RT Journal Article SR Electronic T1 Molecular and functional heterogeneity of cancer associated fibroblasts in high-grade serous ovarian cancer JF bioRxiv FD Cold Spring Harbor Laboratory SP 519728 DO 10.1101/519728 A1 Ali Hussain A1 Veronique Voisin A1 Stephanie Poon A1 Julia Dmytryshyn A1 Cory Richman A1 Jalna Meens A1 Victor W Ho A1 Kwan Ho Tang A1 Joshua Paterson A1 Blaise Clarke A1 Marcus Q Bernardini A1 Gary D Bader A1 Benjamin G Neel A1 Laurie E Ailles YR 2019 UL http://biorxiv.org/content/early/2019/02/07/519728.abstract AB Recent studies indicate that cancer-associated fibroblasts (CAFs) are phenotypically and functionally heterogeneous. However, little is known about CAF subtypes and the roles they play in cancer progression. Here we identify and characterize two CAF subtypes that coexist within high grade serous ovarian cancers: Fibroblast activation protein (FAP)-high (FH) CAFs resemble the classical myofibroblast-type CAF, whereas FAP-low (FL) CAFs possesses a preadipocyte-like molecular signature. Patients with predominantly FH CAFs have significantly worse outcomes than patients with predominantly FL CAFs. FH CAFs contract collagen gels and aggressively promote proliferation, invasion and therapy resistance of cancer cells, whereas FL CAFs do not. Overexpression of the FL-specific transcription factor TCF21 in FH CAFs decreases their ability to promote gel contraction, invasion, and in vivo tumor growth. Understanding CAF subtypes in more detail could lead to better patient stratification and novel therapeutic strategies.