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人体解剖学系,江苏 南京 211166

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国家自然科学基金(81972288)


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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Department of Human Anatomy,School of Basic Medicine,Nanjing Medical University,Nanjing 211166 ,China

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    摘要:

    目的:探究肿瘤相关成纤维细胞(cancer-associated fibroblast,CAF)通过分泌血小板反应蛋白-2(thrombospondin-2, THBS2)促进巨噬细胞M2极化的作用及机制。方法:基于癌症基因组图谱(The Cancer Genome Atlas,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CAF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CAF,与M2型巨噬细胞浸润呈强正相关。功能实验显示,CAF条件培养基显著上调巨噬细胞M2标志物[白细胞介素(interleukin,IL)-10、巨噬细胞甘露糖受体(macrophage mannose receptor,MMR)、CD206、精氨酸酶1(arginase-1,ARG1),并促进迁移;重组蛋白THBS2激活PI3K/AKT通路,促进巨噬细胞M2极化,而THBS2敲低后极化及迁移效应被逆转。结论:CAF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,为靶向结直肠癌CAF-THBS2轴的免疫治疗提供了实验依据。

    Abstract:

    Objective:To investigate the effect and mechanism of cancer-associated fibroblast(CAF)in promoting M2 polarization of macrophages by secreting thrombospondin -2(THBS2). 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 CAF models were utilized to validate THBS2 secretion. The regulation of THBS2 on macrophage polarization,migration,and signaling pathways was evaluated by qRT - PCR,transwell assays,and PI3K/AKT pathway analysis. Results:THBS2 expression was significantly elevated in colorectal cancer tissues and closely correlated with advanced TNM stages and poor prognosisofpatients. Single-cell sequencing and experiments confirmed that THBS2 is specifically derived from CAFs and most strongly associated with M2 macrophage infiltration. Functional experiments demonstrated that CAF - conditioned medium upregulated M2 markers interleukin(IL)- 10,macrophage mannose receptor(MMR),CD206,arginase - 1(ARG1)and enhanced macrophage migratory capacity. Recombinant THBS2 promoted p-PI3K/p-AKT phosphorylation levelsin macrophages compared to the IL - 4 group,augmenting M2 polarization. THBS2 knockdown significantly inhibited these pro - migratory and polarization effects. Conclusion:CAF-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,which provides experimental evidence for immunotherapy strategies targeting the CAF-THBS2 axis in colorectal cancer.

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徐甲,厉梦琪,袁小琴.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[J].南京医科大学学报(自然科学版),2026,(1):1-13

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  • 收稿日期:2025-04-06
  • 最后修改日期:2025-08-19
  • 录用日期:2025-09-19
  • 在线发布日期: 2026-01-12
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