<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2021.729820</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Targeting the Microtubule-Network Rescues CTL Killing Efficiency in Dense 3D Matrices</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zhao</surname>
<given-names>Renping</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1411276"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhou</surname>
<given-names>Xiangda</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khan</surname>
<given-names>Essak S.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1383488"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Alansary</surname>
<given-names>Dalia</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1285102"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Friedmann</surname>
<given-names>Kim S.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Wenjuan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schwarz</surname>
<given-names>Eva C.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/648736"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>del Campo</surname>
<given-names>Ar&#xe1;nzazu</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hoth</surname>
<given-names>Markus</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1083857"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Qu</surname>
<given-names>Bin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1289094"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Biophysics, Center for Integrative Physiology and Molecular Medicine (CIPMM), School of Medicine, Saarland University</institution>, <addr-line>Homburg</addr-line>, <country>Germany</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>INM-Leibniz Institute for New Materials</institution>, <addr-line>Saarbr&#xfc;cken</addr-line>, <country>Germany</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Molecular Biophysics, CIPMM, School of Medicine, Saarland University</institution>, <addr-line>Homburg</addr-line>, <country>Germany</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Li Tang, &#xc9;cole Polytechnique F&#xe9;d&#xe9;rale de Lausanne, Switzerland</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Shi Jiao, Fudan University, China; Yugang Guo, &#xc9;cole Polytechnique F&#xe9;d&#xe9;rale de Lausanne, Switzerland</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Bin Qu, <email xlink:href="mailto:bin.qu@uks.eu">bin.qu@uks.eu</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to T Cell Biology, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>729820</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>06</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>07</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Zhao, Zhou, Khan, Alansary, Friedmann, Yang, Schwarz, del Campo, Hoth and Qu</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Zhao, Zhou, Khan, Alansary, Friedmann, Yang, Schwarz, del Campo, Hoth and Qu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Efficacy of cytotoxic T lymphocyte (CTL)-based immunotherapy is still unsatisfactory against solid tumors, which are frequently characterized by condensed extracellular matrix. Here, using a unique 3D killing assay, we identify that the killing efficiency of primary human CTLs is substantially impaired in dense collagen matrices. Although the expression of cytotoxic proteins in CTLs remained intact in dense collagen, CTL motility was largely compromised. Using light-sheet microscopy, we found that persistence and velocity of CTL migration was influenced by the stiffness and porosity of the 3D matrix. Notably, 3D CTL velocity was strongly correlated with their nuclear deformability, which was enhanced by disruption of the microtubule network especially in dense matrices. Concomitantly, CTL migration, search efficiency, and killing efficiency in dense collagen were significantly increased in microtubule-perturbed CTLs. In addition, the chemotherapeutically used microtubule inhibitor vinblastine drastically enhanced CTL killing efficiency in dense collagen. Together, our findings suggest targeting the microtubule network as a promising strategy to enhance efficacy of CTL-based immunotherapy against solid tumors, especially stiff solid tumors.</p>
</abstract>
<kwd-group>
<kwd>CTLs</kwd>
<kwd>collagen</kwd>
<kwd>dense matrices</kwd>
<kwd>microtubules</kwd>
<kwd>migration</kwd>
<kwd>nuclear deformation</kwd>
<kwd>3D killing</kwd>
</kwd-group>    <contract-num rid="cn001">SFB1027, GZ: INST 256/419-1 FUGG , GZ: INST 256/423-1 FUGG , GZ: INST 256/429-1 FUGB </contract-num>    <contract-num rid="cn002">031L0133</contract-num>    <contract-sponsor id="cn001">Deutsche Forschungsgemeinschaft<named-content content-type="fundref-id">10.13039/501100001659</named-content>
</contract-sponsor>    <contract-sponsor id="cn002">Bundesministerium f&#xfc;r Bildung und Forschung<named-content content-type="fundref-id">10.13039/501100002347</named-content>
</contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="68"/>
<page-count count="15"/>
<word-count count="8540"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Cytotoxic T lymphocytes (CTLs), which are activated CD8<sup>+</sup> T cells, compose an essential arm of the immune system to fight aberrant cells like tumorigenic and pathogen-infected cells (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). CTLs recognize their targets <italic>via</italic> engagement of T cell receptors (TCRs) with the cognate antigens presented on the surface of target cells (<xref ref-type="bibr" rid="B3">3</xref>&#x2013;<xref ref-type="bibr" rid="B5">5</xref>). Once the matching antigens are identified, activation of TCRs triggers the downstream signaling cascades to re-orientate the CTL killing machinery towards the contact site, termed immunological synapse (IS) (<xref ref-type="bibr" rid="B6">6</xref>&#x2013;<xref ref-type="bibr" rid="B8">8</xref>). The major killing mechanisms employed by CTLs are lytic granules (LGs) and Fas/FasL pathway (<xref ref-type="bibr" rid="B9">9</xref>). LGs contain cytotoxic proteins such as pore-forming protein perforin and serine-protease granzymes (<xref ref-type="bibr" rid="B10">10</xref>). Upon target recognition, LGs are enriched at the IS and are eventually released into the synaptic cleft to induce destruction of target cells (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). In order to locate their targets, CTLs need to migrate through peripheral tissues across the three-dimensional (3D) extracellular matrix (ECM).</p>
<p>The ECM is a 3D network of fibrous structural proteins, collagen being the major constituent (<xref ref-type="bibr" rid="B13">13</xref>). The ECM of solid tumors is often densified, creating a physical hindrance that impairs infiltration of CTLs, accompanied with diminished killing efficiency (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>). Proliferation of T cells is also reduced in a high-density matrix (<xref ref-type="bibr" rid="B16">16</xref>). Using an elegant 2.5 D engineered platforms with grooves, a recent study shows that the dynamics of microtubule plays an important role in migration of primary human CD4<sup>+</sup> T cells, and this tendency is verified with mouse CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B17">17</xref>). However, the impact of dense ECM on killing efficiency of CTLs <italic>per se</italic> still remains largely uncharacterized.</p>
<p>The cytoskeleton, including actin and the microtubule network, plays a pivotal role in regulating migration of CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). During migration, T cells generate protrusions at the leading edge, which are mainly driven by polymerization of actin (<xref ref-type="bibr" rid="B20">20</xref>). The myosin-mediated contraction of F-actin generates force to retract the uropod, the rear part of the cell, and enables T cells to move forward (<xref ref-type="bibr" rid="B21">21</xref>). In T cells, myosin IIA is the predominantly expressed member of the myosin family (<xref ref-type="bibr" rid="B20">20</xref>). Blockage of myosin IIA activity results in deficiency of uropod retraction and therefore significantly impairs T cell migration (<xref ref-type="bibr" rid="B21">21</xref>). During T cell migration, the microtubule-organizing center (MTOC) is located at the uropod (<xref ref-type="bibr" rid="B22">22</xref>). Abrogation of microtubule polymerization does not hinder T cell migration (<xref ref-type="bibr" rid="B23">23</xref>).</p>
<p>Nuclear deformability serves as a rate limiting factor of cell migration through physical restricted 3D spaces (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). To pass the restricted space between pillars, or narrow channel, the nucleus has to be deformed by force from cytoskeleton to fit the size of space (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>), which also facilitates cell migration along the path of least resistance in a complex environment (<xref ref-type="bibr" rid="B25">25</xref>). Further reports showed that the nucleus shape and its shape changes are correlated with the velocity of cell migration (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>).</p>
<p>In this work, we investigated CTL-mediated cytotoxicity against tumor cells in collagen matrices of different densities that mimic physiological and pathological microenvironments. We confirmed that CTL killing efficiency was substantially reduced in dense collagen matrices. Although the killing machinery <italic>per se</italic> remained intact, migration of CTLs was significantly impaired. Migrating CTLs in dense matrices exhibit deformed nuclei, the extent of which correlated with migration velocity, indicating that flexibility of CTL nuclei is pivotal to CTL migration in 3D. We found that nuclei flexibility is regulated by the microtubule networks. Importantly, disruption of microtubule but not actin polymerization can rescue the impaired migration as well as the reduced cytotoxic efficiency of CTLs in dense collagen matrices.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Antibodies and Reagents</title>
<p>All chemicals not specifically mentioned are from Sigma-Aldrich (highest grade). All inhibitors not specifically mentioned are from Cayman Chemical. The following antibodies were used: Alexa Fluor 647 anti-human CD3 antibody (UCHT1, BioLegend), Alexa Fluor 488 anti-human Granzyme A antibody (CB9, BioLegend), Alexa Fluor 647 or Brilliant Violet (BV) 510 anti-human perforin antibody (dG9, BioLegend), Alexa Fluor 647 anti-human granzyme B antibody (GB11, BioLegend), Brilliant Violet (BV) 421 anti-human CD178 (Fas-L), anti &#x3b1;-Tubulin mAb antibody (DM1A, Cell Signaling Technology), and Alexa Fluor 405 conjugated goat anti-mouse IgG (H+L) cross-absorbed secondary antibody (ThermoFisher Scientific). All isotype controls of fluorescence conjugated primary antibodies are from BioLegend. The following reagents were used: Hoechst 33342 (ThermoFisher Scientific), Alexa Fluor 488 or Alexa Fluor 568 phalloidin (ThermoFisher Scientific), Atto 488 NHS ester ((ThermoFisher Scientific), collagenase type I (ThermoFisher Scientific), FibriCol<sup>&#xae;</sup> type I collagen Solution (Bovine, Advanced Biomatrix).</p>
</sec>
<sec id="s2_2">
<title>DNA Constructs</title>
<p>For pGK-puro-pCasper-pMax (referred to as pCasper-pMax in the manuscript), the vector backbone used for generation of this plasmid is a kind gift from Ulrich Wissenbach (Saarland University) who previously modified the AMAXA vector (Lonza) by replacing the sequence encoding GFP with a linker sequence encoding a multiple cloning site (pMAX). In a first step, the sequence encoding pCasper was amplified from pCasper3-GR (evrogen #FP971) with the following primers introducing an XhoI recognition site at both ends of the amplicon. Forward primer: 5&#x2019;-CTCGAGGCCACCATGGTGAGCGAG -3&#x2019;, reverse primer: rev 5&#x2019;-GACGAGCTGTACCGCTGACTCGAG-3&#x2019;. The amplicon was subcloned into the XhoI site of pMAX. In a second step, the sequence encoding puromycin resistance was introduced into the intermediate plasmid under the control of 3-phosphoglycerate kinase promoter (PGK-1). The PGK-1-Puromycin sequence was amplified out of pGK-Puro-MO70 vector backbone (Alansary et&#xa0;al., BBA 2015) using the following primers introducing SacI recognition sites at both ends of the amplicon to insert it into the Sac-I site of the intermediate plasmid. Forward primer: 5&#x2019;-GAGCTCAATTCTACCGGGTAGGGGA-3&#x2019;, reverse primer 5&#x2019;-GCAAGCCCGGTGCCTGAGAGCTC-3&#x2019;. The final plasmid is named pGK-puro-pCasper-pMAX. Final and intermediate plasmids were controlled by endonuclease digestion patterns and sequencing. As a gift from William Bement (Addgene plasmid # 26741). Histone 2B-GFP was a gift from Geoff Wahl (Addgene plasmid # 11680). LifeAct-mRuby was a kind gift from&#xa0;Roland Wedlich-S&#xf6;ldner (University of Muenster). pmEGFP_a_tubulin_C1 was a gift from Daniel Gerlich (Addgene plasmid # 21039). pmCherry-C1 mCherry-NLS was a gift from Dyche Mullins (Addgene plasmid # 58476).</p>
</sec>
<sec id="s2_3">
<title>CTL Preparation, Cell Culture, and Nucleofection</title>
<p>Peripheral blood mononuclear cells (PBMCs) were obtained from healthy donors as described before (<xref ref-type="bibr" rid="B30">30</xref>). Briefly, leukocyte reduction chambers were flushed with Hank&#x2019;s Balanced Salt Solution and loaded on a standard density gradient Leukocyte separation medium (LSM 1077, PAA). PBMCs were isolated by a density gradient centrifugation (450 g, 30 min), and remaining red blood cells were removed by the lysis buffer (155 mM NH<sub>4</sub>Cl, 10 mM KHCO<sub>3</sub>, 0.1 mM EDTA, pH=7.3). Human primary CD8<sup>+</sup> T Cells were negatively isolated from PBMCs using Dynabeads&#x2122; Untouched&#x2122; Human CD8 T Cells Kit (ThermoFisher Scientific) or Human CD8<sup>+</sup> T Cell Isolation Kit (Miltenyi Biotec), stimulated with Dynabeads&#x2122; Human T-Activator CD3/CD28 (ThermoFisher Scientific) with 17 ng/ml of recombinant human IL-2 (ThermoFisher Scientific). MART-1-specific CD8<sup>+</sup> T-cell clones were generated by Friedmann et&#xa0;al. (<xref ref-type="bibr" rid="B31">31</xref>). All CD8<sup>+</sup> T cells were cultured in AIM V medium (ThermoFisher Scientific) containing 10% fetal calf serum (FCS) and 1% Penicillin-Streptomycin. For nucleofection, CD3/CD28 beads were removed 48 hours after stimulation and 5&#xa0;&#xd7; 10<sup>6</sup> CTLs were electroporated with 2 &#x3bc;g plasmid using 4D-Nucleofector (Lonza). Medium was changed 6 hours after nucleofection and transfected cells were used 24-36 hours after electroporation.</p>
<p>Raji and NALM-6 cells were cultured in RPMI-1640 medium (ThermoFisher Scientific) containing 10% FCS and 1% Penicillin-Streptomycin. NALM-6 pCasper cells were generated by Kn&#xf6;rck et&#xa0;al. (<xref ref-type="bibr" rid="B32">32</xref>) and were cultured in RPMI-1640 in the presence of puromycin (0.2 &#xb5;g/ml). SK-Mel-5 cells were transfected with pCasper-pMax using jetOPTIMUS<sup>&#xae;</sup> DNA Transfection Reagent (Polyplus-transfection) following the manufacturer&#x2019;s instructions and then cultured in MEM medium (ThermoFisher Scientific) containing 10% FCS and 1% penicillin-streptomycin. All cells were cultured at 37&#xb0;C with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2_4">
<title>Preparation of Collagen Matrix and Cell Embedding</title>
<p>Collagen hydrogels were prepared following previous protocols (<xref ref-type="bibr" rid="B33">33</xref>). Briefly, bovine collagen type I stock solution (10 mg/ml) was neutralized with 0.1 N NaOH solution on ice to reach pH 7.0-7.4. 10&#xd7;PBS was added into the neutralized collagen to a dilution factor of 1:10. The collagen solution was further diluted with PBS to the final concentrations. Cells were resuspended in the collagen solution and the mixture was left for 1 hour at 37&#xb0;C with 5% CO<sub>2</sub> (if not mentioned otherwise) for fibrillation in 96-well plates. In order to increase the stiffness of the collagen matrix, the collagen stock solution was first diluted to a concentration of 3 mg/ml with 0.1% acetic acid with 100 mM ribose (<xref ref-type="bibr" rid="B34">34</xref>). These collagen solutions were kept at 4&#xb0;C for 5 days, and then used for cell encapsulation as described before.</p>
</sec>
<sec id="s2_5">
<title>Killing Assay in 3D With the High-Content Imaging Setup</title>
<p>For killing assays, we used either NALM-6 cells stably expressing apoptosis reporter pCasper-pMax or SK-Mel-5 cells transiently transfected with pCasper-pMax (referred to as NALM-6-pCasper or SK-Mel-5-pCasper, respectively) as target cells. NALM-6-pCasper were pulsed with staphylococcal enterotoxin A (SEA, 0.1 &#xb5;g/ml) and SEB (0.1 &#xb5;g/ml) at 37&#xb0;C with 5% CO<sub>2</sub> for 40 min prior to killing assays. Target cells were resuspended in chilled collagen solution, and transferred in 96-well plates. After centrifugation at 4&#xb0;C (200 g, 7.5 min), collagen was solidified in the incubator for 1 hour. CTLs were then added from the top if not mentioned otherwise. For the inhibitor-treatment, CTLs were added on top of solidified collagen in medium containing the corresponding inhibitor or vehicle. The effector to target (E:T) ratio for pre-mixed condition is 1:1. For the condition that CTLs were added on top of the collagen, the E:T ratio is 5:1 or 1:1 for CTL : NALM-6-pCasper and MART1 specific CTLs: SK-Mel-5-pCasper, respectively.</p>
<p>Images were acquired by ImageXpress (Molecular Devices) with Spectra X LED illumination (Lumencor) at 37&#xb0;C with 5% CO<sub>2</sub> for 12 to 24 hours. As described previously (<xref ref-type="bibr" rid="B35">35</xref>), fluorescence of pCasper-pMax was acquired using LEDs 470/24 for excitation and the following filter sets (Semrock): Ex 472/30 nm, Em 520/35 nm for GFP and Em 641/75 nm for RFP/FRET. A 20&#xd7; S Fluor 0.75 numerical aperture objective (Nikon) was used. The killing efficiency was calculated as (1-N<sub>exp</sub>(t)/(N<sub>exp</sub>(t<sub>0</sub>)&#xd7;N<sub>live</sub>(t)/N<sub>live</sub>(t<sub>0</sub>))&#xd7;100%.</p>
<p>(N<sub>live</sub>: number of live target cells in the control wells without CTLs; N<sub>exp</sub>: number of live target cells in the experimental wells; t<sub>0</sub>: the first time point of the measurement; t: end time point of the measurement).</p>
</sec>
<sec id="s2_6">
<title>Immunostaining and Flow Cytometry</title>
<p>CTLs were fixed with pre-chilled 4% paraformaldehyde (PFA) after recovery from collagen degraded with collagenase. Then cells were washed twice with PBS/0.5% BSA, permeabilized and blocked with 0.1% saponin in PBS containing 5% FCS and 0.5% BSA, and then stained with the indicated primary antibody or Alexa Fluor 488 Phalloidin for 30 min at room temperature followed by staining of Alexa Fluor 405 labeled secondary antibody if the primary antibody was not fluorophore-conjugated. Flow cytometry data were acquired using a FACSVerse&#x2122; flow cytometer (BD Biosciences) and were analyzed with FlowJo v10 (FLOWJO, LLC).</p>
</sec>
<sec id="s2_7">
<title>3D Live-Cell Imaging Using Light-Sheet Microscopy</title>
<p>As described previously (<xref ref-type="bibr" rid="B33">33</xref>), collagen with 10 &#xd7; 10<sup>6</sup> CTLs/ml polymerized in the capillary at 37&#xb0;C with 5% CO<sub>2</sub> for 2 hours. Afterwards, the samples were scanned with light-sheet microscopy Z1 (Zeiss) at 37&#xb0;C for 30 min with an interval of 30 sec and a z-step size of 1 &#xb5;m. A 20&#xd7; objective (W Plan-Apochromat, N.A. 1.0) was used. Excitation was realized by two lasers, 488 and 561 nm. Emission was filtered <italic>via</italic> Em525/40nm&#xa0;and Em 585 LP filters. The images were acquired with ZEN 2014 SP1 Hotfix 2 software. Trajectories of CTLs and nuclear irregularity index (NII) were determined and analyzed&#xa0;with Imaris 8.1.2 (containing Imaris, ImarisTrack, ImarisMeasurementPro, ImarisVantage from Bitplane AG). The nuclei or the cell bodies were detected automatically by ImageJ/Fiji based on the corresponding fluorescence, and parameters (circularity and Feret&#x2019;s diameter) were analyzed with ImageJ/Fiji. Nucleus deformability is the average of nucleus sphericity change between two neighbor time points.</p>
</sec>
<sec id="s2_8">
<title>Visualization of CTL Migration in a Planar 3D Collagen Matrix With Zeiss Observer Z.1</title>
<p>CTLs (5 &#xd7; 10<sup>6</sup> cells/ml) were resuspended in collagen solution with or without Calcein labeled target cells (5 &#xd7; 10<sup>6</sup> cells/ml). Cell/collagen mixture (3 &#xb5;l) was pipetted as a droplet onto the center of an Ibidi &#x3bc;-dish (Ibidi GmbH). Then a Sigmacote<sup>&#xae;</sup> (Merck) coated glass coverslip (5 mm, Orsatec GmbH) was carefully placed on top to flatten the droplet (calculated thickness around 150 &#xb5;m). The Ibidi &#x3bc;-dish was closed with the lid and incubated at 37&#xb0;C with 5% CO<sub>2</sub> for 1 hour. After collagen polymerization, the glass coverslip was removed from collagen matrix. For migration assay, CTLs were either non-fluorescent (in presence with target cells) or stained with 1 &#xb5;g/ml Hoechst 33342 in AIMV (10% FCS) medium for 30 min (without target cells), and then were incubated in fresh AIMV (10% FCS) medium for another 30 min in presence of inhibitors or vehicles as indicated in the figure legends. Raji cells and unlabeled CTLs were mixed. The images were acquired with Zeiss Observer Z.1 for 30 min or 3 hours at 37&#xb0;C with 5% CO<sub>2</sub> with a Zeiss Colibri LED illumination system and 20&#xd7; objectives (Fluar 20&#xd7;/0.75 M27 Air). Images were taken using an AxioCamM1 CCD camera and AxioVision 4.1.8. The images of cell migration and nuclear irregularity index (NII, measured as nuclear circularity) were analyzed using Imaris 8.1.2. Migration trajectories in presence of target cells were analyzed by Fiji. Nuclear deformationability is defined as standard deviation of NII. To quantify CTL search efficiency, CTLs were randomly selected from the CTLs that were observed for the whole period. The probability for CTLs finding at least one target within 3 hours was quantified. From these CTLs, the time of CTL contacting the first target cells was quantified, if this CTL could find at least one target cell within 3 hours. Nucleus deformability is the average of nucleus circularity change between two neighbor time points.</p>
</sec>
<sec id="s2_9">
<title>Confocal Microscopy and Determination of Nuclear Deformation</title>
<p>For the fixed sample, CTLs were fixed at indicated time points with 4% PFA and permeabilized with 0.3% Triton-100 with 5% FCS in PBS, followed by staining with indicated antibodies or fluorescent dyes according to the manufacturers&#x2019; instructions. Images were acquired by confocal microscopy LSM 710 with a 63&#xd7; objective (N.A. 1.4) and a Nikon E600 camera using ZEN software. The nuclear irregularity index (NII, measured as nuclear circularity from maximum intensity projection) was analyzed with ImageJ. The distance between nucleus and MTOC was analyzed with Imaris 9.6.</p>
</sec>
<sec id="s2_10">
<title>Visualization of Collagen Structure and Determination of Porosity</title>
<p>After collagen polymerization in the capillary, collagen was stained with Atto 488 NHS ester in PBS (50 &#xb5;M) at room temperature for 15 min. Afterwards, the collagen matrix was washed by PBS twice. Matrix structure of collagen was visualized by light-sheet microscopy with a 20&#xd7; objective (W Plan-Apochromat, N.A. 1.0). Collagen pore size was measured in the middle slice of the z-stack by Fiji (BIOP version) with Max Inscribed Circles plugin as described elsewhere (<xref ref-type="bibr" rid="B36">36</xref>).</p>
</sec>
<sec id="s2_11">
<title>Shear Rheology Stiffness Measurement</title>
<p>Rheology measurements with different concentrations of bovine collagen were performed using DHRIII Rheometer (TA Instruments). 50 &#xb5;l of the neutralized collagen solution (pH 7.0-7.4) was placed between two parallel plates of 12 mm diameter pre-heated to either 25&#xb0;C or 37&#xb0;C. The shear moduli were measured at frequency &#x3c9; &#x2013; 3 rad/s at 37&#xb0;C as described previously (<xref ref-type="bibr" rid="B37">37</xref>). All experiments were performed in triplicates.</p>
</sec>
<sec id="s2_12">
<title>Viability Assay</title>
<p>CTLs were embedded in 5 mg/ml collagen in a 96-well plate. After collagen polymerization, 100 &#xb5;l AIMV medium with 10% FCS, 1 &#xb5;g/ml propidium iodide, and nocodazole or DMSO was added. Images were acquired by ImageXpress with Spectra X LED illumination (Lumencor) using LEDs 542/27 for excitation. The filter set was Ex 542/27 nm and Em 641/75 nm. A 20&#xd7; S Fluor 0.75 numerical aperture objective (Nikon) was used. The images were acquired at 37&#xb0;C with 5% CO<sub>2</sub> every 1 h for 12 h.</p>
</sec>
<sec id="s2_13">
<title>Ethical Considerations</title>
<p>Research carried out for this study with healthy donor material (leukocyte reduction system chambers from human blood donors) is authorized by the local ethic committee [declaration from 16.4.2015 (84/15; Prof. Dr. Rettig-St&#xfc;rmer)].</p>
</sec>
<sec id="s2_14">
<title>Statistical Analysis</title>
<p>Data are presented as mean &#xb1; SD. GraphPad Prism 6 Software (San Diego, CA, USA) was used for statistical analysis. If the number of data points is smaller than 8, the differences between two columns were analyzed by the Student&#x2019;s t-test. Otherwise, the data were first examined for Gaussian distribution. If the dataset fit Gaussian distribution, the differences between two columns ware analyzed with the Student&#x2019;s t-test, otherwise with the Mann-Whitney test.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>CTL Killing Efficiency and Motility Is Substantially Impaired in Dense Collagen</title>
<p>To investigate the impact of collagen density on the killing efficiency of CTLs, we used collagen matrices prepared at three different collagen concentrations (2, 4, and 5 mg/ml). Primary human CD8<sup>+</sup> T cells were stimulated with anti-CD3/anti-CD28 antibody-coated beads to obtain CTLs. Target cells (NALM-6-pCasper) were embedded in the collagen matrices and CTLs were settled on top of the gels, as depicted in <xref ref-type="fig" rid="f1">
<bold>Figure 1A</bold>
</xref> (schematic diagram). Target cells stably expressing apoptosis reporter pCasper-pMax, a GFP-RFP FRET pair linked by a sequence containing caspase recognition site (DEVD), allowing the detection of cell death (<xref ref-type="bibr" rid="B32">32</xref>). Apoptotic target cells switches the fluorescence to green as the linker between the GFP-RFP FRET pair is cleaved and necrotic target cells show a complete loss of fluorescence (<xref ref-type="bibr" rid="B35">35</xref>) (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). Using a high-content imaging setup (ImageXpress), we observed that 85.4 &#xb1; 10.9% of target cells in 2 mg/ml collagen were killed by either apoptosis or necrosis after 24 hours. The fraction of apoptotic and necrotic target cells eliminated by CTLs dropped to 42.1 &#xb1; 8.8% and 7.3 &#xb1; 6.3% in collagen matrices in 4 and 5 mg/ml collagen matrices, respectively. (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A, B</bold>
</xref>). The same trend was observed at earlier time points (12 hours, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>The killing efficiency of CTLs is substantially decreased in dense collagen matrices. <bold>(A, B)</bold> CTL killing efficiency is impaired in dense collagen matrices. Target cells (SEA/SEB pulsed NALM-6-pCasper) were embedded in collagen in absence (<bold>A, B,</bold> 3 donors, E (effector cells): T (Target cells) = 5:1) or presence of CTLs (<bold>C, D,</bold> 5 donors, E:T=1:1). Images were acquired using ImageXpress with Spectra X LED illumination (Lumencor) for 24 hours <bold>(A, B)</bold> or 12 hours <bold>(C, D)</bold>. Orange and green color indicates live and apoptotic target cells, respectively. <bold>(E, F)</bold> Fraction of CTLs in conjugation with target cells <bold>(E)</bold> or target cells in conjugation with CTLs <bold>(F)</bold> was analyzed at 1 hour after polymerization (4 donors). <bold>(G&#x2013;I)</bold> Searching efficiency of CTLs is reduced in dense collagen. Target cells (SEA/SEB pulsed Raji) were loaded with calcein (green) and embedded in planar collagen with CTLs. Migration was visualized using Cell Observer (20&#xd7; objective) at 37&#xb0;C for 3 hours. Representative tracks are shown in <bold>(G)</bold> (blue lines). The likelihood to find a target within 3 hours is shown in <bold>(H)</bold> (3 donors). Time required for CTLs to find their first target (if the cell found at least one target cell) is shown in <bold>(I)</bold>. <bold>(J&#x2013;N)</bold> Characterization of CTL migration in collagen matrices. CTLs were transfected with histone 2B-GFP and LifeAct-mRuby, and then embedded in 3D collagen. Migration was visualized using light-sheet microscopy (20&#xd7; objective) every 30 sec for 30 min. The nuclei positions were identified with Imaris to analyze displacement <bold>(J)</bold>, velocity <bold>(K)</bold>, and persistence of CTLs <bold>(L)</bold> (3 donors). The distribution of CTL velocity and persistence is shown in <bold>(M, N)</bold>, respectively. One dot represents either one donor (in <bold>B, D&#x2013;F, H</bold>) or one cell (in <bold>I&#x2013;L</bold>). Results are presented as Mean &#xb1; SD. The unpaired Student&#x2019;s t-test was used for statistical significance, except <bold>(I&#x2013;L)</bold> (the Mann-Whitney test was used). Scale bars are 50 &#x3bc;m.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-729820-g001.tif"/>
</fig>
<p>To exclude a possible influence of the CTL infiltration step from the gel surface into the gel interior, similar experiments were performed by embedding the CTLs with the target cells in the collagen gel. The cytotoxic efficiency of CTLs was similar to the experiment that included infiltration (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A&#x2013;D</bold>
</xref>). These results indicate that CTL killing efficiency was solely diminished by the dense collagen network.</p>
<p>To unravel the underlying mechanisms for a reduced CTL killing efficiency in dense collagen matrices, we first examined lytic granule and FAS/FASL pathways. To test the expression of cytotoxic proteins, we recovered CTLs from collagen matrices using collagenase. Control experiments showed that the collagenase treatment does not alter the protein level on T cells, e.g. CD3 expression (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2A</bold>
</xref>). No significant differences in the expression of cytotoxic proteins (perforin, granzyme A and granzyme B) were observed in CTLs extracted from the collagen hydrogels of the three different concentrations (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2B</bold>
</xref>). FasL expression was also examined, which was at very low levels for all three concentrations (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2C</bold>
</xref>). Interestingly, in dense collagen, the fraction of CTLs conjugated with targets (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>) and the fraction of target cells conjugated with CTLs (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1F</bold>
</xref>) were significantly reduced. These results indicate that the impaired CTL killing efficiency in dense collagen is not owed to changes in the main components of the killing machinery but rather to a reduced search efficiency.</p>
<p>We next investigated the search efficiency of CTLs in collagen in detail using live-cell imaging. <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1G</bold>
</xref> shows that a migrating CTL (highlighted by the blue track) in a 2 mg/ml collagen needs around 45 min to find the first target, whereas CTLs in 4 and 5 mg/ml ECM need about 100 min (lower panels of <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1G</bold>
</xref>). In 2 mg/ml collagen matrices, most CTLs (92.0 &#xb1; 4.0%) found at least one target cell within 3 hours; whereas this likelihood was reduced to 66.8 &#xb1; 2.1% or 54.4 &#xb1; 8.2% in 4 and 5 mg/ml matrices (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1H</bold>
</xref>). Analyzing only the CTLs that found target cells, in 4 and 5 mg/ml collagen matrices, these needed about 90 min to find the first target but only about 60 min in 2 mg/ml collagen (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1I</bold>
</xref>). These results suggest that the probability of CTLs to find their targets is decreased in dense collagen matrices.</p>
<p>The mobility of CTLs in the matrix is a key factor for optimal search efficiency. To quantify motility, we analyzed displacement, migration velocity, and persistence (indicating how directed the migration is) of CTLs inside the collagen matrices using light-sheet microscopy. In dense collagen matrices (4 and 5 mg/ml), the displacement of CTLs (distance between the starting point and the end point) was reduced (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1J</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;3, Supplementary Movies 1&#x2013;3</bold>
</xref>). Analysis of trajectories in 3D collagen shows that velocity and persistence of migrating CTLs decreased with increasing collagen concentration (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1K, L</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). It was also observed that CTL migration was impaired in the high concentration of collagen when target cells are present (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;4A&#x2013;C</bold>
</xref>). Analysis of velocity and persistence distributions reveals a higher fraction of CTLs with low velocity and low persistence in dense collagen (5 mg/ml, <xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1M, N</bold>
</xref>). Moreover, migration velocity is negatively correlated with the time of CTL searching target cells (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;4D</bold>
</xref>). In summary, our findings suggest that in a dense matrix, CTL migration is hindered, and this is likely the reason for longer search time and reduced cytotoxic efficiency.</p>
</sec>
<sec id="s3_2">
<title>CTL Migration in 3D Collagen Matrices Is Regulated by the Matrix Stiffness and Porosity</title>
<p>We examined the correlation between CTL killing efficiency and the physical properties of collagen matrix, including pore size and the stiffness. We fluorescently labeled collagen to visualize its structure (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>) to determine pore size (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;5</bold>
</xref>) and found the pore size was decreased with increasing density (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A, B</bold>
</xref>). Collagen stiffness was determined with the storage modulus G&#x2019; measured by rheology, which increased from 0.81 kPa to 3.64 kPa with collagen density between 2 and 5 mg/ml (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). To study which of these two features contributes to the impaired CTL migration in collagen matrix, we modified the collagen matrix. To widen the range of stiffness keeping the pore size constant, we also prepared collagen matrices with 100 mM ribose (<xref ref-type="bibr" rid="B34">34</xref>), which showed increased storage modulus up to 1.24 kPa (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>), without affecting the pore size (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). We observed no changes in CTL velocity with increasing stiffness (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>), while the persistence was reduced (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>). In line with this result, the cytotoxic efficiency of CTLs was reduced in collagen matrices prepared in the presence of ribose (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2H</bold>
</xref>). These results indicate that stiffness is involved in regulating CTL migration persistence, which could influence CTL killing efficiency.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Both enhanced stiffness and reduced pore size contribute to impaired CTL killing efficiency in dense matrices. <bold>(A, B)</bold> Characterization of porosity in collagen matrices with different densities. Structure of collagen stained with Atto 488 NHS ester was visualized using light-sheet microscopy with a 20&#xd7; objective <bold>(A)</bold>. The distribution of pore size in these matrices is shown in <bold>(B)</bold>. <bold>(C)</bold> Stiffness of collagen matrices was determined by the storage modulus using rheometer. <bold>(D&#x2013;H)</bold>&#xa0;Adding ribose increases stiffness of collagen (2 mg/ml) without affecting the pore size. Stiffness and pore size of the respective conditions is shown in <bold>(D, E)</bold>, respectively. <bold>(F&#x2013;H)</bold> Stiffening collagen leads to reduced CTL killing efficiency in 3D. Hoechst 33342-stained CTLs were embedded in a planar 3D collagen matrix. Migration was visualized using Cell Observer (20&#xd7; objective) for 30 min <bold>(F, G)</bold>. Migration velocity and persistence are shown in <bold>(F, G)</bold>, respectively. To determine killing efficiency, CTLs were embedded with NALM-6-pCasper (E:T=1:1) for 4 hours <bold>(H)</bold>. <bold>(I&#x2013;K)</bold> Pore size is increased by polymerizing collagen at RT. Stiffness of collagen matrices was determined by the storage modulus using rheometer <bold>(I)</bold>. The structure was visualized using light-sheet microscopy (20&#xd7; objective) <bold>(J)</bold>. The pore size at each condition is shown in <bold>(K)</bold>. <bold>(L)</bold> Enlarged pore size improves CTL killing in 3D. NALM-6-pCasper cells were embedded in the matrices and CTLs were added from the top (E:T=5:1). Results are presented as Mean &#xb1; SD from 2 <bold>(A, B, E, J, K)</bold> or 3 independent experiments (for <bold>F&#x2013;H</bold>, <bold>L</bold>, results are from 3 donors). One dot stands for either one cell (in <bold>F</bold>, <bold>G</bold>) or one donor (in <bold>H</bold>, <bold>L</bold>). For statistical significance, the unpaired Student&#x2019;s t-test <bold>(D)</bold>, the Mann-Whitney test <bold>(F, G)</bold> or the paired Student&#x2019;s t-test <bold>(H, K)</bold> was used. Scale bars are 10 &#x3bc;m.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-729820-g002.tif"/>
</fig>
<p>To increase the pore size of the matrix maintaining a constant collagen concentration, the fibrillation step was performed at room temperature [instead of 37&#xb0;C (<xref ref-type="bibr" rid="B38">38</xref>)]. Noticeably, collagen matrices obtained at 2 mg/ml collagen concentration showed similar shear moduli, while 4 mg/mL matrices with larger pores showed an increased stiffness (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2I</bold>
</xref>). This could be attributed to slower fibrillation kinetics of collagen at RT (<xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B40">40</xref>). Nevertheless, in matrices with larger pore sizes (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2J,&#xa0;K</bold>
</xref>) the cytotoxic efficiency of CTLs was enhanced (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2L</bold>
</xref>). Together, these results suggest that smaller pore size and higher stiffness in dense collagen matrices lead to impaired CTL killing efficiency as a result of hindered migration, whereby CTL migration persistence is mainly determined by matrix stiffness while the velocity is likely determined by the pore size of the matrix.</p>
</sec>
<sec id="s3_3">
<title>Deformability of Nucleus Is a Limiting Factor for CTL Migration in Dense ECM</title>
<p>As the stiffest organelle in cells, the nucleus is essential for decision making of migration direction for immune cells migrating through restricted space (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). Therefore, we examined the morphology of the nucleus in impaired CTL migration in dense matrices. First, we noticed that the nuclear morphology was deformed to an hour-glass shape in migrating CTLs (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Movies 4&#x2013;6</bold>
</xref>). To quantify the extent of this nuclear deformation, we analyzed the diameter of cross-sections (the shortest intersection of the hour-glass shape), as well as the sphericity (how closely an object resembles a sphere). The cross-section diameter was decreased in matrices with higher collagen density (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3B, C</bold>
</xref>). Furthermore, the nuclei of migrating CTLs in dense collagen matrices were more frequently deformed to an hour-glass shape than their counterparts in low-density collagen (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). Nuclear irregularity index decreased in dense collagen (4 and 5 mg/ml) (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3E</bold>
</xref>). It is reported that in dendritic cells, the nucleus is drastically deformed when migrating through spatially restricted areas (<xref ref-type="bibr" rid="B25">25</xref>). Together, our results suggest that the extent of nuclear deformation is increased in dense collagen likely due to its decreased porosity.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Nuclear deformation is correlated with migration velocity in dense collagen matrices. <bold>(A&#x2013;E)</bold> Nuclear deformation in CTLs is enhanced upon the increase in matrix density. CTLs transfected with Histone 2B-GFP (green) and LifeAct-mRuby (red) were embedded in collagen. Migration was visualized using light-sheet microscopy (20&#xd7; objective) at 37&#xb0;C every 30 sec for 30 min. Exemplary cells are shown in <bold>(A)</bold>. Cross-sections are pointed by the arrowheads. Scale bars are 5 &#xb5;m. Quantification of cross-section diameter, their distribution and duration is shown in <bold>(B)</bold> (indicated as red-line in the inset), <bold>(C</bold>, <bold>D)</bold>. The nuclear irregularity index of the cells in <bold>(A&#x2013;D)</bold> is shown in <bold>(E)</bold>. Results are presented as Mean &#xb1; SD for <bold>(B</bold>, <bold>D</bold>, <bold>E)</bold>. All results are from 3 donors. The Mann-Whitney test was used for statistical significance. <bold>(F</bold>, <bold>G)</bold> Migration velocity of CTLs is positively correlated with nuclear deformation. NII (sphericity) and velocity as function of time in exemplary cells are shown in <bold>(F)</bold>. Correlation between velocity and nuclear deformability is shown in <bold>(G)</bold>. One dot represents one cell. Correlation coefficient r is analyzed with Spearman&#x2019;s correlation. All results are from 3 donors.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-729820-g003.tif"/>
</fig>
<p>We next examined whether nuclear deformation correlated with CTL migration in 3D. As shown in the exemplary cells, at the time points when the nucleus was deformed, the real-time velocity was high. This phenomenon was observed for all three concentrations (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3F</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Movies 4&#x2013;6</bold>
</xref>). The respective analyses show that the migration velocity of CTLs is positively correlated to nuclear deformability as determined by the change in nuclear irregularity index (sphericity) in each density (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3G</bold>
</xref>). This observation is in good agreement with a recent report, showing that cell migration velocity positively correlated to the change in nucleus shape in 2D (<xref ref-type="bibr" rid="B28">28</xref>). Together, these findings suggest that deformability of the nucleus is a key factor to determine CTL migration in 3D.</p>
</sec>
<sec id="s3_4">
<title>Nuclear Deformability Is Regulated by the Microtubule Network</title>
<p>Cytoskeleton is an essential regulator for nuclear deformation induced by mechanical forces (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>) as well as for cell migration (<xref ref-type="bibr" rid="B43">43</xref>). Therefore, we examined the contribution of key cytoskeletal components to the regulation of nuclear deformation and CTL migration in 3D. The expression of F-actin (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>) and microtubules (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>) in collagen-embedded CTLs was modestly upregulated in the dense matrices (4 mg/ml and 5&#xa0;mg/ml). We analyzed the intracellular distribution of F-actin and microtubules using immuno-staining. Confocal images and live-cell imaging show that F-actin was mainly located in the CTL cortex, whereas the microtubule network was enriched around the microtubule-organizing center (MTOC) at the uropod and nucleus-surrounding areas (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Movie 7</bold>
</xref>) as reported by the others (<xref ref-type="bibr" rid="B44">44</xref>). Noticeably, the average distance of microtubule network and the nucleus was decreased upon the increase in collagen density (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4D, E</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;6A, B</bold>
</xref>). Moreover, short distance between microtubule network and the nucleus benefits to keep the nucleus volume and sphericity in dense collagen (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures&#xa0;6C&#x2013;G</bold>
</xref>). As it has been reported that the volume of the nucleus is limited by the microtubule network (<xref ref-type="bibr" rid="B42">42</xref>), we hypothesized that the microtubule network is involved in regulating CTL nuclear deformability.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Disruption of microtubule network enhances CTL nuclear deformation and migration in dense collagen matrices. <bold>(A, B)</bold> Dense matrices slightly up-regulates expression of F-actin and &#x3b1;-tubulin. CTLs were embedded in the collagen matrix for 5 hours after polymerization and then recovered from collagen. The F-actin and &#x3b1;-tubulin were stained with Alexa 488-Phalloidin and anti &#x3b1;-Tubulin mAb antibody. The samples were analyzed with flow cytometry. Presentative donors are shown in the left panels and the quantifications are shown in the right panels. One dot represents one donor. <bold>(C&#x2013;E)</bold> The microtubule network is located at the nucleus-surrounding region. CTLs were transfected with EMTP-3&#xd7;GFP (green). 24 hours post-transfection CTLs were fixed and stained with Hoechst 33342 (blue), and Alexa 568-phalloidin (F-actin, red). Images were acquired with confocal microscopy (63&#xd7; objective). MIP: maximum intensity projection. Scale bars are 5 &#xb5;m. The fluorescence intensity along the random line cross nucleus depicted in <bold>(C)</bold> is shown in <bold>(D)</bold>. Distance between microtubules and nucleus is defined as the distance between two maxima as indicated in <bold>(D)</bold> and quantified in <bold>(E)</bold>. <bold>(F</bold>, <bold>G)</bold> Disruption of the microtubule network increases the level of nuclear deformation in CTLs. Collagen-embedded CTLs were treated with nocodazole (Noco, 10 &#xb5;M) or DMSO for 5 hours prior to fixation. Then CTLs were stained with Hoechst 33342 (blue) and Alexa 488-phalloidin (F-actin, green). Images were acquired with confocal microscopy (63&#xd7; objective). Exemplary images are shown in <bold>(F)</bold>. Quantification of the nuclear irregularity index in maximum intensity projection is shown in <bold>(G)</bold>. <bold>(H, I)</bold> Impact of cytoskeletal components on CTL migration in 3D. Hoechst 33342-stained CTLs were embedded in planar collagen and treated with DMSO, blebbstatin (Blebb, 50 &#xb5;M), latrunculin-A (Lat-A, 50 nM), or nocodazole (Noco, 10 &#xb5;M). Migration was visualized with cell observer (20&#xd7; objective) at 37&#xb0;C for 30 min. Migration velocity and persistence are shown in <bold>(H, I)</bold>, respectively. <bold>(J, K)</bold> Disruption of the microtubule network enhances nuclear deformability. CTLs were embedded in collagen (5 mg/ml) and then treated as in <bold>(H, I)</bold>. Average deformability of CTLs is shown in <bold>(J)</bold>. Correlation between migration velocity and nuclear deformability is shown in <bold>(K)</bold>. The correlation coefficient r is analyzed with Spearman&#x2019;s correlation. One dot represents one cell. Scale bars are 5 &#xb5;m. Results are presented as Mean &#xb1; SD from 3 donors. For statistical significance, the unpaired Student&#x2019;s t-test (in <bold>A</bold>, <bold>B</bold>, <bold>E</bold>) or the Mann-Whitney test <bold>(G&#x2013;J)</bold> was used.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-729820-g004.tif"/>
</fig>
<p>To investigate this hypothesis, we used nocodazole, an inhibitor of tubulin polymerization, to abrogate the functionality of the microtubule network. We found that nuclear circularity was significantly decreased by nocodazole treatment as illustrated in the exemplary cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4F</bold>
</xref>) and the quantitative analysis (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4G</bold>
</xref>), indicating that with microtubules depolymerized, the nucleus is more deformable.</p>
<p>Combined with the finding that nuclear deformation is correlated with CTL migration, we postulated that disruption of the microtubule network should impact CTL migration, especially in dense ECM. Analysis of migration of CTLs in collagen matrices shows that in CTLs treated with nocodazole migration velocity was enhanced at all matrix densities (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4H</bold>
</xref>); whereas persistence was only increased in collagen with 5 mg/ml (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4I</bold>
</xref>). In comparison, disruption of the actin network by latrunculin-A or abrogation of myosin IIA by blebbstatin almost abolished CTL velocity and persistency for all three collagen densities (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4H</bold>
</xref>, <xref ref-type="fig" rid="f5">
<bold>5I</bold>
</xref>). Inhibition of a myosin IIA-upstream kinase Rock, or focal adhesion kinase also drastically impaired CTL velocity (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;7A</bold>
</xref>) but did not drastically change 3D migration persistence (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;7B</bold>
</xref>). Furthermore, live-cell imaging shows that the nucleus in the nocodazole-treated CTLs was more deformable than their DMSO-treated counterparts (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4J</bold>
</xref>). For CTLs, despite nocodazole-, vehicle-, or other inhibitors-treated, the migration velocity was positively correlated with the extent of nuclear deformation (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4K</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;8</bold>
</xref>). In summary, we conclude that disruption of the microtubule network enhances CTL migration especially in dense collagen matrices, which is correlated with enhanced deformability of nucleus in CTLs.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Disruption of microtubules ameliorates impaired CTL killing in dense collagen matrices. <bold>(A&#x2013;E)</bold> Inhibition of microtubule polymerization improves CTL killing in dense collagen. Nocodazole (Noco, 10 &#xb5;M) was used to disrupt the microtubule network. Images were acquired using ImageXpress (20&#xd7; objective) at 0 and 12 hours. NALM-6-pCasper and bead-stimulated CTLs <bold>(A&#x2013;C)</bold>, or SK-Mel-5 pCasper and MART1-specific CTLs <bold>(D</bold>, <bold>E)</bold> were used as target and killer cells. Representative experiments from 5 mg/ml are shown in <bold>(A, D)</bold>. <bold>(F&#x2013;J)</bold> Nocodazole treatment elevates migration and searching efficiency in dense collagen. CTLs and calcein-loaded target cells (green) were embedded in planer collagen matrix (5 mg/ml) and visualized with cell observer. Migration velocity within the duration of 30 min before conjugating with target cells is shown in <bold>(F)</bold>. Representative migration trajectories are shown in <bold>(G)</bold>. The likelihood for CTLs to find target cells and the time required for CTL to find their first target cell are shown in <bold>(H, I)</bold>. Number of target cells found by one CTL per hour is shown in <bold>(J)</bold>. <bold>(K</bold>, <bold>L)</bold> Vinblastin enhances killing efficiency of CTLs in dense matrices. Respective target cells as indicated were embedded in collagen (5 mg/ml). Killing efficiency was determined at 24 hours <bold>(K)</bold> or 12h <bold>(L)</bold> after adding CTLs using ImageXpress (20&#xd7; objective). The ratio between effector cells and targets is 5:1 in <bold>(A&#x2013;C, K)</bold>. The ratio between effector cells and targets is 1:1 in <bold>(D</bold>, <bold>E</bold>, <bold>L)</bold>. One dot represents one donor (<bold>B</bold>, <bold>H</bold>, <bold>K</bold>, n = 3 donors), one independent experiment (<bold>E</bold>, n = 6 and <bold>L</bold>, n = 7 experiments), or one cell (<bold>F</bold>, <bold>I</bold>, <bold>J</bold>, n = 4 donors). Scale bars are 50 &#xb5;m. Results are presented as Mean &#xb1; SD. Scale bars are 50 &#xb5;m. For statistical significance, the paired Student&#x2019;s t-test <bold>(B</bold>, <bold>E</bold>, <bold>H)</bold> or the Mann-Whitney test <bold>(F</bold>, <bold>I&#x2013;L)</bold> were used.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-729820-g005.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>Disruption of Microtubules Ameliorate Impaired CTL Killing in Dense ECM</title>
<p>Considering the dependence of CTL migration velocity and persistence on the microtubule-network, we hypothesized that interference with microtubules should improve the impaired killing efficiency in dense ECM. Results of 3D killing assay show that indeed in dense matrix (4 mg/ml and 5 mg/ml), disruption of the microtubule network ameliorated CTL killing (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A&#x2013;C</bold>
</xref>). Moreover, to further confirm this phenomenon, we used primary human CTL clones specific for MART1 (also known as Melan-A) (<xref ref-type="bibr" rid="B31">31</xref>). A melanoma cell line SK-Mel-5, which endogenously, present MART1 on their surface (<xref ref-type="bibr" rid="B45">45</xref>), was used as target cells. The time lapse shows that in good agreement with previous results, nocodazole-treatment significantly enhanced killing efficiency of CTL clones to remove SK-Mel-5 (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5D, E</bold>
</xref>). Together, our findings suggest that the microtubule network is as a promising target to improve CTL killing against tumor cells in dense ECM.</p>
<p>We further confirmed that also in presence of target cells, disruption of the microtubule-network with nocodazole treatment (10 &#x3bc;M) promoted 3D CTL migration (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>), but not reduced cytotoxic protein secretion and expression (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;9</bold>
</xref>). Concomitantly, the likelihood for microtubule-disrupted CTLs showed increased velocity (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5G</bold>
</xref>) and had a higher probability to find their target cells (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5H</bold>
</xref>). Only analyzing CTL which were successful to find at least one target, nocodazole-treated CTLs needed similar times to locate their first targets compared to DMSO-treated CTLs (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5I</bold>
</xref>), there was only a slight but insignificant reduction of search time for the first target. However, on average, the number of target cells found by nocodazole-treated CTLs was significantly higher than by control CTLs (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5J</bold>
</xref>). In addition, we examined CTL viability after 12 hour-nocodazole treatment, which is the condition we used to examine killing efficiency. We found that under this condition, CTL viability in 5 mg/ml collagen was slightly reduced (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;10</bold>
</xref>). Together, we conclude that enhancement of CTL killing efficiency in dense collagen by nocodazole-treatment is due to the amelioration of CTL migration and infiltration, not due to improvement of CTL survival.</p>
<p>Finally, we tested vinblastine, a microtubule-inhibitor applied as a chemotherapeutic to disrupt tumor cell mitosis (<xref ref-type="bibr" rid="B46">46</xref>). We treated CTLs with vinblastine to determine CTL killing efficiency in dense collagen. We found that vinblastine increases both killing efficiency of primary CTLs (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5K</bold>
</xref>) and human MART1-specific CTL clones (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5L</bold>
</xref>). In summary, we conclude that disruption of the microtubule network significantly enhances CTL migration and killing efficiency in dense collagen.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>The motility of CTLs in 3D environments, especially when moving through dense tissue matrices, is key for their search efficacy and consequent killing efficiency. In this work, we used bovine collagen matrices with three concentrations (2, 4, and 5 mg/ml) to mimic healthy tissue, soft and stiff solid tumor, mainly based on the stiffness. The storage moduli of 2 mg/ml, 4 mg/ml, and 5 mg/ml of bovine collage is 0.811 &#xb1; 0.009 kPa, 2.661 &#xb1; 0.098 kPa, and 3.640 &#xb1; 0.127 kPa, respectively (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>), which are in a comparable range of human healthy tissue (e.g. colon ~0.9 kPa, mammary gland ~1 kPa) and tumors (e.g. liver tumors ~2.4 kPa, breast cancer ~2.5 kPa and colon tumors ~5 kPa) (<xref ref-type="bibr" rid="B47">47</xref>&#x2013;<xref ref-type="bibr" rid="B49">49</xref>). We found that two physical properties of matrices are decisive for T cell migration: pore size and stiffness (or elasticity) of the fibrils. As concentration of collagen increases, pore size gets smaller and stiffness increases, which is in line with other reports (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B50">50</xref>). Our work shows that human CTLs migrate spontaneously in 3D collagen matrix. Both the speed and the persistence of their 3D migration diminish with increasing collagen concentration. The concentration-dependent correlation of porosity and stiffness can be decoupled in reconstituted collagen matrices. Keeping the concentration of collagen constant, lowering polymerization temperature increases the pore size of the fibrillar matrix, whereas pretreatment of collagen with ribose enhances the stiffness of collagen fibrils. We show that speed and persistence of human CTL migration in 3D are distinctively regulated: the speed strongly correlated with the pore size, in good agreement with previous reports (<xref ref-type="bibr" rid="B51">51</xref>, <xref ref-type="bibr" rid="B52">52</xref>); while the persistence is mainly determined by the stiffness, in good agreement with a recent report for ovarian cancer cells (<xref ref-type="bibr" rid="B53">53</xref>).</p>
<p>For migrating human CTLs, a positive correlation between nuclear deformation and cell speed in 3D collagen matrices was observed. The nuclei of cells displayed an hourglass-like deformation in migrating CTLs, very likely through confined spaces. The diameters of the neck of hourglass (cross-section) decreases with enhanced density of collagen. The nucleus is the most rigid intracellular organelle, which provides protection of the chromatin content (<xref ref-type="bibr" rid="B54">54</xref>, <xref ref-type="bibr" rid="B55">55</xref>). As reported in many cell types, severe deformation or even rupture of nuclei leads to DNA damage and ultimately cell death (<xref ref-type="bibr" rid="B26">26</xref>). In dense ECM, the enhanced nuclear deformation could therefore also lead to an elevated level of CTL apoptosis, which could eventually also contribute to dense ECM-impaired CTL killing efficiency.</p>
<p>Interestingly, we observed that the microtubule network is located in vicinity to the envelope of nucleus and that disruption of microtubule polymerization further enhances nuclear deformation/rupture consequently resulting in more CTL apoptosis, suggesting a protective role of the microtubule network on nuclear morphology and integrity of chromatins. Compelling evidence shows that the nuclear envelope protein lamin-A/C acts is a critical structural element required for nuclear membrane organization and stability (<xref ref-type="bibr" rid="B56">56</xref>). The nucleus morphology is associated with the microtubule network (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;6</bold>
</xref>) and the microtubule network could protect nucleus in coordination with lamin A/C (<xref ref-type="bibr" rid="B57">57</xref>). It is reported that lamin A/C is induced upon activation of T cells (<xref ref-type="bibr" rid="B58">58</xref>). Notably, microtubules are 300 fold more rigid than actin filaments (<xref ref-type="bibr" rid="B59">59</xref>). Thus, the microtubule network could provide a mechanistically stable structure surrounding the nucleus to protect the integrity of chromatins, in collaboration with lamin A/C and/or other nuclear envelope proteins.</p>
<p>Our live-cell imaging shows that when CTL migrate through a physical restriction, actin-driven protrusions leads the way through the confinement followed by translocation of the microtubule network along with the nucleus through the confined space. It is reported that in cells, deficiency in actomyosin-based contractility by myosin IIA depletion or inhibition of ROCK impedes contraction of the cell rear and fails to propel the nucleus through a restricted space (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B61">61</xref>), and profilin-1 is involved in protrusion formation in CTLs (<xref ref-type="bibr" rid="B62">62</xref>). The nucleus serves as a mechano-limiting factor, which determines the possibility of cells to go through physical confinement (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B51">51</xref>). In our work, we found that abrogation of myosin IIA or ROCK significantly limited CTL migration in 3D collagen matrices ranging from low to intermediate-density. This is very likely due to the absence of actomyosin contraction resulting in failing translocation of nucleus through the physical restriction. Unexpectedly, disruption of microtubule polymerization with nocodazole promotes both nuclear deformation and CTL migration in low, intermediate and high density. This indicates that the microtubule network serves as an additional mechano-limiting factor in addition to the nucleus to control CTL migration in 3D, especially through restricted space (<xref ref-type="bibr" rid="B27">27</xref>). In comparison, in large pores/channels, the microtubule network is not the rate-limiting factors as one recent report shows that nocodazole has no effect on T cell migration through micro-channels with width equals to or beyond 6 &#x3bc;m (<xref ref-type="bibr" rid="B63">63</xref>), which already exceeds physical constrains in low-density collagen, porosity of which ranges from 2-5 &#x3bc;m (<xref ref-type="bibr" rid="B24">24</xref>). In addition, several recent studies have reported the impact of microtubule integrity on infiltration or migration of T cells <italic>in vivo</italic> or <italic>ex vivo</italic>. More specifically, inhibition of microtubule polymerization using combretastatin A-4 increases the number of infiltrating CD8<sup>+</sup> T lymphocytes in tumors in a mouse model (<xref ref-type="bibr" rid="B64">64</xref>). Moreover, nocodazole-treatment increases mouse CTL migration velocity in tumor slices ex <italic>vivo</italic> (<xref ref-type="bibr" rid="B17">17</xref>). These results strongly suggest that microtubule disruption improves CTL migration also <italic>in vivo</italic>.</p>
<p>Integrity of both actin-cytoskeleton and the microtubule network is pivotal to execute CTL killing processes. Actin-cytoskeleton has two compensatory roles. On one hand, functionality of cortical actin is essential for TCR triggered release of lytic granules to induce destruction of target cells (<xref ref-type="bibr" rid="B65">65</xref>). On the other hand, recovery of cortical actin in CTLs at the contact site with the target cell terminates release of lytic granules (<xref ref-type="bibr" rid="B66">66</xref>). In addition, latrunculin-A treatment for target cells could also reduce target lysis-induced by perforin (<xref ref-type="bibr" rid="B67">67</xref>). In our work, we show that disassembly of F-actin significantly diminishes CTL motility and killing efficiency in 3D matrices. The concentration of latrunculin-A we used was 50 nM, which should only partially disassemble F-actin as CTLs could still migrate and kill under this condition. The impairment of CTL motility and the consequent reduction in searching efficiency is the primary factor for the reduced killing by disassembly of F-actin. The effect of latrunculin-A on target cells might contribute to reduced killing to some extent, but if so only as a secondary factor.</p>
<p>In terms of the microtubule network, re-orientation of MTOC to the IS is a hallmark for CTL activation upon recognition of target cells, which plays a key role in enriching lytic granules towards the IS (<xref ref-type="bibr" rid="B66">66</xref>, <xref ref-type="bibr" rid="B68">68</xref>). Perturbation of the microtubule architecture in CTLs results in reduced killing efficiency but does not affect degranulation (<xref ref-type="bibr" rid="B46">46</xref>). In our work, although the microtubule network was disrupted by nocodazole (10 &#x3bc;M) to a large extent, the remaining network was sufficient to support LG release as shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;9A</bold>
</xref>. The role of microtubule in human CTL migration in 3D is also strongly supported by the recent study showing that perturbation of microbutules enhances migration of human CD4<sup>+</sup> T cells and mouse CD8<sup>+</sup> T cells in 3D (<xref ref-type="bibr" rid="B17">17</xref>). More importantly, the enhancement in migration of nocodazole-treated CTLs in dense collagen leads to more conjugation and a consequently elevated efficiency of target destruction. Therefore, we conclude that in dense collagen matrices, CTL motility serves as a rate-limiting factor for killing. Several microtubule inhibitors are applied as chemotherapeutic reagents, such as vinblastine and vincristine. Interestingly, we found that vinblastine indeed enhances CTL-mediated elimination of tumor cells in dense ECM. Our findings suggest that microtubule-inhibiting chemotherapeutic reagents do not only have a direct effect on abrogation of tumor cell proliferation, but also have the potential to enhance CTL killing efficiency against tumor cells in densely packed tumor microenvironment.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: <uri xlink:href="https://cloud.hiz-saarland.de/s/g3cR3BSfbs42reD">https://cloud.hiz-saarland.de/s/g3cR3BSfbs42reD</uri>.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>RZ designed and performed most experiments and all the corresponding analyses if not mentioned otherwise. XZ stained collagen matrices and imaged the structure. EK carried out rheology experiments and AC helped interpret the results. WY helped with flow cytometry. KF and ES established MART1-specific T cells clones. ES established NALM-6-pCasper cell lines. DA provided expertise in pCasper-pMax and the corresponding analysis. MH helped with data interpretation and provided critical feedback on all aspects of the project. BQ and RZ generated concepts, designed experiments, and BQ wrote the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>This project was funded by the Deutsche Forschungsgemeinschaft (SFB 1027; Forschungsgro&#xdf;ger&#xe4;te (GZ: INST 256/419-1 FUGG for the light-sheet microscope, GZ: INST 256/423-1 FUGG for the flow cytometer, and GZ: INST 256/429-1 FUGB for ImageXpress), Bundesministerium f&#xfc;r Bildung und Forschung (BMBF, 031L0133 to MH), University of Saarland HOMFORexzellent grant (to RZ), and by the Leibniz-Gemeinschaft (INM Fellow to BQ).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We thank the Institute for Clinical Hemostaseology and Transfusion Medicine for providing donor blood; Carmen H&#xe4;ssig, Cora Hoxha, Gertrud Schw&#xe4;r and Susanne Renno for excellent technical help; Sylvia Z&#xf6;phel for helping with MART1-specific T cell clones; Carsten Kummerow for technical help in ImageXpress and light-sheet microscopy; Sonderforschungsbereich 894 platform P1 for the use of confocal microscopy.</p>
</ack>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2021.729820/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2021.729820/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
<supplementary-material xlink:href="Video_1.avi" id="SM2" mimetype="video/x-msvideo"/>
<supplementary-material xlink:href="Video_2.avi" id="SM3" mimetype="video/x-msvideo"/>
<supplementary-material xlink:href="Video_3.avi" id="SM4" mimetype="video/x-msvideo"/>
<supplementary-material xlink:href="Video_4.avi" id="SM5" mimetype="video/x-msvideo"/>
<supplementary-material xlink:href="Video_5.avi" id="SM6" mimetype="video/x-msvideo"/>
<supplementary-material xlink:href="Video_6.avi" id="SM7" mimetype="video/x-msvideo"/>
<supplementary-material xlink:href="Video_7.avi" id="SM8" mimetype="video/x-msvideo"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Halle</surname> <given-names>S</given-names>
</name>
<name>
<surname>Halle</surname> <given-names>O</given-names>
</name>
<name>
<surname>Forster</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Mechanisms and Dynamics of T Cell-Mediated Cytotoxicity <italic>In Vivo</italic>
</article-title>. <source>Trends Immunol</source> (<year>2017</year>) <volume>38</volume>:<page-range>432&#x2013;43</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.it.2017.04.002</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>N</given-names>
</name>
<name>
<surname>Bevan</surname> <given-names>MJ</given-names>
</name>
</person-group>. <article-title>CD8(+) T Cells: Foot Soldiers of the Immune System</article-title>. <source>Immunity</source> (<year>2011</year>) <volume>35</volume>:<page-range>161&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2011.07.010</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Artyomov</surname> <given-names>MN</given-names>
</name>
<name>
<surname>Lis</surname> <given-names>M</given-names>
</name>
<name>
<surname>Devadas</surname> <given-names>S</given-names>
</name>
<name>
<surname>Davis</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Chakraborty</surname> <given-names>AK</given-names>
</name>
</person-group>. <article-title>CD4 and CD8 Binding to MHC Molecules Primarily Acts to Enhance Lck Delivery</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2010</year>) <volume>107</volume>:<page-range>16916&#x2013;21</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.1010568107</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yin</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Mariuzza</surname> <given-names>RA</given-names>
</name>
</person-group>. <article-title>Structural and Biophysical Insights Into the Role of CD4 and CD8 in T Cell Activation</article-title>. <source>Front Immunol</source> (<year>2013</year>) <volume>4</volume>:<elocation-id>206</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2013.00206</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Edwards</surname> <given-names>LJ</given-names>
</name>
<name>
<surname>Evavold</surname> <given-names>BD</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>Kinetics of MHC-CD8 Interaction at the T Cell Membrane</article-title>. <source>J Immunol</source> (<year>2007</year>) <volume>179</volume>:<page-range>7653&#x2013;62</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.179.11.7653</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bromley</surname> <given-names>SK</given-names>
</name>
<name>
<surname>Burack</surname> <given-names>WR</given-names>
</name>
<name>
<surname>Johnson</surname> <given-names>KG</given-names>
</name>
<name>
<surname>Somersalo</surname> <given-names>K</given-names>
</name>
<name>
<surname>Sims</surname> <given-names>TN</given-names>
</name>
<name>
<surname>Sumen</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>The Immunological Synapse</article-title>. <source>Annu Rev Immunol</source> (<year>2001</year>) <volume>19</volume>:<page-range>375&#x2013;96</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev.immunol.19.1.375</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dieckmann</surname> <given-names>NM</given-names>
</name>
<name>
<surname>Frazer</surname> <given-names>GL</given-names>
</name>
<name>
<surname>Asano</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Stinchcombe</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Griffiths</surname> <given-names>GM</given-names>
</name>
</person-group>. <article-title>The Cytotoxic T Lymphocyte Immune Synapse at a Glance</article-title>. <source>J Cell Sci</source> (<year>2016</year>) <volume>129</volume>:<page-range>2881&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1242/jcs.186205</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dustin</surname> <given-names>ML</given-names>
</name>
<name>
<surname>Chakraborty</surname> <given-names>AK</given-names>
</name>
<name>
<surname>Shaw</surname> <given-names>AS</given-names>
</name>
</person-group>. <article-title>Understanding the Structure and Function of the Immunological Synapse</article-title>. <source>Cold Spring Harb Perspect Biol</source> (<year>2010</year>) <volume>2</volume>:<elocation-id>a002311</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/cshperspect.a002311</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Barry</surname> <given-names>M</given-names>
</name>
<name>
<surname>Bleackley</surname> <given-names>RC</given-names>
</name>
</person-group>. <article-title>Cytotoxic T Lymphocytes: All Roads Lead to Death</article-title>. <source>Nat Rev Immunol</source> (<year>2002</year>) <volume>2</volume>:<page-range>401&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri819</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peters</surname> <given-names>PJ</given-names>
</name>
<name>
<surname>Borst</surname> <given-names>J</given-names>
</name>
<name>
<surname>Oorschot</surname> <given-names>V</given-names>
</name>
<name>
<surname>Fukuda</surname> <given-names>M</given-names>
</name>
<name>
<surname>Krahenbuhl</surname> <given-names>O</given-names>
</name>
<name>
<surname>Tschopp</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Cytotoxic T Lymphocyte Granules Are Secretory Lysosomes, Containing Both Perforin and Granzymes</article-title>. <source>J Exp Med</source> (<year>1991</year>) <volume>173</volume>:<page-range>1099&#x2013;109</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.173.5.1099</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stinchcombe</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Bossi</surname> <given-names>G</given-names>
</name>
<name>
<surname>Booth</surname> <given-names>S</given-names>
</name>
<name>
<surname>Griffiths</surname> <given-names>GM</given-names>
</name>
</person-group>. <article-title>The Immunological Synapse of CTL Contains a Secretory Domain and Membrane Bridges</article-title>. <source>Immunity</source> (<year>2001</year>) <volume>15</volume>:<page-range>751&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s1074-7613(01)00234-5</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Qu</surname> <given-names>B</given-names>
</name>
<name>
<surname>Pattu</surname> <given-names>V</given-names>
</name>
<name>
<surname>Junker</surname> <given-names>C</given-names>
</name>
<name>
<surname>Schwarz</surname> <given-names>EC</given-names>
</name>
<name>
<surname>Bhat</surname> <given-names>SS</given-names>
</name>
<name>
<surname>Kummerow</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Docking of Lytic Granules at the Immunological Synapse in Human CTL Requires Vti1b-Dependent Pairing With CD3 Endosomes</article-title>. <source>J Immunol</source> (<year>2011</year>) <volume>186</volume>:<page-range>6894&#x2013;904</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.1003471</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yue</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>Biology of the Extracellular Matrix: An Overview</article-title>. <source>J Glaucoma</source> (<year>2014</year>) <volume>23</volume>:<page-range>S20&#x2013;23</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1097/ijg.0000000000000108</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Salmon</surname> <given-names>H</given-names>
</name>
<name>
<surname>Franciszkiewicz</surname> <given-names>K</given-names>
</name>
<name>
<surname>Damotte</surname> <given-names>D</given-names>
</name>
<name>
<surname>Dieu-Nosjean</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Validire</surname> <given-names>P</given-names>
</name>
<name>
<surname>Trautmann</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Matrix Architecture Defines the Preferential Localization and Migration of T Cells Into the Stroma of Human Lung Tumors</article-title>. <source>J Clin Invest</source> (<year>2012</year>) <volume>122</volume>:<fpage>899</fpage>&#x2013;<lpage>910</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1172/jci45817</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peng</surname> <given-names>DH</given-names>
</name>
<name>
<surname>Rodriguez</surname> <given-names>BL</given-names>
</name>
<name>
<surname>Diao</surname> <given-names>L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Byers</surname> <given-names>LA</given-names>
</name>
<etal/>
</person-group>. <article-title>Collagen Promotes Anti-PD-1/PD-L1 Resistance in Cancer Through LAIR1-Dependent CD8+ T Cell Exhaustion</article-title>. <source>Nat Commun</source> (<year>2020</year>) <volume>11</volume>:<fpage>4520</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-020-18298-8</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kuczek</surname> <given-names>DE</given-names>
</name>
<name>
<surname>Larsen</surname> <given-names>AMH</given-names>
</name>
<name>
<surname>Thorseth</surname> <given-names>ML</given-names>
</name>
<name>
<surname>Carretta</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kalvisa</surname> <given-names>A</given-names>
</name>
<name>
<surname>Siersbaek</surname> <given-names>MS</given-names>
</name>
<etal/>
</person-group>. <article-title>Collagen Density Regulates the Activity of Tumor-Infiltrating T Cells</article-title>. <source>J&#xa0;Immunother Cancer</source> (<year>2019</year>) <volume>7</volume>:<fpage>68</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s40425-019-0556-6</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tabdanov</surname> <given-names>ED</given-names>
</name>
<name>
<surname>Rodr&#xed;guez-Merced</surname> <given-names>NJ</given-names>
</name>
<name>
<surname>Cartagena-Rivera</surname> <given-names>AX</given-names>
</name>
<name>
<surname>Puram</surname> <given-names>VV</given-names>
</name>
<name>
<surname>Callaway</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Ensminger</surname> <given-names>EA</given-names>
</name>
<etal/>
</person-group>. <article-title>Engineering T Cells to Enhance 3D Migration Through Structurally and Mechanically Complex Tumor Microenvironments</article-title>. <source>Nat Commun</source> (<year>2021</year>) <volume>12</volume>:<fpage>2815</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-021-22985-5</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Acuto</surname> <given-names>O</given-names>
</name>
<name>
<surname>Cantrell</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>T Cell Activation and the Cytoskeleton</article-title>. <source>Annu Rev Immunol</source> (<year>2000</year>) <volume>18</volume>:<page-range>165&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev.immunol.18.1.165</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dupre</surname> <given-names>L</given-names>
</name>
<name>
<surname>Houmadi</surname> <given-names>R</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>C</given-names>
</name>
<name>
<surname>Rey-Barroso</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>T Lymphocyte Migration: An Action Movie Starring the Actin and Associated Actors</article-title>. <source>Front Immunol</source> (<year>2015</year>) <volume>6</volume>:<elocation-id>586</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2015.00586</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Krummel</surname> <given-names>MF</given-names>
</name>
<name>
<surname>Bartumeus</surname> <given-names>F</given-names>
</name>
<name>
<surname>Gerard</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>T Cell Migration, Search Strategies and Mechanisms</article-title>. <source>Nat Rev Immunol</source> (<year>2016</year>) <volume>16</volume>:<fpage>193</fpage>&#x2013;<lpage>201</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri.2015.16</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jacobelli</surname> <given-names>J</given-names>
</name>
<name>
<surname>Friedman</surname> <given-names>RS</given-names>
</name>
<name>
<surname>Conti</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Lennon-Dumenil</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Piel</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sorensen</surname> <given-names>CM</given-names>
</name>
<etal/>
</person-group>. <article-title>Confinement-Optimized Three-Dimensional T Cell Amoeboid Motility Is Modulated <italic>via</italic> Myosin IIA-Regulated Adhesions</article-title>. <source>Nat Immunol</source> (<year>2010</year>) <volume>11</volume>:<page-range>953&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ni.1936</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ratner</surname> <given-names>S</given-names>
</name>
<name>
<surname>Sherrod</surname> <given-names>WS</given-names>
</name>
<name>
<surname>Lichlyter</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Microtubule Retraction Into the Uropod and Its Role in T Cell Polarization and Motility</article-title>. <source>J Immunol</source> (<year>1997</year>) <volume>159</volume>:<page-range>1063&#x2013;7</page-range>.</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Billadeau</surname> <given-names>DD</given-names>
</name>
<name>
<surname>Nolz</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Gomez</surname> <given-names>TS</given-names>
</name>
</person-group>. <article-title>Regulation of T-Cell Activation by the Cytoskeleton</article-title>. <source>Nat Rev Immunol</source> (<year>2007</year>) <volume>7</volume>:<page-range>131&#x2013;43</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri2021</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wolf</surname> <given-names>K</given-names>
</name>
<name>
<surname>Te Lindert</surname> <given-names>M</given-names>
</name>
<name>
<surname>Krause</surname> <given-names>M</given-names>
</name>
<name>
<surname>Alexander</surname> <given-names>S</given-names>
</name>
<name>
<surname>Te Riet</surname> <given-names>J</given-names>
</name>
<name>
<surname>Willis</surname> <given-names>AL</given-names>
</name>
<etal/>
</person-group>. <article-title>Physical Limits of Cell Migration: Control by ECM Space and Nuclear Deformation and Tuning by Proteolysis and Traction Force</article-title>. <source>J Cell Biol</source> (<year>2013</year>) <volume>201</volume>:<page-range>1069&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1083/jcb.201210152</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Renkawitz</surname> <given-names>J</given-names>
</name>
<name>
<surname>Kopf</surname> <given-names>A</given-names>
</name>
<name>
<surname>Stopp</surname> <given-names>J</given-names>
</name>
<name>
<surname>de Vries</surname> <given-names>I</given-names>
</name>
<name>
<surname>Driscoll</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Merrin</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Nuclear Positioning Facilitates Amoeboid Migration Along the Path of Least Resistance</article-title>. <source>Nature</source> (<year>2019</year>) <volume>568</volume>:<page-range>546&#x2013;50</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41586-019-1087-5</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Denais</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Gilbert</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Isermann</surname> <given-names>P</given-names>
</name>
<name>
<surname>McGregor</surname> <given-names>AL</given-names>
</name>
<name>
<surname>te Lindert</surname> <given-names>M</given-names>
</name>
<name>
<surname>Weigelin</surname> <given-names>B</given-names>
</name>
<etal/>
</person-group>. <article-title>Nuclear Envelope Rupture and Repair During Cancer Cell Migration</article-title>. <source>Science</source> (<year>2016</year>) <volume>352</volume>:<page-range>353&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.aad7297</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thiam</surname> <given-names>HR</given-names>
</name>
<name>
<surname>Vargas</surname> <given-names>P</given-names>
</name>
<name>
<surname>Carpi</surname> <given-names>N</given-names>
</name>
<name>
<surname>Crespo</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Raab</surname> <given-names>M</given-names>
</name>
<name>
<surname>Terriac</surname> <given-names>E</given-names>
</name>
<etal/>
</person-group>. <article-title>Perinuclear Arp2/3-Driven Actin Polymerization Enables Nuclear Deformation to Facilitate Cell Migration Through Complex Environments</article-title>. <source>Nat Commun</source> (<year>2016</year>) <volume>7</volume>:<elocation-id>10997</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ncomms10997</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Krause</surname> <given-names>M</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>FW</given-names>
</name>
<name>
<surname>te Lindert</surname> <given-names>M</given-names>
</name>
<name>
<surname>Isermann</surname> <given-names>P</given-names>
</name>
<name>
<surname>Schepens</surname> <given-names>J</given-names>
</name>
<name>
<surname>Maas</surname> <given-names>RJA</given-names>
</name>
<etal/>
</person-group>. <article-title>Cell Migration Through Three-Dimensional Confining Pores: Speed Accelerations by Deformation and Recoil of the Nucleus</article-title>. <source>Philos Trans R Soc B Biological Sci</source> (<year>2019</year>) <fpage>374</fpage>:<elocation-id>20180225</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1098/rstb.2018.0225</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname> <given-names>DH</given-names>
</name>
<name>
<surname>Cho</surname> <given-names>S</given-names>
</name>
<name>
<surname>Wirtz</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Tight Coupling Between Nucleus and Cell Migration Through the Perinuclear Actin Cap</article-title>. <source>J Cell Sci</source> (<year>2014</year>) <volume>127</volume>:<page-range>2528&#x2013;41</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1242/jcs.144345</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kummerow</surname> <given-names>C</given-names>
</name>
<name>
<surname>Schwarz</surname> <given-names>EC</given-names>
</name>
<name>
<surname>Bufe</surname> <given-names>B</given-names>
</name>
<name>
<surname>Zufall</surname> <given-names>F</given-names>
</name>
<name>
<surname>Hoth</surname> <given-names>M</given-names>
</name>
<name>
<surname>Qu</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>A Simple, Economic, Time-Resolved Killing Assay</article-title>. <source>Eur J Immunol</source> (<year>2014</year>) <volume>44</volume>:<page-range>1870&#x2013;2</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/eji.201444518</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Friedmann</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Kn&#xf6;rck</surname> <given-names>A</given-names>
</name>
<name>
<surname>Cappello</surname> <given-names>S</given-names>
</name>
<name>
<surname>Hoxha</surname> <given-names>C</given-names>
</name>
<name>
<surname>Schw&#xe4;r</surname> <given-names>G</given-names>
</name>
<name>
<surname>Iden</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>Combined CTL and NK Cell Cytotoxicity Against Cancer Cells</article-title>. <source>bioRxiv</source> (<year>2020</year>) <fpage>2020.2006.2014.150672</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/2020.06.14.150672</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kn&#xf6;rck</surname> <given-names>A</given-names>
</name>
<name>
<surname>Schw&#xe4;r</surname> <given-names>G</given-names>
</name>
<name>
<surname>Alansary</surname> <given-names>D</given-names>
</name>
<name>
<surname>Thurner</surname> <given-names>L</given-names>
</name>
<name>
<surname>Hoth</surname> <given-names>M</given-names>
</name>
<name>
<surname>Schwarz</surname> <given-names>EC</given-names>
</name>
</person-group>. <article-title>Cytotoxic Efficiency of Human CD8<sup>+</sup> T Cell Memory Subtypes</article-title>. <source>bioRxiv</source> (<year>2021</year>) <fpage>2021.2003.2015.435339</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/2021.03.15.435339</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schoppmeyer</surname> <given-names>R</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>R</given-names>
</name>
<name>
<surname>Hoth</surname> <given-names>M</given-names>
</name>
<name>
<surname>Qu</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>Light-Sheet Microscopy for Three-Dimensional Visualization of Human Immune Cells</article-title>. <source>J Vis Exp</source> (<year>2018</year>) <volume>136</volume>:<elocation-id>e57651</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3791/57651</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mason</surname> <given-names>BN</given-names>
</name>
<name>
<surname>Starchenko</surname> <given-names>A</given-names>
</name>
<name>
<surname>Williams</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Bonassar</surname> <given-names>LJ</given-names>
</name>
<name>
<surname>Reinhart-King</surname> <given-names>CA</given-names>
</name>
</person-group>. <article-title>Tuning Three-Dimensional Collagen Matrix Stiffness Independently of Collagen Concentration Modulates Endothelial Cell Behavior</article-title>. <source>Acta Biomater</source> (<year>2013</year>) <volume>9</volume>:<page-range>4635&#x2013;44</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actbio.2012.08.007</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Backes</surname> <given-names>CS</given-names>
</name>
<name>
<surname>Friedmann</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Mang</surname> <given-names>S</given-names>
</name>
<name>
<surname>Knorck</surname> <given-names>A</given-names>
</name>
<name>
<surname>Hoth</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kummerow</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>Natural Killer Cells Induce Distinct Modes of Cancer Cell Death: Discrimination, Quantification, and Modulation of Apoptosis, Necrosis, and Mixed Forms</article-title>. <source>J Biol Chem</source> (<year>2018</year>) <volume>293</volume>:<page-range>16348&#x2013;63</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1074/jbc.RA118.004549</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Acton</surname> <given-names>SE</given-names>
</name>
<name>
<surname>Farrugia</surname> <given-names>AJ</given-names>
</name>
<name>
<surname>Astarita</surname> <given-names>JL</given-names>
</name>
<name>
<surname>Mourao-Sa</surname> <given-names>D</given-names>
</name>
<name>
<surname>Jenkins</surname> <given-names>RP</given-names>
</name>
<name>
<surname>Nye</surname> <given-names>E</given-names>
</name>
<etal/>
</person-group>. <article-title>Dendritic Cells Control Fibroblastic Reticular Network Tension and Lymph Node Expansion</article-title>. <source>Nature</source> (<year>2014</year>) <volume>514</volume>:<fpage>498</fpage>&#x2013;<lpage>502</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature13814</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Madsen</surname> <given-names>CD</given-names>
</name>
<name>
<surname>Cox</surname> <given-names>TR</given-names>
</name>
</person-group>. <article-title>Relative Stiffness Measurements of Tumour Tissues by Shear Rheology</article-title>. <source>Bio-Protocol</source> (<year>2017</year>) <volume>7</volume>:<fpage>Artn E2265</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.21769/Bioprotoc.2265</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shannon</surname> <given-names>GS</given-names>
</name>
<name>
<surname>Novak</surname> <given-names>T</given-names>
</name>
<name>
<surname>Mousoulis</surname> <given-names>C</given-names>
</name>
<name>
<surname>Voytik-Harbin</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Neu</surname> <given-names>CP</given-names>
</name>
</person-group>. <article-title>Temperature and Concentration Dependent Fibrillogenesis for Improved Magnetic Alignment of Collagen Gels</article-title>. <source>Rsc Adv</source> (<year>2015</year>) <volume>5</volume>:<page-range>2113&#x2013;21</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1039/c4ra11480a</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Leikina</surname> <given-names>E</given-names>
</name>
<name>
<surname>Mertts</surname> <given-names>MV</given-names>
</name>
<name>
<surname>Kuznetsova</surname> <given-names>N</given-names>
</name>
<name>
<surname>Leikin</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Type I Collagen Is Thermally Unstable at Body Temperature</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2002</year>) <volume>99</volume>:<page-range>1314&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.032307099</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Kaufman</surname> <given-names>LJ</given-names>
</name>
</person-group>. <article-title>Collagen I Self-Assembly: Revealing the Developing Structures That Generate Turbidity</article-title>. <source>Biophys J</source> (<year>2014</year>) <volume>106</volume>:<page-range>1822&#x2013;31</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.bpj.2014.03.011</pub-id>
</citation>
</ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alisafaei</surname> <given-names>F</given-names>
</name>
<name>
<surname>Jokhun</surname> <given-names>DS</given-names>
</name>
<name>
<surname>Shivashankar</surname> <given-names>GV</given-names>
</name>
<name>
<surname>Shenoy</surname> <given-names>VB</given-names>
</name>
</person-group>. <article-title>Regulation of Nuclear Architecture, Mechanics, and Nucleocytoplasmic Shuttling of Epigenetic Factors by Cell Geometric Constraints</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2019</year>) <volume>116</volume>:<page-range>13200&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.1902035116</pub-id>
</citation>
</ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname> <given-names>DH</given-names>
</name>
<name>
<surname>Li</surname> <given-names>B</given-names>
</name>
<name>
<surname>Si</surname> <given-names>FW</given-names>
</name>
<name>
<surname>Phillip</surname> <given-names>JM</given-names>
</name>
<name>
<surname>Wirtz</surname> <given-names>D</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>SX</given-names>
</name>
</person-group>. <article-title>Volume Regulation and Shape Bifurcation in the Cell Nucleus</article-title>. <source>J Cell Sci</source> (<year>2015</year>) <volume>128</volume>:<page-range>3375&#x2013;85</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1242/jcs.166330</pub-id>
</citation>
</ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Serrador</surname> <given-names>JM</given-names>
</name>
<name>
<surname>Nieto</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sanchez-Madrid</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Cytoskeletal Rearrangement During Migration and Activation of T Lymphocytes</article-title>. <source>Trends Cell Biol</source> (<year>1999</year>) <volume>9</volume>:<page-range>228&#x2013;33</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s0962-8924(99)01553-6</pub-id>
</citation>
</ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kopf</surname> <given-names>A</given-names>
</name>
<name>
<surname>Renkawitz</surname> <given-names>J</given-names>
</name>
<name>
<surname>Hauschild</surname> <given-names>R</given-names>
</name>
<name>
<surname>Girkontaite</surname> <given-names>I</given-names>
</name>
<name>
<surname>Tedford</surname> <given-names>K</given-names>
</name>
<name>
<surname>Merrin</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Microtubules Control Cellular Shape and Coherence in Amoeboid Migrating Cells</article-title>. <source>J Cell Biol</source> (<year>2020</year>) <volume>219</volume>(<issue>6</issue>):<elocation-id>e201907154</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1083/jcb.201907154</pub-id>
</citation>
</ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sugita</surname> <given-names>S</given-names>
</name>
<name>
<surname>Sagawa</surname> <given-names>K</given-names>
</name>
<name>
<surname>Mochizuki</surname> <given-names>M</given-names>
</name>
<name>
<surname>Shichijo</surname> <given-names>S</given-names>
</name>
<name>
<surname>Itoh</surname> <given-names>K</given-names>
</name>
</person-group>. <article-title>Melanocyte Lysis by Cytotoxic T Lymphocytes Recognizing the MART-1 Melanoma Antigen in HLA-A2 Patients With Vogt-Koyanagi-Harada Disease</article-title>. <source>Int Immunol</source> (<year>1996</year>) <volume>8</volume>:<fpage>799</fpage>&#x2013;<lpage>803</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/intimm/8.5.799</pub-id>
</citation>
</ref>
<ref id="B46">
<label>46</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Tamzali</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Kemp-Symonds</surname> <given-names>J</given-names>
</name>
</person-group>. <source>Clinical Equine Oncology, Chapter 9: Principles of Oncological Therapy</source>. (<publisher-name>Elsevier</publisher-name>). (<year>2015</year>).</citation>
</ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garteiser</surname> <given-names>P</given-names>
</name>
<name>
<surname>Doblas</surname> <given-names>S</given-names>
</name>
<name>
<surname>Daire</surname> <given-names>J-L</given-names>
</name>
<name>
<surname>Wagner</surname> <given-names>M</given-names>
</name>
<name>
<surname>Leitao</surname> <given-names>H</given-names>
</name>
<name>
<surname>Vilgrain</surname> <given-names>V</given-names>
</name>
<etal/>
</person-group>. <article-title>MR Elastography of Liver Tumours: Value of Viscoelastic Properties for Tumour Characterisation</article-title>. <source>Eur Radiol</source> (<year>2012</year>) <volume>22</volume>:<page-range>2169&#x2013;77</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00330-012-2474-6</pub-id>
</citation>
</ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Deptula</surname> <given-names>P</given-names>
</name>
<name>
<surname>Lysik</surname> <given-names>D</given-names>
</name>
<name>
<surname>Pogoda</surname> <given-names>K</given-names>
</name>
<name>
<surname>Ciesluk</surname> <given-names>M</given-names>
</name>
<name>
<surname>Namiot</surname> <given-names>A</given-names>
</name>
<name>
<surname>Mystkowska</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Tissue Rheology as a Possible Complementary Procedure to Advance Histological Diagnosis of Colon Cancer</article-title>. <source>ACS Biomaterials Sci Eng</source> (<year>2020</year>) <volume>6</volume>:<page-range>5620&#x2013;31</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acsbiomaterials.0c00975</pub-id>
</citation>
</ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sinkus</surname> <given-names>R</given-names>
</name>
<name>
<surname>Siegmann</surname> <given-names>K</given-names>
</name>
<name>
<surname>Xydeas</surname> <given-names>T</given-names>
</name>
<name>
<surname>Tanter</surname> <given-names>M</given-names>
</name>
<name>
<surname>Claussen</surname> <given-names>C</given-names>
</name>
<name>
<surname>Fink</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>MR Elastography of Breast Lesions: Understanding the Solid/Liquid Duality can Improve the Specificity of Contrast-Enhanced MR Mammography</article-title>. <source>Magnetic Resonance Med</source> (<year>2007</year>) <volume>58</volume>:<page-range>1135&#x2013;44</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/mrm.21404</pub-id>
</citation>
</ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lang</surname> <given-names>NR</given-names>
</name>
<name>
<surname>Skodzek</surname> <given-names>K</given-names>
</name>
<name>
<surname>Hurst</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mainka</surname> <given-names>A</given-names>
</name>
<name>
<surname>Steinwachs</surname> <given-names>J</given-names>
</name>
<name>
<surname>Schneider</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Biphasic Response of Cell Invasion to Matrix Stiffness in Three-Dimensional Biopolymer Networks</article-title>. <source>Acta Biomater</source> (<year>2015</year>) <volume>13</volume>:<page-range>61&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actbio.2014.11.003</pub-id>
</citation>
</ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hons</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kopf</surname> <given-names>A</given-names>
</name>
<name>
<surname>Hauschild</surname> <given-names>R</given-names>
</name>
<name>
<surname>Leithner</surname> <given-names>A</given-names>
</name>
<name>
<surname>Gaertner</surname> <given-names>F</given-names>
</name>
<name>
<surname>Abe</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Chemokines and Integrins Independently Tune Actin Flow and Substrate Friction During Intranodal Migration of T Cells</article-title>. <source>Nat Immunol</source> (<year>2018</year>) <volume>19</volume>:<page-range>606&#x2013;16</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41590-018-0109-z</pub-id>
</citation>
</ref>
<ref id="B52">
<label>52</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sadjadi</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>RP</given-names>
</name>
<name>
<surname>Hoth</surname> <given-names>M</given-names>
</name>
<name>
<surname>Qu</surname> <given-names>B</given-names>
</name>
<name>
<surname>Rieger</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>Migration of Cytotoxic T Lymphocytes in 3D Collagen Matrices</article-title>. <source>Biophys J</source> (<year>2020</year>) <volume>119</volume>:<page-range>2141&#x2013;52</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.bpj.2020.10.020</pub-id>
</citation>
</ref>
<ref id="B53">
<label>53</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hetmanski</surname> <given-names>JHR</given-names>
</name>
<name>
<surname>de Belly</surname> <given-names>H</given-names>
</name>
<name>
<surname>Busnelli</surname> <given-names>I</given-names>
</name>
<name>
<surname>Waring</surname> <given-names>T</given-names>
</name>
<name>
<surname>Nair</surname> <given-names>RV</given-names>
</name>
<name>
<surname>Sokleva</surname> <given-names>V</given-names>
</name>
<etal/>
</person-group>. <article-title>Membrane Tension Orchestrates Rear Retraction in Matrix-Directed Cell Migration</article-title>. <source>Dev Cell</source> (<year>2019</year>) <volume>51</volume>:<fpage>460</fpage>&#x2013;<lpage>75.e410</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.devcel.2019.09.006</pub-id>
</citation>
</ref>
<ref id="B54">
<label>54</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Feng</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Kornmann</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>Mechanical Forces on Cellular Organelles</article-title>. <source>J Cell Sci</source> (<year>2018</year>) <volume>131</volume>(<issue>21</issue>):<elocation-id>jcs218479</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1242/jcs.218479</pub-id>
</citation>
</ref>
<ref id="B55">
<label>55</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lammerding</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Mechanics of the Nucleus</article-title>. <source>Compr Physiol</source> (<year>2011</year>) <volume>1</volume>:<fpage>783</fpage>&#x2013;<lpage>807</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/cphy.c100038</pub-id>
</citation>
</ref>
<ref id="B56">
<label>56</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Goldberg</surname> <given-names>MW</given-names>
</name>
<name>
<surname>Huttenlauch</surname> <given-names>I</given-names>
</name>
<name>
<surname>Hutchison</surname> <given-names>CJ</given-names>
</name>
<name>
<surname>Stick</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Filaments Made From A- and B-Type Lamins Differ in Structure and Organization</article-title>. <source>J Cell Sci</source> (<year>2008</year>) <volume>121</volume>:<page-range>215&#x2013;25</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1242/jcs.022020</pub-id>
</citation>
</ref>
<ref id="B57">
<label>57</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tariq</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Chia-Liu</surname> <given-names>A</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Gete</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Xiong</surname> <given-names>ZM</given-names>
</name>
<etal/>
</person-group>. <article-title>Lamin A and Microtubules Collaborate to Maintain Nuclear Morphology</article-title>. <source>Nucleus</source> (<year>2017</year>) <volume>8</volume>:<page-range>433&#x2013;46</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/19491034.2017.1320460</pub-id>
</citation>
</ref>
<ref id="B58">
<label>58</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rocha-Perugini</surname> <given-names>V</given-names>
</name>
<name>
<surname>Gonzalez-Granado</surname> <given-names>JM</given-names>
</name>
</person-group>. <article-title>Nuclear Envelope Lamin-A as a Coordinator of T Cell Activation</article-title>. <source>Nucleus</source> (<year>2014</year>) <volume>5</volume>:<fpage>396</fpage>&#x2013;<lpage>401</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4161/nucl.36361</pub-id>
</citation>
</ref>
<ref id="B59">
<label>59</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gittes</surname> <given-names>F</given-names>
</name>
<name>
<surname>Mickey</surname> <given-names>B</given-names>
</name>
<name>
<surname>Nettleton</surname> <given-names>J</given-names>
</name>
<name>
<surname>Howard</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Flexural Rigidity of Microtubules and Actin Filaments Measured From Thermal Fluctuations in Shape</article-title>. <source>J Cell Biol</source> (<year>1993</year>) <volume>120</volume>:<page-range>923&#x2013;34</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1083/jcb.120.4.923</pub-id>
</citation>
</ref>
<ref id="B60">
<label>60</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ren</surname> <given-names>XD</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>RX</given-names>
</name>
<name>
<surname>Li</surname> <given-names>QY</given-names>
</name>
<name>
<surname>Kahek</surname> <given-names>LAF</given-names>
</name>
<name>
<surname>Kaibuchi</surname> <given-names>K</given-names>
</name>
<name>
<surname>Clark</surname> <given-names>RAF</given-names>
</name>
</person-group>. <article-title>Disruption of Rho Signal Transduction Upon Cell Detachment</article-title>. <source>J Cell Sci</source> (<year>2004</year>) <volume>117</volume>:<page-range>3511&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1242/jcs.01205</pub-id>
</citation>
</ref>
<ref id="B61">
<label>61</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lammermann</surname> <given-names>T</given-names>
</name>
<name>
<surname>Bader</surname> <given-names>BL</given-names>
</name>
<name>
<surname>Monkley</surname> <given-names>SJ</given-names>
</name>
<name>
<surname>Worbs</surname> <given-names>T</given-names>
</name>
<name>
<surname>Wedlich-Soldner</surname> <given-names>R</given-names>
</name>
<name>
<surname>Hirsch</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>Rapid Leukocyte Migration by Integrin-Independent Flowing and Squeezing</article-title>. <source>Nature</source> (<year>2008</year>) <volume>453</volume>:<page-range>51&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature06887</pub-id>
</citation>
</ref>
<ref id="B62">
<label>62</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schoppmeyer</surname> <given-names>R</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>R</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>H</given-names>
</name>
<name>
<surname>Hamed</surname> <given-names>M</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Human Profilin 1 Is a Negative Regulator of CTL Mediated Cell-Killing and Migration</article-title>. <source>Eur J Immunol</source> (<year>2017</year>) <volume>47</volume>:<page-range>1562&#x2013;72</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/eji.201747124</pub-id>
</citation>
</ref>
<ref id="B63">
<label>63</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Park</surname> <given-names>H</given-names>
</name>
<name>
<surname>Doh</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Study on the Role of Microtubules on T Cell Migration Under Confined Environments</article-title>. <source>Biomed Eng Lett</source> (<year>2015</year>) <volume>5</volume>:<page-range>188&#x2013;93</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s13534-015-0197-8</pub-id>
</citation>
</ref>
<ref id="B64">
<label>64</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hua</surname> <given-names>S</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>F</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Gou</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Dual-Functional Conjugates Improving Cancer Immunochemotherapy by Inhibiting Tubulin Polymerization and Indoleamine-2,3-Dioxygenase</article-title>. <source>Eur J Medicinal Chem</source> (<year>2020</year>) <volume>189</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ejmech.2020.112041</pub-id>
</citation>
</ref>
<ref id="B65">
<label>65</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lyubchenko</surname> <given-names>TA</given-names>
</name>
<name>
<surname>Wurth</surname> <given-names>GA</given-names>
</name>
<name>
<surname>Zweifach</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>The Actin Cytoskeleton and Cytotoxic T Lymphocytes: Evidence for Multiple Roles That Could Affect Granule Exocytosis-Dependent Target Cell Killing</article-title>. <source>J Physiol</source> (<year>2003</year>) <volume>547</volume>:<page-range>835&#x2013;47</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1113/jphysiol.2002.033522</pub-id>
</citation>
</ref>
<ref id="B66">
<label>66</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ritter</surname> <given-names>AT</given-names>
</name>
<name>
<surname>Kapnick</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Murugesan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Schwartzberg</surname> <given-names>PL</given-names>
</name>
<name>
<surname>Griffiths</surname> <given-names>GM</given-names>
</name>
<name>
<surname>Lippincott-Schwartz</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Cortical Actin Recovery at the Immunological Synapse Leads to Termination of Lytic Granule Secretion in Cytotoxic T Lymphocytes</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2017</year>) <volume>114</volume>:<page-range>E6585&#x2013;94</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.1710751114</pub-id>
</citation>
</ref>
<ref id="B67">
<label>67</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Basu</surname> <given-names>R</given-names>
</name>
<name>
<surname>Whitlock</surname> <given-names>BM</given-names>
</name>
<name>
<surname>Husson</surname> <given-names>J</given-names>
</name>
<name>
<surname>Le Floc&#x2019;h</surname> <given-names>A</given-names>
</name>
<name>
<surname>Jin</surname> <given-names>WY</given-names>
</name>
<name>
<surname>Oyler-Yaniv</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Cytotoxic T Cells Use Mechanical Force to Potentiate Target Cell Killing</article-title>. <source>Cell</source> (<year>2016</year>) <volume>165</volume>:<page-range>100&#x2013;10</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2016.01.021</pub-id>
</citation>
</ref>
<ref id="B68">
<label>68</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yi</surname> <given-names>JS</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>XF</given-names>
</name>
<name>
<surname>Chung</surname> <given-names>AH</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>JK</given-names>
</name>
<name>
<surname>Kapoor</surname> <given-names>TM</given-names>
</name>
<name>
<surname>Hammer</surname> <given-names>JA</given-names>
</name>
</person-group>. <article-title>Centrosome Repositioning in T Cells Is Biphasic and Driven by Microtubule End-on Capture-Shrinkage</article-title>. <source>J Cell Biol</source> (<year>2013</year>) <volume>202</volume>:<page-range>779&#x2013;92</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1083/jcb.201301004</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>