Stromal cell diversity associated with immune evasion in human triple-negative breast cancer

Sunny Z Wu1,2, Daniel L Roden1,2, Chenfei Wang3

  • 1The Kinghorn Cancer Centre and Cancer Research Division, Garvan Institute of Medical Research, Darlinghurst, NSW, Australia.

The EMBO Journal
|August 14, 2020
PubMed

Insights

Researchers identified distinct cancer-associated fibroblast (CAF) and perivascular-like (PVL) cell states in triple-negative breast cancer (TNBC). These stromal subpopulations influence tumor progression and immune response, offering new therapeutic targets for TNBC treatment.

Area of Science:

  • Oncology
  • Immunology
  • Cell Biology

Background:

  • The tumor stroma plays a critical role in regulating cancer development.
  • Stromal heterogeneity in triple-negative breast cancer (TNBC) is not well understood, hindering the development of targeted therapies.
  • Identifying distinct stromal cell populations is crucial for understanding TNBC progression and treatment.

Purpose of the Study:

  • To investigate the heterogeneity of stromal cells in human triple-negative breast cancers.
  • To characterize different subpopulations of cancer-associated fibroblasts (CAFs) and perivascular-like (PVL) cells.
  • To explore the functional roles and therapeutic potential of identified stromal states in TNBC.

Main Methods:

  • Single-cell RNA sequencing was performed on five TNBC tumors.
  • Bioinformatic analysis was used to identify and cluster distinct CAF and PVL subpopulations.
  • Cell signaling pathway predictions were employed to understand stromal-immune crosstalk.
  • Gene signatures from identified stromal states were analyzed in independent TNBC patient cohorts.

Main Results:

  • Two distinct CAF subpopulations (myofibroblast-like and immunomodulatory) and two PVL subpopulations (differentiated and immature) were identified.
  • These stromal states exhibited unique morphologies, spatial distributions, and extracellular matrix regulatory functions.
  • Stromal-immune crosstalk involves a wide range of immunoregulatory molecules.
  • Inflammatory-CAF and differentiated-PVL signatures correlated with cytotoxic T-cell dysfunction and exclusion in TNBC patients, respectively.

Conclusions:

  • Stromal heterogeneity in TNBC comprises distinct CAF and PVL subpopulations with unique functional properties.
  • Specific stromal states are associated with immune dysfunction in TNBC, highlighting their role in treatment resistance.
  • These findings provide novel insights into stromal-immune interactions and identify potential therapeutic targets for TNBC.

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