2022
DOI: 10.3390/cancers14215302
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Exploring the Biology of Cancer-Associated Fibroblasts in Pancreatic Cancer

Abstract: Pancreatic ductal adenocarcinoma (PDAC) is a lethal malignancy characterised by a stubbornly low 5-year survival which is essentially unchanged in the past 5 decades. Despite recent advances in chemotherapy and surgical outcomes, progress continues to lag behind that of other cancers. The PDAC microenvironment is characterised by a dense, fibrotic stroma of which cancer-associated fibroblasts (CAFs) are key players. CAFs and fibrosis were initially thought to be uniformly tumour-promoting, however this doctrin… Show more

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Cited by 8 publications
(7 citation statements)
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“…The apCAFs express the proteins of the major histocompatibility complex class II (MHC II), but they are also able to stimulate the differentiation of immunosuppressive Tregs [ 53 ]. Recently, Bryce et al [ 54 ] proposed a putative classification for CAFs containing also the subtypes of metabolic CAFs (meCAF) and the complement-secreting CAFs (csCAF), in addition to the iCAF, myCAF, and apCAF subsets. The activation of iCAFs from tissue-resident quiescent fibroblasts in tumor microenvironments has a crucial role in the progression of tumor growth.…”
Section: Fibroblasts Act As Immune Regulatorsmentioning
confidence: 99%
“…The apCAFs express the proteins of the major histocompatibility complex class II (MHC II), but they are also able to stimulate the differentiation of immunosuppressive Tregs [ 53 ]. Recently, Bryce et al [ 54 ] proposed a putative classification for CAFs containing also the subtypes of metabolic CAFs (meCAF) and the complement-secreting CAFs (csCAF), in addition to the iCAF, myCAF, and apCAF subsets. The activation of iCAFs from tissue-resident quiescent fibroblasts in tumor microenvironments has a crucial role in the progression of tumor growth.…”
Section: Fibroblasts Act As Immune Regulatorsmentioning
confidence: 99%
“…Thus, myofibroblasts secrete most of the components of the ECM, such as collagens, fibronectin, and elastin, as well as the proteolytic enzymes which can remodel the structures of the ECM. Fibroblasts display an impressive plasticity, i.e., they can modify their phenotypes in response to changes in the tissue microenvironment (LeBleu and Neilson 2020 ; Shaw and Rognoni 2020 ; Bryce et al 2022 ; Salminen 2023a ). For instance, it has been characterized many heterogeneous subgroups of fibroblasts, e.g., cancer-associated fibroblasts (CAF), fibrosis-associated fibroblasts (FAF), wound-associated fibroblasts (WAF), and aging-associated fibroblasts (AAF) (LeBleu and Neilson 2020 ).…”
Section: Myofibroblastsmentioning
confidence: 99%
“…Interestingly, fibroblasts/myofibroblast are able to display both pro- and anti-inflammatory responses involving the secretion of cytokines, chemokines, growth factors, and complement components as well as they can express ligands and receptors for immune checkpoint proteins (Powell et al 1999 ; Van Linthout et al 2014 ; Zhao et al 2023 ). Cancer associated fibroblasts (CAF) can display different immune phenotypes, such as the inflammatory CAFs (iCAF), the immunosuppressive myofibroblast population (myCAF), the antigen-presenting CAFs (apCAF), and the complement-secreting CAFs (csCAF) (Costa et al 2018 ; Mhaidly and Mechta-Grigoriou 2020 ; Bryce et al 2022 ; Ngwenyama et al 2022 ). For instance, during mouse myocardial infarction there occurred a transition of inflammatory fibroblasts to anti-inflammatory/immunosuppressive myofibroblast population with fibrogenic properties (Daseke et al 2020 ).…”
Section: Myofibroblastsmentioning
confidence: 99%
“…CAFs also directly boost tumor cell proliferation and survival by secreting soluble mediators and promote angiogenesis ( 28 , 29 ). CAFs also exert negative immunomodulatory impacts and allow tumors to evade immune surveillance ( 30 ). Recent studies illustrate that CAFs can secrete exosomes to enhance the metastatic and invasive ability of cancer cells by creating a microenvironment suitable for tumor growth ( 31 , 32 ).…”
Section: Introductionmentioning
confidence: 99%