Increased stiffness of the tumor microenvironment in colon cancer stimulates cancer associated fibroblast-mediated prometastatic activin A signaling

Sci Rep. 2020 Jan 9;10(1):50. doi: 10.1038/s41598-019-55687-6.

Abstract

Colorectal cancer (CRC) is the second deadliest cancer in the US due to its propensity to metastasize. Stromal cells and especially cancer-associated fibroblasts (CAF) play a critical biophysical role in cancer progression, but the precise pro-metastatic mechanisms are not clear. Activin A, a TGF-β family member, is a strong pro-metastatic cytokine in the context of CRC. Here, we assessed the link between biophysical forces and pro-metastatic signaling by testing the hypothesis that CAF-generated mechanical forces lead to activin A release and associated downstream effects. Consistent with our hypothesis, we first determined that stromal activin A secretion increased with increasing substrate stiffness. Then we found that stromally-secreted activin A induced ligand-dependent CRC epithelial cell migration and epithelial to mesenchymal transition (EMT). In addition, serum activin A levels are significantly increased in metastatic (stage IV) CRC patients (1.558 ng/ml versus 0.4179 ng/ml, p < 0.05). We propose that increased tumor microenvironment stiffness leads to stromal cell-mediated TGF-β family signaling relying on the induction and utilization of activin A signaling.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Activins / blood*
  • Aged
  • Aged, 80 and over
  • Cadherins / metabolism
  • Cancer-Associated Fibroblasts* / cytology
  • Cancer-Associated Fibroblasts* / metabolism
  • Case-Control Studies
  • Cell Line, Tumor
  • Cell Movement
  • Colorectal Neoplasms / metabolism
  • Colorectal Neoplasms / pathology*
  • Epithelial-Mesenchymal Transition / drug effects
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Metastasis
  • Neoplasm Staging
  • Signal Transduction*
  • Snail Family Transcription Factors / metabolism
  • Transforming Growth Factor beta / pharmacology
  • Tumor Microenvironment*

Substances

  • Cadherins
  • Snail Family Transcription Factors
  • Transforming Growth Factor beta
  • activin A
  • Activins