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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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“93 The results presented here may provide information on the engineering and design of artificial matrices that manipulate these processes.”
BackgroundKarimifard, S. A., Salehzadeh‐Yazdi, A., Taghizadeh-Tabarsi, R., & Akbari‐Birgani, S. (2023) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2023.149420 · Cited by 8
Tension as a key factor in skin responses to pollution
Pambianchi, E., Hagenberg, Z., Pecorelli, A., Pasqui, A., Therrien, J., & Valacchi, G. (2023) · Scientific Reports · doi:10.1038/s41598-023-42629-6 · Cited by 6
“…homeostasis is a mechanical force normally present in healthy skin which is the consequence of the balance between the extracellular forces exerted on skin cells [by both the neighboring cells and the extracellular matrix (ECM)] and the traction forces generated by the cells themselves 38 .”
BackgroundMultiscale Computational Framework to Investigate Integrin Mechanosensing and Cell Adhesion
Montes, A. R., Gutierrez, G., Tepole, A., & Mofrad, M. (2023) · bioRxiv · doi:10.1101/2023.03.24.533575 · Cited by 6
Lee, Y. L., Mathur, J., Walter, C., Zmuda, H. M., & Pathak, A. (2023) · Molecular Biology of the Cell · doi:10.1091/mbc.e22-06-0226 · Cited by 9
“Over the past decade, the pathological transformation of cells has been associated with their ability to sense and respond to matrix stiffness (Paszek et al. , 2005), detach and leave populations via mesenchymal transition (Hanahan and Weinberg, 2011; Guen et al. , 2017), and negotiate confined…”
Ghosh, D., Hsu, J., Soriano, K. K. J., Peña, C. M., Lee, A. H., Dizon, D. S., & Dawson, M. (2023) · Cancers · doi:10.3390/cancers15123186 · Cited by 6
“soft matrices and the remaining cell lines displaying matrix-independent behaviors [11].”
BackgroundZhao, F., Yang, T., Zhou, L.-H., Li, R., Liu, J., Zhao, J., & Jia, R. (2023) · Aging · doi:10.18632/aging.204721 · Cited by 6
Lebedenko, C. G., Murray, M. E., Goncalves, B. G., Pérez, D. S., Lambo, D. J., & Banerjee, I. (2023) · ACS Omega · doi:10.1021/acsomega.2c08049 · Cited by 6
Unusual Suspects: Bone and Cartilage ECM Proteins as Carcinoma Facilitators
Sorvina, A., Antoniou, M., Esmaeili, Z., & Kochetkova, M. (2023) · Cancers · doi:10.3390/cancers15030791 · Cited by 7
“Indeed, integrins have a close relationship to force, conveying mechanical stresses bidirectionally across the plasma membrane and transducing mechanical forces into chemical signals [33].”
BackgroundCollagen-Based Biomimetic Systems to Study the Biophysical Tumour Microenvironment
Cambi, A., & Ventre, M. (2022) · Cancers · doi:10.3390/cancers14235939 · Cited by 11
“Use in cancer studies MV3 cell morphology; collagen remodelling; MMP expression [47]; MDA-MB-231 and MTLn3 morphology, adhesion, migration [48]; MDA-MB-231 and MTLn3 cell adhesion and motility [49]; SKOV3 cell morphology, migration, cell mechanics, gene expression [50] HMT3522 and MCF10A MEC cell a he ion, morphology,…”
BackgroundInfluentialIşık, M., Okesola, B. O., Eylem, C. C., Koçak, E., Nemutlu, E., Emregül, E., D’Este, M., & Derkuş, B. (2022) · Biomacromolecules · doi:10.1021/acs.biomac.2c00733 · Cited by 8
Cofré, J., & Saalfeld, K. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.1067248 · Cited by 8
“associated with mechanosensory systems that transform mechanical stimuli received by the extracellular matrix or cytoskeleton into chemical signals—a process known as mechanotransduction (Paszek and Weaver, 2004; Paszek et al., 2005; Aguilar-Cuenca et al., 2014; Fattet et al., 2020).”
BackgroundZulueta-Coarasa, T., Fadul, J., Ahmed, M., & Rosenblatt, J. (2022) · iScience · doi:10.1016/j.isci.2022.105330 · Cited by 14
“On the other hand, fibrosis occurring at later stages of disease progression increases tumor environment stiffness that also promotes EMT (Ghajar and Bissell, 2008; Paszek et al., 2005; Weaver et al., 1996, 1997).”
InfluentialGrant, E., Bucklain, F. A., Ginn, L., Laity, P. R., Ciani, B., & Bryant, H. E. (2022) · PLoS ONE · doi:10.1371/journal.pone.0268300 · Cited by 6
“Gel stiffness was lower than the 2D PAA model, at 300 Pa and 1.9 kPa for 1% and 2% alginate respectively (Fig 6C and S2 Fig), but was still close to the measured normal and cancerous breast tissue [5, 6], and significantly different to each other allowing for a direct comparison.”
InfluentialTulchinsky, M., & Weihs, D. (2022) · Acta Biomaterialia · doi:10.1016/j.actbio.2022.03.048 · Cited by 6
Softening redox homeostasis in cancer cells
Powers, J. A., & Chio, I. I. C. (2022) · Nature Cell Biology · doi:10.1038/s41556-022-00845-8 · Cited by 6
Cells on Hydrogels with Micron-Scaled Stiffness Patterns Demonstrate Local Stiffness Sensing
Mgharbel, A., Migdal, C., Bouchonville, N., Dupenloup, P., Fuard, D., Lopez-Soler, E., Tomba, C., Courçon, M., Gulino-Debrac, D., Delanoë-Ayari, H., et al. (2022) · Nanomaterials · doi:10.3390/nano12040648 · Cited by 6
“These substrates, dedicated to 2D culture, are at the origins of seminal works on stem cell mechanosensitivity [8,9] and cancer invasiveness [10].”
BackgroundPhillips, C. M., Lima, E. A. B. F., Gadde, M., Jarrett, A. M., Rylander, M. N., & Yankeelov, T. E. (2023) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1009499 · Cited by 9
Dynamically softened substrate regulates malignancy of breast tumor cells
Hu, M., Xu, L. L., Huang, W., Hu, D., Ren, K., & Ji, J. (2021) · Science China Materials · doi:10.1007/s40843-021-1631-3 · Cited by 6
Modulated Start-Up Mode of Cancer Cell Migration Through Spinophilin-Tubular Networks
Hwang, S., Lee, P. C., Shin, D., & Hong, J. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.652791 · Cited by 6
Kobayashi, Y., Kida, Y., Kabuto, Y., Morihara, T., Sukenari, T., Nakagawa, H., Onishi, O., Oda, R., Kida, N., Tanida, T., et al. (2021) · Tissue Engineering. Part A · doi:10.1089/ten.tea.2020.0239 · Cited by 6
“23 This again highlights the need to control for morphological and mechanical properties of reconstituted ECM hydrogels when studying cell behaviors.”
Nafo, W., & Al-Mayah, A. (2020) · Experimental mechanics · doi:10.1007/s11340-020-00674-6 · Cited by 6
Using biomaterial-based 3D in vitro cancer models to solve current clinical problems
Tipple, E. F., Slay, E., Tsigkou, O., Choudhury, A., & Gough, J. E. (2026) · British Journal of Cancer · doi:10.1038/s41416-026-03392-3 · Cited by 5
“Tumour tissues are typically stiffer than healthy surrounding tissue, for example, breast tumour tissue is (cid:1) 4 kPa, whereas normal breast tissue is (cid:1) 0.2 kPa [29].”
InfluentialTrautmann, R. K., Dennison, N. R., McCortney, K., Klier, S., Coşacak, M. İ., Werner, C., Akyoldaş, G., Horbinski, C., Freudenberg, U., & Kızıl, Ç. (2026) · Macromolecular Bioscience · doi:10.1002/mabi.202500394 · Cited by 4
Impact of mechanical property alterations on cancer cell motility and metastasis
Belousova, P., Kwon, S., Jung, M., & Kim, K. S. (2026) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2026.105165 · Cited by 6
Pezeshki, P. S., Ganjaroudi, N. M., Azimzadeh, A., Zolbin, M. M., Mohammadpour, H., Miri, S. R., Molaei, H., & Kajbafzadeh, A. M. (2025) · Scientific Reports · doi:10.1038/s41598-025-12196-z · Cited by 4
“One of the first observations was that tumor stroma stiffness can be partly responsible for the disruption in adherens junctions, focal adhesions, tissue polarity perturbations, and lack of lumen formation in tumor tissue, leading to metastasis through various pathways of mechanotransduction 17–20 .”
In utero exposure to estrogenic bisphenol analogues increases mammary tissue stiffness
Poska, J. M., Wormsbaecher, C., Cumbia, B. M., Price, M. R., Cortes-Medina, M., Holter, J. C., Agarwal, S., Mo, X. M., Song, J. W., & Burd, C. (2025) · Reproductive Toxicology · doi:10.1016/j.reprotox.2025.108974 · Cited by 5
Mechanical control of breast cancer malignancy by promotion of mevalonate pathway enzyme synthesis.
Göransson, S., Olofsson, H., Johansson, H. J., Yan, F., Vogiatzakis, C., Liang, S., Bellato, H. M., Masvidal, L., Aksoylu, I., Hartman, J., et al. (2025) · Matrix Biology · doi:10.1016/j.matbio.2025.05.005 · Cited by 5
Pourmostafa, A., Uskach, G., Jafari, M., Dogan, E., Yogeshwaran, S., Wood, T. L., Ghaeini-Hesaroeiye, S., Lin Han, B., Alisafaei, F., & Miri, A. K. (2025) · Acta Biomaterialia · doi:10.1016/j.actbio.2025.12.008 · Cited by 5
“However, how cells interpret and respond to these mechanical signals in three-dimensional (3D) microenvironments remains an open question.”
Parodi, I., Palamà, M. E. F., Lisa, D. D., Pastorino, L., Lagazzo, A., Falleroni, F., Aiello, M., Fato, M., & Scaglione, S. (2025) · Gels · doi:10.3390/gels11050356 · Cited by 5
“Moreover, unlike healthy tissues, tumour tissues often exhibit stiffness irregularities, with stiffer regions typically located near the tumour core and softer regions towards the invasive front [6–8].”
Substrate viscoelasticity regulates fibroblast adhesion and migration
Paddillaya, N., Rao, A., Shrivastava, A., Jamir, I., Sengupta, K., & Gundiah, N. (2025) · bioRxiv · doi:10.1101/2025.03.20.644304 · Cited by 5
“For example, breast carcinomas show elevated stiffness from 400 Pa in normal tissues to over 5 kPa in invasive ductal tissues 3 .”
Sesa, M., Holthusen, H., Böhm, C., Jockenhövel, S., Reese, S., & Linka, K. (2025) · Biomechanics and Modeling in Mechanobiology · doi:10.1007/s10237-025-01988-x · Cited by 5
“Investigations by Paszek et al. (2005) revealed that the stiffness of the ECM influences cell contractility and the ten-sional homeostatic behavior of the tissue.”
Tan, X., Rosin, M., Appinger, S., Deierl, J. C., Reichel, K., Coolsen, M. M. E., Iersel, L. V., de Vos‐Geelen, J., de Jong, E. J. M., Bednarsch, J., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-94362-x · Cited by 5
“Increased tissue stiffness can activate pro-survival and pro-proliferation signaling pathways in cancer cells 23 .”
Increased Matrix Stiffness Promotes Slow Muscle Fibre Regeneration After Skeletal Muscle Injury
Wang, D., Wu, J., Xu, Z., Jia, J.-N., Lai, Y., & He, Z. (2025) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.70423 · Cited by 5
“It has been reported that increased matrix stiffness in tumours increases Rho/ROCK-dependent cytoskeletal tension [35–37].”
Matrix Stiffness-Mediated DNA Methylation in Endothelial Cells
Taufalele, P., Kirkham, H. K., & Reinhart‐King, C. A. (2025) · Cellular and Molecular Bioengineering · doi:10.1007/s12195-024-00836-9 · Cited by 6
“Additionally, tumors can progressively stiffen over time which exposes all cells residing in the tumor to more mechanical feedback [62].”
Self-citationMendieta, M., Hatami, M., Singh, M., Fard, S. S., Dehshiri, M., Schill, A. W., Nevozhay, D., Aglyamov, S., Ozpolat, B., Sokolov, K., et al. (2025) · IEEE Open Journal of Engineering in Medicine and Biology · doi:10.1109/ojemb.2025.3528194 · Cited by 5
“The need for further research and the development of advanced imaging techniques is evident, particularly where elasticity may serve as an effective biomarker [13], [14], [15], [16], [17].”
Sun, J. Y., Hosen, M. B., Deng, W., & Tian, A. (2024) · BioEssays · doi:10.1002/bies.202400189 · Cited by 5
“This circuit establishes a connection between matrix stiffness and cytoskeletal tension, mediated by integrins [101].”
Unjamming Transition as a Paradigm for Biomechanical Control of Cancer Metastasis
Cai, G., Rodgers, N. C., & Liu, A. P. (2024) · Cytoskeleton · doi:10.1002/cm.21963 · Cited by 10
“Notably, breast cancer tissue is significantly stiffer (~4 kPa) than normal breast tissue (~0.2 kPa), emphasizing the role of mechanical cues in cancer progression (Paszek et al. 2005; Xu et al. 2023).”
InfluentialGöransson, S., Hernández-Varas, P., Hammarström, M., Hellgren, R., Bäcklund, L. M., Lång, K., Rosendahl, A. H., Eriksson, M., Borgquist, S., Strömblad, S., et al. (2024) · Breast Cancer Research · doi:10.1186/s13058-024-01919-1 · Cited by 6
Autoantibodies immuno-mechanically modulate platelet contractile force and bleeding risk
Oshinowo, O., Copeland, R., Patel, A. B., Shaver, N., Fay, M., Jeltuhin, R., Xiang, Y., Caruso, C., Otumala, A., Hernandez, S., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-54309-8 · Cited by 5
“changes to systemic and microenvironmental factors, such as tissue stiffness 15,17 andviscosity 18 orvesselgeometryinduceddisturbedblood fl ow 3 .”
Yang, Y.-J., Yeo, D.-H., Shin, S.-J., Lee, J.-H., & Lee, J.-H. (2024) · Cells · doi:10.3390/cells13231932 · Cited by 5
Rainu, S., & Singh, N. (2024) · ACS Applied Materials and Interfaces · doi:10.1021/acsami.3c16334 · Cited by 5
Ditto, M., Jacho, D., Eisenmann, K. M., & Yildirim-Ayan, E. D. (2023) · Bioengineering · doi:10.3390/bioengineering10111271 · Cited by 5
“Bone mechanotransduction studies report that moderate activities (i.e., walking) create lower amplitude of mechanical stimuli within the bone with low frequencies ( 2 Hz) thousands of times with an amplitude of 1% strain [33,36–40].”
BackgroundBernabei, I., Hansen, U., Ehirchiou, D., Brinckmann, J., Chobaz, V., Busso, N., & Nasi, S. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24119776 · Cited by 5
“Next, we wanted to understand whether CD11b is a sensor of matrix crosslinking and stiffness, as found for other integrins in cancer studies [16,17,26,27].”
BackgroundReversion of breast epithelial polarity alterations caused by obesity
Holmes, J., Gaber, M., Jenks, M. Z., Wilson, A. S., Loy, T., Lepetit, C., Vitolins, M., Herbert, B., Cook, K., & Vidi, P.-A. (2023) · npj Breast Cancer · doi:10.1038/s41523-023-00539-w · Cited by 5
“Stiff cellular microenvironments have been shown to compromise tissue organization 43 .”
Buchtelová, M., Bláhová, L., Nečas, D., Křížková, P., Bartošíková, J., Medalová, J., Kolská, Z., Hegemann, D., & Zajíčková, L. (2023) · Plasma Processes and Polymers · doi:10.1002/ppap.202200157 · Cited by 5
The Oncopig as an Emerging Model to Investigate Copper Regulation in Cancer
Carlson, A. L., Carrazco-Carrillo, J., Loder, A., Elkhadragy, L., Schachtschneider, K., & Padilla-Benavides, T. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms232214012 · Cited by 5
“ECM stiffness promotes cell proliferation, survival, and migration; this rigidity disrupts formation of tissue morphogenesis due to increased cell tension [85,86].”
BackgroundMyeloid mechano-metabolic programming restricts anti-tumor immunityPreprint
Tharp, K. M., Kersten, K., Maller, O., Timblin, G. A., Stashko, C., Canale, F. P., Hayward, M.-K., Berestjuk, I., ten Hoeve-Scott, J., Samad, B., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.07.14.499764 · Cited by 8
Self-citationECM Mechanoregulation in Malignant Pleural Mesothelioma
Panzetta, V., Musella, I., Fusco, S., & Netti, P. A. (2022) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2022.797900 · Cited by 6
Integrated Cells and Collagen Fibers Spatial Image Analysis
Vasiukov, G., Novitskaya, T., Senosain, M., Camai, A., Menshikh, A., Massion, P., Zijlstra, A., & Novitskiy, S. (2021) · Frontiers in Bioinformatics · doi:10.3389/fbinf.2021.758775 · Cited by 5
“Increased stiffness and collagen deposition affect aggressive behavior of tumor cells and infiltration of tumor nests by immune cells (Paszek and Weaver, 2004; Paszek et al., 2005; Butcher et al., 2009; Erler and Weaver, 2009; Frantz et al., 2010).”
Translational considerations for adipose-derived biological scaffolds for soft tissue repair
Peña, A. N., Garcia, J. A., & Elisseeff, J. H. (2021) · Current Opinion in Biomedical Engineering · doi:10.1016/j.cobme.2021.100321 · Cited by 6
Mapping the mechanical microenvironment in the ovary
Hopkins, T., Bemmer, V., Franks, S., Dunlop, C. M., Hardy, K., & Dunlop, I. E. (2021) · bioRxiv · doi:10.1101/2021.01.03.425098 · Cited by 5
“A common model is that collagens are primarily responsible for the stiffness of tissues with a high collagen concentration typically thought to correspond to a stiff microenvironment and vice versa (44).”
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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