Verduin Maikel, Hoeben Ann, De Ruysscher Dirk, Vooijs Marc
Department of Radiation Oncology (MAASTRO), GROW School for Oncology and Developmental Biology, Maastricht University Medical Center+, Maastricht, Netherlands.
Department of Medical Oncology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center+, Maastricht, Netherlands.
Front Oncol. 2021 Mar 18;11:641980. doi: 10.3389/fonc.2021.641980. eCollection 2021.
Patient-derived cancer organoids have taken a prominent role in pre-clinical and translational research and have been generated for most common solid tumors. Cancer organoids have been shown to retain key genetic and phenotypic characteristics of their tissue of origin, tumor subtype and maintain intratumoral heterogeneity and therefore have the potential to be used as predictors for individualized treatment response. In this review, we highlight studies that have used cancer organoids to compare the efficacy of standard-of-care and targeted combination treatments with clinical patient response. Furthermore, we review studies using cancer organoids to identify new anti-cancer treatments using drug screening. Finally, we discuss the current limitations and improvements needed to understand the full potential of cancer organoids as avatars for clinical management of cancer therapy.
患者来源的癌症类器官在临床前和转化研究中发挥了重要作用,并且已针对大多数常见实体瘤生成。癌症类器官已被证明保留了其起源组织、肿瘤亚型的关键遗传和表型特征,并维持肿瘤内异质性,因此有潜力用作个体化治疗反应的预测指标。在本综述中,我们重点介绍了一些研究,这些研究使用癌症类器官来比较标准治疗和靶向联合治疗的疗效与临床患者反应。此外,我们回顾了使用癌症类器官通过药物筛选来识别新的抗癌治疗方法的研究。最后,我们讨论了当前的局限性以及为充分理解癌症类器官作为癌症治疗临床管理替身的全部潜力所需的改进措施。