In contrast to the ubiquitous presence of non-FAP-expressing quiescent fibroblasts, FAP expression by activated fibroblasts in the adult is (with few exceptions) linked to pathologic states such as wound healing, organ fibrosis, and cancer, where it is abundantly expressed by cancer-associated fibroblasts (CAFs) in the tumor microenvironment [3]. The gene discussed is FAP; the disease is neoplasm.