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Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review)

  • Authors:
    • Yunjia Xian
    • Lufang Wang
  • View Affiliations / Copyright

    Affiliations: Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, P.R. China
    Copyright: © Xian et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 229
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    Published online on: October 21, 2025
       https://doi.org/10.3892/ijmm.2025.5670
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Abstract

Extracellular matrix (ECM) proteins are key non‑cellular components of the tumor microenvironment and include structural and non‑structural proteins. POSTN belongs to a family of non‑structural matrix cell proteins first identified in bone and periodontal ligaments. POSTN exerts its multiple effects mainly through specific binding to other ECM proteins, growth factors and cytokines. Physiologically, POSTN is rarely expressed in adult tissues, except in the periosteum and some collagen‑rich connective tissues, such as periodontal ligaments and heart valves, but is highly expressed during inflammation, tissue repair, wound healing and malignant transformation. POSTN carries out an important role in tumor development. The present review summarizes the multiple roles of POSTN in tumorigenesis and development. First, the molecular structure of POSTN and its physiological and pathological expression, especially in known tumors is reviewed. Second, the manner in which POSTN affects tumor cells through relevant cancer hallmarks is discussed. Finally, the molecular mechanisms underlying the promotion of cancer by POSTN from the perspective of the TME is summarized.
View Figures

Figure 1

Structure of POSTN. POSTN consists of
six structural domains, including EMI domain, four tandemly
repeated FAS-1 structural domains and a hydrophilic C-terminal
structural domain. N, N-terminal; CTD, C-terminal domain; POSTN,
periostin; EMI, Egf-like module containing Mucin-like hormone
receptor-like; FAS, Fasciclin.

Figure 2

Roles of POSTN in the development of
malignant cancer. POSTN is a key driver of tumor progression and
metastasis. It promotes cancer stem cell proliferation via the
POSTN/TGF-β pathway and induces angiogenesis through VEGFR2. POSTN
recruits stromal cells to form a fibrotic, immunosuppressive tumor
microenvironment that supports tumor growth, protects disseminated
tumor cells, and facilitates invasion. Furthermore, POSTN
contributes to the formation of pre-metastatic niches and bone
marrow colonization, enabling DTC dormancy and outgrowth. MDSC,
myeloid-derived suppressor cells; HSCs, hematopoietic stem cells;
DTC, disseminated tumor cell; EV, extracellular vesicle; CAFs,
cancer-associated fibroblasts; NK, natural killer; POSTN,
periostin; PMN, pre-metastatic niche.
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Copy and paste a formatted citation
Spandidos Publications style
Xian Y and Wang L: Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review). Int J Mol Med 56: 229, 2025.
APA
Xian, Y., & Wang, L. (2025). Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review). International Journal of Molecular Medicine, 56, 229. https://doi.org/10.3892/ijmm.2025.5670
MLA
Xian, Y., Wang, L."Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review)". International Journal of Molecular Medicine 56.6 (2025): 229.
Chicago
Xian, Y., Wang, L."Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review)". International Journal of Molecular Medicine 56, no. 6 (2025): 229. https://doi.org/10.3892/ijmm.2025.5670
Copy and paste a formatted citation
x
Spandidos Publications style
Xian Y and Wang L: Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review). Int J Mol Med 56: 229, 2025.
APA
Xian, Y., & Wang, L. (2025). Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review). International Journal of Molecular Medicine, 56, 229. https://doi.org/10.3892/ijmm.2025.5670
MLA
Xian, Y., Wang, L."Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review)". International Journal of Molecular Medicine 56.6 (2025): 229.
Chicago
Xian, Y., Wang, L."Periostin: A matricellular protein with a multifaceted role in tumorigenesis (Review)". International Journal of Molecular Medicine 56, no. 6 (2025): 229. https://doi.org/10.3892/ijmm.2025.5670
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