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Brief pulses of high-level fluid shear stress enhance metastatic potential and rapidly alter the metabolism of cancer cells
Journal article   Open access   Peer reviewed

Brief pulses of high-level fluid shear stress enhance metastatic potential and rapidly alter the metabolism of cancer cells

Amanda N. Pope, Devon L. Moose, Guy O. Hudson, Hank R. Weresh, Marion R. Dykstra, Aabha Y. Joshi, Patrick Breheny, Eric B. Taylor and Michael D. Henry
Cell reports (Cambridge), Vol.45(2), 116908
02/24/2026
DOI: 10.1016/j.celrep.2025.116908
PMCID: PMC13034112
PMID: 41642710
url
https://doi.org/10.1016/j.celrep.2025.116908View
Published (Version of record) Open Access

Abstract

Circulating tumor cells (CTCs) face challenges to their survival, including mechanical and oxidative stresses that are different from cancer cells in solid primary and metastatic tumors. The impact of adaptations to the fluid microenvironment of the circulation on the outcome of the metastatic cascade is not well understood. Here, we find that cancer cells exposed to brief pulses of high-level fluid shear stress (FSS) exhibit enhanced invasiveness and anchorage-independent proliferation in vitro and enhanced metastatic colonization/tumor formation in vivo. Cancer cells exposed to FSS rapidly alter their metabolism in a manner that promotes survival by providing energy for cytoskeletal remodeling and contractility as well as reducing equivalents to counter oxidative stress associated with cell detachment. Thus, exposure to FSS may provide CTCs with an unexpected survival benefit that promotes metastatic colonization. [Display omitted] •Brief pulses of fluid shear stress induce phenotypes associated with increased metastasis•Fluid shear stress induces a switch to oxidative metabolism•Cancer cells exposed to fluid shear stress show reduced levels of reactive oxygen species•Fluid shear stress rapidly activates folate metabolism, which protects cancer cells Cancer cells are exposed to elevated fluid shear stress for brief periods during their journey through the circulation. Fluid shear stress exposure triggers rapid transcriptional and metabolic changes that protect cancer cells from oxidative stress and promote productive metastatic colonization.
Metabolism Metastasis Oxidative Stress circulating tumor cells fluid shear stress

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