Evidence map›Paper›PMID 42474617›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2026

Loss of EMILIN-1/integrin axis drives microenvironmental reprogramming in gastric tumorigenesis.

Alessandra Capuano, Maddalena Vescovo, Samanta Muzzin, Enrica Timis, Laura Cesaratto, Eliana Pivetta, Roberto Doliana, Antonio Palumbo, Renato Cannizzaro, Vincenzo Canzonieri and 5 more

Abstract read
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Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Alessandra CapuanoMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Maddalena VescovoMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Samanta MuzzinMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Enrica TimisMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Laura CesarattoMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Eliana PivettaMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Roberto DolianaMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Antonio PalumboPathology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Renato CannizzaroOncological Gastroenterology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Vincenzo CanzonieriPathology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Eugenio ScanzianiDipartimento Di Medicina Veterinaria E Scienze Animali (DIVAS), Università Degli Studi Di Milano, Milan, Italy.
Simone CanesiDipartimento Di Medicina Veterinaria E Scienze Animali (DIVAS), Università Degli Studi Di Milano, Milan, Italy.
Gustavo BaldassarreMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Maurizio MongiatMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy.
Paola SpessottoMolecular Oncology Unit, Centro Di Riferimento Oncologico Aviano, (CRO) IRCCS, Aviano, Italy. pspessotto@cro.it.ORCID http://orcid.org/0000-0002-3033-404X

Funding

Ministero della Salute Progetto di Ricerca Finalizzata 5‰ 2018Ministero della Salute Ricerca corrente linea 1
6 · The paper itself

Abstract

backgroundEMILIN-1 is an extracellular matrix glycoprotein with tumor-suppressive functions. While its loss is implicated in cancer progression, its specific role in the gastric tumor microenvironment and its clinical relevance remain poorly defined.

methodsUsing in vitro cellular systems and genetically modified mouse models we investigated the consequences of impaired EMILIN-1 function on gastric epithelial transformation, stromal remodeling, and fibroblast reprogramming. Histopathological analysis, gene expression profiling, and functional assays were employed to assess phenotypic changes in epithelial, fibroblastic, and endothelial compartments.

resultsWe found that gastric cancer (GC) cells downregulate EMILIN-1 in stromal fibroblasts and lymphatic endothelial cells via paracrine signaling, leading to reduced EMILIN-1 deposition and disrupted lymphatic organization. Mechanistically, the interaction between EMILIN-1 and α4β1 integrin, which is absent in GC cells, modulates tumor cell proliferation; loss of this axis allows tumor cells to escape ECM-mediated growth control. Furthermore, EMILIN-1 downregulation reprograms fibroblasts into a pro-tumorigenic phenotype, which enhances GC cell migration and clonogenic potential. EMILIN-1 loss-of-function (E955A) mice showed increased susceptibility to pre-neoplastic lesions, a finding mirrored in human dysplastic tissues where EMILIN-1 was markedly reduced.

conclusionOur findings establish EMILIN-1 as a master regulator of gastric tissue integrity. Its loss creates a tumor-permissive microenvironment by disrupting epithelial homeostasis, impairing lymphatic structure, and promoting fibroblast activation. The consistent reduction of EMILIN-1 in early human dysplasia highlights its potential as a novel stromal biomarker for early GC risk stratification. Moreover, restoring the EMILIN-1/integrin axis represents a promising therapeutic strategy to re-establish growth control and suppress tumor progression.

Indexed as

Cell Transformation, NeoplasticMembrane GlycoproteinsStomach NeoplasmsTumor MicroenvironmentAnimalsCarcinogenesisCell ProliferationFibroblastsHumansMiceelastin microfibril interface located proteinMembrane GlycoproteinsCancer associated fibroblastsExtracellular matrixGastric preneoplastic lesionsGastric tumor microenvironmentParacrine communication

Identifiers

PMID42474617
PMCPMC13524978

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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.