“…Hence, estrogenic GPER signaling fosters CAFs to produce a variety of secreted factors that fuel proliferation, migration, invasion, spreading, and EMT of nearby BC cells, as well as tubulogenesis in endothelial cells ( De Francesco et al, 2013 ; Yuan et al, 2015 ; De Marco et al, 2016 ; Pisano et al, 2017 ; Cirillo et al, 2019 ; Santolla et al, 2019 ). In particular, the functional interaction of GPER with the EGFR, IGF1R, FGFR1, HIF-1α, and Notch transduction pathways may trigger the release of growth factors, such as CTGF, VEGF, and FGF2, and cytokines such as IL-1β that account for important paracrine actions mediated by CAFs toward BC growth and dissemination ( Pandey et al, 2009 ; De Francesco et al, 2013 , 2014 , 2017 , 2018a ; Pupo et al, 2014 ; Ren et al, 2015 ; De Marco et al, 2016 ; Santolla et al, 2019 ; Lappano et al, 2020b ). Interestingly, diverse studies have shown that GPER bridges together estrogenic signaling with IGF1R and IR-mediated action in the breast tumor microenvironment, independent of the ER status.…”