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September 3, 2026Journal of Cell Communication and SignalingOpen Access

Mechanobiological feedback loops and quantitative decision thresholds in organ fibrosis: Translational principles for antifibrotic therapy

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Authors

ALAmedeo LonardoRWRalf Weiskirchen

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Overview

Narrative review demonstrates bidirectional mechanobiological feedback loops driving multi-organ fibrosis, suggesting quantitative mechanical thresholds can guide targeted antifibrotic therapies.

Key Points

  • To outline a unifying mechanobiological framework that explains how physical extracellular matrix interactions drive organ fibrosis and define quantitative thresholds for clinical intervention.
  • Narrative review synthesizing mechanistic research on extracellular matrix remodeling, paratensile signaling, and cell-matrix crosstalk across the lung, heart, liver, and kidney.
  • Evaluation of translational mechanotransduction pathways, secretomes, and quantitative diagnostic and therapeutic thresholds for antifibrotic drug development.
  • Extracellular matrix stiffening feeds back dynamically via integrins, mechanosensitive ion channels, collagen receptors, and Hippo-YAP/TAZ signaling to drive persistent fibroblast activation and fibrogenesis.
  • Establishment of quantitative diagnostic, action, and response thresholds provides structured criteria for clinical decision-making, patient enrichment in trials, and monitoring liver fibrosis treatment.

Cite This Study

Lonardo et al. (2026) studied this question.

synapsesocial.com/papers/6a99351f636c6408cfa7d04chttps://doi.org/10.1002/ccs3.70111
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