Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)

Glioblastoma (GBM) displays a wide range of inter- and intra-tumoral heterogeneity contributing to therapeutic resistance and relapse. Although Tumor Treating Fields (TTFields) are effective for the treatment of GBM, there is a lack of ex vivo models to evaluate effects on patients’ tumor biology or...

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Main Authors: Vera Nickl, Ellina Schulz, Ellaine Salvador, Laureen Trautmann, Leopold Diener, Almuth F. Kessler, Camelia M. Monoranu, Faramarz Dehghani, Ralf-Ingo Ernestus, Mario Löhr, Carsten Hagemann
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/21/5177
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author Vera Nickl
Ellina Schulz
Ellaine Salvador
Laureen Trautmann
Leopold Diener
Almuth F. Kessler
Camelia M. Monoranu
Faramarz Dehghani
Ralf-Ingo Ernestus
Mario Löhr
Carsten Hagemann
author_facet Vera Nickl
Ellina Schulz
Ellaine Salvador
Laureen Trautmann
Leopold Diener
Almuth F. Kessler
Camelia M. Monoranu
Faramarz Dehghani
Ralf-Ingo Ernestus
Mario Löhr
Carsten Hagemann
author_sort Vera Nickl
collection DOAJ
description Glioblastoma (GBM) displays a wide range of inter- and intra-tumoral heterogeneity contributing to therapeutic resistance and relapse. Although Tumor Treating Fields (TTFields) are effective for the treatment of GBM, there is a lack of ex vivo models to evaluate effects on patients’ tumor biology or to screen patients for treatment efficacy. Thus, we adapted patient-derived three-dimensional tissue culture models to be compatible with TTFields application to tissue culture. Patient-derived primary cells (PDPC) were seeded onto murine organotypic hippocampal slice cultures (OHSC), and microtumor development with and without TTFields at 200 kHz was observed. In addition, organoids were generated from acute material cultured on OHSC and treated with TTFields. Lastly, the effect of TTFields on expression of the Ki67 proliferation marker was evaluated on cultured GBM slices. Microtumors exhibited increased sensitivity towards TTFields compared to monolayer cell cultures. TTFields affected tumor growth and viability, as the size of microtumors and the percentage of Ki67-positive cells decreased after treatment. Nevertheless, variability in the extent of the response was preserved between different patient samples. Therefore, these pre-clinical GBM models could provide snapshots of the tumor to simulate patient treatment response and to investigate molecular mechanisms of response and resistance.
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spelling doaj.art-9ca1b077e2f148cc8fff17faa3ea98b92023-11-24T04:00:16ZengMDPI AGCancers2072-66942022-10-011421517710.3390/cancers14215177Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)Vera Nickl0Ellina Schulz1Ellaine Salvador2Laureen Trautmann3Leopold Diener4Almuth F. Kessler5Camelia M. Monoranu6Faramarz Dehghani7Ralf-Ingo Ernestus8Mario Löhr9Carsten Hagemann10Section Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanyDepartment of Neuropathology, Institute of Pathology, University of Würzburg, 97080 Würzburg, GermanyDepartment of Anatomy and Cell Biology, Martin-Luther-University Halle-Wittenberg, 06112 Halle (Saale), GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanySection Experimental Neurosurgery, Department of Neurosurgery, University of Würzburg, 97080 Würzburg, GermanyGlioblastoma (GBM) displays a wide range of inter- and intra-tumoral heterogeneity contributing to therapeutic resistance and relapse. Although Tumor Treating Fields (TTFields) are effective for the treatment of GBM, there is a lack of ex vivo models to evaluate effects on patients’ tumor biology or to screen patients for treatment efficacy. Thus, we adapted patient-derived three-dimensional tissue culture models to be compatible with TTFields application to tissue culture. Patient-derived primary cells (PDPC) were seeded onto murine organotypic hippocampal slice cultures (OHSC), and microtumor development with and without TTFields at 200 kHz was observed. In addition, organoids were generated from acute material cultured on OHSC and treated with TTFields. Lastly, the effect of TTFields on expression of the Ki67 proliferation marker was evaluated on cultured GBM slices. Microtumors exhibited increased sensitivity towards TTFields compared to monolayer cell cultures. TTFields affected tumor growth and viability, as the size of microtumors and the percentage of Ki67-positive cells decreased after treatment. Nevertheless, variability in the extent of the response was preserved between different patient samples. Therefore, these pre-clinical GBM models could provide snapshots of the tumor to simulate patient treatment response and to investigate molecular mechanisms of response and resistance.https://www.mdpi.com/2072-6694/14/21/5177glioblastomaTumor Treating Fields (TTFields)organotypic hippocampal slice cultures (OHSC)organoidstumor slice cultures3D ex vivo models
spellingShingle Vera Nickl
Ellina Schulz
Ellaine Salvador
Laureen Trautmann
Leopold Diener
Almuth F. Kessler
Camelia M. Monoranu
Faramarz Dehghani
Ralf-Ingo Ernestus
Mario Löhr
Carsten Hagemann
Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)
Cancers
glioblastoma
Tumor Treating Fields (TTFields)
organotypic hippocampal slice cultures (OHSC)
organoids
tumor slice cultures
3D ex vivo models
title Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)
title_full Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)
title_fullStr Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)
title_full_unstemmed Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)
title_short Glioblastoma-Derived Three-Dimensional Ex Vivo Models to Evaluate Effects and Efficacy of Tumor Treating Fields (TTFields)
title_sort glioblastoma derived three dimensional ex vivo models to evaluate effects and efficacy of tumor treating fields ttfields
topic glioblastoma
Tumor Treating Fields (TTFields)
organotypic hippocampal slice cultures (OHSC)
organoids
tumor slice cultures
3D ex vivo models
url https://www.mdpi.com/2072-6694/14/21/5177
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