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Cancer-associated fibroblast heterogeneity in axillary lymph nodes drives metastases in breast cancer through complementary mechanisms

Floriane Pelon, Brigitte Bourachot, Yann Kieffer, Ilaria Magagna, Fanny Mermet-Meillon, Isabelle Bonnet, Ana Costa, Anne-Marie Givel, Youmna Attieh, Jorge Barbazan, Claire Bonneau, Laetitia Fuhrmann, Stéphanie Descroix, Danijela Vignjevic, Pascal Silberzan, Maria Carla Parrini, Anne Vincent-Salomon and Fatima Mechta-Grigoriou ()
Additional contact information
Floriane Pelon: PSL Research University
Brigitte Bourachot: PSL Research University
Yann Kieffer: PSL Research University
Ilaria Magagna: PSL Research University
Fanny Mermet-Meillon: PSL Research University
Isabelle Bonnet: PSL Research University, Sorbonne Université
Ana Costa: PSL Research University
Anne-Marie Givel: PSL Research University
Youmna Attieh: PSL Research University
Jorge Barbazan: PSL Research University
Claire Bonneau: PSL Research University
Laetitia Fuhrmann: Institut Curie Hospital
Stéphanie Descroix: Institut Pierre-Gilles de Gennes, CNRS UMR168
Danijela Vignjevic: PSL Research University
Pascal Silberzan: PSL Research University, Sorbonne Université
Maria Carla Parrini: PSL Research University
Anne Vincent-Salomon: Institut Curie Hospital
Fatima Mechta-Grigoriou: PSL Research University

Nature Communications, 2020, vol. 11, issue 1, 1-20

Abstract: Abstract Although fibroblast heterogeneity is recognized in primary tumors, both its characterization in and its impact on metastases remain unknown. Here, combining flow cytometry, immunohistochemistry and RNA-sequencing on breast cancer samples, we identify four Cancer-Associated Fibroblast (CAF) subpopulations in metastatic lymph nodes (LN). Two myofibroblastic subsets, CAF-S1 and CAF-S4, accumulate in LN and correlate with cancer cell invasion. By developing functional assays on primary cultures, we demonstrate that these subsets promote metastasis through distinct functions. While CAF-S1 stimulate cancer cell migration and initiate an epithelial-to-mesenchymal transition through CXCL12 and TGFβ pathways, highly contractile CAF-S4 induce cancer cell invasion in 3-dimensions via NOTCH signaling. Patients with high levels of CAFs, particularly CAF-S4, in LN at diagnosis are prone to develop late distant metastases. Our findings suggest that CAF subset accumulation in LN is a prognostic marker, suggesting that CAF subsets could be examined in axillary LN at diagnosis.

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-019-14134-w

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DOI: 10.1038/s41467-019-14134-w

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