RT info:eu-repo/semantics/article T1 Characterisation of the Stromal Microenvironment in Lobular Breast Cancer A1 Gómez Cuadrado, Laura A1 Bullock, Esme A1 Mabruk, Zeanap A1 Zhao, Hong A1 Souleimanova, Margarita A1 Noer, Pernille Rimmer A1 Turnbull, Arran K. A1 Oxvig, Claus A1 Bertos, Nicholas A1 Byron, Adam A1 Dixon, J. Michael A1 Park, Morag A1 Haider, Syed A1 Natrajan, Rachael A1 Sims, Andrew H. A1 Brunton, Valerie G. K1 Lobular breast cancer K1 Tumor microenvironment K1 Cancer-associated fibroblasts K1 Oncología K1 Oncology K1 Salud K1 Health K1 Medicina K1 Medicine AB nvasive lobular carcinoma (ILC) is the second most common histological subtype of breast cancer, and it exhibits a number of clinico-pathological characteristics distinct from the more common invasive ductal carcinoma (IDC). We set out to identify alterations in the tumor microenvironment (TME) of ILC. We used laser-capture microdissection to separate tumor epithelium from stroma in 23 ER+ ILC primary tumors. Gene expression analysis identified 45 genes involved in regulation of the extracellular matrix (ECM) that were enriched in the non-immune stroma of ILC, but not in non-immune stroma from ER+ IDC or normal breast. Of these, 10 were expressed in cancer-associated fibroblasts (CAFs) and were increased in ILC compared to IDC in bulk gene expression datasets, with PAPPA and TIMP2 being associated with better survival in ILC but not IDC. PAPPA, a gene involved in IGF-1 signaling, was the most enriched in the stroma compared to the tumor epithelial compartment in ILC. Analysis of PAPPA- and IGF1-associated genes identified a paracrine signaling pathway, and active PAPP-A was shown to be secreted from primary CAFs. This is the first study to demonstrate molecular differences in the TME between ILC and IDC identifying differences in matrix organization and growth factor signaling pathways. PB MDPI YR 2022 FD 2022-02 LK http://hdl.handle.net/10259/9801 UL http://hdl.handle.net/10259/9801 LA eng NO This work was funded by Cancer Research UK (C157/A23219 to LGC; C157/A29279 to E.B.) and the Cancer Research UK Edinburgh Centre Award (C157/A18075), an Endeavour Scholarship (734/2018/878 to Z.M.) and Programme Grants from Breast Cancer Now as part of Programme Funding to the Breast Cancer Now Toby Robins Research Centre (S.H. and R.N.). The breast tissue and data bank at McGill University is supported by funding from the Database and Tissue Bank Axis of the Réseau de Recherche en Cancer of the Fonds de Recherche du Québec-Santé and the Quebec Breast Cancer Foundation (to M.P.). DS Repositorio Institucional de la Universidad de Burgos RD 21-ene-2025