Restoring the tumour mechanophenotype of vocal fold cancer reverts its malignant properties

Author(s)
Jasmin Kaivola, Karolina Punovuori, Megan R. Chastney, Hind Abdo, Gautier Follain, Mathilde Mathieu, Omkar Joshi, Yekaterina A. Miroshnikova, Fabian Krautgasser, Jasmin Di Franco, James R.W. Conway, Sofia Held, Fabien Bertillot, Jaana Hagström, Antti Mäkitie, Heikki Irjala, Sami Ventelä, Hellyeh Hamidi, Giorgio Scita, Roberto Cerbino, Sara A. Wickström, Johanna Ivaska
Abstract

Increased extracellular matrix deposition and stiffness promotes solid tumour progression. Yet, the precise mechanotransduction pathways, especially in less-studied mechanically responsive cancers, remain poorly understood. Here we address this gap using patient-derived tumour cells from early (mobile, T1) and advanced (immobile, T3) stages of vocal fold cancer, the most common squamous cell carcinoma severely impacting the voice box. We reveal that vocal fold cancer progression is linked to cell surface receptor heterogeneity, a loss of laminin-binding integrins in cell–cell junctions and a flocking mode of collective cell motility. Mimicking the physiological movement of healthy vocal fold tissue with stretching or vibrations decreases oncogenic β-catenin and Yes-associated protein (YAP) nuclear levels in vocal fold cancer. Multiplex immunohistochemistry of vocal fold cancer tumours shows a correlation between the extracellular matrix composition, nuclear YAP and patient survival, concordant with vocal fold cancer sensitivity to oncogenic YAP-TEAD Hippo pathway inhibitors both in vitro and in vivo. Overall, our findings suggest that vocal fold cancer is a mechanically sensitive malignancy, and that the restoration of tumour mechanophenotype or YAP/TAZ targeting represents a tractable anti-oncogenic therapeutic avenue for vocal fold cancer.

Organisation(s)
Computational and Soft Matter Physics
External organisation(s)
University of Turku, University of Helsinki, Åbo Akademi University, IFOM-FIRC Institute of Molecular Oncology, Turku Collegium for Science, National Institute of Diabetes and Digestive and Kidney Diseases, University of Vienna, Vienna Doctoral School in Physics, Max-Planck-Institut für molekulare Biomedizin, Turku University Hospital, Karolinska Institute, Helsinki University Hospital, Università degli Studi di Milano
Journal
Nature Materials
Volume
25
Pages
868–882
No. of pages
15
ISSN
1476-1122
DOI
https://doi.org/10.1038/s41563-025-02473-7
Publication date
02-2026
Peer reviewed
Yes
Austrian Fields of Science 2012
103018 Materials physics, 103015 Condensed matter, 304009 Cell therapy
ASJC Scopus subject areas
General Chemistry, General Materials Science, Condensed Matter Physics, Mechanics of Materials, Mechanical Engineering
Sustainable Development Goals
SDG 3 - Good Health and Well-being
Portal url
https://ucrisportal.univie.ac.at/en/publications/45c57a56-0271-4274-ad75-2a8d6b39a723