- Affo, Silvia;
- Nair, Ajay;
- Brundu, Francesco;
- Ravichandra, Aashreya;
- Bhattacharjee, Sonakshi;
- Matsuda, Michitaka;
- Chin, LiKang;
- Filliol, Aveline;
- Wen, Wen;
- Song, Xinhua;
- Decker, Aubrianna;
- Worley, Jeremy;
- Caviglia, Jorge Matias;
- Yu, Lexing;
- Yin, Deqi;
- Saito, Yoshinobu;
- Savage, Thomas;
- Wells, Rebecca G;
- Mack, Matthias;
- Zender, Lars;
- Arpaia, Nicholas;
- Remotti, Helen E;
- Rabadan, Raul;
- Sims, Peter;
- Leblond, Anne-Laure;
- Weber, Achim;
- Riener, Marc-Oliver;
- Stockwell, Brent R;
- Gaublomme, Jellert;
- Llovet, Josep M;
- Kalluri, Raghu;
- Michalopoulos, George K;
- Seki, Ekihiro;
- Sia, Daniela;
- Chen, Xin;
- Califano, Andrea;
- Schwabe, Robert F
Cancer-associated fibroblasts (CAF) are a poorly characterized cell population in the context of liver cancer. Our study investigates CAF functions in intrahepatic cholangiocarcinoma (ICC), a highly desmoplastic liver tumor. Genetic tracing, single-cell RNA sequencing, and ligand-receptor analyses uncovered hepatic stellate cells (HSC) as the main source of CAF and HSC-derived CAF as the dominant population interacting with tumor cells. In mice, CAF promotes ICC progression, as revealed by HSC-selective CAF depletion. In patients, a high panCAF signature is associated with decreased survival and increased recurrence. Single-cell RNA sequencing segregates CAF into inflammatory and growth factor-enriched (iCAF) and myofibroblastic (myCAF) subpopulations, displaying distinct ligand-receptor interactions. myCAF-expressed hyaluronan synthase 2, but not type I collagen, promotes ICC. iCAF-expressed hepatocyte growth factor enhances ICC growth via tumor-expressed MET, thus directly linking CAF to tumor cells. In summary, our data demonstrate promotion of desmoplastic ICC growth by therapeutically targetable CAF subtype-specific mediators, but not by type I collagen.