Evidence map›Paper›PMID 33495631›Full record

ArticleNature materials2021

Basement membrane stiffness determines metastases formation.

Raphael Reuten, Sina Zendehroud, Monica Nicolau, Lutz Fleischhauer, Anu Laitala, Stefanie Kiderlen, Denise Nikodemus, Lena Wullkopf, Sebastian Rune Nielsen, Sarah McNeilly and 21 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Nature materials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
15.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 178 citations in OpenAlex.

  1. Article
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  4. Review
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  12. Integrin-Piezo1 Axis Drives ECM Remodeling and Invasion of 3D Breast Epithelium.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  13. Untangling the fusion of spatial omics and mechanobiology.Progress in biomedical engineering (Bristol, England) · 2025
    Review
  14. Review
  15. Article
  16. Basement membrane structure and function: Relating biology to mechanics.Matrix biology : journal of the International Society for Matrix Biology · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. Review

45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 11 institutions in 6 countries.

Raphael ReutenBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark. raphael.reuten@bric.ku.dk.ORCID http://orcid.org/0000-0002-9434-4108
Sina Zendehroud *Department of Physics, Freie Universität Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-5822-722X
Monica Nicolau *Biotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Lutz FleischhauerCenter for Applied Tissue Engineering and Regenerative Medicine-CANTER, Munich University of Applied Sciences, Munich, Germany.
Anu LaitalaBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Stefanie KiderlenCenter for Applied Tissue Engineering and Regenerative Medicine-CANTER, Munich University of Applied Sciences, Munich, Germany.ORCID http://orcid.org/0000-0002-6347-5607
Denise NikodemusBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Lena WullkopfBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Sebastian Rune NielsenBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-8449-476X
Sarah McNeillyInstitute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Carina PreinCenter for Applied Tissue Engineering and Regenerative Medicine-CANTER, Munich University of Applied Sciences, Munich, Germany.
Maria RafaevaBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Erwin M SchoofBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Benjamin FurtwänglerBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-5884-3380
Bo T PorseBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Hyobin KimBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-4856-7415
Kyoung Jae WonBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Stefanie SudhopCenter for Nanoscience-CeNS, Munich, Germany.
Kamilla Westarp ZornhagenBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Frank SuhrExercise Physiology Research Group, Department of Movement Sciences, Biomedical Sciences Group, KU Leuven, Leuven, Belgium.
Eleni ManiatiCentre for Tumour Microenvironment, Barts Cancer Institute, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0001-6993-9890
Oliver M T PearceCentre for Tumour Microenvironment, Barts Cancer Institute, Queen Mary University of London, London, UK.
Manuel KochCenter for Biochemistry, Center for Molecular Medicine Cologne (CMMC), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-2962-7814
Lene Broeng OddershedeNiels Bohr Institute, University of Copenhagen, Copenhagen, Denmark.
Tom Van AgtmaelInstitute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Chris D MadsenDepartment of Laboratory Medicine, Division of Translational Cancer Research, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-6838-2103
Alejandro E Mayorca-GuilianiBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark.
Wilhelm BlochInstitute of Cardiovascular Research and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Cologne, Germany.
Roland R NetzDepartment of Physics, Freie Universität Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-0147-0162
Hauke Clausen-SchaumannCenter for Applied Tissue Engineering and Regenerative Medicine-CANTER, Munich University of Applied Sciences, Munich, Germany.ORCID http://orcid.org/0000-0002-9413-0310
Janine T ErlerBiotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark. janine.erler@bric.ku.dk.ORCID http://orcid.org/0000-0001-8675-6527
University of Copenhagen · DKMunich University of Applied Sciences · DEFreie Universität Berlin · DEQueen Mary University of London · GBUniversity of Glasgow · GBCenter for NanoScience · DEGerman Sport University Cologne · DEKU Leuven · BELund University · SEUniversity of Cologne · DEWestern University · CA

Funding

British Heart Foundation FS/15/64/32035British Heart Foundation PG/15/92/31813Cancer Research UK 27947Cancer Research UK A27947Cancer Research UK C16420/A18066Medical Research Council MR/R005567/1
6 · The paper itself

Abstract

The basement membrane (BM) is a special type of extracellular matrix and presents the major barrier cancer cells have to overcome multiple times to form metastases. Here we show that BM stiffness is a major determinant of metastases formation in several tissues and identify netrin-4 (Net4) as a key regulator of BM stiffness. Mechanistically, our biophysical and functional analyses in combination with mathematical simulations show that Net4 softens the mechanical properties of native BMs by opening laminin node complexes, decreasing cancer cell potential to transmigrate this barrier despite creating bigger pores. Our results therefore reveal that BM stiffness is dominant over pore size, and that the mechanical properties of 'normal' BMs determine metastases formation and patient survival independent of cancer-mediated alterations. Thus, identifying individual Net4 protein levels within native BMs in major metastatic organs may have the potential to define patient survival even before tumour formation. The ratio of Net4 to laminin molecules determines BM stiffness, such that the more Net4, the softer the BM, thereby decreasing cancer cell invasion activity.

Indexed as

Mechanical PhenomenaNeoplasm MetastasisBasement MembraneBiomechanical PhenomenaCell Line, TumorHumansNetrinsNetrins

Identifiers

PMID33495631
OpenAlexW3122053845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.