Aug 2026· Clinical Breast Cancer· Vol 26 10, pp.
40-51
· 0 citations· 45 references
Medicine
TL;DR
A novel CAFs-to-cancer cell communication axis where exosomal METTL3 promotes BC progression and immune escape via m6A-dependent upregulation of PABPN1 is identified, highlighting this pathway as a promising therapeutic target.
Abstract
Background
Cancer-associated fibroblasts (CAFs) drive breast cancer (BC) progression. While N6-methyladenosine (m6A) regulates tumorigenesis, the mechanisms by which CAF-derived exosomes transmit oncogenic m6A signals remain unclear.
Materials And Methods
Primary CAFs and normal fibroblasts were isolated and exosomes purified via ultracentrifugation. Exosomal impact on BC cell malignancy and T-cell cytotoxicity was evaluated in vitro. Molecular targets were validated using methylated RNA immunoprecipitation and dual-luciferase assays. In vivo tumorigenesis was assessed using xenograft models.
Results
CAFs secrete exosomes enriched with the methyltransferase-like 3 (METTL3), which is crucial for BC oncogenic reprogramming, promoting malignancy and immune evasion by suppressing T-cell function. Mechanistically, exosomal METTL3 is internalized by cancer cells, catalyzing m6A modification of poly(A)-binding protein nuclear 1 (PABPN1) mRNA to stabilize and upregulate it. Clinical analyses confirmed a positive correlation between METTL3 and PABPN1 levels in BC tissues. PABPN1 overexpression rescued the effects of exosomal METTL3 depletion in vitro and in vivo. Furthermore, knocking down METTL3 in CAFs-derived exosomes significantly impeded tumor growth in vivo, reducing PABPN1 and Ki-67 expression.
Conclusion
This study identifies a novel CAFs-to-cancer cell communication axis where exosomal METTL3 promotes BC progression and immune escape via m6A-dependent upregulation of PABPN1, highlighting this pathway as a promising therapeutic target.
Exosomal METTL16 from AML-MSCs plays a crucial role in promoting leukemic cell survival and M2 polarization, and targeting this axis may provide a potential theoretical foundation to reverse M2 macrophage polarization and inhibit AML progression.
Zhen Shang, Mi Zhou, Si-Jia Yan et al.· Biochimica et Biophysica Act...· 0 citations
It is demonstrated that treatment with the mTOR inhibitor rapamycin and the FDA-approved rapamycin analog everolimus effectively suppressed miR-1290-induced TNBC cell proliferation, suggesting a potential therapeutic strategy for TNBC.
Jinkwon Lee, Taesang Son, Gyeonghwa Kim et al.· Signal Transduction and Targ...· 0 citations
These findings uncover a CAF‐exosomal circFAD104 axis that reprograms glucose metabolism to drive TNBC progression via the circFAD104/MARCHF8/PGM1 pathway, highlighting its potential as a stroma‐targeted biomarker and prognostic predictor.
Lei Wang, Xiaoyan Li, Yiran Liang et al.· Advancement of science· 0 citations
OBJECTIVE
Cancer-associated fibroblasts (CAFs) contribute to pancreatic cancer (PC) progression and therapeutic resistance. This study investigated whether CAF-derived exosomes (CAF-exo)-promote PC cell stemness and gemcitabine (GEM) resistance by delivering Snail and regulating the suppressor of cytokine signaling 6/h...
Zhen Luo, Yuqin Hu, Jian Li et al.· Cellular Signalling· 0 citations
The central role of the CAF-CRC cell-CD8+ T cell regulatory axis is systematically elucidates: CAF-derived lactate modulates cholesterol metabolism in CRC cells via histone lactylation, thereby triggering mitochondrial dysfunction and driving the cellular senescence process.
Hua-Chi Li, Jun-Jie Hu, Lei Huang et al.· Journal of Pathology· 0 citations