FCCC LOGO Faculty Publications
Stromal dynamic reciprocity in cancer: intricacies of fibroblastic-ECM interactions
Curr Opin Cell Biol. 2016 Oct;42 :80-93
PMID: 27214794    PMCID: PMC5064819    URL: http://www.ncbi.nlm.nih.gov/pubmed/27214794
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Stromal dynamic reciprocity (SDR) consists of the biophysical and biochemical interplay between connective tissue elements that regulate and maintain organ homeostasis. In epithelial cancers, chronic alterations of SDR result in the once tumor-restrictive stroma evolving into a 'new' tumor-permissive environment. This altered stroma, known as desmoplasia, is initiated and maintained by cancer associated fibroblasts (CAFs) that remodel the extracellular matrix (ECM). Desmoplasia fuels a vicious cycle of stromal dissemination enriching both CAFs and desmoplastic ECM. Targeting specific drivers of desmoplasia, such as CAFs, either enhances or halts tumor growth and progression. These conflicting effects suggest that stromal interactions are not fully understood. This review highlights known fibroblastic-ECM interactions in an effort to encourage therapies that will restore cancer-restrictive stromal cues.
Alexander, Jennifer Cukierman, Edna R01 CA113451/CA/NCI NIH HHS/United States REVIEW Curr Opin Cell Biol. 2016 Oct;42:80-93. doi: 10.1016/j.ceb.2016.05.002. Epub 2016 May 20.