Although the stroma within carcinogenic lesions is known to be supportive a
nd responsive to tumors, new data increasingly show that the stroma also ha
s a more active, oncogenic role in tumorigenesis. Stromal cells and their p
roducts can transform adjacent tissues in the absence of pre-existing tumor
cells by inciting phenotypic and genomic changes in the epithelial cells.
The oncogenic action of distinctive stromal components has been demonstrate
d through a variety of approaches, which provide clues about the cellular p
athways involved.