RT Journal Article SR Electronic T1 STAT3 activation through IL-6/IL-11 in cancer-associated fibroblasts promotes colorectal tumour development and correlates with poor prognosis JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP gutjnl-2019-319200 DO 10.1136/gutjnl-2019-319200 A1 Christina Heichler A1 Kristina Scheibe A1 Anabel Schmied A1 Carol I Geppert A1 Benjamin Schmid A1 Stefan Wirtz A1 Oana-Maria Thoma A1 Viktoria Kramer A1 Maximilian J Waldner A1 Christian Büttner A1 Henner F Farin A1 Marina Pešić A1 Ferdinand Knieling A1 Susanne Merkel A1 Anika Grüneboom A1 Matthias Gunzer A1 Robert Grützmann A1 Stefan Rose-John A1 Sergei B Koralov A1 George Kollias A1 Michael Vieth A1 Arndt Hartmann A1 Florian R Greten A1 Markus F Neurath A1 Clemens Neufert YR 2019 UL http://gut.bmj.com/content/early/2019/11/13/gutjnl-2019-319200.abstract AB Objective Cancer-associated fibroblasts (CAFs) influence the tumour microenvironment and tumour growth. However, the role of CAFs in colorectal cancer (CRC) development is incompletely understood.Design We quantified phosphorylation of STAT3 (pSTAT3) expression in CAFs of human colon cancer tissue using a tissue microarray (TMA) of 375 patients, immunofluorescence staining and digital pathology. To investigate the functional role of CAFs in CRC, we took advantage of two murine models of colorectal neoplasia and advanced imaging technologies. In loss-of-function and gain-of-function experiments, using genetically modified mice with collagen type VI (COLVI)-specific signal transducer and activator of transcription 3 (STAT3) targeting, we evaluated STAT3 signalling in fibroblasts during colorectal tumour development. We performed a comparative gene expression profiling by whole genome RNA-sequencing of fibroblast subpopulations (COLVI+ vs COLVI–) on STAT3 activation (IL-6 vs IL-11).Results The analysis of pSTAT3 expression in CAFs of human TMAs revealed a negative correlation of increased stromal pSTAT3 expression with the survival of colon cancer patients. In the loss-of-function and gain-of-function approach, we found a critical role of STAT3 activation in fibroblasts in driving colorectal tumourigenesis in vivo. With different imaging technologies, we detected an expansion of activated fibroblasts in colorectal neoplasias. Comparative gene expression profiling of fibroblast subpopulations on STAT3 activation revealed the regulation of transcriptional patterns associated with angiogenesis. Finally, the blockade of proangiogenic signalling significantly reduced colorectal tumour growth in mice with constitutive STAT3 activation in COLVI+ fibroblasts.Conclusion Altogether our work demonstrates a critical role of STAT3 activation in CAFs in CRC development.