Stroma AReactive Invasion Front Areas (SARIFA) proves prognostic relevance in gastric carcinoma and is based on a tumor-adipocyte interaction indicating an altered immune response.
Bianca GrosserChristian M HeyerJohannes AustgenEva SiposNic G ReitsamAndreas HauserAlison VanSchoiackDavid KroepplerDmytro VlasenkoAndreas ProbstAlexander NovotnyWilko WeichertGisela KellerMatthias SchlesnerBruno MärklPublished in: Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association (2023)
SARIFA proves to be a strong negative prognostic biomarker in advanced gastric cancer, implicating an interaction of tumor cells with tumor-promoting adipocytes with crucial changes in tumor cell metabolism. SARIFA is not driven by tumor genetics but is very likely driven by an altered immune response as a causative mechanism.