Background and Aim:Cancer-associated fibroblasts (CAFs), one of the
most abundant stromal cell types in the tumor microenvironment (TME), are potential
targets for cancer treatments such as lung cancer. However, the underlying
mechanism by which CAFs promote lung cancer progression remains elusive.Methods:We obtained primary CAFs, normal fibroblasts (NFs), and their exosomes
and constructed protease nexin-1 (PN1) stably silenced or over-expressed CAFs cells
using lentivirus. Bioinformatics was used to obtain the expression of PN1 in lung
cancer and normal tissues, the relationship with overall survival, and the enriched
pathways. The MTT and Transwell assays were performed to detect the proliferation,
migration, and invasion abilities of lung cancer cells after treatment. Western blotting,
qRT-PCR, immunohistochemistry, and xenograft models were used to illustrate the
role of CAFs in lung cancer progression via exosomes.Results:CAFs-derived exosomes, in which PN1 was more highly expressed than that
in NFs-derived ones, effectively promoted the proliferation, migration, and invasion
potentials of lung cancer cells A549 and H1975. Meanwhile, the PN1 expression was
higher in lung cancer tissues than that in normal tissues and was negatively
associated with the overall survival rate of lung cancer patients. More importantly,
over-expressing or silencing of PN1 in A549 and H1975 cells promoted or inhibited cell
proliferation, migration, and invasion, correspondingly. Furthermore, treated with PN1
overexpressing CAFs-derived exosomes, the lung cancer cells proliferation, migration,
and invasion varied positively and were accompanied by activation of Toll-like and NF-
κB signaling pathways. However, this phenomenon can be reversed by AN-3485, an
antagonist of the Toll-like pathway. Finally, overexpression of PN1 leads to
accelerated tumor growth by increasing the expression of the proliferation biomarker
Ki67 and activation of the NF-κB signaling pathway in vivo.Conclusion:CAFs promoted lung cancer progression by transferring PN1 and
activating the Toll-like/NF-κB signaling pathway via exosomes.