26 12 Endocrine-Related R Mishra et al. TME based epigenetic targets 26:12 R673–R688 Cancer in cancer REVIEW Epigenetic changes in fibroblasts drive cancer metabolism and differentiation Rajeev Mishra1, Subhash Haldar2, Surabhi Suchanti1 and Neil A Bhowmick3,4 1Department of Biosciences, Manipal University Jaipur, Jaipur, Rajasthan, India 2Department of Biotechnology, Brainware University, Kolkata, India 3Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA 4Department of Research, Greater Los Angeles Veterans Administration, Los Angeles, California, USA Correspondence should be addressed to N A Bhowmick:
[email protected] Abstract Genomic changes that drive cancer initiation and progression contribute to the Key Words co-evolution of the adjacent stroma. The nature of the stromal reprogramming involves f endocrine therapy differential DNA methylation patterns and levels that change in response to the tumor resistance and systemic therapeutic intervention. Epigenetic reprogramming in carcinoma- f prostate associated fibroblasts are robust biomarkers for cancer progression and have a f neuroendocrine tumors transcriptional impact that support cancer epithelial progression in a paracrine manner. For prostate cancer, promoter hypermethylation and silencing of the RasGAP, RASAL3 that resulted in the activation of Ras signaling in carcinoma-associated fibroblasts. Stromal Ras activity initiated a process of macropinocytosis that provided prostate cancer epithelia with abundant glutamine for metabolic conversion