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Tumor-specific interendothelial adhesion mediated by FLRT2 facilitates cancer aggressiveness.

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机构: [1]Department of Anatomy,Keio University School of Medicine, Tokyo, Japan [2]Department of Surgery,Keio University School of Medicine, Tokyo, Japan [3]Department of Biochemistry,Keio University School of Medicine, Tokyo, Japan [4]Department of Cardiology, Keio University School of Medicine, Tokyo, Japan. [5]Department of Organ & Tissue Anatomy, Hamamatsu University School of Medicine, Hamamatsu, Japan. [6]Division of Gene Regulation, Institute for Advanced Medical Research, Keio University School of Medicine, Tokyo, Japan. [7]Department of Medicine, Program in Molecular Medicine,VA Salt Lake City Health Care System, University of Utah, Salt Lake City, Utah, USA. [8]Department of Oncological Sciences,VA Salt Lake City Health Care System, University of Utah, Salt Lake City, Utah, USA. [9]Department of Human Genetics,VA Salt Lake City Health Care System, University of Utah, Salt Lake City, Utah, USA. [10]ARUP Laboratories,VA Salt Lake City Health Care System, University of Utah, Salt Lake City, Utah, USA. [11]Division of Cardiovascular Medicine, Department of Medicine, VA Salt Lake City Health Care System, University of Utah, Salt Lake City, Utah, USA. [12]Department of Cardiology, VA Salt Lake City Health Care System, University of Utah, Salt Lake City, Utah, USA. [13]Key Laboratory for Human Disease Gene Study, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, China. [14]Department of Biochemistry, University of Oxford, Oxford, United Kingdom.
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Blood vessel abnormalization alters cancer cell metabolism and promotes cancer dissemination and metastasis. However, the biological features of the abnormalized blood vessels that facilitate cancer progression and whether they can be targeted therapeutically have not been fully investigated. Here, we found that an axon guidance molecule, fibronectin leucine-rich transmembrane protein 2 (FLRT2), is expressed preferentially in abnormalized vessels of advanced colorectal cancers in humans and that its expression correlates negatively with long-term survival. Endothelial cell-specific deletion of Flrt2 in mice selectively pruned abnormalized vessels, resulting in a unique metabolic state termed "oxygen-glucose uncoupling," which suppressed tumor metastasis. Moreover, Flrt2 deletion caused an increase in the number of mature vessels, resulting in a significant increase in the antitumor effects of immune checkpoint blockers. Mechanistically, we found that FLRT2 forms noncanonical interendothelial adhesions that safeguard against oxidative stress through homophilic binding. Together, our results demonstrated the existence of tumor-specific interendothelial adhesions that enable abnormalized vessels to facilitate cancer aggressiveness. Targeting this type of adhesion complex could be a safe and effective therapeutic option to suppress cancer progression.

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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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Q1 MEDICINE, RESEARCH & EXPERIMENTAL
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Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者机构: [1]Department of Anatomy,Keio University School of Medicine, Tokyo, Japan [2]Department of Surgery,Keio University School of Medicine, Tokyo, Japan
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通讯机构: [1]Department of Anatomy,Keio University School of Medicine, Tokyo, Japan [5]Department of Organ & Tissue Anatomy, Hamamatsu University School of Medicine, Hamamatsu, Japan. [*1]Department of Anatomy, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan [*2]Organ and Tissue Anatomy, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan
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