Advantages and limitations of 3D organoids and ex vivo tumor tissue culture in personalized medicine for prostate cancer

0584489 - BFÚ 2024 RIV CZ eng J - Journal Article
Míčková, A. - Morong, M. - Levková, M. - Kurfurstova, D. - Kharaishvili, G. - Überall, I. - Študent, V. - Drápela, Stanislav - Souček, Karel - Bouchal, J.
Advantages and limitations of 3D organoids and ex vivo tumor tissue culture in personalized medicine for prostate cancer.
Klinická onkologie. Roč. 35, č. 6 (2022), s. 473-481. ISSN 0862-495X
Institutional support: RVO:68081707
Keywords : ex vivo tissue culture * organoids * personalized medicine * prostate cancer
OECD category: Oncology
Method of publishing: Open access
https://www.researchgate.net/publication/366322510_Advantages_and_limitations_of_3D_organoids_and_ex_vivo_tumor_tissue_culture_in_personalized_medicine_for_prostate_cancer

Background: Current in vitro model systems do not fully reflect the biological and clinical diversity of prostate cancer (PCa). Organoids are 3D in vitro cell cultures that may better recapitulate disease heterogeneity and retain parental tumor characteristics. Short-term ex vivo culture of PCa tissues may also facilitate drug testing in personalized medicine. Materials and methods: For organoid culture, we have processed both cancer and normal tissues from 50 patients who underwent radical prostatectomy or transurethral resection of the prostate. In addition, we exploited the ex vivo tissue culture technique and performed short-term chemotherapy assay using gemcitabine and Chk1 inhibitor MU380 in 10 patient samples. Results: In total, we were able to cultivate organoids from 58% of tumors (29/ 50) and 69% of normal tissue (20/ 29). Im-munohistochemical staining of two representative cases revealed cell positivity for pan-cyto-keratin confirming the presence of epithelial cells. However, the overexpression of AMACR and ERG proteins in tumors was not recapitulated in organoids. Another limitation was the propa-gation of organoids only up to 3 weeks till the first passage. Next, a short-term drug test was performed for ten patients using ex vivo tissue culture. Samples from prostatectomies mostly presented a low proliferation rate as assessed by Ki-67 staining. Another drawback of this ap-proach was inconsistent tissue morphology among particular tissue fragments. Only one case showed a high proliferation rate for drug testing and tumor tissue was present in all tested samples. In our work, we also provide an overview of recent studies and a detailed comparison of culture conditions. Conclusion: We have established cultures of both organoids and tissue fragments from PCa patient samples. However, the expression of tumor markers was not recapitulated in organoids. Inconsistent morphology among tissue fragments and low proliferation hampered the interpretation of the drug testing in most cases. Still, these approaches may be promising using tissues from metastatic castration-resistant prostate cancer.
Permanent Link: https://hdl.handle.net/11104/0352404