Tumors can create a heterogenetic tumor microenvironment. We recently identified the pathologically unique cancer microenvironment formed by peritoneal invasion (CMPI), and revealed that subperitoneal fibroblasts (SPFs) within peritoneal tissue play a crucial role in tumor progression through their interaction with cancer cells. Therefore, the genes in SPFs altered by cancer stimulation may include some biologically important factors associated with patient prognosis. In this study, we aimed to identify new biomarkers using genes specifically upregulated in SPFs by cancer-cell-conditioned medium (CCCM) stimulation (SPFs CCCM response genes; SCR genes) in colon cancer (CC). We constructed two frameworks using SCR gene data: a publicly released microarray dataset, and validation cases with freshly frozen CC samples to identify genes related to short recurrence-free survival (RFS). In the first framework, we selected differentially expressed genes between the high and low SCR gene expression groups. In the second framework, genes significantly related to short RFS were selected by univariate analysis using all SCR genes, and multivariate analysis was performed to select robust genes associated with short RFS. We identified CTGF, CALD1, INHBA and TAGLN in the first framework, and PDLIM5, MAGI1, SPTBN1 and TAGLN in the second framework. Among these seven genes, high expression of three genes (CALD1, TAGLN and SPTBN1) showed a poor prognosis in our validation cases. In a public microarray dataset, SCR gene expression was associated with the expression of ECM component, EMT, and M2-macrophage associated genes, which was concordant with the pathological features of CMPI. Thus, we successfully identified new prognostic factors.In the cancer microenvironment (CME), cancer cells are surrounded by fibroblasts, vessel component cells, inflammatory cells including lymphocytes and macrophages, and the extracellular matrix (ECM) produced by these stromal cells. Fibroblasts were first described in the late 19th century as the nonvascular, nonepithelial and noninflammatory cells of connective tissue, and are the most common of all stromal cells that compose the CME.1 Fibroblasts are also a major source of the ECM component that provides a scaffold for the growth and differentiation of normal epithelial cells, and they are activated in the process of wound healing. 2 However, activated fibroblasts are known to accelerate tumor growth and metastasis. Some growth factors and ECM-remodeling proteases such as matrix metalloproteinases (MMPs) are produced by activated fibroblasts, which contribute to tumor growth and metastasis. [3][4][5] In addition, activated fibroblasts express a-smooth muscle actin (a-SMA) and generate great contractile force. 6 This high contractile activity leads to increased ECM stiffness, which is known to increase the migration activity of cancer cells. 7-10 Thus fibroblasts affect the characteristics of the CME and even cancer progression itself through both a biological and mechanical manner. The gastrointes...