摘要:SummaryThe patient-derived xenograft (PDX) model is a versatile tool used to study the tumor microenvironment (TME). However, limited studies have described multi-tumor PDX screening strategies to detect hub regulators during cancer-stroma interaction. Transcriptomes of cancer (human) and stroma (mouse) components of 70 PDX samples comprising 9 distinctive tumor types were analyzed in this study. PDX models recapitulated the original tumors' features, including tumor composition and putative signaling. Particularly, kidney renal clear cell carcinoma (KIRC) stood out, with altered hypoxia-related pathways and a high proportion of endothelial cells in the TME. Furthermore, an integrated analysis conducted to predict paracrine effectors in the KIRC cancer-to-stroma communication detected well-established soluble factors responsible for the hypoxia-related reaction and the so-far unestablished soluble factor, apelin (APLN). Subsequent experiments also supported the potential role of APLN in KIRC tumor progression. Therefore, this paper hereby provides an analytical workflow to find hub regulators in cancer-stroma interactions.Graphical abstractDisplay OmittedHighlights•Analysis of multi-tumor PDXs discloses hub regulators in cancer-stroma interplay•PDX transcriptomes reproduced original tumor's biological characteristics•Kidney cancer (KIRC) TME is featured with altered hypoxia-related reactions•Apelin is documented as a potential paracrine effector in KIRC-to-stroma interplayCancer systems biology; Cancer