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 inCellular and molecular gastroenterology and hepatology Vol. 7; no. 1; pp. 73 - 91
Main Authors Kijima, Takashi, Nakagawa, Hiroshi, Shimonosono, Masataka, Chandramouleeswaran, Prasanna M., Hara, Takeo, Sahu, Varun, Kasagi, Yuta, Kikuchi, Osamu, Tanaka, Koji, Giroux, Veronique, Muir, Amanda B., Whelan, Kelly A., Ohashi, Shinya, Naganuma, Seiji, Klein-Szanto, Andres J., Shinden, Yoshiaki, Sasaki, Ken, Omoto, Itaru, Kita, Yoshiaki, Muto, Manabu, Bass, Adam J., Diehl, J. Alan, Ginsberg, Gregory G., Doki, Yuichiro, Mori, Masaki, Uchikado, Yasuto, Arigami, Takaaki, Avadhani, Narayan G., Basu, Devraj, Rustgi, Anil K., Natsugoe, Shoji
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.01.2019
Elsevier
Subjects
5FU
IHC
H&E
EMT
CQ
3D
AV
FBS
PI
LC3
Online AccessGet full text
ISSN2352-345X
2352-345X
DOI10.1016/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. [Display omitted]
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
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/30510992$$D View this record in MEDLINE/PubMed
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Issue 1
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
License This is an open access article under the CC BY-NC-ND license.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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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...
SourceID pubmedcentral
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Index Database
Enrichment Source
Publisher
StartPage 73
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
URI https://www.clinicalkey.com/#!/content/1-s2.0-S2352345X18301243
https://www.clinicalkey.es/playcontent/1-s2.0-S2352345X18301243
https://dx.doi.org/10.1016/j.jcmgh.2018.09.003
https://www.ncbi.nlm.nih.gov/pubmed/30510992
https://www.proquest.com/docview/2149864421
https://pubmed.ncbi.nlm.nih.gov/PMC6260338
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