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. 2023 Dec 20;42:347. doi: 10.1186/s13046-023-02934-4

Table 1.

Transcription factors grouped by the biological process of action

Transcription factors Key observations Reference
Wound healing and fibrosis
 Engrailed-1 (EN1) A major player in wound repair, contributes to the scarring process [16, 17]
 c-Jun/c-fos Drive AP-1 activation during wound healing in neonatal and adult skin [10, 18]
 SMAD2/3 Downstream to TGF-β signaling activation in fetal and adult wound healing process [10, 19]
 β-catenin Downstream to Wingless type (Wnt) signaling during wound tissue remodeling [10, 20]
 RUNX1, TCF4, ZEB2 “Wound fibroblast TF signature” contributing to the wound healing process [15]
 TCF4, SOX9, EGR2, FOXS1 Drive myofibroblast differentiation in chronic wounds [21]
 LEF1 Promotes healthy skin regeneration in young skin [22]
 ZFP423 Drives regeneration of fat cells from myofibroblasts during wound healing [23]
 PRRX Drives a pro-fibrotic response in idiopathic pulmonary fibrosis [24]
 BNC2 Sustains the myofibroblastic activation in liver fibrosis [25]
Normal fibroblast conversion into CAFs
 GLI1 Specific Gli1 + fibroblasts expansion in tumor stroma during carcinogenesis [26]
 TBX4

Lost during lung CAF activation

Promotes fibroblast proliferation and collagen gel contraction capacity

[27]
 CSL/p53 complex

Lost during early CAF activation

Direct repressor of CAF-effector genes. Repressor of p53

[28]
 ATF3

Lost during early CAF activation

Converges with CSL complex to inhibit CAF-determining genes

[29]
 Androgen receptor - Lost during early CAF activation. Converges with CSL complex to repress key CAF effector genes [30]
- AR loss promotes the tumor-promoting abilities of CAFs [31]
- AR loss induces deformation of nuclear shape, and nuclear abnormalities and inhibits CAF features [32]
 SMAD2/3 Sustains TGF-β and SDF-1 autocrine signaling required for NF conversion into CAFs [33]
 HSF1 Sustains TGF-β and SDF-1 autocrine signaling [34]
 RUNX3/MYC Sustains TGF-β autocrine signaling [35]
 YAP-TEAD Downstream to mechanotransduction and matrix remodeling sustain CAF generation and maintenance [36]
 HSF1/ Dickkopf-3 Positive regulators of YAP nuclear translocation and activation of target gene [37]
 MRTF-SRF Crosstalk with YAP-TEAD signaling. Downstream to mechano-transduction, induce CAF contractile and pro-invasive properties [38]
 SNAIL1

Downstream to YAP-mediated mechano-transduction

Induces fibronectin and collagen expression and promotes matrix rigidity

[39]
 ZNF416 Downstream to mechano-transduction, supports fibroblast contractile activation, proliferation, and ECM synthesis [40]
 HIF-1α Drives metabolic reprogramming in breast cancer cells leading to CAF activation [41]
 POU1F1 Drives metabolic reprogramming of both CAFs and cancer cells [42]
 c-FOS and c-JUN Modulate the expression of glycolytic enzymes required for CAF activation [43]
 TFAM Its downregulation in CAFs induces mitochondrial dysfunction and metabolic reprogramming towards aerobic glycolysis promoting tumor cell growth [44]
 RUNX1 Sustains mesenchymal stem cell differentiation into myofibroblasts in prostate cancer stroma [45]
 ZNF32 When expressed in breast tumor cells, leads to CAF transformation from normal fibroblasts [46]
CAF activation and pro-tumoral functions
 SNAIL1 - Sustains CAF activation and pro-tumoral functions across various cancers [47]
- Regulates fibroblast activation protein alpha (Fap) expression and promotes immune suppression in melanoma [48]
 TWIST Sustains Twist1-Prrx1-TNC positive feedback loop [49]
 PRRX1 When depleted, forces CAFs into a highly activated state with increased ECM deposition [50]
 ZEB1 Sustains pro-tumoral CAF features [51]
 RUNX2 Sustains pro-tumoral CAF functions in bladder cancer [52]
 RUNX1 Sustains early activation of CAF-tumor cell crosstalk [53]
 p53 Activates late stage of CAF-specific genes [54]
 ATF3 Activates late stage of CAF-specific genes [55]
 STAT-3 Paracrine pro-tumorigenic CAF functions in breast cancer [56]
CAF plasticity and heterogeneity
 RUNX2 Regulates “early wound CAF” subtype signature [57]
 FOX TFs Increased activity in precancerous adenomas “intermediate state” during transformation from healthy to colorectal cancer [58]
 RUNX1 Increased activity in cancerous state of colorectal cancer [58]
 MYC Sustains metastasis-associated fibroblast rewiring in lung cancer [59]
 ZEB1 - Promotes myofibroblastic features of colorectal cancer-derived CAFs [51]
- Sustains CAF reprogramming via a secretory program [60]
 PRRX - Acts as master TFs of stromal fibroblasts for myofibroblastic lineage progression in multiple cancer types [61]
- Induces CAF activation in PDAC, allowing a dynamic switch between a dormant and an activated state [50]
 SALL4 Sustains TGF-β-activated CAF subsets in PDAC [62]
 SMAD2 Defines TGF-β-activated myofibroblasts [33]
 SOX2 Drives colonic fibroblasts reprogramming and promotes pro-tumoral myofibroblast functions and immunosuppressive tumor microenvironment [63]
CAF plasticity and heterogeneity mediated by cancer cell contextual cues
 ETV1 - Sustains inflammatory iCAF features. Controls the duality of FGF/TGF-β signaling in skin squamous cell carcinomas [64]
- Controls TGF-β /HGF and FGF7 signalling in non-small cell lung cancer [65]
 STAT3 Sustains inflammatory iCAF features induced by tumor-derived IL-1 in naïve pancreatic stellate PDAC cells [66, 67]
 SMAD2 Sustains myCAF features induced by tumor-derived TGF-β in naïve pancreatic stellate PDAC cells [66, 67]
 MZF1 Sustains the mesenchymal stem cells to-myCAF conversion in breast cancer [68]
 RUNX1 Associated with specific TFs network involved in pro-tumoral cancer cell/CAF crosstalk in prostate cancer [53]
 ZEB1 Its expression in tumor cells reprograms CAFs to promote metastasis in lung adenocarcinoma [46, 60]
 ZNF32 Its expression in tumor cells prevents fibroblast activation in breast cancer cells [46]
 P53 Its mutational status in pancreatic cancer cells drives CAF hierarchy to establish a pro-metastatic and chemoresistant TME [69]