Evidence map›Paper›PMID 39801760›Full record

ReviewBioengineering & translational medicine2025

Insights into the mechanisms, regulation, and therapeutic implications of extracellular matrix stiffness in cancer.

Ximo Zhang, Abdullah Al-Danakh, Xinqing Zhu, Dan Feng, Linlin Yang, Haotian Wu, Yingying Li, Shujing Wang, Qiwei Chen, Deyong Yang

Abstract readReview
In one paragraph

Review in Bioengineering & translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Beyond DNA damage: 3D tumor models and the integrin mechanobiology of radioresistance.Journal of experimental & clinical cancer research : CR · 2026
    Review
  3. Review
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  5. Article
  6. Role ofTranslational cancer research · 2026
    Article
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  8. Review
  9. Article
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  11. Unlocking the Therapeutic Potential of Integrin-Linked Kinase Inhibitors in Bioengineered 3D Breast Tumor Stroma Models.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  12. Review
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ximo ZhangDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.
Abdullah Al-DanakhDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.
Xinqing ZhuDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.
Dan FengDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.
Linlin YangDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.
Haotian WuDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.
Yingying LiDepartment of Discipline Construction Dalian Medical University Dalian China.
Shujing WangDepartment of Biochemistry and Molecular Biology, Institute of Glycobiology Dalian Medical University Dalian China.
Qiwei ChenDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.
Deyong YangDepartment of Urology First Affiliated Hospital of Dalian Medical University Dalian China.ORCID https://orcid.org/0000-0003-3642-7033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tumor microenvironment (TME) is critical for cancer initiation, growth, metastasis, and therapeutic resistance. The extracellular matrix (ECM) is a significant tumor component that serves various functions, including mechanical support, TME regulation, and signal molecule generation. The quantity and cross-linking status of ECM components are crucial factors in tumor development, as they determine tissue stiffness and the interaction between stiff TME and cancer cells, resulting in aberrant mechanotransduction, proliferation, migration, invasion, angiogenesis, immune evasion, and treatment resistance. Therefore, broad knowledge of ECM dysregulation in the TME might aid in developing innovative cancer therapies. This review summarized the available information on major ECM components, their functions, factors that increase and decrease matrix stiffness, and related signaling pathways that interplay between cancer cells and the ECM in TME. Moreover, mechanotransduction alters during tumorogenesis, and current drug therapy based on ECM as targets, as well as future efforts in ECM and cancer, are also discussed.

Indexed as

cancerECM stiffnessextracellular matrixsignaling pathwaystargeted therapytumor microenvironment

Identifiers

PMID39801760
PMCPMC11711218

What OpenQuestion holds

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Registered trials

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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.