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Single-Cell RNA Sequencing Identifies MMP11+ Cancer-Associated Fibroblasts as Drivers of Angiogenesis and Bladder
Wuwu Xu1,2, Ting Liang1,3, Hu Fang4
1Urology Institute of Shenzhen University, The Third Affiliated Hospital of Shenzhen University (Shenzhen Luohu People's Hospital), Shenzhen University, Shenzhen, 518116, China.
Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
|June 24, 2025
Summary
Researchers identified a new cancer-associated fibroblast (CAF) subgroup, MMP11+ mCAF, that drives bladder cancer progression and poor prognosis. Targeting this CAF subtype offers a promising therapeutic strategy for various cancers.
Area of Science:
- Oncology
- Cancer Biology
- Immunology
Background:
- Cancer-associated fibroblasts (CAFs) exhibit heterogeneity, impacting tumor progression, therapeutic response, and patient prognosis.
- Understanding CAF heterogeneity is crucial for developing effective cancer treatments.
Purpose of the Study:
- To identify and characterize novel CAF subgroups involved in bladder cancer progression.
- To elucidate the mechanisms by which specific CAFs regulate tumor growth and angiogenesis.
- To explore the therapeutic potential of targeting identified CAF populations across various cancer types.
Main Methods:
- Single-cell RNA sequencing (scRNA-seq) to identify CAF heterogeneity.
- Analysis of signaling pathways (WNT5A-MCAM, CCL11/CCL2) involved in CAF-mediated tumor regulation.
- In vivo mouse models to assess the efficacy of targeting BMP2 signaling.
- Pan-cancer analysis to determine the prevalence of identified CAF subgroups.
Main Results:
- A novel CAF subgroup, MMP11+ myeloid-derived CAFs (mCAFs), was identified, accumulating during bladder cancer progression and linked to poor prognosis.
- MMP11+ mCAFs regulate endothelial cell migration via WNT5A-MCAM signaling and modulate SOX18, NFIC, and HOXB9 expression.
- MMP11+ mCAFs recruit macrophages, promoting VEGFA-driven angiogenesis, and are influenced by tumor cell-secreted BMP2.
- Inhibition of BMP2 suppressed tumor angiogenesis and growth in mouse models.
- MMP11+ mCAFs are prevalent in multiple cancer types, including breast, lung, gastric, and colorectal cancers.
Conclusions:
- MMP11+ mCAFs represent a distinct CAF subtype driving bladder cancer progression and angiogenesis.
- The BMP2-NFE2L3-WNT5A axis is a key regulatory pathway involving MMP11+ mCAFs.
- Targeting MMP11+ mCAFs or related pathways presents a potential pan-cancer therapeutic strategy.

