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Cancer-associated fibroblast phenotype (CAF phenotype)

Target
CAF phenotype
Molecular classification
Other (cellular phenotype), Not a single molecule or protein family, Stromal cell type in tumor microenvironment
01

Overview

The **cancer-associated fibroblast phenotype** refers to the distinct functional and molecular characteristics acquired by stromal fibroblasts within the tumor microenvironment. These cells differ from normal quiescent tissue-resident fibroblasts by adopting an activated state that supports tumor growth through extracellular matrix remodeling, secretion of growth factors and cytokines, modulation of immune responses, and promotion of therapeutic resistance. The presence and abundance of specific subtypes—such as myofibroblast-like cancer-associated fibroblasts—are associated with poor prognosis across multiple cancer types. While these phenotypes are considered promising targets for disrupting tumor-stroma interactions therapeutically, "cancer-associated fibroblast phenotype" itself is not a single molecular entity but rather describes a heterogeneous population defined by shared features at the cellular level.

Other names
Cancer-associated fibroblastsCAFstumor-associated fibroblastsstromal fibroblasts (in cancer context)
02

Biological functions

Extracellular matrix remodelingRegulation of tumor cell proliferation and disseminationModulation of signaling pathways in oncogenesisPromotion of chemoresistanceInteraction with immune cells and other stromal components
03

Disease associations

Cancer (multiple types)Tumor progression and metastasisTherapeutic resistance
04

Safety considerations

Targeting CAFs can disrupt normal tissue homeostasis since similar fibroblast populations exist in healthy tissues; off-target effects may include impaired wound healing or fibrosis.
05

Biomarkers

myCAF gene signature markers such as ACTA2, FAP, PDGFRβ, etc. are used to identify subtypes of cancer-associated fibroblasts and may serve as prognostic biomarkers for poor survival in several cancers

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