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Nat Cell Biol ; 22(7): 882-895, 2020 07.
Article in English | MEDLINE | ID: mdl-32451439

ABSTRACT

It is well accepted that cancers co-opt the microenvironment for their growth. However, the molecular mechanisms that underlie cancer-microenvironment interactions are still poorly defined. Here, we show that Rho-associated kinase (ROCK) in the mammary tumour epithelium selectively actuates protein-kinase-R-like endoplasmic reticulum kinase (PERK), causing the recruitment and persistent education of tumour-promoting cancer-associated fibroblasts (CAFs), which are part of the cancer microenvironment. An analysis of tumours from patients and mice reveals that cysteine-rich with EGF-like domains 2 (CRELD2) is the paracrine factor that underlies PERK-mediated CAF education downstream of ROCK. We find that CRELD2 is regulated by PERK-regulated ATF4, and depleting CRELD2 suppressed tumour progression, demonstrating that the paracrine ROCK-PERK-ATF4-CRELD2 axis promotes the progression of breast cancer, with implications for cancer therapy.


Subject(s)
Breast Neoplasms/pathology , Cancer-Associated Fibroblasts/pathology , Cell Adhesion Molecules/metabolism , Cellular Reprogramming , Extracellular Matrix Proteins/metabolism , eIF-2 Kinase/metabolism , rho-Associated Kinases/metabolism , Activating Transcription Factor 4/genetics , Activating Transcription Factor 4/metabolism , Animals , Breast Neoplasms/genetics , Breast Neoplasms/metabolism , Cancer-Associated Fibroblasts/metabolism , Cell Adhesion Molecules/genetics , Cells, Cultured , Disease Models, Animal , Endoplasmic Reticulum/metabolism , Extracellular Matrix Proteins/genetics , Female , Humans , Mice , Paracrine Communication , eIF-2 Kinase/genetics , rho-Associated Kinases/genetics
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