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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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BackgroundA Bloody Conspiracy— Blood Vessels and Immune Cells in the Tumor Microenvironment
Terrassoux, L., Claux, H., Bacari, S., Meignan, S., & Furlan, A. (2022) · Cancers · doi:10.3390/cancers14194581 · Cited by 12
“In addition, collagen concentrations can be varied to enable a range of ECM stiffness with elastic moduli from 150 to 1200 Pa, which was used to mimic matrix stiffening classically associated with tumor progression and to highlight the change in signaling and phenotype of mammary cells as a function of tissue stiffnes…”
BackgroundCieśluk, M., Pogoda, K., Piktel, E., Wnorowska, U., Deptuła, P., & Bucki, R. (2022) · Brain Sciences · doi:10.3390/brainsci12070927 · Cited by 12
So, C. L., Meinert, C., Xia, Q., Robitaille, M., Roberts‐Thomson, S. J., & Monteith, G. R. (2022) · Cell Calcium · doi:10.1016/j.ceca.2022.102569 · Cited by 11
Pervasive cytoquakes in the actomyosin cortex across cell types and substrate stiffness.
Shi, Y., Sivarajan, S., Xiang, K. M., Kostecki, G., Tung, L., Crocker, J., & Reich, D. (2021) · Integrative Biology · doi:10.1093/intbio/zyab017 · Cited by 10
Brown, K., Xue, A., Smith, R. C., Samra, J., Gill, A., & Hugh, T. (2021) · Cancer Medicine · doi:10.1002/cam4.4452 · Cited by 10
The Biophysics of Cancer: Emerging Insights from Micro‐ and Nanoscale Tools
Beshay, P. E., Cortes-Medina, M. G., Menyhert, M. M., & Song, J. W. (2021) · Advanced NanoBiomed Research · doi:10.1002/anbr.202100056 · Cited by 16
Spatial-Temporal Patterns and Inflammatory Factors of Bone Matrix Remodeling
Wang, J., Guo, F., Chen, G., Sun, J., Tang, Q., & Chen, L. (2021) · Stem Cells International · doi:10.1155/2021/4307961 · Cited by 11
“Bone ECM formation, organization, orientations, and chemical modifications provide physical support and felicitously mediate rigidity [45].”
BackgroundCaine, M., Bian, S., Tang, Y.-Q., García, P., Henman, A., Dreher, M., Daly, D., Carlisle, R., Stride, E., Willis, S., et al. (2021) · European Journal of Pharmaceutical Sciences · doi:10.1016/j.ejps.2021.105772 · Cited by 10
Tam, N. W., Chung, D., Baldwin, S. J., Simmons, J. R., Xu, L., Rainey, J. K., Dellaire, G., & Frampton, J. P. (2020) · Journal of Materials Chemistry B · doi:10.1039/d0tb01570a · Cited by 18
Keller, S., Borde, T., Brangsch, J., Adams, L. C., Kader, A., Reimann, C., Gebert, P., Hamm, B., & Makowski, M. R. (2020) · Biomedicines · doi:10.3390/biomedicines8100412 · Cited by 12
“Collagen—the primary ECM protein—has been found to play a key role in the promotion of tumor angiogenesis and tumor cell proliferation [3,4].”
BackgroundMulligan, J. A., Lu, L., Leartprapun, N., Fischbach, C., & Adie, S. G. (2021) · Scientific Reports · doi:10.1038/s41598-021-81470-7 · Cited by 15
Jepsen, M. L., Willumsen, A., Mazzoni, C., Boisen, A., Nielsen, L. H., & Dufva, M. (2020) · Advanced Biosystems · doi:10.1002/adbi.201900289 · Cited by 14
Zhao, X., Liu, D., Li, G., Xu, W., & Wu, G. (2026) · International Journal of Nanomedicine · doi:10.2147/ijn.s570411 · Cited by 6
“99 Collagen cross-linking is primarily mediated by LOX and LOX-like enzymes, which are frequently overexpressed in many cancers and metastatic sites.”
Min, H.-K., Zhao, H., Bahcheli, A. T., Pan, P., Chan, J., Chen, J., Low, E., Zhou, Y., Wang, X., Bajic, S., et al. (2025) · Nature Biomedical Engineering · doi:10.1038/s41551-025-01487-5 · Cited by 11
ECM Mechanics Control Jamming-to-Unjamming Transition of Cancer Cells
Mierke, C. T. (2025) · Cells · doi:10.3390/cells14130943 · Cited by 10
Breideband, L., Wächtershäuser, K. N., Sarkar, R., Puspathasan, M., Stelzer, E. H. K., & Pampaloni, F. (2025) · Materials Today Bio · doi:10.1016/j.mtbio.2025.101640 · Cited by 8
“…was shown that the elastic modulus of the healthy mammary gland was measured at 167 Pa whereas the average tumor was measured upward from 4000 Pa [83], in which case the stiffness chosen for the bioprints represented a very early onset of the disease (perhaps less suitable to this particular…”
Han, K., Suh, J., Choi, G., Jang, Y., Ahn, S.-H., Lee, Y., & Kim, T. (2024) · Advanced Science · doi:10.1002/advs.202406907 · Cited by 7
Hyaluronan-Based Hydrogels for 3D Modeling of Tumor Tissues
Alsharabasy, A. M., & Pandit, A. S. (2024) · Tissue Engineering Part C Methods · doi:10.1089/ten.tec.2024.0271 · Cited by 10
“CD44, cluster of differentiation 44; EGFR, epidermal growth factor receptor; ERK1/2, extracellular signal-regulated kinases 1 and 2; MW, molecular weight; NF-j B, nuclear factor kappa-light-chain-enhancer of activated B cells; TLR, Toll-like receptor.”
Ruhi, M. K., Rickard, B. P., Overchuk, M., Sinawang, P. D., Stanley, E., Mansi, M., Sierra, R., Hayes, B., Tan, X.-M., Akin, D., et al. (2024) · Photochemistry and Photobiology · doi:10.1111/php.14014 · Cited by 9
Needle-induced cavitation: A method to probe the local mechanics of brain tissue
Dougan, C. E., Fu, H., Crosby, A. J., & Peyton, S. R. (2024) · Journal of The Mechanical Behavior of Biomedical Materials · doi:10.1016/j.jmbbm.2024.106698 · Cited by 9
Türker, E., Mier, M. S. A., Faber, J., Padilla, S. J. P., Murenu, N., Stahlhut, P., Lang, G., Lamberger, Z., Weigelt, J., Schaefer, N., et al. (2024) · Advances in Biology · doi:10.1002/adbi.202400184 · Cited by 9
Sasaki, N., Asano, Y., Sorayama, Y., Kamimura, C., Kitano, S., Irie, S., Katayama, R., Shimoda, H., & Matsusaki, M. (2024) · Acta Biomaterialia · doi:10.1016/j.actbio.2024.07.001 · Cited by 9
3D scaffolds-specific cellular mechanoresponse as a pivotal regulating factor in tissue engineering
Ahn, Y., Chang, H., & Baek, J. (2024) · JMST Advances · doi:10.1007/s42791-024-00076-y · Cited by 10
The use of microphysiological systems to model metastatic cancer
Jackson, C. E., Green, N. H., English, W., & Claeyssens, F. (2024) · Biofabrication · doi:10.1088/1758-5090/ad3b70 · Cited by 10
“The reorganisation and increased formation of collagen type I and III results in the gradual stiffening of the ECM [129, 146].”
BackgroundImproving regulatory T cell production through mechanosensing
Shi, L., Lim, J. Y., & Kam, L. C. (2024) · Journal of Biomedical Materials Research Part A · doi:10.1002/jbm.a.37702 · Cited by 15
An injectable CS-hydrogel incorporating TPGS for cartilage repair
Tu, Q., Jiang, D., Hu, R., Liu, Y., Fu, X., Chen, W., Zhang, Z., & Liu, C. (2024) · Materials & Design · doi:10.1016/j.matdes.2024.112894 · Cited by 9
Role of extrinsic physical cues in cancer progression
Kim, O., Jeon, T. J., Shin, Y. K., & Lee, H. J. (2023) · BMB Reports · doi:10.5483/bmbrep.2023-0031 · Cited by 12
“It also promotes tumor formation by increasing cytoskeletal tension via ERK and Rho/ROCK signaling (11, 16).”
BackgroundRho activation drives luminal collapse and eversion in epithelial acini
Narayanan, V., Purkayastha, P., Yu, B., Pendyala, K., Chukkapalli, S. S., Cabe, J. I., Dickinson, R., Conway, D. E., & Lele, T. (2022) · bioRxiv · doi:10.1101/2022.07.06.499064 · Cited by 9
Pathania, S., Khan, M. I., Bandyopadhyay, S., Singh, S. S., Rani, K., Parashar, T., Jayaram, J., Mishra, P., Srivastava, A., Mathur, S., et al. (2022) · Scientific Reports · doi:10.1038/s41598-022-12352-9 · Cited by 9
Cambra, H. M., Tallapragada, N. P., Mannam, P., Breault, D. T., & Klein, A. M. (2022) · Current Protocols · doi:10.1002/cpz1.330 · Cited by 8
Influence of Culture Substrates on Morphology and Function of Pulmonary Alveolar Cells In Vitro
Campiglio, C. E., Figliuzzi, M., Silvani, S., Tironi, M., Conti, S., Boschetti, F., & Remuzzi, A. (2021) · Biomolecules · doi:10.3390/biom11050675 · Cited by 12
Chhetri, A., Rispoli, J. V., & Lelièvre, S. A. (2021) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2021.628386 · Cited by 11
Cellular plasticity at the nexus of development and disease
Spatz, L. B., Jin, R. U., & Mills, J. C. (2021) · Development · doi:10.1242/dev.197392 · Cited by 12
“These effects are mediated through integrin signaling and Rho kinase, pathways that can be targeted by drugs, potentially opening new therapeutic avenues (Northey et al., 2020; Paszek et al., 2005; Visvader and Stingl, 2014).”
BackgroundEbata, H., & Kidoaki, S. (2020) · bioRxiv · doi:10.1101/2020.10.15.342006 · Cited by 9
Constructing a Biomaterial to Simulate Extracellular Drug Transport in Solid Tumors.
Huayamares, S. G., Song, J. Y., Huang, A., Crowl, S. R., Groer, C. E., Forrest, M., & Berkland, C. (2020) · Macromolecular Bioscience · doi:10.1002/mabi.202000251 · Cited by 9
Becceneri, A. B., Fuzer, A. M., Plutin, A. M., Batista, A. A., Lelièvre, S. A., & Cominetti, M. R. (2020) · Inorganic Chemistry Frontiers · doi:10.1039/d0qi00502a · Cited by 16
Oncogenetic engagement with mechanosensing
Chakraborty, S., & Hong, W. (2020) · Nature Materials · doi:10.1038/s41563-020-0700-1 · Cited by 9
Youn, S., Lee, K., Son, J., Yang, I.-H., & Hwang, J. Y. (2020) · Biomedical Optics Express · doi:10.1364/boe.390558 · Cited by 10
Focal adhesion displacement magnitude is a unifying feature of tensional homeostasis.
Xu, H., Donegan, S., Dreher, J. M., Stark, A., Canović, E. P., Stamenović, D., & Smith, M. L. (2020) · Acta Biomaterialia · doi:10.2139/ssrn.3582162 · Cited by 9
Li, C.-Y., Sun, Y., Xu, S., Yang, T.-X., & Chen, G. (2026) · Oncogene · doi:10.1038/s41388-025-03674-9 · Cited by 8
Baude, J. A., Li, M., Jackson, S. M., Sharma, A., Walter, D. I., & Stowers, R. S. (2025) · Science Advances · doi:10.1126/sciadv.adx2110 · Cited by 8
The bidirectional interplay between RNA processing and mechanotransduction
Bais, G. B., & Giudice, J. (2025) · Cell Reports · doi:10.1016/j.celrep.2025.116175 · Cited by 8
An Agrin–YAP/TAZ Rigidity Sensing Module Drives EGFR‐Addicted Lung Tumorigenesis
Mokhtari, R. B., Sampath, D., Eversole, P., Lin, M. O. Y., Bosykh, D. A., Boopathy, G. T. K., Sivakumar, A., Wang, C., Kumar, R., Sheng, J. Y. P., et al. (2025) · Advanced Science · doi:10.1002/advs.202413443 · Cited by 8
Extracellular matrix shapes cancer stem cell behavior in breast cancer: a mini review
Li, L., Tang, Y., Qiu, L., Li, Z.-R., & Wang, R. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1503021 · Cited by 8
“They also discovered certain ECM proteins, such as collagen and fi bronectin, that contribute to the rigidity of the ECM (53).”
Forcing the code: tension modulates signaling to drive morphogenesis and malignancy
Narain, R., Muncie-Vasic, J. M., & Weaver, V. M. (2024) · Genes & Development · doi:10.1101/gad.352110.124 · Cited by 8
“…ECM promotes mammary epithelial cell-en-hanced integrin adhesions to potentiate EGFR signaling through ERK and PI3 kinase (Wozniak et al. 2003; Paszek et al. 2005; Levental et al. 2009) that modifies hormone receptor signaling and gene transcription (Provenzano et al. 2009; Northey et al.…”
InfluentialSelf-citationThe influence of biophysical niche on tumor-associated macrophages in liver cancer
Zhang, Y., Rao, Y., Lu, J., Wang, J., Ker, D. F. E., Zhou, J., & Wang, D. M. (2024) · Hepatology Communications · doi:10.1097/hc9.0000000000000569 · Cited by 10
“[160,161] However, conflicting reports suggest that depletion of fibrillar collagens I and III can also promote malignance.”
BackgroundNuclear periphery and its mechanical regulation in cell fate transitions.
Stephens, R., & Miroshnikova, Y. (2024) · Current Opinion in Structural Biology · doi:10.1016/j.sbi.2024.102867 · Cited by 8
Molecular Force Sensors for Biological Application
Chen, H., Wang, S., Cao, Y., & Lei, H. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25116198 · Cited by 8
“The Young’s modulus of the 3D substrate is typically in the range of 600–1000 Pa [66], which is similar to that of common extracellular matrices, such as recombinant collagen or Matrigel, as well as in vivo tissues such as breast and brain tissue [69,70].”
BackgroundHasegawa, T., Ouchi, T., Shibukawa, Y., Asoda, S., & Nakagawa, T. (2023) · Frontiers in Bioscience-Landmark · doi:10.31083/j.fbl2810265 · Cited by 8
“[64] noted that matrix stiffness triggers intra-cellular signaling and malignant transformation.”
BackgroundElectrospun Drug-Loaded and Gene-Loaded Nanofibres: The Holy Grail of Glioblastoma Therapy?
Louis, L., Chee, B. S., McAfee, M., & Nugent, M. (2023) · Pharmaceutics · doi:10.3390/pharmaceutics15061649 · Cited by 9
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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