Although collagen is the main component of tumor extracellular matrices, fibrin also exists ubiquitously within tumors [
18–
20]. Intriguingly, the levels of fibrinogen were correlated with poor prognosis of patients with different cancer types (Fig. S1A to D), suggesting that the fibrin matrix profoundly affects tumor cell behavior. Previously, we demonstrated that tumorigenic cells are able to grow spheroidic colonies in soft 3D fibrin gels (90 Pa) and the amplified progeny cells termed TRCs, which can repopulate tumors [
12–
17]. Such TRCs display mechanical softness (<400 Pa); in contrast, differentiated tumor cells are stiff [
11], implying that a soft mechanical microenvironment might promote tumor cell dedifferentiation, considering the consistency of cell stiffness with tissue stiffness [
21,
22]. In line with this notion, single B16 melanoma cells with a stiffness >1,000 Pa, which were picked up via fluidic force microscopy (FluidFM), did not form spheroids when in 90-Pa soft 3D fibrin gels (Fig.
1A and B). Surprisingly, cells with stiffness between 700 and 900 Pa could grow colonies in the 90-Pa gel, similar to the less than 400-Pa soft TRCs (Fig.
1B). Consistent results were obtained from MCF-7 human breast cancer cells (Fig. S1E). Notably, seeding the ~700-Pa cells into moderately stiff 1,050-Pa fibrin gels did not form spheroid colony and likely underwent death (Fig.
1C). Given that softness represents stem-cell-like cancer cells [
11,
16,
23], the above results suggest that the highly stiff cells (H-stiff, ≥1,000 Pa), which are likely to differentiate well, cannot dedifferentiate into soft tumorigenic cells; however, tumor cells with moderate stiffness (M-stiff, 700 to 900 Pa), a state of moderate differentiation, have the potential to dedifferentiate. Sox2, Nanog, and Nestin are typical stem cell markers for B16 and MCF-7, and were upregulated in the dedifferentiated spheroid cells (Fig.
1D and E and Fig. S1F). We constructed
Sox2 promoter-mCherry-expressing B16 cells. Red mCherry, although not expressed in M-stiff cells, was induced in the 90-Pa fibrin gels, but not in the 1,050-Pa fibrin gels (Fig.
1F). In addition to Sox2, microphthalmia-associated transcription factor (MITF) is a marker of melanoma cell differentiation [
24]. Consistently, M-stiff melanoma cells downregulated MITF upon seeding in soft gels, in which H-stiff cells did not alter the high expression of MITF (Fig. S1G and H). To further verify this dedifferentiation pattern, we constructed
BCL9L promoter-GFP-expressing MCF-7 cells given that BCL9L is strongly expressed in soft TRCs but very weakly expressed in stiff cells [
11]. As measured by FluidFM, the sorted GFP
low, GFP
middle, and GFP
high cells had the corresponding stiffness of 1,000 to 1,600 Pa, 700 to 900 Pa, and <400 Pa, thus representing H-stiff, M-stiff, and soft cells, respectively (Fig.
1G). As expected, M-stiff rather than H-stiff cells could be converted to GFP
high soft cells in 90-Pa fibrin gels (Fig.
1H). These in vitro results could be validated in vivo by inoculating 1 × 10
6 M-stiff and H-stiff cells into mice for 3 days. We found that GFP
high soft tumor cells were not found in the H-stiff group; however, they were formed in the M-stiff group at a ratio of 5.74% (Fig.
1I). Following the isolation of the 5.74% cells, 100 such cells could form a tumor in NSG mice with a proportion of 7/20 (Fig. S1I), indicating that M-stiff tumor cells are indeed able to dedifferentiate into stem-cell-like cancer cells. In line with this, inserting a piece of 90-Pa gel, which contained 10 M-stiff cells within 50 μl volume, into a subcutaneous site of the mice, the tumor formation appeared in mice (8/20) in 8 weeks (Fig.
1J). However, the inoculation of 10
4 H-stiff cells could not form a tumor in the mice (Fig.
1J). In addition, the serial transplantation assay showing tumor formation from each generation of 100 GFP
high cells (Fig. S1J) confirmed that the GFP
high cells possessed self-renewing capacity. Together, these results suggest that M-stiff tumor cells can dedifferentiate to soft stem-cell-like tumor cells in a soft mechanical microenvironment.