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Heterotypic CAF-tumor spheroids promote early peritoneal metastatis of ovarian cancer

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Canc Biol Res Ctr,Key Lab,Minist Educ, Wuhan, Hubei, Peoples R China; [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Hematol, Wuhan, Hubei, Peoples R China; [3]Osaka Univ, Grad Sch Med, Dept Obstet & Gynecol, Yamadaoka Suita, Osaka, Japan; [4]San Gerardo Hosp, Clin Obstet & Gynecol, Monza, Italy; [5]Univ Milano Bicocca, Dept Med & Surg, Milan, Italy; [6]Med Univ Vienna, Ctr Comprehens Canc, Dept Med 1, Signaling Networks Program,Div Oncol, Vienna, Austria; [7]Med Univ Vienna, Ludwig Boltzmann Cluster Oncol, Vienna, Austria; [8]Univ Wurzburg, Sch Med, Dept Obstet & Gynecol Expt Tumor Immunol, Wurzburg, Germany; [9]Hosp Juarez Mexico DF, Direcc Invest, Mexico City, DF, Mexico; [10]NYU Langone Med Ctr, Perlmutter Canc Ctr, Div Gynecol Oncol, New York, NY USA; [11]Univ Texas MD Anderson Canc Ctr, Dept Gynecol Oncol & Reprod Med, Houston, TX 77030 USA
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High-grade serous ovarian cancer (HGSOC) is hallmarked by early onset of peritoneal dissemination, which distinguishes it from low-grade serous ovarian cancer (LGSOC). Here, we describe the aggressive nature of HGSOC ascitic tumor cells (ATCs) characterized by integrin alpha 5(high) (ITGA5(high)) ATCs, which are prone to forming heterotypic spheroids with fibroblasts. We term these aggregates as metastatic units (MUs) in HGSOC for their advantageous metastatic capacity and active involvement in early peritoneal dissemination. Intriguingly, fibroblasts inside MUs support ATC survival and guide their peritoneal invasion before becoming essential components of the tumor stroma in newly formed metastases. Cancer-associated fibroblasts (CAFs) recruit ITGA5(high) ATCs to form MUs, which further sustain ATC ITGA5 expression by EGF secretion. Notably, LGSOC is largely devoid of CAFs and the resultant MUs, which might explain its metastatic delay. These findings identify a specialized MU architecture that amplifies the tumor-stroma interaction and promotes transcoelomic metastasis in HGSOC, providing the basis for stromal fibroblast-oriented interventions in hampering OC peritoneal propagation.

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基金编号: 81630060 81472783 81372801 81572570 81502250 81572725 81602284 81772787 2015CB553903 2018ZX10301402-002 2018ACA138 2016YFC0902901

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出版当年[2018]版:
大类 | 1 区 医学
小类 | 1 区 免疫学 1 区 医学:研究与实验
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 免疫学 1 区 医学:研究与实验
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出版当年[2017]版:
Q1 IMMUNOLOGY Q1 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1 IMMUNOLOGY Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Canc Biol Res Ctr,Key Lab,Minist Educ, Wuhan, Hubei, Peoples R China;
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Canc Biol Res Ctr,Key Lab,Minist Educ, Wuhan, Hubei, Peoples R China;
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