肿瘤相关成纤维细胞分泌THBS2通过PI3K/AKT通路驱动巨噬细胞M2极化促进结直肠癌进展
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南京医科大学基础医学院

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国家自然科学基金面上


THBS2 Secretion by Cancer-Associated Fibroblasts Drives Macrophage M2 Polarization via the PI3K/AKT Signaling Pathway to Promote Colorectal Cancer Progression
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Nanjing Medical University

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General Program of the National Natural Science Foundation of China

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    摘要:

    目的:探究肿瘤相关成纤维细胞 (Cancer-Associated Fibroblasts, CAFs)通过分泌血小板反应蛋白-2(Thrombospondin-2,THBS2,TSP2)促进巨噬细胞M2极化作用及机制。方法:基于TCGA数据库分析结肠腺癌中THBS2的表达特征和临床意义;通过TISCH2单细胞数据库及多重免疫组化染色定位THBS2细胞来源,结合TIMER2.0评估其与免疫浸润相关性;利用Western blot、ELISA及原代CAFs模型验证THBS2分泌特征;通过qRT-PCR、Transwell及PI3K/AKT通路检测评估THBS2对巨噬细胞极化、迁移及信号通路的调控。结果:THBS2在结肠癌肿瘤组织中高表达,与晚期TNM分期及患者不良预后密切相关。单细胞测序及实验证明THBS2特异性来源于CAFs,与M2型巨噬细胞浸润呈强正相关。功能实验显示CAFs条件培养基显著上调巨噬细胞M2标志物(IL-10、CD206、ARG1)并促进迁移;重组蛋白TSP2激活PI3K/AKT通路,促进M2极化,而THBS2敲低后极化及迁移效应被逆转。结论:CAFs来源的THBS2可能通过激活PI3K/AKT信号通路诱导巨噬细胞向M2极化及迁移,从而促进结直肠癌免疫微环境重塑。本研究为靶向CAFs-THBS2轴的免疫治疗策略提供了实验依据。

    Abstract:

    Objective: To investigate the mechanism by which cancer-associated fibroblasts (CAFs) promote macrophage M2 polarization through secretion of thrombospondin-2 (THBS2, TSP2). Methods: The expression and clinical significance of THBS2 in colorectal adenocarcinoma were analyzed using the TCGA database.The cellular origin of THBS2 was identified through the TISCH2 single-cell database combined with multiplex immunohistochemical staining, and its association with immune infiltration was assessed using TIMER2.0. Western blot, ELISA, and primary CAFs models were utilized to validate THBS2 secretion. qRT-PCR, Transwell assays, and PI3K/AKT pathway analysis were performed to systematically evaluate the regulatory effects of THBS2 on macrophage polarization, migration, and signaling. Results: THBS2 expression was significantly elevated in colon cancer tissues and closely correlated with advanced TNM stages and poor patient prognosis. Single-cell sequencing and experimental validation confirmed that THBS2 is specifically derived from CAFs and most strongly associated with M2 macrophage infiltration. Functional experiments demonstrated that CAFs-conditioned medium upregulated M2 markers (IL-10, CD206, ARG1) and enhanced macrophage migratory capacity. Recombinant TSP2 promotes p-PI3K/p-AKT phosphorylation levels in macrophages compared to the IL-4 group, augmenting M2 polarization. THBS2 knockdown significantly inhibited these pro-migratory and polarization effects. Conclusion: CAFs-derived THBS2 may drive macrophage M2 polarization and migration by activating the PI3K/AKT signaling pathway,thereby remodeling the colorectal cancer immune microenvironment and driving malignant progression. This study provides experimental evidence for immunotherapy strategies targeting the CAFs-THBS2 axis.

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  • 收稿日期:2025-04-06
  • 最后修改日期:2025-08-19
  • 录用日期:2026-03-03
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