RT Journal Article SR Electronic T1 Omental Adipose Tissue–Derived Stromal Cells Promote Vascularization and Growth of Endometrial Tumors JF Clinical Cancer Research JO Clin Cancer Res FD American Association for Cancer Research SP 771 OP 782 DO 10.1158/1078-0432.CCR-11-1916 VO 18 IS 3 A1 Klopp, Ann H. A1 Zhang, Yan A1 Solley, Travis A1 Amaya-Manzanares, Felipe A1 Marini, Frank A1 Andreeff, Michael A1 Debeb, Bisrat A1 Woodward, Wendy A1 Schmandt, Rosemarie A1 Broaddus, Russell A1 Lu, Karen A1 Kolonin, Mikhail G. YR 2012 UL http://clincancerres.aacrjournals.org/content/18/3/771.abstract AB Purpose: Adipose tissue contains a population of tumor-tropic mesenchymal progenitors, termed adipose stromal cells (ASC), which engraft in neighboring tumors to form supportive tumor stroma. We hypothesized that intra-abdominal visceral adipose tissue may contain a uniquely tumor-promoting population of ASC to account for the relationship between excess visceral adipose tissue and mortality of intra-abdominal cancers. Experimental Design: To investigate this, we isolated and characterized ASC from intra-abdominal omental adipose tissue (O-ASC) and characterized their effects on endometrial cancer progression as compared with subcutaneous adipose-derived mesenchymal stromal cells (SC-ASC), bone marrow–derived mesenchymal stromal cells (BM-MSC), and lung fibroblasts. To model chronic recruitment of ASC by tumors, cells were injected metronomically into mice bearing Hec1a xenografts. Results: O-ASC expressed cell surface markers characteristic of BM-MSC and differentiated into mesenchymal lineages. Coculture with O-ASC increased endometrial cancer cell proliferation in vitro. Tumor tropism of O-ASC and SC-ASC for human Hec1a endometrial tumor xenografts was comparable, but O-ASC more potently promoted tumor growth. Compared with tumors in SC-ASC–injected mice, tumors in O-ASC–injected mice contained higher numbers of large tortuous desmin-positive blood vessels, which correlated with decreased central tumor necrosis and increased tumor cell proliferation. O-ASC exhibited enhanced motility as compared with SC-ASC in response to Hec1a-secreted factors. Conclusions: Visceral adipose tissue contains a population of multipotent MSCs that promote endometrial tumor growth more potently than MSCs from subcutaneous adipose tissue. We propose that O-ASCs recruited to tumors express specific factors that enhance tumor vascularization, promoting survival and proliferation of tumor cells. Clin Cancer Res; 18(3); 771–82. ©2011 AACR.This article is featured in Highlights of This Issue, p. 593