Evidence map›Paper›PMID 37726308›Full record

ArticleNature communications2023

The tumor microenvironment shows a hierarchy of cell-cell interactions dominated by fibroblasts.

Shimrit Mayer, Tomer Milo, Achinoam Isaacson, Coral Halperin, Shoval Miyara, Yaniv Stein, Chen Lior, Meirav Pevsner-Fischer, Eldad Tzahor, Avi Mayo and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

114 citing papers in PubMed.

  1. Review
  2. Article
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  4. APOEScience advances · 2026
    Article
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  7. Review
  8. Review
  9. Review
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  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. A Pan-Cancer Ex Vivo Drug Screen Atlas for Functional Precision Oncology.bioRxiv : the preprint server for biology · 2026
    Article
  19. Article
  20. Article

54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Shimrit Mayer *Department of Biomolecular Sciences, The Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0003-4634-3562
Tomer Milo *Department of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0003-4493-7244
Achinoam IsaacsonDepartment of Biomolecular Sciences, The Weizmann Institute of Science, Rehovot, Israel.
Coral HalperinDepartment of Biomolecular Sciences, The Weizmann Institute of Science, Rehovot, Israel.
Shoval MiyaraDepartment of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0002-9003-046X
Yaniv SteinDepartment of Biomolecular Sciences, The Weizmann Institute of Science, Rehovot, Israel.
Chen LiorDepartment of Biomolecular Sciences, The Weizmann Institute of Science, Rehovot, Israel.
Meirav Pevsner-FischerDepartment of Biomolecular Sciences, The Weizmann Institute of Science, Rehovot, Israel.
Eldad TzahorDepartment of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0002-5212-9426
Avi MayoDepartment of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel.
Uri AlonDepartment of Molecular Cell Biology, The Weizmann Institute of Science, Rehovot, Israel. uri.alon@weizmann.ac.il.
Ruth Scherz-ShouvalDepartment of Biomolecular Sciences, The Weizmann Institute of Science, Rehovot, Israel. ruth.shouval@weizmann.ac.il.ORCID http://orcid.org/0000-0002-4570-121X

Funding

Cancer Research UK 27145
6 · The paper itself

Abstract

The tumor microenvironment (TME) is comprised of non-malignant cells that interact with each other and with cancer cells, critically impacting cancer biology. The TME is complex, and understanding it requires simplifying approaches. Here we provide an experimental-mathematical approach to decompose the TME into small circuits of interacting cell types. We find, using female breast cancer single-cell-RNA-sequencing data, a hierarchical network of interactions, with cancer-associated fibroblasts (CAFs) at the top secreting factors primarily to tumor-associated macrophages (TAMs). This network is composed of repeating circuit motifs. We isolate the strongest two-cell circuit motif by culturing fibroblasts and macrophages in-vitro, and analyze their dynamics and transcriptomes. This isolated circuit recapitulates the hierarchy of in-vivo interactions, and enables testing the effect of ligand-receptor interactions on cell dynamics and function, as we demonstrate by identifying a mediator of CAF-TAM interactions - RARRES2, and its receptor CMKLR1. Thus, the complexity of the TME may be simplified by identifying small circuits, facilitating the development of strategies to modulate the TME.

Indexed as

Cancer-Associated FibroblastsTumor MicroenvironmentBiological TransportCell CommunicationFemaleFibroblastsHumans

Identifiers

PMID37726308
PMCPMC10509226

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.