Cells within tissues are continuously exposed to physical forces including hydrostatic pressure, shear stress, and compression and tension forces. Cells dynamically adapt to force by modifying their behaviour and remodelling their microenvironment. They also sense these forces through mechanoreceptors and respond by exerting reciprocal actomyosin-and cytoskeletal-dependent cellgenerated force by a process termed 'mechanoreciprocity'. Loss of mechanoreciprocity has been shown to promote the progression of disease, including cancer. Moreover, the mechanical properties of a tissue contribute to disease progression, compromise treatment and might also alter cancer risk. Thus, the changing force that cells experience needs to be considered when trying to understand the complex nature of tumorigenesis.
At a glance• Cells within tissues are continuously exposed to physical forces, including hydrostatic pressure, shear stress and compression and tension forces. The nature of these forces can change in pathologies such as cardiovascular disease and cancer.• Cells sense force through mechanoreceptors and, regardless of the type of force applied, cells respond by exerting reciprocal actomyosin-and cytoskeletondependent cell-generated force by a process termed mechanoreciprocity.• Mechanoreciprocity maintains tensional homeostasis in the tissue and is necessary for development and tissue-specific differentiation. Its loss promotes disease progression, including liver fibrosis, atherosclerosis and cancer.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript• Cells dynamically adapt to force by modifying their behaviour and remodelling their microenvironment. This adaptation probably involves a combination of epigenetic chromatin remodelling events and direct physical links between the matrix and nucleus that regulate gene expression. These gene-regulatory processes are altered in diseases such as cancer.• Breast cancer is characterized by changes in cellular rheology and tissue level forces, a stiffening of the tissue and a progressive loss of tensional homeostasis that has been exploited to detect tumours. The mechanical properties of a tissue contribute to disease progression, compromise treatment and might also alter cancer risk.Force modulates cell fate and directs tissue development and post-natal function. Although we know much about the biochemical pathways that direct cell behaviour, by comparison we know less about how force can regulate cell fate and tissue phenotype. Nevertheless, cells in tissues such as the heart, lung and skeleton encounter nanoscale to macroscale forces that are integral to their function. The nature of these tissue-associated forces can be parallel, such as the shear stress induced by blood flow on a vessel wall, or perpendicular, such as the compressive or tensile stress induced by weight bearing on bone. In fact, all cells, including those incorporated into traditionally mechanically static tissues, such as the breast or the brain, are exposed to isometric forc...