Elevated expression of angiomodulin (AGM/IGFBP-rP1) in tumor stroma and its roles in fibroblast activation
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Updated: May 25, 2026

A Mouse Model to Investigate the Role of Cancer-Associated Fibroblasts in Tumor Growth
Published on: December 22, 2020
Eriko Komiya1, Momoko Furuya, Naoko Watanabe
1Graduate School of Integrated Sciences, Yokohama City University, Yokohama, Japan.
Abstract:
Angiomodulin (AGM/IGFBP-rP1), a glycoprotein of about 30 kDa, is overexpressed in tumor vasculature as well as some human cancer cell lines, but it has been suggested to be a tumor suppressor. To elucidate roles of angiomodulin (AGM) in tumor progression, we here examined distribution of AGM in three types of human cancer tissues by immunohistochemistry. The results showed that AGM was overexpressed in the stroma as well as the vasculature surrounding tumor cells in the human cancer tissues. AGM and α-smooth muscle actin (α-SMA) as an activated fibroblast marker were often colocalized in cancer-associated fibroblasts (CAFs). In vitro analysis indicated that transforming growth factor (TGF)-β1 might be an important inducer of AGM in normal human fibroblasts. AGM strongly stimulated the expression of fibronectin and weakly that of α-SMA in normal fibroblasts. AGM significantly stimulated the proliferation and migration of fibroblasts. The AGM-induced expression of fibronectin and α-SMA was blocked by a TGF-β signal inhibitor but neither the stimulation of cell growth nor migration. These results imply that AGM activates normal fibroblasts by TGF-β-dependent and independent mechanisms. These findings also suggest that AGM and TGF-β1 cooperatively or complementarily contribute to the stromal activation and connective tissue formation in human cancer tissues, contributing to tumor progression.
Insights
Angiomodulin (AGM) activates normal fibroblasts, promoting tumor progression. This glycoprotein stimulates fibroblast proliferation and migration, potentially through transforming growth factor-beta (TGF-β)-dependent and independent pathways, contributing to cancer stroma formation.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Angiomodulin (AGM/IGFBP-rP1) is a glycoprotein implicated in tumor biology.
- AGM is overexpressed in tumor vasculature and some cancer cell lines.
- Its role as a tumor suppressor has been debated, necessitating further investigation into its function in tumor progression.
Purpose of the Study:
- To investigate the distribution and role of angiomodulin (AGM) in human cancer tissues.
- To elucidate the mechanisms by which AGM influences fibroblast activation and tumor stroma formation.
Main Methods:
- Immunohistochemistry was used to examine AGM distribution in three types of human cancer tissues.
- In vitro studies analyzed the effects of AGM on normal human fibroblasts, including proliferation, migration, and gene expression.
- Transforming growth factor-beta (TGF-β) signaling inhibitors were employed to dissect signaling pathways.
Main Results:
- AGM was found to be overexpressed in the stroma and vasculature surrounding tumor cells.
- AGM colocalized with alpha-smooth muscle actin (α-SMA), a marker for cancer-associated fibroblasts (CAFs).
- AGM stimulated fibroblast proliferation and migration, and induced fibronectin and α-SMA expression, partly via TGF-β-dependent pathways.
Conclusions:
- AGM activates normal fibroblasts through both TGF-β-dependent and independent mechanisms.
- AGM and TGF-β1 may cooperatively contribute to stromal activation and connective tissue formation in human cancers.
- These findings suggest AGM plays a role in promoting tumor progression via stromal modulation.
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