RT Journal Article SR Electronic T1 Stromal fibroblasts induce metastatic tumor cell clusters via epithelial–mesenchymal plasticity JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e201900425 DO 10.26508/lsa.201900425 VO 2 IS 4 A1 Matsumura, Yuko A1 Ito, Yasuhiko A1 Mezawa, Yoshihiro A1 Sulidan, Kaidiliayi A1 Daigo, Yataro A1 Hiraga, Toru A1 Mogushi, Kaoru A1 Wali, Nadila A1 Suzuki, Hiromu A1 Itoh, Takumi A1 Miyagi, Yohei A1 Yokose, Tomoyuki A1 Shimizu, Satoru A1 Takano, Atsushi A1 Terao, Yasuhisa A1 Saeki, Harumi A1 Ozawa, Masayuki A1 Abe, Masaaki A1 Takeda, Satoru A1 Okumura, Ko A1 Habu, Sonoko A1 Hino, Okio A1 Takeda, Kazuyoshi A1 Hamada, Michiaki A1 Orimo, Akira YR 2019 UL https://www.life-science-alliance.org/content/2/4/e201900425.abstract AB Emerging evidence supports the hypothesis that multicellular tumor clusters invade and seed metastasis. However, whether tumor-associated stroma induces epithelial–mesenchymal plasticity in tumor cell clusters, to promote invasion and metastasis, remains unknown. We demonstrate herein that carcinoma-associated fibroblasts (CAFs) frequently present in tumor stroma drive the formation of tumor cell clusters composed of two distinct cancer cell populations, one in a highly epithelial (E-cadherinhiZEB1lo/neg: Ehi) state and another in a hybrid epithelial/mesenchymal (E-cadherinloZEB1hi: E/M) state. The Ehi cells highly express oncogenic cell–cell adhesion molecules, such as carcinoembryonic antigen-related cell adhesion molecule 5 (CEACAM5) and CEACAM6 that associate with E-cadherin, resulting in increased tumor cell cluster formation and metastatic seeding. The E/M cells also retain associations with Ehi cells, which follow the E/M cells leading to collective invasion. CAF-produced stromal cell-derived factor 1 and transforming growth factor-β confer the Ehi and E/M states as well as invasive and metastatic traits via Src activation in apposed human breast tumor cells. Taken together, these findings indicate that invasive and metastatic tumor cell clusters are induced by CAFs via epithelial–mesenchymal plasticity.