1. Cancer-Associated Fibroblasts in Mycosis Fungoides Promote Tumor Cell Migration and Drug Resistance through CXCL12/CXCR4.
- Author
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Aronovich A, Moyal L, Gorovitz B, Amitay-Laish I, Naveh HP, Forer Y, Maron L, Knaneh J, Ad-El D, Yaacobi D, Barel E, Erez N, and Hodak E
- Subjects
- Adult, Aged, Aged, 80 and over, Apoproteins drug effects, Apoproteins immunology, Biopsy, Cancer-Associated Fibroblasts metabolism, Case-Control Studies, Cell Line, Tumor, Cell Movement drug effects, Cell Movement immunology, Cell Transformation, Neoplastic immunology, Cells, Cultured, Chemokine CXCL12 antagonists & inhibitors, Coculture Techniques, Doxorubicin pharmacology, Doxorubicin therapeutic use, Drug Resistance, Neoplasm immunology, Female, Healthy Volunteers, Humans, Male, Middle Aged, Mycosis Fungoides drug therapy, Mycosis Fungoides pathology, Primary Cell Culture, Receptors, CXCR4 antagonists & inhibitors, Signal Transduction drug effects, Signal Transduction immunology, Skin cytology, Skin pathology, Skin Neoplasms drug therapy, Skin Neoplasms pathology, Tumor Microenvironment drug effects, Tumor Microenvironment immunology, Young Adult, Cancer-Associated Fibroblasts immunology, Chemokine CXCL12 metabolism, Mycosis Fungoides immunology, Receptors, CXCR4 metabolism, Skin Neoplasms immunology
- Abstract
Cancer cells are known to reprogram normal fibroblasts into cancer-associated fibroblasts (CAFs) to act as tumor supporters. The presence and role of CAFs in mycosis fungoides (MF), the most common type of cutaneous T-cell lymphoma, are unknown. This study sought to characterize CAFs in MF and their cross talk with the lymphoma cells using primary fibroblast cultures from punch biopsies of patients with early-stage MF and healthy subjects. MF cultures yielded significantly increased levels of FAPα, a CAF marker, and CAF-associated genes and proteins: CXCL12 (ligand of CXCR4 expressed on MF cells), collagen XI, and matrix metalloproteinase 2. Cultured MF fibroblasts showed greater proliferation than normal fibroblasts in ex vivo experiments. A coculture with MyLa cells (MF cell line) increased normal fibroblast growth, reduced the sensitivity of MyLa cells to doxorubicin, and enhanced their migration. Inhibiting the CXCL12/CXCR4 axis increased doxorubicin-induced apoptosis of MyLa cells and reduced MyLa cell motility. Our data suggest that the fibroblasts in MF lesions are more proliferative than fibroblasts in normal skin and that CAFs protect MF cells from doxorubicin-induced cell death and increase their migration through the secretion of CXCL12. Reversing the CAF-mediated tumor microenvironment in MF may improve the efficiency of anticancer therapy., (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2021
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