2018
DOI: 10.1038/nm.4494
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Microenvironmental control of breast cancer subtype elicited through paracrine platelet-derived growth factor-CC signaling

Abstract: Breast tumors of the basal-like, hormone receptor-negative, subtype remain an unmet clinical challenge, as patients exhibit a high rate of recurrence and poor survival. Co-evolution of the malignant mammary epithelium and its underlying stroma instigates cancer-associated fibroblasts (CAFs) to endorse most, if not all, hallmarks of cancer progression. Here, we delineate a previously unappreciated role for CAFs as determinants of the molecular subtype of breast cancer. We identified a paracrine cross-talk betwe… Show more

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Cited by 124 publications
(106 citation statements)
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References 68 publications
(78 reference statements)
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“…This result highlights the selective inhibition concept and the strategy of modifying rather than simply depleting the tumor stroma, which provides a novel direction for studies of pancreatic cancer. Another recent study on breast cancer indicated that the TME is capable of regulating breast cancer subtypes via a PDGF-CC-dependent pathway, which provides promising target ideas for PDAC to reexamine the role of the microenvironment 140 . Although there have been numerous studies on CAFs, the absence of large-scale randomized clinical trials to support these experimental data is apparent.…”
Section: Discussionmentioning
confidence: 99%
“…This result highlights the selective inhibition concept and the strategy of modifying rather than simply depleting the tumor stroma, which provides a novel direction for studies of pancreatic cancer. Another recent study on breast cancer indicated that the TME is capable of regulating breast cancer subtypes via a PDGF-CC-dependent pathway, which provides promising target ideas for PDAC to reexamine the role of the microenvironment 140 . Although there have been numerous studies on CAFs, the absence of large-scale randomized clinical trials to support these experimental data is apparent.…”
Section: Discussionmentioning
confidence: 99%
“…A recent study reporting immunohistochemical analyses of a cohort of 550 human breast cancer samples including 30 TNBCs reported expression of PDGFRβ in the stroma and not in tumor cells 56 , and suggested that the paracrine crosstalk existing between basal-like mammary cancer cells, expressing the PDGF-CC ligand, and cancer-associated fibroblasts, expressing both PDGFRβ and the cognate PDGFRα 57 , could be the most prominent route of PDGFR-dependent signal transduction in breast cancer. Herein, by extending the analysis on a TMA comprising 200 cases of human TNBC, we present novel data showing that PDGFRβ is also expressed in tumor cells belonging to a restricted subgroup of tumors of the mesenchymal subtype expressing either MMP-9 or ALDH proteins that appears as a highly invasive and stem-like phenotype.…”
Section: Discussionmentioning
confidence: 99%
“…For those cases, stroma-targeted therapies could be of interest. In breast cancer, responsiveness to hormonal therapy seems to be regulated by signals in the cancer stroma as stroma interfering was able to convert basal, hormone treatment-resistant breast cancer into a luminal, treatment-responsive subtype (Brechbuhl et al, 2017;Roswall et al, 2018). For MetC, potential therapeutic targets in the tumor microenvironment may be available, such as immune or bone cells.…”
Section: And the Luminal A Luminalmentioning
confidence: 99%