Three-Dimensional Organoids Reveal Therapy Resistance of Esophageal and Oropharyngeal Squamous Cell Carcinoma Cells
Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and therapy resistance. To facilitate cancer therapy in personalized medicine, three-dimensional (3D) organoids may be useful for functional characteri...
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Published in | Cellular and molecular gastroenterology and hepatology Vol. 7; no. 1; pp. 73 - 91 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.01.2019
Elsevier |
Subjects | |
Online Access | Get full text |
ISSN | 2352-345X 2352-345X |
DOI | 10.1016/j.jcmgh.2018.09.003 |
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Abstract | Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and therapy resistance. To facilitate cancer therapy in personalized medicine, three-dimensional (3D) organoids may be useful for functional characterization of cancer cells ex vivo. We investigated the feasibility and the utility of patient-derived 3D organoids of esophageal and oropharyngeal squamous cell carcinomas.
We generated 3D organoids from paired biopsies representing tumors and adjacent normal mucosa from therapy-naïve patients and cell lines. We evaluated growth and structures of 3D organoids treated with 5-fluorouracil ex vivo.
Tumor-derived 3D organoids were grown successfully from 15 out of 21 patients (71.4%) and passaged with recapitulation of the histopathology of the original tumors. Successful formation of tumor-derived 3D organoids was associated significantly with poor response to presurgical neoadjuvant chemotherapy or chemoradiation therapy in informative patients (P = 0.0357, progressive and stable diseases, n = 10 vs. partial response, n = 6). The 3D organoid formation capability and 5-fluorouracil resistance were accounted for by cancer cells with high CD44 expression and autophagy, respectively. Such cancer cells were found to be enriched in patient-derived 3D organoids surviving 5-fluorouracil treatment.
The single cell-based 3D organoid system may serve as a highly efficient platform to explore cancer therapeutics and therapy resistance mechanisms in conjunction with morphological and functional assays with implications for translation in personalized medicine.
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AbstractList | Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and therapy resistance. To facilitate cancer therapy in personalized medicine, three-dimensional (3D) organoids may be useful for functional characterization of cancer cells ex vivo. We investigated the feasibility and the utility of patient-derived 3D organoids of esophageal and oropharyngeal squamous cell carcinomas.
We generated 3D organoids from paired biopsies representing tumors and adjacent normal mucosa from therapy-naïve patients and cell lines. We evaluated growth and structures of 3D organoids treated with 5-fluorouracil ex vivo.
Tumor-derived 3D organoids were grown successfully from 15 out of 21 patients (71.4%) and passaged with recapitulation of the histopathology of the original tumors. Successful formation of tumor-derived 3D organoids was associated significantly with poor response to presurgical neoadjuvant chemotherapy or chemoradiation therapy in informative patients (P = 0.0357, progressive and stable diseases, n = 10 vs. partial response, n = 6). The 3D organoid formation capability and 5-fluorouracil resistance were accounted for by cancer cells with high CD44 expression and autophagy, respectively. Such cancer cells were found to be enriched in patient-derived 3D organoids surviving 5-fluorouracil treatment.
The single cell-based 3D organoid system may serve as a highly efficient platform to explore cancer therapeutics and therapy resistance mechanisms in conjunction with morphological and functional assays with implications for translation in personalized medicine.
[Display omitted] Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and therapy resistance. To facilitate cancer therapy in personalized medicine, three-dimensional (3D) organoids may be useful for functional characterization of cancer cells ex vivo. We investigated the feasibility and the utility of patient-derived 3D organoids of esophageal and oropharyngeal squamous cell carcinomas.Background & AimsOropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and therapy resistance. To facilitate cancer therapy in personalized medicine, three-dimensional (3D) organoids may be useful for functional characterization of cancer cells ex vivo. We investigated the feasibility and the utility of patient-derived 3D organoids of esophageal and oropharyngeal squamous cell carcinomas.We generated 3D organoids from paired biopsies representing tumors and adjacent normal mucosa from therapy-naïve patients and cell lines. We evaluated growth and structures of 3D organoids treated with 5-fluorouracil ex vivo.MethodsWe generated 3D organoids from paired biopsies representing tumors and adjacent normal mucosa from therapy-naïve patients and cell lines. We evaluated growth and structures of 3D organoids treated with 5-fluorouracil ex vivo.Tumor-derived 3D organoids were grown successfully from 15 out of 21 patients (71.4%) and passaged with recapitulation of the histopathology of the original tumors. Successful formation of tumor-derived 3D organoids was associated significantly with poor response to presurgical neoadjuvant chemotherapy or chemoradiation therapy in informative patients (P = 0.0357, progressive and stable diseases, n = 10 vs. partial response, n = 6). The 3D organoid formation capability and 5-fluorouracil resistance were accounted for by cancer cells with high CD44 expression and autophagy, respectively. Such cancer cells were found to be enriched in patient-derived 3D organoids surviving 5-fluorouracil treatment.ResultsTumor-derived 3D organoids were grown successfully from 15 out of 21 patients (71.4%) and passaged with recapitulation of the histopathology of the original tumors. Successful formation of tumor-derived 3D organoids was associated significantly with poor response to presurgical neoadjuvant chemotherapy or chemoradiation therapy in informative patients (P = 0.0357, progressive and stable diseases, n = 10 vs. partial response, n = 6). The 3D organoid formation capability and 5-fluorouracil resistance were accounted for by cancer cells with high CD44 expression and autophagy, respectively. Such cancer cells were found to be enriched in patient-derived 3D organoids surviving 5-fluorouracil treatment.The single cell-based 3D organoid system may serve as a highly efficient platform to explore cancer therapeutics and therapy resistance mechanisms in conjunction with morphological and functional assays with implications for translation in personalized medicine.ConclusionsThe single cell-based 3D organoid system may serve as a highly efficient platform to explore cancer therapeutics and therapy resistance mechanisms in conjunction with morphological and functional assays with implications for translation in personalized medicine. Background & Aims Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and therapy resistance. To facilitate cancer therapy in personalized medicine, three-dimensional (3D) organoids may be useful for functional characterization of cancer cells ex vivo . We investigated the feasibility and the utility of patient-derived 3D organoids of esophageal and oropharyngeal squamous cell carcinomas. Methods We generated 3D organoids from paired biopsies representing tumors and adjacent normal mucosa from therapy-naïve patients and cell lines. We evaluated growth and structures of 3D organoids treated with 5-fluorouracil ex vivo. Results Tumor-derived 3D organoids were grown successfully from 15 out of 21 patients (71.4%) and passaged with recapitulation of the histopathology of the original tumors. Successful formation of tumor-derived 3D organoids was associated significantly with poor response to presurgical neoadjuvant chemotherapy or chemoradiation therapy in informative patients ( P = 0.0357, progressive and stable diseases, n = 10 vs. partial response, n = 6). The 3D organoid formation capability and 5-fluorouracil resistance were accounted for by cancer cells with high CD44 expression and autophagy, respectively. Such cancer cells were found to be enriched in patient-derived 3D organoids surviving 5-fluorouracil treatment. Conclusions The single cell-based 3D organoid system may serve as a highly efficient platform to explore cancer therapeutics and therapy resistance mechanisms in conjunction with morphological and functional assays with implications for translation in personalized medicine. Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and therapy resistance. To facilitate cancer therapy in personalized medicine, three-dimensional (3D) organoids may be useful for functional characterization of cancer cells . We investigated the feasibility and the utility of patient-derived 3D organoids of esophageal and oropharyngeal squamous cell carcinomas. We generated 3D organoids from paired biopsies representing tumors and adjacent normal mucosa from therapy-naïve patients and cell lines. We evaluated growth and structures of 3D organoids treated with 5-fluorouracil . Tumor-derived 3D organoids were grown successfully from 15 out of 21 patients (71.4%) and passaged with recapitulation of the histopathology of the original tumors. Successful formation of tumor-derived 3D organoids was associated significantly with poor response to presurgical neoadjuvant chemotherapy or chemoradiation therapy in informative patients ( = 0.0357, progressive and stable diseases, n = 10 vs. partial response, n = 6). The 3D organoid formation capability and 5-fluorouracil resistance were accounted for by cancer cells with high CD44 expression and autophagy, respectively. Such cancer cells were found to be enriched in patient-derived 3D organoids surviving 5-fluorouracil treatment. The single cell-based 3D organoid system may serve as a highly efficient platform to explore cancer therapeutics and therapy resistance mechanisms in conjunction with morphological and functional assays with implications for translation in personalized medicine. |
Author | Hara, Takeo Muir, Amanda B. Uchikado, Yasuto Mori, Masaki Avadhani, Narayan G. Whelan, Kelly A. Tanaka, Koji Sasaki, Ken Omoto, Itaru Kijima, Takashi Arigami, Takaaki Sahu, Varun Doki, Yuichiro Kikuchi, Osamu Naganuma, Seiji Shimonosono, Masataka Muto, Manabu Diehl, J. Alan Ohashi, Shinya Chandramouleeswaran, Prasanna M. Kasagi, Yuta Ginsberg, Gregory G. Kita, Yoshiaki Shinden, Yoshiaki Nakagawa, Hiroshi Rustgi, Anil K. Klein-Szanto, Andres J. Giroux, Veronique Bass, Adam J. Basu, Devraj Natsugoe, Shoji |
AuthorAffiliation | 1 Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan 5 Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan 8 Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan 10 Fels Institute for Cancer Research & Molecular Biology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania 7 Division of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 4 University of Pennsylvania Abramson Cancer Center, Philadelphia, Pennsylvania 6 Department of Otorhinolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania 9 Dana-Farber Cancer Institute, Department of Medicine, Harvard Medical School, Boston, Massachusetts 13 Department of Biochemistry and Molecular Biology, Hollings Cancer Center, Me |
AuthorAffiliation_xml | – name: 10 Fels Institute for Cancer Research & Molecular Biology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania – name: 3 Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – name: 4 University of Pennsylvania Abramson Cancer Center, Philadelphia, Pennsylvania – name: 11 Department of Pathology, Kochi University School of Medicine, Nankoku, Japan – name: 5 Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan – name: 8 Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan – name: 1 Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – name: 7 Division of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – name: 6 Department of Otorhinolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – name: 2 Department of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania – name: 12 Histopathology Facility and Cancer Biology Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania – name: 9 Dana-Farber Cancer Institute, Department of Medicine, Harvard Medical School, Boston, Massachusetts – name: 13 Department of Biochemistry and Molecular Biology, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina |
Author_xml | – sequence: 1 givenname: Takashi surname: Kijima fullname: Kijima, Takashi organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 2 givenname: Hiroshi surname: Nakagawa fullname: Nakagawa, Hiroshi email: nakagawh@pennmedicine.upenn.edu organization: Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 3 givenname: Masataka surname: Shimonosono fullname: Shimonosono, Masataka organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 4 givenname: Prasanna M. surname: Chandramouleeswaran fullname: Chandramouleeswaran, Prasanna M. organization: Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 5 givenname: Takeo surname: Hara fullname: Hara, Takeo organization: Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan – sequence: 6 givenname: Varun surname: Sahu fullname: Sahu, Varun organization: Department of Otorhinolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 7 givenname: Yuta surname: Kasagi fullname: Kasagi, Yuta organization: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 8 givenname: Osamu surname: Kikuchi fullname: Kikuchi, Osamu organization: Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan – sequence: 9 givenname: Koji surname: Tanaka fullname: Tanaka, Koji organization: Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 10 givenname: Veronique surname: Giroux fullname: Giroux, Veronique organization: Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 11 givenname: Amanda B. surname: Muir fullname: Muir, Amanda B. organization: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania – sequence: 12 givenname: Kelly A. surname: Whelan fullname: Whelan, Kelly A. organization: Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 13 givenname: Shinya surname: Ohashi fullname: Ohashi, Shinya organization: Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan – sequence: 14 givenname: Seiji surname: Naganuma fullname: Naganuma, Seiji organization: Department of Pathology, Kochi University School of Medicine, Nankoku, Japan – sequence: 15 givenname: Andres J. surname: Klein-Szanto fullname: Klein-Szanto, Andres J. organization: Histopathology Facility and Cancer Biology Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania – sequence: 16 givenname: Yoshiaki surname: Shinden fullname: Shinden, Yoshiaki organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 17 givenname: Ken surname: Sasaki fullname: Sasaki, Ken organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 18 givenname: Itaru surname: Omoto fullname: Omoto, Itaru organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 19 givenname: Yoshiaki surname: Kita fullname: Kita, Yoshiaki organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 20 givenname: Manabu surname: Muto fullname: Muto, Manabu organization: Department of Therapeutic Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan – sequence: 21 givenname: Adam J. surname: Bass fullname: Bass, Adam J. organization: Dana-Farber Cancer Institute, Department of Medicine, Harvard Medical School, Boston, Massachusetts – sequence: 22 givenname: J. Alan surname: Diehl fullname: Diehl, J. Alan organization: Department of Biochemistry and Molecular Biology, Hollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina – sequence: 23 givenname: Gregory G. surname: Ginsberg fullname: Ginsberg, Gregory G. organization: Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 24 givenname: Yuichiro surname: Doki fullname: Doki, Yuichiro organization: Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan – sequence: 25 givenname: Masaki surname: Mori fullname: Mori, Masaki organization: Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan – sequence: 26 givenname: Yasuto surname: Uchikado fullname: Uchikado, Yasuto organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 27 givenname: Takaaki surname: Arigami fullname: Arigami, Takaaki organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan – sequence: 28 givenname: Narayan G. surname: Avadhani fullname: Avadhani, Narayan G. organization: Department of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania – sequence: 29 givenname: Devraj surname: Basu fullname: Basu, Devraj organization: Department of Otorhinolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 30 givenname: Anil K. surname: Rustgi fullname: Rustgi, Anil K. email: anil2@pennmedicine.upenn.edu organization: Division of Gastroenterology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 31 givenname: Shoji surname: Natsugoe fullname: Natsugoe, Shoji email: natsugoe@m2.kufm.kagoshima-u.ac.jp organization: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30510992$$D View this record in MEDLINE/PubMed |
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Keywords | 5-Fluorouracil 5FU IHC H&E SCCs CD44H OPSCC Autophagy EMT CQ ESCC DMEM 3D 3D Organoids AV FBS IC50 PI LC3 CD44 TE11R IC 50 half maximal inhibitory concentration chloroquine propidium iodide oropharyngeal squamous cell carcinoma epithelial-mesenchymal transition immunohistochemistry 3-dimensional hematoxylin and eosin esophageal squamous cell carcinoma light chain 3 squamous cell carcinomas high expression of CD44 autophagy vesicle fetal bovine serum Dulbecco’s modified Eagle medium 5-fluorouracil–resistant derivative of TE11 EMT, epithelial-mesenchymal transition CD44H, high expression of CD44 PI, propidium iodide ESCC, esophageal squamous cell carcinoma FBS, fetal bovine serum IC50, half maximal inhibitory concentration LC3, light chain 3 CQ, chloroquine SCCs, squamous cell carcinomas TE11R, 5-fluorouracil–resistant derivative of TE11 H&E, hematoxylin and eosin IHC, immunohistochemistry OPSCC, oropharyngeal squamous cell carcinoma 5FU, 5-fluorouracil DMEM, Dulbecco’s modified Eagle medium AV, autophagy vesicle 3D, 3-dimensional |
Language | English |
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Snippet | Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell heterogeneity and... Background & Aims Oropharyngeal and esophageal squamous cell carcinomas, especially the latter, are a lethal disease, featuring intratumoral cancer cell... |
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SubjectTerms | 3D Organoids 5-Fluorouracil Animals Autophagy Autophagy - drug effects Biopsy Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - therapy CD44 Cell Line, Tumor Chemoradiotherapy Drug Resistance, Neoplasm Endoscopy Esophageal Neoplasms - pathology Fluorouracil - pharmacology Fluorouracil - therapeutic use Gastroenterology and Hepatology Humans Hyaluronan Receptors - metabolism Mice Organoids - pathology Original Research Oropharyngeal Neoplasms - pathology Oropharyngeal Neoplasms - therapy |
Title | Three-Dimensional Organoids Reveal Therapy Resistance of Esophageal and Oropharyngeal Squamous Cell Carcinoma Cells |
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