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Tensional homeostasis and the malignant phenotype
Open accessAbstract
Tumors are stiffer than normal tissue, and tumors have altered integrins. Because integrins are mechanotransducers that regulate cell fate, we asked whether tissue stiffness could promote malignant behavior by modulating integrins. We found that tumors are rigid because they have a stiff stroma and elevated Rho-dependent cytoskeletal tension that drives focal adhesions, disrupts adherens junctions, perturbs tissue polarity, enhances growth, and hinders lumen formation. Matrix stiffness perturbs epithelial morphogenesis by clustering integrins to enhance ERK activation and increase ROCK-generated contractility and focal adhesions. Contractile, EGF-transformed epithelia with elevated ERK and Rho activity could be phenotypically reverted to tissues lacking focal adhesions if Rho-generated contractility or ERK activity was decreased. Thus, ERK and Rho constitute part of an integrated mechanoregulatory circuit linking matrix stiffness to cytoskeletal tension through integrins to regulate tissue phenotype.
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“Increased tissue stiffness triggers prosurvival and proproliferation signalling in cancer cells99.”
From A framework for advancing our understanding of cancer-associated fibroblasts (2020) · cites this paper as [99]
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Biomechanical properties of laminins and their impact on cancer progression
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The emerging promise of tumour mechanobiology in cancer treatment
Papavassiliou, K. A., Basdra, E. K., & Papavassiliou, A. G. (2023) · European Journal of Cancer · doi:10.1016/j.ejca.2023.112938 · Cited by 23
Applicability of atomic force microscopy to determine cancer-related changes in cells
Lekka, M. (2022) · Philosophical Transactions of the Royal Society A Mathematical Physical and Engineering Sciences · doi:10.1098/rsta.2021.0346 · Cited by 24
“This is linked with the internal structure of cells and tissues that changes dynamically during the organism development, functioning and, also, during disease progression [3,4].”
BackgroundBetriu, N., Andreeva, A. Y., & Semino, C. E. (2021) · Cancers · doi:10.3390/cancers13184504 · Cited by 27
“Increased matrix stiffness is a hallmark of many cancers such as breast [24], colorectal [25] and pancreatic [26] cancers.”
BackgroundRabie, E., Zhang, S. X., Dunn, C., & Nelson, C. (2021) · Molecular Biology of the Cell · doi:10.1091/mbc.e21-02-0072 · Cited by 23
“Consistent with our findings in cells cultured on plastic (Figure 1M), we found that depleting septin-6 in β 1 V737N -expressing cells reduces but does not completely prevent MNC induced by TGF β signaling (Figure 7G), indicating that septin-6 is not solely responsible for the phenotype we observe in cells undergoing…”
InfluentialAntibody-Functionalized Nanowires: A Tuner for the Activation of T Cells
Bhingardive, V., Kossover, A., Iraqi, M., Khand, B., Saux, G. L., Porgador, A., & Schvartzman, M. (2021) · Nano Letters · doi:10.1021/acs.nanolett.1c00245 · Cited by 24
External cues to drive B cell function towards immunotherapy
Stoycheva, D., Şimşek, H., Weber, W., Hauser, A. E., & Klotzsch, E. (2021) · Acta Biomaterialia · doi:10.1016/j.actbio.2021.02.026 · Cited by 25
Panzetta, V., Verde, G. L., Pugliese, M., Artiola, V., Arrichiello, C., Muto, P., Commara, M. L., Netti, P., & Fusco, S. (2020) · Cancers · doi:10.3390/cancers12051170 · Cited by 23
“At the same time, malignant cells exhibit a very high level of focal adhesion kinase (FAK) [44], a nonreceptor tyrosine kinase activated by integrin clustering and involved in the process of disassembly of focal adhesion, and the overexpression and activation of FAK are promoted by the stiffening of the ECM [45].”
BackgroundBhattarai, S., Mackeyev, Y., Venkatesulu, B. P., Krishnan, S., & Singh, P. K. (2021) · Nanoscale · doi:10.1039/d1nr05385j · Cited by 22
Jiang, C., Centonze, A., Song, Y., Chrisnandy, A., Tika, E., Rezakhani, S., Zahedi, Z., Bouvencourt, G., Dubois, C., Keymeulen, A. V., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-54843-5 · Cited by 31
“These stiffness values approximate the mechanical properties of normal mammary gland stroma (0.1 kPa) and tumor (4kPa) 34 , as well as collagen I gel at varying concentrations (2mg/ml, 0.5kPa; 4 mg/ml, 0.9kPa; 8 mg/ml, 3.3 kPa, Advanced Biomatrix).”
InfluentialEpithelial–Mesenchymal Transition Induced in Cancer Cells by Adhesion to Type I Collagen
Fujisaki, H., & Futaki, S. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms24010198 · Cited by 22
“When fibrotic tissue becomes stiffer than normal tissue [52], the increased stiffness of the cell adhesion scaffold alone induces EMT [53].”
BackgroundDevelopment of a CAFs-related gene signature to predict survival and drug response in bladder cancer
Zhang, Z., Liang, Z.-J., Li, D., Wang, L.-P., Chen, Y., Liang, Y., Jiao, W., & Niu, H. (2022) · Human Cell · doi:10.1007/s13577-022-00673-w · Cited by 22
“Changes in ECM remodeling have been shown to affect the migration of infiltrating leukocytes, which has an impact on tumor immune surveillance [23, 24].”
BackgroundLoria, R., Laquintana, V., Scalera, S., Fraioli, R., Caprara, V., Falcone, I., Bazzichetto, C., Martile, M. D., Rosanò, L., Bufalo, D. D., et al. (2022) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-022-02354-w · Cited by 26
“A very first response of cancer cells to stimuli from tumor microenvironment is represented by actin cytoskeleton remodeling to promote survival, migration, and metastatization [34, 35].”
BackgroundActivation of Fibroblasts in Skin Cancer
Hove, L. V., & Hoste, E. (2021) · Journal of Investigative Dermatology · doi:10.1016/j.jid.2021.09.010 · Cited by 25
Emerging technologies provide insights on cancer extracellular matrix biology and therapeutics
Cruz‐Acuña, R., Vunjak‐Novakovic, G., Burdick, J. A., & Rustgi, A. K. (2021) · iScience · doi:10.1016/j.isci.2021.102475 · Cited by 26
Kumai, J., Sasagawa, S., Horie, M., & Yui, Y. (2021) · Frontiers in Materials · doi:10.3389/fmats.2021.637278 · Cited by 28
“In cancer biology, a relationship has been demonstrated between mammary tissue stiffness and breast cancer progression (Paszek and Weaver, 2004; Paszek et al., 2005; Levental et al., 2007, 2009; Butcher et al., 2009).”
BackgroundKilinc, A. N., Han, S., Barrett, L. A., Anandasivam, N., & Nelson, C. (2021) · Molecular Biology of the Cell · doi:10.1091/mbc.e20-02-0092 · Cited by 22
“For example, the extracellular matrix (ECM) is stiffer within breast tumors than within the surrounding normal mammary tissue, which correlates with poor survival (Paszek et al., 2005).”
BackgroundLiu, S., Chen, G., Chen, Z., Wang, F., & Lv, Y. (2025) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2025.146485 · Cited by 21
Habeeb, I. F., Alao, T. E., Delgado, D., & Buffone, A. (2024) · Frontiers in Oncology · doi:10.3389/fonc.2024.1487306 · Cited by 16
Nakanishi, T., Koma, Y., Miyako, S., Torigoe, R., Yokoo, H., Omori, M., Yamanaka, K., Ishihara, N., Tsukamoto, S., Kodama, T., et al. (2024) · Cells · doi:10.3390/cells13201733 · Cited by 22
“CAFs remodel the extracellular matrix (ECM), leading to tissue stiffening, which induces signaling that promotes cancer cell survival and growth [5].”
BackgroundExploiting Matrix Stiffness to Overcome Drug Resistance
Aydın, H. B., Özçelikkale, A., & Acar, A. (2024) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.4c00445 · Cited by 23
Xiao, C., Xie, N., Shu, Q., Liang, X., Wang, Z., Wu, J., Shi, N., Huang, X., Wei, Z., Gao, X., et al. (2024) · Small · doi:10.1002/smll.202309907 · Cited by 21
Kumar, V., Naqvi, S. M., Verbruggen, A. S. K., McEvoy, E., & McNamara, L. M. (2024) · Cell Reports · doi:10.1016/j.celrep.2024.114043 · Cited by 25
Filipe, E. C., Velayuthar, S., Philp, A. M., Nobis, M., Latham, S. L., Parker, A. L., Murphy, K. J., Wyllie, K., Major, G. S., Contreras, O., et al. (2024) · Advanced Science · doi:10.1002/advs.202307963 · Cited by 26
CAFs vs. TECs: when blood feuds fuel cancer progression, dissemination and therapeutic resistance
Coursier, D., & Calvo, F. (2024) · Cellular Oncology · doi:10.1007/s13402-024-00931-z · Cited by 23
“This includes orienting fibers to promote cancer cell motil - ity, creating permissive tracks facilitating cancer cell invasion, and augmenting tissue stiffness, promoting malignant phenotypes in cancer cells [15–17].”
BackgroundCell Shape and Forces in Elastic and Structured Environments: From Single Cells to Organoids
Link, R., Weißenbruch, K., Tanaka, M., Bastmeyer, M., & Schwarz, U. S. (2023) · Advanced Functional Materials · doi:10.1002/adfm.202302145 · Cited by 25
Bond, K., Chiba, T., Wynne, K. J., Vary, C., Sims‐Lucas, S., Coburn, J. M., & Oxburgh, L. H. (2021) · Cancers · doi:10.3390/cancers13235873 · Cited by 38
“In addition to providing the substrate for cancer cell attachment, ECM determines rigidity, which profoundly influences tumor malignancy [13].”
BackgroundDirecting Multicellular Organization by Varying the Aspect Ratio of Soft Hydrogel Microwells
Pahapale, G. J., Tao, J., Nikolić, M., Gao, S. Y., Scarcelli, G., Sun, S. X., Romer, L. H., & Gracias, D. H. (2022) · Advanced Science · doi:10.1002/advs.202104649 · Cited by 30
“Studies have shown that only soft hydrogels with a stiffness less than 2 kPa support the spontaneous reorganization of epithelial cell aggregates to form lumenized structures like ducts (8, 28).”
BackgroundMapping mechanical properties of the tumor microenvironment by laser speckle rheological microscopy
Hajjarian, Z., Brachtel, E., Tshikudi, D., & Nadkarni, S. (2021) · Cancer Research · doi:10.1158/0008-5472.can-20-3898 · Cited by 21
“Furthermore, our finding that tumor stroma is significantly stiffer versus epithelium across all grades is supported by the well-established concept of the desmoplastic reaction (2).”
BackgroundPancreatic Ductal Adenocarcinoma: Relating Biomechanics and Prognosis
Curtain, B. M. M., Quirke, N., Thorpe, S. D., & Gallagher, T. K. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10122711 · Cited by 30
“Indeed, the physical properties of the tumour and stroma have been shown to be several magnitudes stiffer than healthy pancreatic tissue [22], and there is a well-documented link between stromal stiffness and cancer progression [23,24].”
BackgroundNanowire Based Mechanostimulating Platform for Tunable Activation of Natural Killer Cells
Bhingardive, V., Edri, A., Kossover, A., Saux, G. L., Khand, B., Radinsky, O., Iraqi, M., Porgador, A., & Schvartzman, M. (2021) · Advanced Functional Materials · doi:10.1002/adfm.202103063 · Cited by 24
Curtis, K. J., Schiavi, J., Garrigle, M. J. M., Kumar, V., McNamara, L. M., & Niebur, G. L. (2020) · Journal of The Royal Society Interface · doi:10.1098/rsif.2020.0568 · Cited by 27
“20 kPa in collagen hydrogels [20], while spheroid”
BackgroundLiver epithelial focal adhesion kinase modulates fibrogenesis and hedgehog signaling
Weng, Y., Lieberthal, T. J., Zhou, V. X., Lopez-Ichikawa, M. A., Armas‐Phan, M., Bond, T. K., Yoshida, M., Choi, W., & Chang, T. T. (2020) · JCI Insight · doi:10.1172/jci.insight.141217 · Cited by 22
“Stiffened tumor stroma activates FAK and downstream cell contractility, which cooperate with growth-factor-mediated signals to potentiate proliferation and invasive behavior of malignant cells (7, 8).”
Emerging Role of Syndecans in Extracellular Matrix Remodeling in Cancer
Jang, B., Kim, A., Hwang, J., Song, H.-K., Kim, Y., & Oh, E. (2020) · Journal of Histochemistry & Cytochemistry · doi:10.1369/0022155420930112 · Cited by 29
Collagen-Laponite Nanoclay Hydrogels for Tumor Spheroid Growth
Alamán‐Díez, P., Borau, C., Guerrero, P. E., Amaveda, H., Mora, M., Fraile, J. M., García‐Gareta, E., García‐Aznar, J. M., & Pérez, M. Á. (2023) · Biomacromolecules · doi:10.1021/acs.biomac.3c00257 · Cited by 25
Challenges and Opportunities Modeling the Dynamic Tumor Matrisome
Peyton, S. R., Platt, M. O., & Cukierman, E. (2023) · BME Frontiers · doi:10.34133/bmef.0006 · Cited by 24
Cell size and actin architecture determine force generation in optogenetically activated cells
Andersen, T., Wörthmüller, D., Probst, D., Wang, I., Moreau, P., Fitzpatrick, V., Boudou, T., Schwarz, U., & Balland, M. (2023) · Biophysical Journal · doi:10.1016/j.bpj.2023.01.011 · Cited by 20
“In particular, changes in RhoA regulation have been connected to the progression of cancer (24,25).”
BackgroundCamacho-Gómez, D., García‐Aznar, J. M., & Gómez‐Benito, M. J. (2022) · Engineering With Computers · doi:10.1007/s00366-022-01654-1 · Cited by 19
“To evaluate the predictive capacity of the model, we replicate the experiment developed by [35], who studied the influence of matrix rigidity in the lumen formed by MCF10A cells and concluded that matrix stiffening compromises tissue organization, inhibits lumen formation and enhances growth.”
BackgroundMethodResultInfluentialOrigin of Cancer: Cell work is the Key to Understanding Cancer Initiation and Progression
Hanselmann, R. G., & Welter, C. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.787995 · Cited by 31
Bidirectional Mechanical Response Between Cells and Their Microenvironment
Mierke, C. T. (2021) · Frontiers in Physics · doi:10.3389/fphy.2021.749830 · Cited by 36
Sato, K., Parag‐Sharma, K., Terajima, M., Musicant, A. M., Murphy, R. M., Ramsey, M. R., Hibi, H., Yamauchi, M., & Amelio, A. L. (2021) · Neoplasia · doi:10.1016/j.neo.2021.05.014 · Cited by 28
Modeling the tumor immune microenvironment for drug discovery using 3D culture
Lee, J. Y., & Chaudhuri, O. (2021) · APL Bioengineering · doi:10.1063/5.0030693 · Cited by 22
Effect of Acoustic Radiation Force on the Distribution of Nanoparticles in Solid Tumors
Afadzi, M., Myhre, O. F., Yemane, P. T., Bjørkøy, A., TORP, S. H., van Wamel, A. J. E. T., Lélu, S., Angelsen, B., & Davies, C. D. L. (2020) · IEEE Transactions on Ultrasonics Ferroelectrics and Frequency Control · doi:10.1109/tuffc.2020.3027072 · Cited by 28
“and structure of the tumor ECM [57]–[59] and the high Fig.”
Allen, S. C., Widman, J. A., Datta, A., & Suggs, L. J. (2020) · Integrative Biology · doi:10.1093/intbio/zyaa012 · Cited by 22
Nuclear envelope proteins, mechanotransduction, and their contribution to breast cancer progression
Henretta, S., & Lammerding, J. (2025) · npj Biological Physics and Mechanics · doi:10.1038/s44341-025-00018-2 · Cited by 19
“First, changes in the physical microenvironment, such as stiffening of the stromal environment, can drive pathogenic mechanoresponses that promote a pro-invasive cellular phenotype, even in normal mammary epithelial cells, as demonstrated in a landmark study two decades ago 74 .”
Progress in the mechanical properties of nanoparticles for tumor-targeting delivery
Li, Z., Xiao, C., Yang, X., & Li, Z. (2025) · Chemical Society Reviews · doi:10.1039/d3cs00912b · Cited by 35
Focal adhesion kinase regulates tendon cell mechanoresponse and physiological tendon development
Leahy, T. P., Chenna, S. S., Soslowsky, L. J., & Dyment, N. A. (2024) · The FASEB Journal · doi:10.1096/fj.202400151r · Cited by 16
Direct and cell-mediated EV-ECM interplay
Smirnova, O., Efremov, Y. M., Klyucherev, T. O., Peshkova, M., Senkovenko, A. M., Svistunov, A. А., & Timashev, P. S. (2024) · Acta Biomaterialia · doi:10.1016/j.actbio.2024.07.029 · Cited by 20
Tension directs cancer cell migration over fiber alignment through energy minimization
Zanotelli, M. R., Miller, J. P., Wang, W., Ortiz, I., Tahon, E., Bordeleau, F., & Reinhart‐King, C. A. (2024) · Biomaterials · doi:10.1016/j.biomaterials.2024.122682 · Cited by 16
Self-citationDiversity of Intercellular Communication Modes: A Cancer Biology Perspective
Ebrahim, T., Ebrahim, A. S., & Kandouz, M. (2024) · Cells · doi:10.3390/cells13060495 · Cited by 25
“Cancer progression is associated with defects in mechanotransduction, associated with the ECM, focal adhesions (FAs) and cytoskeletal tensions [289–291].”
Background
Metadata
- Authors
- Paszek, M. J., Zahir, N., Johnson, K. R., Lakins, J. N., Rozenberg, G. I., Gefen, A., Reinhart-King, C. A., Margulies, S. S., Dembo, M., Boettiger, D., Hammer, D. A., & Weaver, V. M.
- Affiliations
- University of Pennsylvania (US)
- Tel Aviv University (IL)
- Boston University (US)
- Corresponding author
- Weaver, Valerie M.
- ORCID
- Venue
- Cancer Cell
- Publisher
- Elsevier BV
- Published
- 2005-09
- Volume
- 8
- Issue
- 3
- Pages
- 241-254
- ISSN
- 1535-6108 (ISSN-L)
- OpenAlex
- W2099052265
- Cited by
- 3,941
- References
- 0
- Citations by year
- 2026: 142 · 2025: 165 · 2024: 155 · 2023: 172 · 2022: 193 · 2021: 221 · 2020: 273 · 2019: 217 · 2018: 262 · 2017: 256 · 2016: 239 · 2015: 249 · 2014: 225 · 2013: 237 · 2012: 183
- FWCI
- 33.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cancer Cell (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministerio de Economía y Competitividad
- National Heart, Lung, and Blood Institute (R01HL057204, HL-57204, HL64388-01A1, T32HL007954, T32HL00795404)
- National Cancer Institute (R01CA078731, CA078731)
- National Institute of General Medical Sciences (R01GM057388, GM57388)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Health Sciences › Medicine › Immunology and Allergy › Cell Adhesion Molecules Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Keywords
- tumor stiffness, extracellular matrix stiffness, integrins, mechanotransduction, cytoskeletal tension, Rho GTPase signaling, ERK activation, focal adhesions, adherens junctions, tissue polarity, epithelial morphogenesis, tumor stroma, contractility, malignant phenotype
- MeSH terms
- Animals, Cytoskeleton, Homeostasis, Neoplasms, Phenotype, Stress, Mechanical, 3T3 Cells, Stromal Cells, Cell Line, Tumor, Cell Shape, Mice
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