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Research.

Every peer-reviewed study on fascia in one place — graded for strength of evidence, summarised in plain language for clinicians, researchers, and curious patients.

We grade studies from A to 1A+++ using the Fascia Research Database rubric — 1A+++ is the strongest.

2,804
studies
602
top-graded
2,783
with plain-language summary
  1. A
    2020

    Feeling Things Out: Bidirectional Signaling of the Cell–ECM Interface, Implications in the Mechanobiology of Cell Spreading, Migration, Proliferation, and Differentiation

    Andrew E Miller, Ping Hu, Thomas H Barker

    This narrative review describes how cells and their surrounding environment, the extracellular matrix (ECM), constantly communicate with each other. This communication involves physical cues from the ECM being translate…

    extracellular matrixstiffnesscytoskeletonmechanotransduction
  2. A
    2015

    Remodelling the extracellular matrix in development and disease

    Caroline Bonnans, Jonathan Chou, Zena Werb

    This narrative review describes the extracellular matrix (ECM), a dynamic network present in all body tissues that undergoes constant remodeling. This remodeling process is crucial for regulating cell functions like pro…

    fasciaextracellular matrixstiffnessmechanotransductionmatrix remodeling
  3. A
    2015

    Modes of cancer cell invasion and the role of the microenvironment

    Andrew G Clark, Danijela Matic Vignjevic

    For cancer to spread, or metastasize, tumor cells must first invade the surrounding connective tissue (stroma). This review article describes how cancer cells can move in different ways—either as single cells or in coll…

    fasciaextracellular matrixcancertumor invasionmicroenvironment
  4. A
    2014

    Biotensegrity of the extracellular matrix: physiology, dynamic mechanical balance, and implications in oncology and mechanotherapy

    Irene Tadeo, Ana P Berbegall, Luis M Escudero,Tomás Álvaro, Rosa Noguera

    This 2014 review article explores the concept of biotensegrity, a principle where cells and tissues maintain structural integrity through a balance of tension and compression. This dynamic mechanical balance involves th…

    fasciaextracellular matrixcancerbiotensegritymechanotherapy
  5. A
    2014

    Mechanotransduction and extracellular matrix homeostasis

    Jay D Humphrey, Eric R Dufresne, Martin A Schwartz

    Connective tissues are dynamic, constantly adapting even at rest. Cells within these tissues continually sense mechanical cues from their environment through a process called mechanotransduction. In response, they maint…

    fasciaextracellular matrixIntegrinsmechanosensingmechanoregulation
  6. A
    2014

    A decorin-deficient matrix affects skin chondroitin/dermatan sulfate levels and keratinocyte function

    Katerina Nikolovska, Jana K Renke, Oliver Jungmann, Kay Grobe, Renato V Iozzo, Alina D Zamfir, Daniela G Seidler

    This study in mice investigated how the absence of a proteoglycan called decorin affects skin structure and function. Researchers found that mice lacking decorin had an altered composition of other sugar molecules (chon…

    extracellular matrixDecorinSLRPDermatan sulfateFibroblast growth factor
  7. A
    2013

    Molecular assembly and mechanical properties of the extracellular matrix: A fibrous protein perspective

    Lisa D Muiznieks, Fred W Keeley

    This review article examines the extracellular matrix (ECM), the dynamic network of molecules surrounding our cells. The authors focus on fibrous proteins like collagen and elastin, which form the structural backbone of…

    fasciaextracellular matrixcollageneastinself-assembly
  8. A
    2013

    Fascia Research Congress Evidence from the 100 year perspective of Andrew Taylor Still

    Thomas W Findley, Mona Shalwala

    This review paper examines research from the first three International Fascia Research Congresses through the perspective of Andrew Taylor Still, the founder of osteopathic medicine. Over a century ago, Still described…

    fasciaextracellular matrixfibroblastOsteopathic medicinefascia anatomy
  9. A
    2012

    CTGF is a central mediator of tissue remodeling and fibrosis and its inhibition can reverse the process of fibrosis

    Kenneth E Lipson, Carol Wong, Yuchin Teng, Suzanne Spong

    Fibrosis is a process of excessive connective tissue formation, leading to scarring and stiffness in organs. A protein called Connective Tissue Growth Factor (CTGF) plays a central role in driving this process. This res…

    extracellular matrixfibrosisfascia CTGFtissue remodeling
  10. A
    2012

    A RHAMM Mimetic Peptide Blocks Hyaluronan Signaling and Reduces Inflammation and Fibrogenesis in Excisional Skin Wounds

    Cornelia Tolg, Sara R Hamilton, Ewa Zalinska, Lori McCulloch, Ripal Amin, Natalia Akentieva, Francoise Winnik, Rashmin…

    In this animal study, researchers investigated how to reduce scarring during skin wound healing. They developed a peptide, P15-1, designed to interfere with signals from fragmented hyaluronan, a molecule involved in inf…

    hyaluronaninflammationfasciaextracellular matrixfibrosis
  11. A
    2011

    Hyaluronan in intestinal homeostasis and inflammation: implications for fibrosis

    Carol A de la Motte

    This narrative review explores the role of hyaluronan (HA) in intestinal health and disease. Chronic intestinal inflammation can lead to fibrosis, or scarring, a process driven by inflammatory signals and specialized ce…

    hafasciaextracellular matrixfibrosismesenchymal cells
  12. A
    2011

    ExtracellularMatrix Degradation and Remodeling in Development and Disease

    Pengfei Lu, Ken Takai, Valerie M Weaver, Zena Werb

    In this review, the authors describe the extracellular matrix (ECM) as a dynamic structure that is constantly being remodeled. This process of breakdown and rebuilding is essential for normal bodily functions like tissu…

    fasciaextracellular matrixmatrix remodeling
  13. A
    2011

    Remodeling and homeostasis of the extracellular matrix: implications for fibrotic diseases and cancer

    Thomas R Cox, Janine T Erler

    In this perspective article, the authors discuss how the extracellular matrix (ECM) is constantly being remodeled, a process essential for normal bodily functions like wound healing and tissue maintenance. When this rem…

    fasciaextracellular matrixcancerfibrosisstiffness