2016
DOI: 10.1038/bjc.2016.210
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Extracellular matrix composition defines an ultra-high-risk group of neuroblastoma within the high-risk patient cohort

Abstract: Background:Although survival for neuroblastoma patients has dramatically improved in recent years, a substantial number of children in the high-risk subgroup still die.Methods:We aimed to define a subgroup of ultra-high-risk patients from within the high-risk cohort. We used advanced morphometric approaches to quantify and characterise blood vessels, reticulin fibre networks, collagen type I bundles, elastic fibres and glycosaminoglycans in 102 high-risk neuroblastomas specimens. The Kaplan–Meier method was us… Show more

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Cited by 52 publications
(46 citation statements)
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“…ECM stiffening is increasingly recognized as a major mechanical signal, which alters cell behavior and in part confers cancer cell hallmark capabilities including sustained growth, invasion, and metastasis (6,7,(37)(38)(39)(40)(41)(42). ECM stiffening is also associated with increased solid stress and IFP, two other hallmarks of tumor mechanobiology that induce blood and lymphatic vessel compression and reduce transcapillary transport, respectively, and that impair effective drug delivery (3).…”
Section: Discussionmentioning
confidence: 99%
“…ECM stiffening is increasingly recognized as a major mechanical signal, which alters cell behavior and in part confers cancer cell hallmark capabilities including sustained growth, invasion, and metastasis (6,7,(37)(38)(39)(40)(41)(42). ECM stiffening is also associated with increased solid stress and IFP, two other hallmarks of tumor mechanobiology that induce blood and lymphatic vessel compression and reduce transcapillary transport, respectively, and that impair effective drug delivery (3).…”
Section: Discussionmentioning
confidence: 99%
“…The adaptation process was faster in VN-KO tumor cells but less manageable than in hydrogels. Furthermore, cells grown in rigid 3D hydrogels showed faster selection for SCAs and less presence of intratumoral heterogeneity than those cells with long and soft 3D growth, which could re ect a more e cient adaptation to niche [39] as occurs in aggressive patients tumors with rigid ECMs [58].…”
Section: Discussionmentioning
confidence: 94%
“…In accordance with current knowledge of biology and cell cultures, we expected that cell cluster density and occupancy would increase over time in our 3D models, due to cell migration and proliferation 52 . Moreover, given that ECM with high stiffness has been associated with aggressiveness in NB 38 , we predicted cell cluster density and occupancy would increase with stiffness. We found growth in cell cluster occupancy, but density tended to decrease over time, meaning that cluster generation processes like cell migration and cluster division were underrepresented compared to cell cluster growth, death and detachment processes.…”
Section: Discussionmentioning
confidence: 99%