Targeting Tumor-Stromal Interactions in Pancreatic Cancer: Impact of Collagens and Mechanical Traits
2021 (English)In: Frontiers in Cell and Developmental Biology, E-ISSN 2296-634X, Vol. 9, article id 787485Article, review/survey (Refereed) Published
Abstract [en]
Pancreatic ductal adenocarcinoma (PDAC) has one of the worst outcomes among cancers with a 5-years survival rate of below 10%. This is a result of late diagnosis and the lack of effective treatments. The tumor is characterized by a highly fibrotic stroma containing distinct cellular components, embedded within an extracellular matrix (ECM). This ECM-abundant tumor microenvironment (TME) in PDAC plays a pivotal role in tumor progression and resistance to treatment. Cancer-associated fibroblasts (CAFs), being a dominant cell type of the stroma, are in fact functionally heterogeneous populations of cells within the TME. Certain subtypes of CAFs are the main producer of the ECM components of the stroma, with the most abundant one being the collagen family of proteins. Collagens are large macromolecules that upon deposition into the ECM form supramolecular fibrillar structures which provide a mechanical framework to the TME. They not only bring structure to the tissue by being the main structural proteins but also contain binding domains that interact with surface receptors on the cancer cells. These interactions can induce various responses in the cancer cells and activate signaling pathways leading to epithelial-to-mesenchymal transition (EMT) and ultimately metastasis. In addition, collagens are one of the main contributors to building up mechanical forces in the tumor. These forces influence the signaling pathways that are involved in cell motility and tumor progression and affect tumor microstructure and tissue stiffness by exerting solid stress and interstitial fluid pressure on the cells. Taken together, the TME is subjected to various types of mechanical forces and interactions that affect tumor progression, metastasis, and drug response. In this review article, we aim to summarize and contextualize the recent knowledge of components of the PDAC stroma, especially the role of different collagens and mechanical traits on tumor progression. We furthermore discuss different experimental models available for studying tumor-stromal interactions and finally discuss potential therapeutic targets within the stroma.
Place, publisher, year, edition, pages
Frontiers Media S.A., 2021. Vol. 9, article id 787485
Keywords [en]
collagen, extracellular matrix, mechanical traits, pancreatic cancer, PDAC—pancreatic ductal adenocarcinoma, stroma
National Category
Cell and Molecular Biology Cancer and Oncology
Research subject
Oncology
Identifiers
URN: urn:nbn:se:umu:diva-190614DOI: 10.3389/fcell.2021.787485ISI: 001027476700001PubMedID: 34901028Scopus ID: 2-s2.0-85120962866OAI: oai:DiVA.org:umu-190614DiVA, id: diva2:1621700
Funder
EU, Horizon 2020, 861196Swedish Research Council, 2017-01531Region Västerbotten, RV-930167Region Västerbotten, VLL-832001Cancerforskningsfonden i Norrland, LP 21-2298Marianne and Marcus Wallenberg Foundation, MMW 2020.0189Swedish Cancer Society, CAN 2017/332Swedish Cancer Society, CAN 2017/827Swedish Cancer Society, 20 1339 PjF2021-12-202021-12-202025-04-24Bibliographically approved