Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision Therapeutics

Abstract Lung cancer remains a major health problem despite the considerable research into prevention and treatment methods. Through a deeper understanding of tumors, patient‐specific ex vivo spheroid models with high specificity can be used to accurately investigate the cause, metastasis, and treat...

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Main Authors: Ming‐You Shie, Hsin‐Yuan Fang, Kai‐Wen Kan, Chia‐Che Ho, Chih‐Yen Tu, Pei‐Chih Lee, Po‐Ren Hsueh, Chia‐Hung Chen, Alvin Kai‐Xing Lee, Ni Tien, Jian‐Xun Chen, Yu‐Cheng Shen, Jan‐Gowth Chang, Yu‐Fang Shen, Ting‐Ju Lin, Ben Wang, Mien‐Chie Hung, Der‐Yang Cho, Yi‐Wen Chen
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202206603
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author Ming‐You Shie
Hsin‐Yuan Fang
Kai‐Wen Kan
Chia‐Che Ho
Chih‐Yen Tu
Pei‐Chih Lee
Po‐Ren Hsueh
Chia‐Hung Chen
Alvin Kai‐Xing Lee
Ni Tien
Jian‐Xun Chen
Yu‐Cheng Shen
Jan‐Gowth Chang
Yu‐Fang Shen
Ting‐Ju Lin
Ben Wang
Mien‐Chie Hung
Der‐Yang Cho
Yi‐Wen Chen
author_facet Ming‐You Shie
Hsin‐Yuan Fang
Kai‐Wen Kan
Chia‐Che Ho
Chih‐Yen Tu
Pei‐Chih Lee
Po‐Ren Hsueh
Chia‐Hung Chen
Alvin Kai‐Xing Lee
Ni Tien
Jian‐Xun Chen
Yu‐Cheng Shen
Jan‐Gowth Chang
Yu‐Fang Shen
Ting‐Ju Lin
Ben Wang
Mien‐Chie Hung
Der‐Yang Cho
Yi‐Wen Chen
author_sort Ming‐You Shie
collection DOAJ
description Abstract Lung cancer remains a major health problem despite the considerable research into prevention and treatment methods. Through a deeper understanding of tumors, patient‐specific ex vivo spheroid models with high specificity can be used to accurately investigate the cause, metastasis, and treatment strategies for lung cancer. Biofabricate lung tumors are presented, consisting of patient‐derived tumor spheroids, endothelial cells, and lung decellularized extracellular matrix, which maintain a radial oxygen gradient, as well as biophysicochemical behaviors of the native tumors for precision medicine. It is also demonstrated that the developed lung‐cancer spheroid model reproduces patient responses to chemotherapeutics and targeted therapy in a co‐clinical trial, with 85% accuracy, 86.7% sensitivity, and 80% specificity. RNA sequencing analysis validates that the gene expression in the spheroids replicates that in the patient's primary tumor. This model can be used as an ex vivo predictive model for personalized cancer therapy and to improve the quality of clinical care.
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spelling doaj.art-353e98e316a144529d9d5503d9b62a142023-06-03T01:03:32ZengWileyAdvanced Science2198-38442023-06-011016n/an/a10.1002/advs.202206603Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision TherapeuticsMing‐You Shie0Hsin‐Yuan Fang1Kai‐Wen Kan2Chia‐Che Ho3Chih‐Yen Tu4Pei‐Chih Lee5Po‐Ren Hsueh6Chia‐Hung Chen7Alvin Kai‐Xing Lee8Ni Tien9Jian‐Xun Chen10Yu‐Cheng Shen11Jan‐Gowth Chang12Yu‐Fang Shen13Ting‐Ju Lin14Ben Wang15Mien‐Chie Hung16Der‐Yang Cho17Yi‐Wen Chen18School of Dentistry China Medical University Taichung 406040 Taiwanx‐Dimension Center for Medical Research and Translation China Medical University Hospital Taichung 404332 Taiwanx‐Dimension Center for Medical Research and Translation China Medical University Hospital Taichung 404332 TaiwanDepartment of Bioinformatics and Medical Engineering Asia University Taichung 41354 TaiwanSchool of Medicine China Medical University Taichung City 40447 TaiwanGraduate Institute of Biomedical Sciences China Medical University Taichung City 406040 TaiwanSchool of Medicine China Medical University Taichung City 40447 TaiwanSchool of Medicine China Medical University Taichung City 40447 TaiwanSchool of Medicine China Medical University Taichung City 40447 TaiwanDepartment of Laboratory Medicine China Medical University Hospital Taichung City 404332 TaiwanDepartment of Thoracic Surgery China Medical University Hospital Taichung City 40447 TaiwanDepartment of Thoracic Surgery China Medical University Hospital Taichung City 40447 TaiwanCenter for Precision Medicine China Medical University Hospital Taichung City 404332 TaiwanDepartment of Bioinformatics and Medical Engineering Asia University Taichung 41354 TaiwanGraduate Institute of Biomedical Sciences China Medical University Taichung City 406040 TaiwanH. Milton Stewart School of Industrial and System Engineering Georgia Institute of Technology 755 Ferst Dr NW Atlanta GA 30332 USAGraduate Institute of Biomedical Sciences China Medical University Taichung City 406040 TaiwanGraduate Institute of Biomedical Sciences China Medical University Taichung City 406040 Taiwanx‐Dimension Center for Medical Research and Translation China Medical University Hospital Taichung 404332 TaiwanAbstract Lung cancer remains a major health problem despite the considerable research into prevention and treatment methods. Through a deeper understanding of tumors, patient‐specific ex vivo spheroid models with high specificity can be used to accurately investigate the cause, metastasis, and treatment strategies for lung cancer. Biofabricate lung tumors are presented, consisting of patient‐derived tumor spheroids, endothelial cells, and lung decellularized extracellular matrix, which maintain a radial oxygen gradient, as well as biophysicochemical behaviors of the native tumors for precision medicine. It is also demonstrated that the developed lung‐cancer spheroid model reproduces patient responses to chemotherapeutics and targeted therapy in a co‐clinical trial, with 85% accuracy, 86.7% sensitivity, and 80% specificity. RNA sequencing analysis validates that the gene expression in the spheroids replicates that in the patient's primary tumor. This model can be used as an ex vivo predictive model for personalized cancer therapy and to improve the quality of clinical care.https://doi.org/10.1002/advs.202206603decellularized extracellular matrixlung spheroid modelprecision medicinetumor microenvironment
spellingShingle Ming‐You Shie
Hsin‐Yuan Fang
Kai‐Wen Kan
Chia‐Che Ho
Chih‐Yen Tu
Pei‐Chih Lee
Po‐Ren Hsueh
Chia‐Hung Chen
Alvin Kai‐Xing Lee
Ni Tien
Jian‐Xun Chen
Yu‐Cheng Shen
Jan‐Gowth Chang
Yu‐Fang Shen
Ting‐Ju Lin
Ben Wang
Mien‐Chie Hung
Der‐Yang Cho
Yi‐Wen Chen
Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision Therapeutics
Advanced Science
decellularized extracellular matrix
lung spheroid model
precision medicine
tumor microenvironment
title Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision Therapeutics
title_full Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision Therapeutics
title_fullStr Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision Therapeutics
title_full_unstemmed Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision Therapeutics
title_short Highly Mimetic Ex Vivo Lung‐Cancer Spheroid‐Based Physiological Model for Clinical Precision Therapeutics
title_sort highly mimetic ex vivo lung cancer spheroid based physiological model for clinical precision therapeutics
topic decellularized extracellular matrix
lung spheroid model
precision medicine
tumor microenvironment
url https://doi.org/10.1002/advs.202206603
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