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Biomechanical forces shape the tumor microenvironment
Journal article   Peer reviewed

Biomechanical forces shape the tumor microenvironment

Adrian C Shieh
Annals of biomedical engineering, v 39(5), pp 1379-1389
May 2011
PMID: 21253819

Abstract

Neoplasms - metabolism Endothelial Cells - metabolism Neoplasm Invasiveness Stromal Cells - pathology Humans Stromal Cells - metabolism Stress, Physiological Extracellular Matrix - metabolism Neoplasms - diagnosis Fibroblasts - pathology Pressure Neoplasms - therapy Animals Endothelial Cells - pathology Neoplasms - pathology Extracellular Matrix - pathology Fibroblasts - metabolism
The importance of the tumor microenvironment in cancer progression is indisputable, yet a key component of the microenvironment--biomechanical forces--remains poorly understood. Tumor growth and progression is paralleled by a host of physical changes in the tumor microenvironment, such as growth-induced solid stresses, increased matrix stiffness, high fluid pressure, and increased interstitial flow. These changes to the biomechanical microenvironment promote tumorigenesis and tumor cell invasion and induce stromal cells--such as fibroblasts, immune cells, and endothelial cells--to change behavior and support cancer progression. This review highlights what we currently know about the biomechanical forces generated in the tumor microenvironment, how they arise, and how these forces can dramatically influence cell behavior, drawing not only upon studies directly related to cancer and tumor cells, but also work in other fields that have shown the effects of these types of mechanical forces vis-à-vis cell behaviors relevant to the tumor microenvironment. By understanding how all of these biomechanical forces can affect tumor cells, stromal cells, and tumor-stromal crosstalk, as well as alter how tumor and stromal cells perceive other extracellular signals in the tumor microenvironment, we can develop new approaches for diagnosis, prognosis, and ultimately treatment of cancer.

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Web of Science research areas
Engineering, Biomedical
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