August 25, 2026 · Gastroenterology · DOI: 10.1053/j.gastro.2026.08.011

Fibroblast-derived Spondin-2 promotes dysplastic transition in metaplastic gastric epithelial cells

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The authors investigate the role of fibroblast-derived factors in the transition from metaplasia to dysplasia in gastric epithelial cells, identifying Spondin-2 (SPON2) as a key mediator of this process. Through various techniques, including single-cell RNA sequencing and spatial transcriptomics, they demonstrate that SPON2 promotes dysplastic changes in metaplastic gastroids, highlighting its potential as a significant factor in early gastric carcinogenesis. Ultimately, the study positions SPON2 as the first identified fibroblast-derived factor that drives pre-neoplastic progression in gastric epithelium.

Jared D Rhodes, Sumin Hur, Changqing Zhang, Isaac Tamayo-Sarver, Eric Sha, Elizabeth H Manning, Jean Rene Clemenceau, Brianna Caldwell, Bogun Jang, Eunyoung Choi, Tae Hyun Hwang, Su-Hyung Lee, James R Goldenring

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