Cell mechanics as a marker for diseases: Biomedical applications of AFM

Many diseases are related to changes in cell mechanics. Atomic Force Microscopy (AFM) is one of the most suitable techniques allowing the investigation of both topography and mechanical properties of adherent cells with high spatial resolution under physiological conditions. Over the years the use of this technique in medical and clinical applications has largely increased, resulting in the notion of cell mechanics as a biomarker to discriminate between different physiological and pathological states of cells. Cell mechanics has proven to be a biophysical fingerprint able discerning between cell phenotypes, unraveling processes in aging or diseases, or even detecting and diagnosing cellular pathologies. We will review in this report some of the works on cell mechanics investigated by AFM with clinical and medical relevance in order to clarify the state of research in this field and to highlight the role of cell mechanics in the study of pathologies, focusing on cancer, blood and cardiovascular diseases. At the request of all authors of the paper, and with the agreement of the Proceedings Editor, an updated version of this article was published on 26 September 2016. The original version supplied to AIP Publishing contained blurred figures introduced during the PDF conversion process. Moreover, Equations (5), (6), and (7) were not correctly cited in the text. These errors have been corrected in the updated and republished article.