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Differential Contribution of Pancreatic Fibroblast Subsets to the Pancreatic Cancer Stroma
Open accessAbstract
Background & Aims Although the healthy pancreas consists mostly of epithelial cells, pancreatic cancer and the precursor lesions known as pancreatic intraepithelial neoplasia, are characterized by an extensive accumulation of fibroinflammatory stroma that includes a substantial and heterogeneous fibroblast population. The cellular origin of fibroblasts within the stroma has not been determined. Here, we show that the Gli1 and Hoxb6 markers label distinct fibroblast populations in the healthy mouse pancreas. We then set out to determine whether these distinct fibroblast populations expanded during carcinogenesis. Methods We developed genetically engineered models using a dual-recombinase approach that allowed us to induce pancreatic cancer formation through codon-optimized Flp recombinase-driven epithelial recombination of Kirsten rat sarcoma viral oncogene homolog while labeling Gli1 + or Hoxb6 + fibroblasts in an inducible manner. By using these models, we lineage-traced these 2 fibroblast populations during the process of carcinogenesis. Results Although in the healthy pancreas Gli1 + fibroblasts and Hoxb6 + fibroblasts are present in similar numbers, they contribute differently to the stroma in carcinogenesis. Namely, Gli1 + fibroblasts expand dramatically, whereas Hoxb6 + cells do not. Conclusions Fibroblasts present in the healthy pancreas expand during carcinogenesis, but with a different prevalence for different subtypes. Here, we compared Gli1 + and Hoxb6 + fibroblasts and found only Gli1 + expanded to contribute to the stroma during pancreatic carcinogenesis.
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“recent lineage tracing studies targeting Fabp4+ stellate cells revealed that they give rise to a minority of CAFs142,143”
From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [143]
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Background
Cited by
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Pancreatic cancer: Advances and challenges
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Hypoxia promotes an inflammatory phenotype of fibroblasts in pancreatic cancer
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InfluentialSelf-citationThe fibroinflammatory response in cancer
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Spatiotemporal signaling underlies progressive vascular rarefaction in myocardial infarction
Tung, L. W., Groppa, E., Soliman, H., Lin, B., Chang, C.-K., Cheung, C. W., Ritso, M., Guo, D., Rempel, L., Sinha, S., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-44227-6 · Cited by 12
Heterogeneity in Pancreatic Cancer Fibroblasts—TGFβ as a Master Regulator?
Watt, D. M., & Morton, J. P. (2021) · Cancers · doi:10.3390/cancers13194984 · Cited by 12
Reyes, J., Priore, I. S. D., Chaikovsky, A. C., Pasnuri, N., Elhossiny, A. M., Park, J., Weiler, P., Krause, T., Moorman, A. R., Snopkowski, C., et al. (2026) · Cell · doi:10.1016/j.cell.2026.03.032 · Cited by 12
Hox genes and patterning the vertebrate body
Wellik, D. M. (2024) · Current topics in developmental biology/Current Topics in Developmental Biology · doi:10.1016/bs.ctdb.2024.02.011 · Cited by 11
Self-citationStromal fibrin shapes immune infiltration landscape of pancreatic ductal adenocarcinoma
Karim, M., Hasan, M. M., Kim, S. H., Azam, Z., Wahab, R., Islam, T., Alam, F., Kim, Y.-J., Bae, D., Roy, S., et al. (2025) · Biomaterials · doi:10.1016/j.biomaterials.2025.123280 · Cited by 11
Vera, R. E., Lamberti, M. J., Almada, L. L., Tolosa, E. J., Vrabel, A. M., Sigafoos, A. N., Toruner, M. D., Flores, L. F., Rivarola, V. A., Vittar, N. B. R., et al. (2023) · Biochemical Journal · doi:10.1042/bcj20220521 · Cited by 11
Kou, Z., Liu, C., Zhang, W., Sun, C., Liu, L., & Zhang, Q. (2024) · International Journal of Oncology · doi:10.3892/ijo.2024.5642 · Cited by 11
“Through lineage tracing, Garcia et al (76) found that resident Gli1+ fibroblasts, which are distinct from PSCs in healthy pancreas, may a source of myCAF populations, providing clues for this hypothesis.”
BackgroundCancer-associated fibroblasts mediate resistance to anti-EGFR therapies in cancer
Dai, S., Liu, Y., Liu, Z., Li, R., Luo, F., Li, Y., Dai, L., & Peng, X. (2024) · Pharmacological Research · doi:10.1016/j.phrs.2024.107304 · Cited by 10
Spatially organized cellular communities shape functional tissue architecture in the pancreas
Torres-Cano, A., Darrigrand, J.-F., Herrera-Oropeza, G. E., Goss, G., Willnow, D., Salowka, A., Ma, S., Chitnis, D., Rouault, M., Vigilante, A., et al. (2025) · Science Advances · doi:10.1126/sciadv.adx5791 · Cited by 11
“Notably, it has been shown that not all resident fibroblast populations expand upon injury and transition into cancer-associated fibroblasts within the pancreas ( 56 – 58 ).”
Cellular collusion: cracking the code of immunosuppression and chemo resistance in PDAC
Musiu, C., Lupo, F., Agostini, A., Lionetto, G., Bevere, M., Paiella, S., Carbone, C., Corbo, V., Ugel, S., & Sanctis, F. D. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1341079 · Cited by 9
Cancer-associated fibroblasts in acute leukemia
Gu, L., Liao, P. H., & Liu, H. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.1022979 · Cited by 8
McAndrews, K. M., Mahadevan, K. K., & Kalluri, R. (2024) · Cold Spring Harbor Perspectives in Medicine · doi:10.1101/cshperspect.a041411 · Cited by 8
Concerted BAG3 and SIRPα blockade impairs pancreatic tumor growth
Marco, M. D., Gauttier, V., Pengam, S., Mary, C., Ranieri, B., Basile, A. M., Festa, M., Falco, A., Reppucci, F., Cammarota, A. L., et al. (2022) · Cell Death Discovery · doi:10.1038/s41420-022-00817-9 · Cited by 7
CAFomics: convergence to translation for precision stroma approaches
McCabe, I. C., Peng, X. L., Kearney, J. F., & Yeh, J. J. (2024) · Carcinogenesis · doi:10.1093/carcin/bgae063 · Cited by 6
Seidel, T., Ohri, N., Glaß, M., Sunami, Y., Müller, L. P., & Kleeff, J. H. (2025) · Cancers · doi:10.3390/cancers17091541 · Cited by 7
“Currently, no unique markers distinguish pancreatic fibroblasts from fibroblasts in other organs [20].”
Bahng, I. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1713123 · Cited by 6
Tracing the Origin of Fibroblasts in Pancreatic Cancer
Biffi, G. (2020) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2020.06.008 · Cited by 6
Type 2 diabetes alters quiescent pancreatic stellate cells to tumor-prone state
Hara, Y., Mizukami, H., Yamada, T., Shimoyama, S., Yamazaki, K., Sasaki, T., Wang, Z., Kushibiki, H., Ryuzaki, M., Ogasawara, S., et al. (2025) · JCI Insight · doi:10.1172/jci.insight.187424 · Cited by 6
“Pdpn , Pdgfra , S100a4 , Fap , Cd34 , and Acta2 are known as PSC markers (14, 25, 26).”
Khouzam, R. A., Salman, S., Thiery, J., Zaarour, R. F., Vela, V., Limani, P., Janji, B., & Chouaı̈b, S. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27093873 · Cited by 7
“In PDAC, resident quiescent pancreatic stellate cells (PSCs) are thought to be the primary source of CAFs [44].”
Zhang, G., Shu, Z., Yu, J. Q., Li, J., Yi, P., Wu, B., Deng, D., Yan, S., Li, Y., Ren, D., et al. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1341209 · Cited by 5
Paracrine regulation of pancreatic cancer cell response to chemotherapy by GLI2–collagen I signaling
Vera, R. E., Fernadez-Barrena, M. G., Falero, J. M., Kwon, J., Garza, R. A., Sigafoos, A. N., Ross, M. D., Toruner, M. D., Toruner, M., Tolosa, E. J., et al. (2025) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2025.110311 · Cited by 5
Lloyd, E. G., Henríquez, J. A., & Biffi, G. (2024) · Disease Models & Mechanisms · doi:10.1242/dmm.050624 · Cited by 4
“Malignant cell-dependent reprogramming and distinct cells of origin have been shown to contribute to CAF heterogeneity and function (Öhlund et al., 2017; Biffi et al., 2019; Biffi and Tuveson, 2020; Garcia et al., 2020; Helms et al., 2021; Hutton et al., 2021).”
Stromal KITL/SCF Maintains Pancreas Tissue Homeostasis and Restrains Tumor Progression
Oñate, M. K., Oon, C. H., Bhattacharyya, S., Low, V., Chen, C., Zhao, X., Arnold, F., Yan, Z., Pramod, S., Hang, Y., et al. (2025) · Cancer Discovery · doi:10.1158/2159-8290.cd-24-1079 · Cited by 4
“To further understand Kitl expression patterns in the pancreatic mesenchyme, we used standard density centrifugation to isolate PSCs from the gradient interface (30) and also isolated PDGFR α + pancreatic fibroblasts from the lower layers of the gradient (31).”
Handschin, C., Shalhoub, H., Mazet, A., Guyon, C., Dusserre, N., Boutet-Robinet, E. A., Oliveira, H., & Guillermet‐Guibert, J. (2025) · Biofabrication · doi:10.1088/1758-5090/adb51c · Cited by 5
Periostin-positive stellate cells associated with perineural invasion in pancreatic adenocarcinoma
Fraga, C. A. D. C., Santos, C. R. E. S., Lima, K. F. B., Rodrigues, G., Porto, C. C. F. N., de Menezes, M. N., da Silva, G. V. L., Simizo, A., Duarte, A. K. D. S. F., Baggio, J. A. D. O., et al. (2025) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2025.112678 · Cited by 3
Netrin G1 Ligand is a new stromal immunomodulator that promotes pancreatic cancerPreprint
Costa, D. B. V., Francescone, R., Franco‐Barraza, J., Luong, T., Graves, M., de Aquino, A. M., Steele, N. G., Gardiner, J. C., dos Santos, S. A. A., Ogier, C., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.05.15.594354 · Cited by 3
Wilms Tumor 1–Expressing Stromal Cells Promote Pancreatic Cancer Progression
Bischoff, A. C., Brown, K. L., Lasse-Opsahl, E., Watkoske, H. R., Espinoza, C. E., Okoye, J., Olivei, A., Green, L. M., Rai, R., The, S., et al. (2025) · Cancer Research · doi:10.1158/0008-5472.can-25-1014
“Human PDAC samples were acquired from patients referred for Whipple or distal pancreatectomy according to Institutional Review Board protocol HUM000025339.”
InfluentialSelf-citationCancer-Associated Fibroblasts: Heterogeneity and Bimodality in Oncogenesis
Lunina, N. A., Safina, D. R., & Kostrov, S. V. (2023) · Molecular Biology · doi:10.31857/s0026898423050105 · Cited by 2
Integrins in Cancer: Refocusing on the Tumor Microenvironment
Zeltz, C., Lü, N., Heljäsvaara, R., & Gullberg, D. (2022) · Biology of extracellular matrix · doi:10.1007/978-3-030-99708-3_11 · Cited by 3
Cancer-Associated Fibroblasts: Heterogeneity and Bimodality in Oncogenesis
Lunina, N. A., Safina, D. R., & Kostrov, S. V. (2023) · Molecular Biology · doi:10.1134/s0026893323050096 · Cited by 1
Bertonnier‐Brouty, L., Bsharat, S., Achanta, K., Andersson, J., Pranomphon, T., Singh, T., Kaprio, T., Hagström, J., Haglund, C. H., Seppänen, H. E., et al. (2025) · Molecular Biomedicine · doi:10.1186/s43556-025-00292-5 · Cited by 1
“…of the microRNA miR-2682-5p in a signaling cascade involving LINC01006-miR-2682-5p-HOXB8 that promotes pancreatic cancer proliferation and metastasis [47], while HOXB6 expression has been reported previously in mouse pancreatic fibroblasts which were not associated with the tumor stroma [23].”
Singh, R., Yousefian, N., Allen, W. M., Silva, A. D., Anaraki, C., Michels, A. K., Calderon, S. E., Loveless, I. M., Rastelli, D., George, A., et al. (2026) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2026.101872 · Cited by 1
Li, W., Jihad, M., Lloyd, E. G., Zaccaria, M., Mucciolo, G., Nsubuga, G., Koonan-Lonappan, A., Henríquez, J. A., Cheng, P. S. W., Harish, S., et al. (2026) · Nature Cell Biology · doi:10.1038/s41556-026-02057-w · Cited by 1
Origin, activation and heterogeneity of fibroblasts associated with pancreas and breast cancers
Han, L., Seward, C., Leone, G. W., & Ostrowski, M. C. (2022) · Advances in cancer research · doi:10.1016/bs.acr.2022.03.003 · Cited by 1
HOXB6 and HOXB8 control immune-cancer cell interactions in pancreatic cancerPreprint
Bertonnier‐Brouty, L., Achanta, K., Andersson, J., Bsharat, S., Singh, T., Kaprio, T., Hagström, J., Haglund, C., Seppänen, H. E., Prasad, R. B., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.09.06.611619 · Cited by 1
Zhang, B., & Shang, D. (2026) · Molecular Cancer · doi:10.1186/s12943-026-02656-z · Cited by 2
“Accumulating evidence indicates that fibroblasts comprise heterogeneous subpopulations with distinct transcriptional programs and functional roles, some of which may not originate directly from PSCs [5, 6].”
Tracing back to one of the origins of immune evasion in pancreatic cancer
Henríquez, J. A., & Biffi, G. (2022) · Cancer Cell · doi:10.1016/j.ccell.2022.05.002
O’Fee, K., Burley, A., & Wilkins, A. C. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-14064-8.00005-9
O’Fee, K., Burley, A., & Wilkins, A. C. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-14064-8.90005-5
Metadata
- Authors
- Garcia, P. E., Adoumie, M., Kim, E. C., Zhang, Y., Scales, M. K., El-Tawil, Y. S., Shaikh, A. Z., Wen, H.-J., Bednar, F., Allen, B. L., Wellik, D. M., Crawford, H. C., & Pasca di Magliano, M.
- Affiliations
- University of Michigan (US)
- University of Wisconsin–Madison (US)
- ORCID
- Venue
- Cellular and Molecular Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2020
- Volume
- 10
- Issue
- 3
- Pages
- 581-599
- ISSN
- 2352-345X (ISSN-L)
- PMC
- PMC7399194
- OpenAlex
- W3027333363
- Cited by
- 110
- References
- 83
- Citations by year
- 2026: 16 · 2025: 16 · 2024: 25 · 2023: 18 · 2022: 16 · 2021: 14 · 2020: 5
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cellular and Molecular Gastroenterology and Hepatology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Cancer Institute
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pancreatic function and diabetes
- Keywords
- pancreatic cancer, pancreatic stroma, pancreatic fibroblasts, fibroblast heterogeneity, Gli1, HOXB6, pancreatic intraepithelial neoplasia, carcinogenesis
- MeSH terms
- Zinc Finger Protein GLI1, Animals, Disease Models, Animal, Fibroblasts, Humans, Mice, Transgenic, Pancreas, Pancreatic Neoplasms, Proto-Oncogene Proteins p21(ras), Homeodomain Proteins, Carcinoma, Pancreatic Ductal, Mice, Carcinogenesis
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