Stiff matrix induces exosome secretion to promote tumour growth
Open accessAbstract
Tissue fibrosis and extracellular matrix (ECM) stiffening promote tumour progression. The mechanisms by which ECM regulates its contacting cells have been extensively studied. However, how stiffness influences intercellular communications in the microenvironment for tumour progression remains unknown. Here we report that stiff ECM stimulates the release of exosomes from cancer cells. We delineate a molecular pathway that links stiff ECM to activation of Akt, which in turn promotes GTP loading to Rab8 that drives exosome secretion. We further show that exosomes generated from cells grown on stiff ECM effectively promote tumour growth. Proteomic analysis revealed that the Notch signalling pathway is activated in cells treated with exosomes derived from tumour cells grown on stiff ECM, consistent with our gene expression analysis of liver tissues from patients. Our study reveals a molecular mechanism that regulates exosome secretion and provides insight into how mechanical properties of the ECM control the tumour microenvironment for tumour growth.
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Accumulating evidence highlights ECM remodeling and tissue mechanics as active determinants of hepatocyte behavior.
“accumulating evidence highlights extracellular matrix (ECM) remodeling and tissue mechanics as active determinants of hepatocyte behavior [12, 13, 14, 15, 16].”
From Liver Stiffness Rises Early in MASLD and Drives Inflammation, Lipid Dysmetabolism, and Fibrosis via Piezo1–YAP Mechanotransduction (2026) · cites this paper as [12]
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Cites
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The biology <b>,</b> function <b>,</b> and biomedical applications of exosomes
Kalluri, R., & LeBleu, V. S. (2020) · Science · doi:10.1126/science.aau6977 · Cited by 10,770 · see citing works
Isolation and Characterization of Exosomes from Cell Culture Supernatants and Biological Fluids
Théry, C., Amigorena, S., Raposo, G., & Clayton, A. (2006) · Current Protocols in Cell Biology · doi:10.1002/0471143030.cb0322s30 · Cited by 5,766 · see citing works
Tensional homeostasis and the malignant phenotype
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Self-citationExtracellular Matrix Assembly: A Multiscale Deconstruction
Mouw, J. K., Ou, G., & Weaver, V. M. (2014) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm3902 · Cited by 1,534 · see citing works
Self-citationIncreased stiffness of the rat liver precedes matrix deposition: implications for fibrosis
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Cited by
Sorted by citations
Extracellular matrix stiffness: Mechanisms in tumor progression and therapeutic potential in cancer
Zhang, M., & Zhang, B. (2025) · Experimental Hematology & Oncology · doi:10.1186/s40164-025-00647-2 · Cited by 269 · see citing works
“At present, it has been shown that the effect of ECM stiffness on tumor progression is not only related to intracellular signaling but also involves extracellular vesicles such as exosomes [206].”
Ma, J., Xie, N., Wang, Z., Liang, X., Han, Y., Zhao, Q., Wang, M., Lu, H., Kou, W., Alazawi, W., et al. (2026) · Advanced Science · doi:10.1002/advs.202519109 · Cited by 14 · see citing works
- Authors
- Wu, B., Liu, D.-A., Guan, L., Myint, P. K., Chin, L., Dang, H., Xu, Y., Ren, J., Li, T., Yu, Z., Jabban, S., Mills, G. B., Nukpezah, J., Chen, Y. H., Furth, E. E., Gimotty, P. A., Wells, R. G., Weaver, V. M., Radhakrishnan, R., Wang, X. W., & Guo, W.
- Affiliations
- University of Pennsylvania (US)
- Thomas Jefferson University (US)
- OHSU Knight Cancer Institute (US)
- Abramson Cancer Center (US)
- University of California, San Francisco (US)
- National Cancer Institute (US)
- Corresponding author
- Guo, Wei
- ORCID
- Venue
- Nature Cell Biology
- Published
- 2023-02-16
- Volume
- 25
- Issue
- 3
- Pages
- 415-424
- ISSN
- 1465-7392 (ISSN-L)
- 1476-4679
- PMC
- PMC10351222
- OpenAlex
- W4321112406
- Cited by
- 240
- References
- 6
- Citations by year
- 2026: 54 · 2025: 84 · 2024: 74 · 2023: 28
- FWCI
- 21.83
- Type
- journal article
- Language
- en
- Update notices
- correction (2024-02-12)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Nature Cell Biology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Department of Health & Human Services | DHHS Office of the Secretary (CA016520, U01 CA250044, BC 010877, BC 010876, BC 010313, R35 GM141832)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular transport and secretion
- Keywords
- extracellular matrix stiffness, exosome secretion, tumor growth, Akt activation, Notch signaling, tumor microenvironment, mechanotransduction, liver cancer, fibrosis
- MeSH terms
- Extracellular Matrix, Humans, Neoplasms, Signal Transduction, Proteomics, Exosomes, Tumor Microenvironment
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