Cited by 746Cancer Cells and MetastasisTGF-β signaling in diseasesAngiogenesis and VEGF in Cancer

Tumor-associated stromal cells as key contributors to the tumor microenvironment

Open access
Bussard, Karen M., Mutkus, Lysette, Stumpf, Kristina, Gomez-Manzano, Candelaria, Marini, Frank C.·2016·Breast Cancer Research

Abstract

The tumor microenvironment is a heterogeneous population of cells consisting of the tumor bulk plus supporting cells. It is becoming increasingly evident that these supporting cells are recruited by cancer cells from nearby endogenous host stroma and promote events such as tumor angiogenesis, proliferation, invasion, and metastasis, as well as mediate mechanisms of therapeutic resistance. In addition, recruited stromal cells range in type and include vascular endothelial cells, pericytes, adipocytes, fibroblasts, and bone-marrow mesenchymal stromal cells. During normal wound healing and inflammatory processes, local stromal cells change their phenotype to become that of reactive stroma. Under certain conditions, however, tumor cells can co-opt these reactive stromal cells and further transition them into tumor-associated stromal cells (TASCs). These TASCs express higher levels of proteins, including alpha-smooth muscle actin, fibroblast activating protein, and matrix metalloproteinases, compared with their normal, non-reactive counterparts. TASCs are also known to secrete many pro-tumorigenic factors, including IL-6, IL-8, stromal-derived factor-1 alpha, vascular endothelial growth factor, tenascin-C, and matrix metalloproteinases, among others, which recruit additional tumor and pro-tumorigenic cells to the developing microenvironment. Here, we review the current literature pertaining to the origins of recruited host stroma, contributions toward tumor progression, tumor-associated stromal cells, and mechanisms of crosstalk between endogenous host stroma and tumor cells.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/s13058-016-0740-2

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Multicellular tumor spheroids are appropriate systems for modeling tumor heterogeneity and microenvironmental complexity.

    “Multicellular tumor spheroids are appropriate systems for modeling tumor heterogeneity and microenvironmental complexity [204,205,206].”

    From Modeling Tumor Microenvironment Complexity In Vitro: Spheroids as Physiologically Relevant Tumor Models and Strategies for Their Analysis (2025) · cites this paper as [204]

    The Background describes the tumor microenvironment as heterogeneous, and its IL-6 subsection mentions tumor spheroids in a co-culture experiment. Neither passage assesses whether multicellular tumor spheroids are appropriate models of tumor heterogeneity or microenvironmental complexity. I searched for “spheroid” and for three-dimensional culture models. (LLM, conf=0.74)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

The citation lists haven’t been fetched yet

References 58 · Cited by 746

Research works printed but not linked: 50

  1. [4]Xiong Y McDonald LT Russell DL Kelly RR Wilson KR Mehrotra M Soloff AC LaRue AC Hematopoietic stem cell-derived adipocytes and fibroblasts in the tumor microenvironment World J Stem Cells. 2015 7 253 65 10.4252/wjsc.v7.i2.253 25815113 PMC4369485 · DOI
  2. [5]Kojima Y Acar A Eaton EN Mellody KT Scheel C Ben-Porath I Onder TT Wang ZC Richardson AL Weinberg RA Orimo A Autocrine TGF-beta and stromal cell-derived factor-1 (SDF-1) signaling drives the evolution of tumor-promoting mammary stromal myofibroblasts Proc Natl Acad Sci U S A. 2010 107 20009 14 10.1073/pnas.1013805107 21041659 PMC2993333 · DOI
  3. [6]Spaeth EL Dembinski JL Sasser AK Watson K Klopp A Hall B Andreeff M Marini F Mesenchymal stem cell transition to tumor-associated fibroblasts contributes to fibrovascular network expansion and tumor progression PLoS One. 2009 4 e4992 10.1371/journal.pone.0004992 19352430 PMC2661372 · DOI · Paper page
  4. [7]Medrek C Ponten F Jirstrom K Leandersersson K The presence of tumor associated macrophages in tumor stroma as a prognostic marker for breast cancer patients BMC Cancer. 2012 12 306 10.1186/1471-2407-12-306 22824040 PMC3414782 · DOI
  5. [8]Smith HA Kang Y The metastasis-promoting roles of tumor-associated immune cells J Mol Med. 2013 91 411 29 10.1007/s00109-013-1021-5 23515621 PMC3697909 · DOI
  6. [9]Midgley AC Rogers M Hallett MB Clayton A Bowen T Phillips AO Steadman R Transforming growth factor-β1 (TGF-β1)-stimulated fibroblast to myofibroblast differentiation is mediated by hyaluronan (HA)-facilitated epidermal growth factor receptor (EGFR) and CD44 co-localization in lipid rafts J Biol Chem. 2013 288 14824 38 10.1074/jbc.M113.451336 23589287 PMC3663506 · DOI
  7. [10]Untergasser G Fander R Lilg C Lepperdinger G Pla E Berger P Profiling molecular targets of TGF-β1 in prostate fibroblast-to-myofibroblast transdifferentiation Mech Ageing Dev. 2005 126 59 69 10.1016/j.mad.2004.09.023 15610763 · DOI
  8. [11]DeRuiter MC Poelmann RE VanMunsteren JC Mironov V Markwald RR Gittenberger-de Groot AC Embryonic endothelial cells transdifferentiate into mesenchymal cells expressing smooth muscle actins in vivo and in vitro Circ Res. 1997 80 444 51 10.1161/01.RES.80.4.444 9118474 · DOI
  9. [12]Schully S Francescone R Faibish M Bently B Taylor SL Oh D Schapiro R Moral L Yan W Shaeo R Transdifferentiation of glioblastoma stem-like cells into mural cells drives vasculogenic mimicry in glioblastomas J Neurosci. 2012 32 12950 60 10.1523/JNEUROSCI.2017-12.2012 22973019 PMC3461581 · DOI
  10. [13]Chen HF Huang CH Liu CJ Hung JJ Hsu CC Teng SC Wu KJ Twist1 induces endothelial differentiation of tumour cells through the Jagged1-KLF4 axis Nat Commun. 2014 22 4697 10.1038/ncomms5697 25146389 · DOI
  11. [14]Cerasuolo M Paris D Iannotti FA Melck D Verde R Mazzarella E Neuroendocrine transdifferentiation in human prostate cancer cells: an integrated approach Cancer Res 2015 75 15 2975 86 10.1158/0008-5472.CAN-14-3830 26069250 · DOI
  12. [15]Spaeth EL Labaff AM Toole BP Klopp A Andreeff M Marini FC Mesenchymal CD44 expression contributes to the acquisition of an activated fibroblast phenotype via TWIST activation in the tumor microenvironment Cancer Res. 2013 73 5347 59 10.1158/0008-5472.CAN-13-0087 23838935 PMC3767181 · DOI
  13. [17]Ohlund D Elyada E Tuveson D Fibroblast heterogeneity in the cancer wound J Exp Med. 2014 211 1503 23 10.1084/jem.20140692 25071162 PMC4113948 · DOI
  14. [18]Cirri P Chiarugi P Cancer associated fibroblasts: the dark side of the coin Am J Cancer Res. 2011 1 482 97 21984967 PMC3186047
  15. [19]Erez N Truitt M Olson P Arron ST Hanahan D Cancer-associated fibroblasts are activated in incipient neoplasia to orchestrate tumor-promoting inflammation in an NF-kappaB-dependent manner Cancer Cell. 2010 17 135 47 10.1016/j.ccr.2009.12.041 20138012 · DOI · Paper page
  16. [20]Augsten M Cancer-associated fibroblasts as anaother polarized cell type of the tumor microenvironment Front Oncol. 2014 4 62 70 10.3389/fonc.2014.00062 24734219 PMC3973916 · DOI
  17. [21]Wang C Gao C Men K Qiao H Wang Y Human adipocytes stimulate invasion of breast cancer MCF-7 cells by secreting IGFBP-2 PLoS One. 2015 10 e0119348 10.1371/journal.pone.0119348 25747684 PMC4352027 · DOI
  18. [22]Dirat B Bochet L Dabek M Daviaud D Dauvillier S Majed B Wang YY Meulle A Salles B Le Gonidec S Garrido I Escourrou G Valet P Muller C Cancer-associated adipocytes exhibit an activated phenotype and contribute to breast cancer invasion Cancer Res. 2011 71 2455 65 10.1158/0008-5472.CAN-10-3323 21459803 · DOI · Paper page
  19. [23]Nieman KM Kenny HA Penicka CV Ladanyi A Buell-Gutbord R Zillhardt MR Romero IL Carey MS Mills GB Hotamisligil GS Yamada SD Peter ME Gwin K Lengyel E Adipocytes promote ovarian cancer metastasis and provide energy for rapid tumor growth Nat Med. 2011 17 1498 503 10.1038/nm.2492 22037646 PMC4157349 · DOI · Paper page
  20. [25]Yadav A Kumar B Yu J-G Old M Teknos TN Kumar P Tumor-associated endothelial cells promote tumor metastasis by chaperoning circulating tumor cells and protecting them from anoikis PLoS One. 2015 10 e0141602 10.1371/journal.pone.0141602 26509633 PMC4624958 · DOI
  21. [26]DeNardo DG Brennan DJ Rexhepaj E Ruffell B Shiao SL Madden SF Gallagher WM Wadhwani N Keil SD Junaid SA Rugo HS Hwang ES Jirstrom K West BL Coussens LM Leukocyte complexity predicts breast cancer survival and functionally regulates response to chemotherapy Cancer Discov. 2011 1 54 67 10.1158/2159-8274.CD-10-0028 22039576 PMC3203524 · DOI · Paper page
  22. [27]Yu J Du W Wan F Yan F Wang Y Li H Cao S Yu W Shen C Liu J Ren X Myeloid-derived suppressor cells suppress antitumor immune responses through IDO expression and correlate with lymph node metastasis in patients with breast cancer J Immunol. 2013 190 3783 97 10.4049/jimmunol.1201449 23440412 · DOI
  23. [28]Steinman RM Hawiger D Nussenzweig MC Tolerogenic dendritic cells Annu Rev Immunol. 2003 21 685 711 10.1146/annurev.immunol.21.120601.141040 12615891 · DOI
  24. [29]Bruno A Ferlazzo G Albini A Noonan DM A think tank of TINK/TANKs: tumor-infiltrating/tumor-associated natural killer cells in tumor progression and angiogenesis J Natl Cancer Inst 2014 106 dju200 10.1093/jnci/dju200 25178695 PMC4344546 · DOI
  25. [30]Bruno A Focaccetti C Pagani A Imperatori AS Spagnoletti M Rotolo N Cantelmo AR Franzi F Capella C Ferlazzo G Mortara L Albini A Noonan DM The proangiogenic phenotype of natural killer cells in patients with non-small cell lung cancer Neoplasia. 2013 15 133 42 10.1593/neo.121758 23441128 PMC3579316 · DOI
  26. [31]Curiel TJ Coukos G Zou L Alvarez X Cheng P Mottram P Evdemon-Hogan M Conejo-Garcia JR Zhang L Burow M Zhu Y Wei S Kryczek I Daniel B Gordon A Myers L Lackner A Disis ML Knutson KL Chen L Zou W Specific recruitment of regulatory T cells in ovarian carcinoma fosters immune privilege and predicts reduced survival Nat Med. 2004 10 942 9 10.1038/nm1093 15322536 · DOI · Paper page
  27. [33]Li P Shan JX Chen XH Zhang D Su LP Huang XY Yu BQ Zhi QM Li CL Wang YQ Tomei S Cai Q Ji J Li JF Chouchane L Yu YY Sun FZ Xu ZH Liu BY Zhu ZG Epigenetic silencing of microRNA-149 in cancer-associated fibroblasts mediates prostaglandin E2/ interleukin-6 signaling in the tumor microenvironment Cell Res. 2015 25 1138 48 PMC4423088 25916550
  28. [34]Osuala KO Sameni M Shah S Aggarwal N Simonait ML Franco OE Hong Y Hayward SW Behbod F Hattingly RR Slane BF IL-6 signaling between ductal carcinoma in situ cells and carcinoma-associated fibroblasts mediates tumor cell growth and migration BMC Cancer. 2015 15 584 10.1186/s12885-015-1576-3 26268945 PMC4535667 · DOI
  29. [35]Lee KW Yeo SY Sung CO Kim SH Twist1 is a key regulator of cancer-associated fibroblasts Cancer Res. 2015 75 73 85 10.1158/0008-5472.CAN-14-0350 25368021 · DOI
  30. [36]Giannoni E Bianchini F Masieri L Serni S Torre E Calorini L Chiarugi P Reciprocal activation of prostate cancer cells and cancer-associated fibroblasts stimulates epithelial-mesenchymal transition and cancer stemness Cancer Res. 2010 70 6945 6956 10.1158/0008-5472.CAN-10-0785 20699369 · DOI · Paper page
  31. [37]Yeh C-R Hsu I Song W Chang H Miyamoto H Xiao G-Q Li L Yeh S Fibroblast ER-alpha promotes bladder cancer invasion via increasing the CCL1 and IL-6 signals in the tumor microenvironment Am J Cancer Res. 2015 5 1146 57 26045993 PMC4449442
  32. [38]Duluc C Moatassim-Billah S Chalabi-Dchar M Perraud A Samain R Breibach F Gayral M Cordelier P Delisle MB Bousquet-Dubouch MP Tomasini R Schmid H Mathonnet M Pyronnet S Martineau Y Bousquet C Pharmacological targeting of the protein synthesis mTOR/4E-BP-1 pathway in cancer-associated fibroblasts aborgates pancreatic tumour chemoresistance EMBO Mol Med. 2015 7 735 53 10.15252/emmm.201404346 25834145 PMC4459815 · DOI
  33. [39]Fang WB Mafuvadze B Yao M Zou A Portsche M Cheng N TGF-b negatively regulates CXCL1 chemokine expression in mammary fibroblasts through enhancement of Smad2/3 and suppression of HGF/c-Met signaling mechanisms PLoS One. 2015 10 e0135063 10.1371/journal.pone.0135063 26252654 PMC4529193 · DOI
  34. [40]Katanov C Lerrer S Liubomirski Y Lieder-Trejo L Meshel T Bar J Feniger-Barish R Kamer I Soria-Artzi G Kahani H Banerjee D Ben-Baruch A Regulation of the inflammatory profile of stromal cells in human breast cancer: prominent roles for TNF-a and the NF-kB pathway Stem Cell Res Ther. 2015 6 87 10.1186/s13287-015-0080-7 25928089 PMC4469428 · DOI
  35. [41]Taguchi A Kawana K Tomio K Yamashita A Isobe Y Nagasaka K Koga K Inoue T Hishida H Kojima S Adachi K Matsumoto Y Arimoto T Wada-Hiraike O Oda K Kang JX Arai H Arita M Osuga Y Fujii T Matrix metalloproteinase (MMP)-9 in cancer-associated fibroblasts (CAFs) is suppressed by omega-3 polyunsaturated fatty acids in vitro and in vivo PLoS One. 2014 9 e89605 10.1371/journal.pone.0089605 24586907 PMC3937340 · DOI
  36. [42]Gangaraju VK Lin H MicroRNAs: key regulators of stem cells Nat Rev Mol Cell Biol. 2009 10 116 25 10.1038/nrm2621 19165214 PMC4118578 · DOI
  37. [43]Kadera BE Li L Poste PA Wu N Adams C Dawson DW Donahue TR MicroRNA-21 in pancreatic ductal adenocarcinoma tumor-associated fibroblasts promotes metastasis PLoS One. 2013 8 e71978 10.1371/journal.pone.0071978 23991015 PMC3750050 · DOI
  38. [44]Ali S Suresh R Banerjee S Bao B Xu Z Wilson J Philip PA Apte M Sarkar FH Contribution of microRNAs in understanding the pancreatic tumor microenvironment involving cancer associated stellate and fibroblast cells Am J Cancer Res. 2015 5 1251 64 26046003 PMC4449452
  39. [45]Miller PC Clarke J Koru-Sengul T Brinkman J El-Ashry D A novel MAPK-microRNA signature is predictive of hormone-therapy resistance and poor outcome in ER-positive breast cancer Clin Cancer Res. 2015 21 373 85 10.1158/1078-0432.CCR-14-2053 25370469 · DOI
  40. [46]Shah SH Miller P Garcia-Contreras M Ao Z Machlin L Issa E El-Ashry D Hierarchical paracrine interaction of breast cancer associated fibroblasts with cancer cells via hMAKP-microRNAs to drive ER-negative breast cancer phenotype Cancer Biol Ther. 2015 16 1671 81 10.1080/15384047.2015.1071742 26186233 PMC4846097 · DOI
  41. [47]Musumeci M Coppola V Addario A Patrizii M Maugeri-Sacca M Memeo L Colarossi C Francesangeli F Biffoni M Collura D Giacobbe A D’Urso L Falchi M Venneri MA Muto G De Maria R Bonci D Control of tumor and microenvironment cross-talk by miR-15a and miR-16 in prostate cancer Oncogene. 2011 30 4231 42 10.1038/onc.2011.140 21532615 · DOI
  42. [48]Suzuki H Maruyama R Yamamoto E Kai M DNA methylation and microRNA dysregulation in cancer Mol Oncol. 2012 6 567 78 10.1016/j.molonc.2012.07.007 22902148 PMC5528344 · DOI
  43. [49]Pang W Su J Wang Y Feng H Dai X Yuan Y Chen X Yao W Pancreatic cancer-secreted miR-155 implicates in the conversion from normal fibroblasts to cancer-associated fibroblasts Cancer Sci. 2015 106 1362 9 10.1111/cas.12747 26195069 PMC4638007 · DOI
  44. [50]Mitra AK Zillhardt M Hua Y Tiwari P Murmann AE Peter ME Lengyel E MicroRNAs reprogram normal fibroblasts into cancer-associated fibroblasts in ovarian cancer Cancer Discov. 2012 2 1100 8 10.1158/2159-8290.CD-12-0206 23171795 PMC3685866 · DOI
  45. [51]Taddei ML Cavallini L Comito G Giannoni E Folini M Marini A Gandellini P Morandi A Pintus G Raspollini MR Zaffaroni N Chiarugi P Senescent stroma promotes prostate cancer progression: the role of miR-210 Mol Oncol. 2014 8 1729 46 10.1016/j.molonc.2014.07.009 25091736 PMC5528604 · DOI
  46. [52]Zhang Y Yang P Sun T Li D Xu X Rui Y Li C Chong M Ibrahim T Mercatali L Amadori D Lu X Xie D Li QJ Wang XF miR-126 and miR-126* repress recruitment of mesenchymal stem cells and inflammatory monocytes to inhibit breast cancer metastasis Nat Cell Biol 2013 15 284 94 10.1038/ncb2690 23396050 PMC3672398 · DOI
  47. [53]Luga V Wrana JL Tumor-stroma interaction: revealing fibroblast-secreted exosomes as potent regulators of Wnt-planar cell polarity signaling in cancer metastasis Cancer Res. 2013 73 6843 7 10.1158/0008-5472.CAN-13-1791 24265274 · DOI
  48. [55]Paggetti J Haderk F Seiffert M Janji B Distler U Ammerlaan W Kim YJ Adam J Pichter P Solary E Berchem G Moussay E Exosomes released by chronic lymphocytic leukemia cells induced the transition of stromal cells into cancer-associated fibroblasts Blood. 2015 126 1106 17 10.1182/blood-2014-12-618025 26100252 PMC4560344 · DOI
  49. [56]Ramteke A Ting H Agarwal C Mateen S Somasagara R Hussain A Graner M Frederick B Agarwal R Deep G Exosomes secreted under hypoxia enhance invasiveness and stemness of prostate cancer cells by targeting adherens junctions molecules Mol Carcinog. 2015 54 554 65 10.1002/mc.22124 24347249 PMC4706761 · DOI
  50. [58]Hu Y Yan C Mu L Huang K Li X Tao D Wu Y Qin J Fibroblast-derived exosomes contribute to chemoresistance through priming cancer stem cells in colorectal cancer PLoS One. 2015 10 e0125625 10.1371/journal.pone.0125625 25938772 PMC4418721 · DOI

Authors
Bussard, K. M., Mutkus, L., Stumpf, K., Gomez-Manzano, C., & Marini, F. C.
Affiliations
  • Thomas Jefferson University (US)
  • Wake Forest University (US)
  • Wake Forest Baptist Comprehensive Cancer Center (US)
Corresponding author
Marini, Frank C.
Venue
Breast Cancer Research
Published
2016-08-11
Volume
18
Issue
1
Pages
84-84
ISSN
  • 1465-5411 (ISSN-L)
  • 1465-542X
OpenAlex
W2510046850
Cited by
746
References
58
Citations by year
2026: 30 · 2025: 55 · 2024: 82 · 2023: 86 · 2022: 107 · 2021: 110 · 2020: 98 · 2019: 69 · 2018: 62 · 2017: 44 · 2016: 3
FWCI
5.97
Type
journal article
Language
en
Open access
Locations
  • Breast Cancer Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • The Medicine Forum (submittedVersion, cc-by)
Funders
  • National Cancer Institute (2K99CA178177)
  • National Institutes of Health (NRSA T32CA079448, 1RC1CA146381, 1R01NS069964, P50CA083639, 1R01NS09964)
Topics
  • Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
Keywords
tumor stromal cells, tumor microenvironment, reactive stroma, tumor angiogenesis, tumor invasion and metastasis, treatment resistance, pericytes, adipocytes, fibroblasts, mesenchymal stem cells, matrix metalloproteinases, fibroblast activating protein, alpha-smooth muscle actin, breast cancer
MeSH terms
Cancer-Associated Fibroblasts, Breast Neoplasms, Female, Humans, Phenotype, Signal Transduction, Biomarkers, Gene Expression Regulation, Neoplastic, Stromal Cells, Adipocytes, Drug Resistance, Neoplasm, MicroRNAs, Endothelial Cells, Exosomes, Tumor Microenvironment

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review