RT info:eu-repo/semantics/article T1 Cancer-associated fibroblast driven paracrine IL-6/STAT3 signaling promotes migration and dissemination in invasive lobular carcinoma A1 Bullock, Esme A1 Rozyczko, Aleksandra A1 Shabbir, Sana A1 Tsoupi, Ifigenia A1 Young, Adelaide I.J. A1 Travnickova, Jana A1 Gómez Cuadrado, Laura A1 Mabruk, Zeanap A1 Carrasco, Giovana A1 Morrow, Elizabeth A1 Pennel, Kathryn A1 Kloosterman, Pim A1 Houthuijzen, Julia M A1 Jonkers, Jos A1 Avalle, Lidia A1 Poli, Valeria A1 Iggo, Richard A1 Xiao, Xue A1 Guo, Jingjing A1 Zhu, Xuan A1 Mallon, Elizabeth A1 Edwards, Joanne A1 Patton, E. Elizabeth A1 Brunton, Valerie G. K1 Mamas-Cáncer K1 Breast-Cancer AB Background: Invasive lobular carcinoma (ILC) is the second most common histological subtype of breast cancer after invasive ductal carcinoma of no special type (NST), accounting for 10–15% of diagnoses. Despite the myriad molecular, histological and clinical differences between ILC and NST tumors, patients are treated in the same way, and although prognosis initially is good, ILC patients have poorer long-term outcomes. Understanding the differences between these two subtypes and identifying ILC-enriched therapeutic targets is necessary to improve patient care.Methods: Human and mouse cancer-associated fibroblasts (CAFs), ILC cell lines and patient-derived organoids were used for in vitro and in vivo studies, including western blotting, migration, organotypic invasion assays and dissemination in zebrafish embryos. RNASeq was used to identify CAF and interleukin-6 (IL-6)-derived gene signatures. Bioinformatic analysis of public databases and immunohistochemical of human tumor microarrays was carried out.Results: We identified IL-6 as a paracrine CAF-derived factor that activates Signal-Transducer-and-Activator-of-Transcription-3 (STAT3) in human and mouse ILC models. Analysis of human breast tumors showed that the IL-6/JAK/STAT3 pathway is enriched in ER + ILC compared to ER + NST. A 42-gene CAF dependent IL-6 gene signature and 64-gene consensus IL-6 gene signature were generated and were significantly enriched in ER + ILC, with many of the genes overexpressed in ILC tumors. IL-6 treatment suppressed downstream estrogen signaling and also led to the acquisition of a more mesenchymal-like phenotype associated with increased migration and invasion. Finally, IL-6 treatment significantly increased ILC cell dissemination following injection into zebrafish embryos.Conclusions: CAF-derived IL-6 drives paracrine activation of the IL6/JAK/STAT3 signaling pathway which is enriched in ILC. This leads to the acquisition of pro-tumorigenic phenotypes, highlighting the pathway as a potential therapeutic target in ILC. PB BioMed Central SN 1465-5411 YR 2025 FD 2025-07 LK https://hdl.handle.net/10259/10648 UL https://hdl.handle.net/10259/10648 LA eng NO This work was funded by Cancer Research UK (C157/A24837) to V.G.B. and (CANTAC721\100018) to E.B.; an NHS Lothian Charity award (S3181) to V.G.B; an Endeavour Scholarship (734/2018/878) to Z.M.; Punjab Educational Endowment Funds, Pakistan-programme 2020–2024 to S.S.; Medical Research Council (MC_UU_00035/13), Melanoma Research Alliance and Rosetrees Trust (MRA Awards 68730 and 917226) to E.E.P.; Sichuan Science and Technology Program (NO. 2022YFS0601) and Sichuan Provincial People’s Hospital to X.X. This work was supported by the Cancer Research UK Scotland Centre (CTRQQR-2021\100006). DS Repositorio Institucional de la Universidad de Burgos RD 19-abr-2026