Schematic diagram of roles of periostin (POSTN) in the esophageal squamous cell carcinoma (ESCC) microenvironment. (IMAGE)
Caption
Direct contact with ESCC cells leads mesenchymal stem cells (MSCs) to become cancer-associated fibroblast (CAF)-like cells, which secrete periostin and activate the Akt and extracellular signal-regulated kinase (Erk) pathways via integrin subunit beta 4 (ITGB4) in ESCC cells, promoting their migration. Periostin also promotes MSC and macrophage migration and contributes to the activation of tumor-associated macrophage (TAM)-like macrophage properties. MΦ, macrophage.
Credit
The American Journal of Pathology
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