Tumor-on-chip platforms for transport phenotyping: decoding CAF-driven barriers to drug delivery

Doriane Le Manach1, Vincent Senez2, Matthias Nees1,3

  • 1Department of Biochemistry and Molecular Biology, Medical University of Lublin, W. Chodźki 1 Street, 20-093 Lublin, Poland. matthias.nees@umlub.edu.pl.

Lab on a Chip
|April 13, 2026
PubMed

Insights

Physical barriers in tumors, driven by cancer-associated fibroblasts (CAFs), limit drug delivery and treatment success. Understanding these transport phenotypes offers new therapeutic targets for precision medicine.

Area of Science:

  • Oncology
  • Biophysics
  • Biomaterials Science

Background:

  • Solid tumors possess physical barriers hindering drug delivery, a key factor in therapeutic resistance.
  • The tumor microenvironment (TME), remodeled by cancer-associated fibroblasts (CAFs), exhibits spatial heterogeneity impacting drug transport.
  • Understanding extracellular matrix (ECM) remodeling and stromal mechanotransduction is crucial for overcoming drug delivery challenges.

Purpose of the Study:

  • To investigate how CAF-driven ECM remodeling creates transport barriers within solid tumors.
  • To explore the role of stromal mechanotransduction in governing therapeutic outcomes.
  • To evaluate advanced microfluidic and tumor-on-chip (ToC) platforms for profiling CAF-driven transport phenotypes.

Main Methods:

  • Analysis of CAF activation and subsequent ECM remodeling.
  • Investigation of mechanical pathways of stromal mechanotransduction.
  • Utilizing microfluidic and tumor-on-chip (ToC) platforms to mimic TME heterogeneity and assess drug transport.
  • Development of "transport phenotyping" to characterize barrier properties.

Main Results:

  • CAF-driven ECM remodeling leads to heterogeneous transport phenotypes that limit drug accessibility.
  • These physical barriers dynamically influence therapeutic molecule delivery and efficacy.
  • Advanced ToC platforms successfully replicate TME architecture, transport behavior, and therapeutic response.
  • Transport barriers were identified as dynamically modifiable targets, not fixed obstacles.

Conclusions:

  • Transport barriers are critical, modifiable targets in cancer therapy.
  • "Transport phenotyping" offers a complementary approach to genomic profiling for personalized oncology.
  • Integrating biophysics and precision medicine through transport phenotyping can improve treatment strategies for refractory tumors.