A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug Testing

Hepatoblastoma is the most common childhood liver cancer. Although survival has improved significantly over the past few decades, there remains a group of children with aggressive disease who do not respond to current treatment regimens. There is a critical need for novel models to study aggressive...

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Main Authors: James A. Saltsman, William J. Hammond, Nicole J. C. Narayan, David Requena, Helmuth Gehart, Gadi Lalazar, Michael P. LaQuaglia, Hans Clevers, Sanford Simon
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/9/2668
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author James A. Saltsman
William J. Hammond
Nicole J. C. Narayan
David Requena
Helmuth Gehart
Gadi Lalazar
Michael P. LaQuaglia
Hans Clevers
Sanford Simon
author_facet James A. Saltsman
William J. Hammond
Nicole J. C. Narayan
David Requena
Helmuth Gehart
Gadi Lalazar
Michael P. LaQuaglia
Hans Clevers
Sanford Simon
author_sort James A. Saltsman
collection DOAJ
description Hepatoblastoma is the most common childhood liver cancer. Although survival has improved significantly over the past few decades, there remains a group of children with aggressive disease who do not respond to current treatment regimens. There is a critical need for novel models to study aggressive hepatoblastoma as research to find new treatments is hampered by the small number of laboratory models of the disease. Organoids have emerged as robust models for many diseases, including cancer. We have generated and characterized a novel organoid model of aggressive hepatoblastoma directly from freshly resected patient tumors as a proof of concept for this approach. Hepatoblastoma tumor organoids recapitulate the key elements of patient tumors, including tumor architecture, mutational profile, gene expression patterns, and features of Wnt/β-catenin signaling that are hallmarks of hepatoblastoma pathophysiology. Tumor organoids were successfully used alongside non-tumor liver organoids from the same patient to perform a drug screen using twelve candidate compounds. One drug, JQ1, demonstrated increased destruction of liver organoids from hepatoblastoma tumor tissue relative to organoids from the adjacent non-tumor liver. Our findings suggest that hepatoblastoma organoids could be used for a variety of applications and have the potential to improve treatment options for the subset of hepatoblastoma patients who do not respond to existing treatments.
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spelling doaj.art-f50f8ff89fc6433eb1f67e53a4ce78132023-11-20T14:14:19ZengMDPI AGCancers2072-66942020-09-01129266810.3390/cancers12092668A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug TestingJames A. Saltsman0William J. Hammond1Nicole J. C. Narayan2David Requena3Helmuth Gehart4Gadi Lalazar5Michael P. LaQuaglia6Hans Clevers7Sanford Simon8Laboratory of Cellular Biophysics, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USALaboratory of Cellular Biophysics, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USALaboratory of Cellular Biophysics, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USALaboratory of Cellular Biophysics, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USAHubrecht Institute, KNAW and University Medical Center Utrecht, 3584CT Utrecht, The NetherlandsLaboratory of Cellular Biophysics, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USAPediatric Surgery Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USAHubrecht Institute, KNAW and University Medical Center Utrecht, 3584CT Utrecht, The NetherlandsLaboratory of Cellular Biophysics, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USAHepatoblastoma is the most common childhood liver cancer. Although survival has improved significantly over the past few decades, there remains a group of children with aggressive disease who do not respond to current treatment regimens. There is a critical need for novel models to study aggressive hepatoblastoma as research to find new treatments is hampered by the small number of laboratory models of the disease. Organoids have emerged as robust models for many diseases, including cancer. We have generated and characterized a novel organoid model of aggressive hepatoblastoma directly from freshly resected patient tumors as a proof of concept for this approach. Hepatoblastoma tumor organoids recapitulate the key elements of patient tumors, including tumor architecture, mutational profile, gene expression patterns, and features of Wnt/β-catenin signaling that are hallmarks of hepatoblastoma pathophysiology. Tumor organoids were successfully used alongside non-tumor liver organoids from the same patient to perform a drug screen using twelve candidate compounds. One drug, JQ1, demonstrated increased destruction of liver organoids from hepatoblastoma tumor tissue relative to organoids from the adjacent non-tumor liver. Our findings suggest that hepatoblastoma organoids could be used for a variety of applications and have the potential to improve treatment options for the subset of hepatoblastoma patients who do not respond to existing treatments.https://www.mdpi.com/2072-6694/12/9/2668pediatricsoncologypediatric oncologypediatric solid tumorliver cancerhepatoblastoma
spellingShingle James A. Saltsman
William J. Hammond
Nicole J. C. Narayan
David Requena
Helmuth Gehart
Gadi Lalazar
Michael P. LaQuaglia
Hans Clevers
Sanford Simon
A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug Testing
Cancers
pediatrics
oncology
pediatric oncology
pediatric solid tumor
liver cancer
hepatoblastoma
title A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug Testing
title_full A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug Testing
title_fullStr A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug Testing
title_full_unstemmed A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug Testing
title_short A Human Organoid Model of Aggressive Hepatoblastoma for Disease Modeling and Drug Testing
title_sort human organoid model of aggressive hepatoblastoma for disease modeling and drug testing
topic pediatrics
oncology
pediatric oncology
pediatric solid tumor
liver cancer
hepatoblastoma
url https://www.mdpi.com/2072-6694/12/9/2668
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