Y.-K., Ding, Z.-W., et al. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.1064032 · Cited by 17
“CAF-S1) expressed NT5E could upregulate the power of Tregs to inhibit the proliferation of effector T cells (Costa et al., 2018; Givel et al., 2018), while this effect could be neutralize after using an antiCD73 antibody (Magagna et al.”
BackgroundMolecular mechanisms of microRNA-216a during tumor progression
Hamidi, A. A., Taghehchian, N., Zangouei, A. S., Akhlaghipour, I., Maharati, A., Basirat, Z., & Moghbeli, M. (2023) · Cancer Cell International · doi:10.1186/s12935-023-02865-2 · Cited by 17
“CAFs secrete inflammatory cytokines, which results in the stimulation of pathways that promote tumor cell growth and selfrenewal preservation [153].”
BackgroundNew insights into fibrotic signaling in renal cell carcinoma
Chen, J., Yiu, W. H., Tang, P. M., & Tang, S. C. W. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1056964 · Cited by 18
“Fibrotic signaling can also mediate immunosuppression by facilitating Treg cell and myeloid-derived suppressor cell (MDSC) differentiation and recruitment (Costa et al., 2018; Givel et al., 2018; Lin et al., 2022), metabolic reprogramming (Hamanaka and Mutlu, 2021), and long non-coding RNA (lncRNA) regulation (Shi et…”
BackgroundObesity and Fibrosis: Setting the Stage for Breast Cancer
Kuziel, G. M., Moore, B. N., & Arendt, L. M. (2023) · Cancers · doi:10.3390/cancers15112929 · Cited by 16
“Distinct CAF populations have been identified that correspond with breast tumor subtypes [105,109].”
BackgroundPrimary cancer-associated fibroblasts exhibit high heterogeneity among breast cancer subtypes
Piwócka, O., Musielak, M., Piotrowski, I., Kulcenty, K. I., Adamczyk, B., Fundowicz, M., Suchorska, W. M., & Malicki, J. (2023) · Reports of Practical Oncology & Radiotherapy · doi:10.5603/rpor.a2023.0026 · Cited by 17
“FAP was found to be readily expressed in the BC stroma, although its expression has either no association with clinicopathological outcomes or has been linked to extended survival [7].”
BackgroundInfluentialRole of autophagy in cancer-associated fibroblast activation, signaling and metabolic reprograming
Sari, D., Gözüaçık, D., & Akkoç, Y. (2024) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1274682 · Cited by 18
A promising target for breast cancer: B7-H3
Jiang, Y., Liu, J., Chen, L., Qian, Z., & Zhang, Y. (2024) · BMC Cancer · doi:10.1186/s12885-024-11933-3 · Cited by 18
“In a subgroup of breast cancers, high B7-H3 expression on CAFs was shown to alter T-cell activity toward more regulatory activities [174].”
BackgroundThe role of ANXA1 in the tumor microenvironment
Li, L., Wang, B., Zhao, S., Xiong, Q., & Cheng, A. (2024) · International Immunopharmacology · doi:10.1016/j.intimp.2024.111854 · Cited by 18
Herch, I. E., Tornaas, S., Dongre, H., & Costea, D. E. (2024) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2024.1340024 · Cited by 17
A Novel Autocrine CXCL14/ACKR2 Axis: The Achilles' Heel of Cancer Metastasis?
Zhang, Q., Zhou, N., Wang, W., & Zhou, S. (2019) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-19-0853 · Cited by 17
“Recently, CAFs have been categorized into four molecular subsets in breast cancer with different functions based upon different gene expression (2).”
BackgroundStrategies of targeting pathological stroma for enhanced antitumor therapies
Zhu, Y., Yu, F., Tan, Y., Yuan, H., & Hu, F. (2019) · Pharmacological Research · doi:10.1016/j.phrs.2019.104401 · Cited by 16
Veith, I., Mencattini, A., Picant, V., Serra, M., Leclerc, M., Comes, M. C., Mami‐Chouaib, F., Camonis, J., Descroix, S., Shirvani, H., et al. (2021) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1008870 · Cited by 16
Sylvestre, M., Tarte, K., & Roulois, D. (2019) · Epigenomics · doi:10.2217/epi-2019-0165 · Cited by 18
Ruocco, M. R., Gisonna, A., Acampora, V., D'Agostino, A. G., Carrese, B., Santoro, J., Venuta, A., Nasso, R., Rocco, N., Russo, D., et al. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25116224 · Cited by 19
“The CAF secretome exerts an immunomodulatory action by regulating immune cell recruitment and functions within tumors [44–46] as well as CAFs contributing to construct an ECM that acts as physical barrier precluding the infiltration of immune cells into tumors [47–49].”
BackgroundInflammatory fibroblasts make rectal cancer resistant to radiation therapy
Mhaidly, R., & Mechta‐Grigoriou, F. (2022) · Cancer Cell · doi:10.1016/j.ccell.2022.01.005 · Cited by 16
Romano, V., Ruocco, M. R., Carotenuto, P., Barbato, A., Venuta, A., Acampora, V., Lella, S. D., Vigliar, E., Iaccarino, A., Troncone, G., et al. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23126875 · Cited by 16
Huang, Q.-Y., Wu, L., Wang, Y., Kong, X., Xiao, X., Huang, Q.-Y., Li, M., Zhai, Y., Shi, F., Zhao, R., et al. (2022) · Acta Biochimica et Biophysica Sinica · doi:10.3724/abbs.2022150 · Cited by 16
Huang, L., Qin, S., Xia, L., Ma, F., & Chen, L. (2023) · Cancer Medicine · doi:10.1002/cam4.5892 · Cited by 16
Mezawa, Y., Wang, T., Daigo, Y., Takano, A., Miyagi, Y., Yokose, T., Yamashita, T., Yang, L., Maruyama, R., Seimiya, H., et al. (2023) · Cancer Science · doi:10.1111/cas.15955 · Cited by 16
“…from the TME result in the generation of distinct fibroblast subpopulations, mainly α - smooth muscle actin ( α - SMA)- positive myofibroblastic CAF (myCAFs), inflammatory CAFs, and antigen-presenting CAFs, 5– 8 although precise cause of the CAF sub-population induction remains poorly understood.”
BackgroundNicolini, A., Ferrari, P., Silvestri, R., & Gemignani, F. (2024) · Journal of the National Cancer Center · doi:10.1016/j.jncc.2024.01.004 · Cited by 17
Mechanisms of breast cancer metastasis: the role of extracellular matrix
Chen, R., Zhang, R., Ke, F., Guo, X., Zeng, F., & Liu, Q. (2024) · Molecular and Cellular Biochemistry · doi:10.1007/s11010-024-05175-x · Cited by 17
“Among them, CAF-S1 exhibited immunomodulatory activities, including recruiting CD4 ⁺ CD25 ⁺ T cells through CXCL12 and facilitating Treg differentiation [172].”
Hulahan, T. S., & Angel, P. M. (2024) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-024-03236-z · Cited by 17
“However, their use as biomarkers has challenges [59, 60] due to the heterogeneity of CAF populations in primary tumors [52, 61–63].”
CAF-mediated tumor vascularization: From mechanistic insights to targeted therapies
Zhang, Z., Zhang, Q. H., & Wang, Y. (2025) · Cellular Signalling · doi:10.1016/j.cellsig.2025.111827 · Cited by 17
Microenvironmental modulation of the developing tumour: an immune‐stromal dialogue
Jones, J. O., Moody, W. M., & Shields, J. D. (2020) · Molecular Oncology · doi:10.1002/1878-0261.12773 · Cited by 16
Wang, J., Yang, Z., Zhang, C., Ouyang, J., Zhang, G., & Wu, C. (2020) · Gene · doi:10.1016/j.gene.2020.145049 · Cited by 16
Strell, C., Folkvaljon, D., Holmberg, E. C., Schiza, A., Thurfjell, V., Karlsson, P., Bergh, J. C. S., Bremer, T. M., Akslen, L. A., Wärnberg, F., et al. (2021) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-20-4300 · Cited by 16
Khorami, E., Babaei, F., & Azadeh, A. (2021) · Computational Intelligence and Neuroscience · doi:10.1155/2021/4454507 · Cited by 16
“Based on the World Health Organization (WHO), infected patients of COVID-19 for April 17, 2021, are 140,888,075, and total death numbers until this date is 3,016,755 [1, 2].”
BackgroundXu, M., Chang, J., Wang, W., Wang, X., Wang, X., Weng, W., Tan, C., Zhang, M., Ni, S., Wang, L., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.934083 · Cited by 18
“Previous studies have found that in breast cancer, PDGFRB+CAFs recruit CD4CD25FOXP3 Treg cells, and the recruited Treg cells inhibit the activation and proliferation of CD8T cells in the TME, thereby inducing local immunosuppression (63).”
BackgroundHughes, E., Lauder, S. N., Smart, K., Bloom, A., Scott, J., Jones, E., Somerville, M., Browne, M., Blainey, A., Godkin, A., et al. (2020) · Cancer Immunology, Immunotherapy · doi:10.1007/s00262-020-02603-x · Cited by 15
“Recently, Costa and colleagues showed that a particular subset of CAF drives immunosuppression in triple-negative breast cancer [30].”
BackgroundIntratumoral heterogeneity and immunotherapy resistance: clinical implications
Keenan, B. P., Yadav, M., Ansstas, G., Fabrizio, D. A., Murugesan, K., Montesion, M., Niyogi, D. G., Mellman, I., & Melero, I. (2025) · Annals of Oncology · doi:10.1016/j.annonc.2025.10.1239 · Cited by 19
Janus-Faced: Molecular Mechanisms and Versatile Nature of Renal Fibrosis
Arai, H., & Yanagita, M. (2020) · Kidney360 · doi:10.34067/kid.0001972020 · Cited by 17
“In breast cancer, four subsets of carcinoma-associated fibroblasts (CAFs) have been identified, which accumulate differentially according to cancer subtypes (36).”
Background
Metadata
- Authors
- Costa, A., Kieffer, Y., Scholer-Dahirel, A., Pelon, F., Bourachot, B., Cardon, M., Sirven, P., Magagna, I., Fuhrmann, L., Bernard, C., Bonneau, C., Kondratova, M., Kuperstein, I., Zinovyev, A., Givel, A.-M., Parrini, M.-C., Soumelis, V., Vincent-Salomon, A., & Mechta-Grigoriou, F.
- Affiliations
- Inserm (FR)
- Institut Curie (FR)
- ORCID
- Venue
- Cancer Cell
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 33
- Issue
- 3
- Pages
- 463-479.e10
- ISSN
- 1535-6108 (ISSN-L)
- OpenAlex
- W2786031287
- Cited by
- 1,705
- References
- 74
- Citations by year
- 2026: 165 · 2025: 202 · 2024: 264 · 2023: 255 · 2022: 236 · 2021: 262 · 2020: 173 · 2019: 99 · 2018: 47
- FWCI
- 54.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cancer Cell (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Funders
- Fondation de France
- Fondation Pierre-Gilles de Gennes
- Institut National Du Cancer (INCa-DGOS-9963)
- Fondation pour la Recherche Médicale
- SiRIC-Curie program (INCa-DGOS-4654)
- Institut National de la Santé et de la Recherche Médicale
- Institut Curie
- Ligue Nationale Contre le Cancer
- ICGex (ANR-10-EQPX-03)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
- Keywords
- cancer-associated fibroblasts, breast cancer, triple-negative breast cancer, tumor microenvironment, immunosuppression, regulatory T cells, CXCL12, OX40L, PD-L2, JAM2, B7-H3, CD73, dipeptidyl peptidase IV, Foxp3, CD4+ T cells, T cell survival, fibroblast heterogeneity
- MeSH terms
- Breast Neoplasms, Cell Differentiation, Fibroblasts, Humans, Immune Tolerance, Lymphocyte Activation, Lymphocytes, Tumor-Infiltrating, Cell Proliferation, T-Lymphocytes, Regulatory, Forkhead Transcription Factors, Tumor Microenvironment
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