Cancer-associated fibroblasts in cancer drug resistance and cancer progression: a review

Abstract Although cancer treatment saves many lives, some types of cancer, such as pancreatic ductal adenocarcinoma (PDAC), exhibit therapeutic resistance and continue to show high mortality. Tumors in cancers such as PDAC contain a substantial amount of cancer-associated fibroblast (CAF)-secreted c...

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Main Author: Hideyuki Masuda
Format: Article
Language:English
Published: Nature Publishing Group 2025-07-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-025-02566-x
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author Hideyuki Masuda
author_facet Hideyuki Masuda
author_sort Hideyuki Masuda
collection DOAJ
description Abstract Although cancer treatment saves many lives, some types of cancer, such as pancreatic ductal adenocarcinoma (PDAC), exhibit therapeutic resistance and continue to show high mortality. Tumors in cancers such as PDAC contain a substantial amount of cancer-associated fibroblast (CAF)-secreted collagen and other extracellular matrix (ECM) components, which significantly contribute to cancer therapeutic resistance. In the tumor microenvironment, CAFs stabilize the tissue by producing ECM components, remodel ECM through degradation, induce metastasis through epithelial–mesenchymal transition, and suppress cancer immune responses. Recent advances in single-cell analysis have gradually elucidated the subtypes of CAFs and their functions, leading to the emergence of CAF-targeting therapeutic strategies. In this review, I provide an overview of CAFs, their functions and classifications, the mechanisms underlying their role in therapeutic resistance, and the current status of CAF-targeting therapeutic strategies. Moreover, I explored how we can advance cancer treatment by leveraging our understanding of CAFs.
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spelling doaj-art-47ec8f7affee4128929734cc4f6546632025-08-20T03:45:45ZengNature Publishing GroupCell Death Discovery2058-77162025-07-0111111310.1038/s41420-025-02566-xCancer-associated fibroblasts in cancer drug resistance and cancer progression: a reviewHideyuki Masuda0Research Institute of Pharmaceutical Sciences, Faculty of Pharmacy, Musashino UniversityAbstract Although cancer treatment saves many lives, some types of cancer, such as pancreatic ductal adenocarcinoma (PDAC), exhibit therapeutic resistance and continue to show high mortality. Tumors in cancers such as PDAC contain a substantial amount of cancer-associated fibroblast (CAF)-secreted collagen and other extracellular matrix (ECM) components, which significantly contribute to cancer therapeutic resistance. In the tumor microenvironment, CAFs stabilize the tissue by producing ECM components, remodel ECM through degradation, induce metastasis through epithelial–mesenchymal transition, and suppress cancer immune responses. Recent advances in single-cell analysis have gradually elucidated the subtypes of CAFs and their functions, leading to the emergence of CAF-targeting therapeutic strategies. In this review, I provide an overview of CAFs, their functions and classifications, the mechanisms underlying their role in therapeutic resistance, and the current status of CAF-targeting therapeutic strategies. Moreover, I explored how we can advance cancer treatment by leveraging our understanding of CAFs.https://doi.org/10.1038/s41420-025-02566-x
spellingShingle Hideyuki Masuda
Cancer-associated fibroblasts in cancer drug resistance and cancer progression: a review
Cell Death Discovery
title Cancer-associated fibroblasts in cancer drug resistance and cancer progression: a review
title_full Cancer-associated fibroblasts in cancer drug resistance and cancer progression: a review
title_fullStr Cancer-associated fibroblasts in cancer drug resistance and cancer progression: a review
title_full_unstemmed Cancer-associated fibroblasts in cancer drug resistance and cancer progression: a review
title_short Cancer-associated fibroblasts in cancer drug resistance and cancer progression: a review
title_sort cancer associated fibroblasts in cancer drug resistance and cancer progression a review
url https://doi.org/10.1038/s41420-025-02566-x
work_keys_str_mv AT hideyukimasuda cancerassociatedfibroblastsincancerdrugresistanceandcancerprogressionareview