ArticleJournal of experimental & clinical cancer research : CR2026
Suppression of the myofibroblastic cancer-associated fibroblast phenotype to enhance anti-PD-1 response.
Article in Journal of experimental & clinical cancer research : CR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCancer-associated fibroblasts (CAFs) are key modulators of tumor growth, the tumor immune context, and treatment response. CAFs take on diverse phenotypes with distinct functions. Myofibroblastic CAFs (myCAFs) regulate extracellular matrix remodeling, while inflammatory CAFs (iCAFs) modulate immune infiltration. Further studies are required to validate biomarkers of CAF phenotypes and to identify means to therapeutically manipulate CAFs.
methodsSingle-cell RNA sequencing analysis was used to identify markers of CAF phenotypes in CRC. CAF markers were validated and compared to clinical characteristics using patient-derived CAF cultures, fixed human CRC samples, and publicly available RNA sequencing data. Therapeutics were prioritized for their potential to inhibit the myCAF phenotype and nilotinib was selected for validation in patient-derived CAFs. Overall changes in CAFs were evaluated via RNA-seq, and results validated with in vitro experiments. Finally, the feasibility of altering CAF phenotypes to affect treatment response was evaluated in vivo.
resultsHere we identify disease-specific markers of colorectal CAFs that are functionally distinct, biologically identifiable, correlate with clinically relevant markers of disease, and can be therapeutically altered in vivo. High stromal expression of myCAF markers correlated with reduced infiltration of CD8
conclusionsThese results highlight the feasibility of targeting CAF functions to improve therapeutic response, and support the investigation of nilotinib and anti-PD-1 therapy clinically.
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