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.
基金:
National Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81630060, 81472783, 81372801, 81572570, 81502250, 81572725, 81602284, 81772787]; "973" Program of ChinaNational Basic Research Program of China [2015CB553903]; National Science and Technology Major Sub-Project [2018ZX10301402-002]; Technical Innovation Special Project of Hubei Province [2018ACA138]; National Key Research & Development Program of China [2016YFC0902901]
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;
通讯作者:
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;
推荐引用方式(GB/T 7714):
Gao Qinglei,Yang Zongyuan,Xu Sen,et al.Heterotypic CAF-tumor spheroids promote early peritoneal metastatis of ovarian cancer[J].JOURNAL OF EXPERIMENTAL MEDICINE.2019,216(3):688-703.doi:10.1084/jem.20180765.
APA:
Gao, Qinglei,Yang, Zongyuan,Xu, Sen,Li, Xiaoting,Yang, Xin...&Coleman, Robert L..(2019).Heterotypic CAF-tumor spheroids promote early peritoneal metastatis of ovarian cancer.JOURNAL OF EXPERIMENTAL MEDICINE,216,(3)
MLA:
Gao, Qinglei,et al."Heterotypic CAF-tumor spheroids promote early peritoneal metastatis of ovarian cancer".JOURNAL OF EXPERIMENTAL MEDICINE 216..3(2019):688-703