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Updated: May 5, 2026

Experimental Generation of Carcinoma-Associated Fibroblasts CAFs from Human Mammary Fibroblasts
Published on: October 25, 2011
Tumour suppressor gene function in carcinoma-associated fibroblasts: from tumour cells via EMT and back again?
Lauren E Drake1, Kay F Macleod
1Ben May Department for Cancer Research, University of Chicago, IL, USA; Committee on Molecular Pathogenesis and Molecular Medicine, University of Chicago, IL, USA.
Abstract:
Recent reports indicate that inactivation of the RB, TP53 or PTEN tumour suppressor genes is detected in tumour stroma of oropharyngeal, breast and other human cancers. Mouse models have validated the tumour-promoting effects of deleting Rb, Pten or p53 in fibroblasts that converts them from normal fibroblasts to carcinoma associated fibroblasts (CAFs). The tumour-promoting activity of CAFs in these contexts was associated with increased paracrine signaling to tumour cells through production of specific growth factors, chemokines and MMPs by CAFs. The conversion of NOFs into CAFs through acquisition of specific mutations, such as loss of tumour suppressors, or deregulated expression of microRNAs or key epigenetic events, can clearly occur independently of genetic and epigenetic changes in tumour cells but an alternative source of CAFs that is being reconsidered is that CAFs derive from the tumour cells by EMT. Recent mouse models employing lineage-tracing techniques have suggested that this can take place in vivo and the extent to which this is relevant more broadly is discussed.
Insights
Tumour suppressor gene inactivation in fibroblasts creates carcinoma-associated fibroblasts (CAFs) that promote cancer growth via signaling. CAFs may also originate from tumor cells through epithelial-mesenchymal transition (EMT).
Area of Science:
- Oncology
- Cancer Biology
- Molecular Oncology
Background:
- Inactivation of tumor suppressor genes like RB, TP53, and PTEN is observed in the stroma of various human cancers.
- Mouse models confirm that deleting these tumor suppressors in fibroblasts transforms them into cancer-promoting carcinoma-associated fibroblasts (CAFs).
Purpose of the Study:
- To explore the origins and mechanisms of carcinoma-associated fibroblast (CAF) generation in cancer.
- To investigate the role of fibroblast genetic alterations and epithelial-mesenchymal transition (EMT) in CAF formation.
Main Methods:
- Review of recent reports on tumor suppressor gene inactivation in cancer stroma.
- Analysis of mouse models demonstrating fibroblast-to-CAF conversion upon tumor suppressor deletion.
- Examination of lineage-tracing studies investigating CAF origins.
Main Results:
- Loss of RB, TP53, or PTEN in fibroblasts leads to CAF phenotypes with tumor-promoting paracrine signaling.
- CAFs secrete growth factors, chemokines, and MMPs that enhance tumor cell activity.
- Evidence suggests CAFs can arise independently of tumor cell genetics, but also potentially from tumor cells via EMT.
Conclusions:
- Fibroblast genetic alterations, particularly tumor suppressor inactivation, are a key driver of CAF formation and pro-tumorigenic activity.
- The potential for tumor cells to differentiate into CAFs through EMT represents an alternative source of CAFs, warranting further investigation in vivo.
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