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Metabolic Heterogeneity in Patient Tumor-Derived Organoids by Primary Site and Drug Treatment

Title: Metabolic Heterogeneity in Patient Tumor-Derived Organoids by Primary Site and Drug Treatment
Authors: Joe T. Sharick; Christine M. Walsh; Carley M. Sprackling; Cheri A. Pasch; Dan L. Pham; Karla Esbona; Alka Choudhary; Rebeca Garcia-Valera; Mark E. Burkard; Stephanie M. McGregor; Kristina A. Matkowskyj; Alexander A. Parikh; Ingrid M. Meszoely; Mark C. Kelley; Susan Tsai; Dustin A. Deming; Melissa C. Skala
Source: Frontiers in Oncology, Vol 10 (2020)
Publisher Information: Frontiers Media S.A.
Publication Year: 2020
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: pancreatic cancer; breast cancer; organoid; optical metabolic imaging; heterogeneity; cellular metabolism; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; RC254-282
Description: New tools are needed to match cancer patients with effective treatments. Patient-derived organoids offer a high-throughput platform to personalize treatments and discover novel therapies. Currently, methods to evaluate drug response in organoids are limited because they overlook cellular heterogeneity. In this study, non-invasive optical metabolic imaging (OMI) of cellular heterogeneity was characterized in breast cancer (BC) and pancreatic cancer (PC) patient-derived organoids. Baseline heterogeneity was analyzed for each patient, demonstrating that single-cell techniques, such as OMI, are required to capture the complete picture of heterogeneity present in a sample. Treatment-induced changes in heterogeneity were also analyzed, further demonstrating that these measurements greatly complement current techniques that only gauge average cellular response. Finally, OMI of cellular heterogeneity in organoids was evaluated as a predictor of clinical treatment response for the first time. Organoids were treated with the same drugs as the patient's prescribed regimen, and OMI measurements of heterogeneity were compared to patient outcome. OMI distinguished subpopulations of cells with divergent and dynamic responses to treatment in living organoids without the use of labels or dyes. OMI of organoids agreed with long-term therapeutic response in patients. With these capabilities, OMI could serve as a sensitive high-throughput tool to identify optimal therapies for individual patients, and to develop new effective therapies that address cellular heterogeneity in cancer.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.frontiersin.org/article/10.3389/fonc.2020.00553/full; https://doaj.org/toc/2234-943X; https://doaj.org/article/14fa7f59dd114a328e1ac580d07887b7
DOI: 10.3389/fonc.2020.00553
Availability: https://doi.org/10.3389/fonc.2020.00553; https://doaj.org/article/14fa7f59dd114a328e1ac580d07887b7
Accession Number: edsbas.5FC3ECBD
Database: BASE