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Table 1 The role of CAFs labeled by cancer-promoting markers in various kinds of cancer

From: What is new in cancer-associated fibroblast biomarkers?

Bio

marker

Main

origin

Description

Roles in cancers

Pancreatic cancer

Breast cancer

Colorectal cancer

Lung cancer

FAP

NFs

Type II intact membrane protein of serine protease family, including two subunits, α and β

Regulating accumulation of regulatory T cells, inhibition T cell activity, secreting CXCL12 and marginalized T cells through CXCL12-CXCR4 signaling, leading to tumor immunosuppression; Tumor promoting

Enriched in HER2-positive and triple-negative breast cancer stroma; expressing PD-1/2, which can bind to PD-1 expressed by T cells and inhibiting T cell activity

Interaction of

FAP+ CAFs and SPP1+ macrophages contributing to desmoplastic tumor microenvironment and correlating with immunotherapy resistance

Correlating with the immunosuppressive TME status; predictive biomarker of resistance to PD-1 blockade; poor prognosis marker

α-SMA

Cytoskeleton protein

α-SMAhighFAPhigh -myCAF α-SMAlowFAPlow -iCAF; relationship with survival is contradictory; inhibition IL-6 from α-SMA+CAF improving gemcitabine efficacy

Improving tumor growth via secretion of osteopontin; poor prognosis

Poor survival rates

MYH11+ α-SMA+ CAF and FAP+ α-SMA+ CAF driving T cell marginalization

POSTN

Stromal cell protein

Associated with highly cellular tumors and macrophage infiltrates and shorter overall survival

Playing an important role in carcinogenesis in situ and perhaps beyond for those cancers that become invasive

Correlated with tumor progression, lymph node and distant metastases, and poor clinical outcomes

Prognostic marker

PDGFRα/β

Tyrosine kinase receptor

Lymphatic invasion and lymph node metastasis; poor prognosis

PDGFRβ interacting with integrin A11 and leading to more aggressive behavior by activating JNK signaling

PDGFRβ+CAFs increasing the invasion and metastasis ability

in a secreted glycoprotein stanniocalcin-1 dependent manner

Promoting recruitment of fibroblasts to the tumor infiltration front

FSP-1

Small calcium binding protein

Identifying a unique population of fibroblasts with minimal overlap with markers for αSMA and PDGFRβ

Positive in primary breast cancer and in matched LNMs; inducing metastasis; associated with poor patient survival

Associated with poor patient survival

Lung premetastasis niche formation

Palladin

Actin binding protein

Secreting immunosuppressive cytokines to maintain the characteristics of iCAFs; producing functional desmoplastic ECMs to support cancer cell survival and proliferation; facilitating the invasion of cancer cells by remodeling ECM though regulating the small GTPase Cdc42; independent poor prognostic factor

As Akt1-specific substrate and regulating breast cancer cell migration

Correlated with reduced survival and relapse

Affecting the behavior of CAFs, leading to a pro-invasive henotype

Twist1

A basic helix-loop-helix transcription factor

-

Tumor promoting; related to shorter survival

Promoting matrix stiffness

-

GFPT2

Glutamine-Fructose-6-Phosphate Transaminase 2

-

-

Regulating immunosuppression through JAK/STAT signaling pathway; associated with poorer pathological characteristics and OS

Regulating metabolic reprogramming and negatively correlates with prognosis

Vim

MSCs

Cytoskeletal protein

Poor survival; pro-tumoural profile

Associated with indices of poor prognosis

Independent prognostic factor for recurrence; related to shorter survival and chemoresistance

Promoting lung cancer metastasis by surrounding the cancer cells sprouting from primary tumor

TNC

Extracellular matrix protein

Perineural invasion, high loco-regional recurrence, proliferation and invasion; poor prognosis

Related to LN metastasis and poorer outcome

Promoting EMT and proliferation; involved in tumor growth and metastasis via Hedgehog signaling; poor prognosis

Poorer clinical outcome biomarker

CD90

GPI-anchored glycoprotein

Promoting pancreatic cancer development

-

Supporting the stemness of tumor cells and inducing an immune adaptive inflammatory response

Promoting tumor cell invasion; poor prognosis

CD10

Metalloendoprotease

-

Supplying paracrine IL-8 and IL-6 through NF-κB signaling, forming a niche that protects CSC,leading to chemotherapy resistance and poor survival

-

Same to breast cancer

GPR77

Non-G protein coupled receptor

-

-

-

Galectin 1

Stellate cells

β-galactoside binding protein

Tumor cell proliferation, angiogenesis, invasion, metastasis and inflammation

Immunosuppressive microenvironment; associated with high tumor grade and lymph node involvement; poor prognosis

Promoting CIC features and disease dissemination

Poorer clinical outcome biomarker

AEBP1

Epithelial cells

Multifunctional protein

-

-

Promoting proliferation, invasion, migration and metastasis by activating NF-κB signaling

An independent poor prognostic factor

OPN

Not clear

secretory phosphoprotein

Promoting cancer stemness via SPP1-CD44 axis

Poor prognosis

Contributing to tumorigenesis by activation of the STAT3/PPARg pathway;poor prognosis

Promoting invasiveness and proliferation;poor prognosis