Department of Precision Diagnostic and Therapeutic Technology, City University of Hong Kong Shenzhen Futian Research Institute, Shenzhen, 518000, China.
Department of Biomedical Sciences, Tung Biomedical Sciences Centre, City University of Hong Kong, Hong Kong, SAR, 999077, China.
Adv Healthc Mater. 2023 Jul;12(18):e2202609. doi: 10.1002/adhm.202202609. Epub 2023 Mar 29.
Decades of efforts in engineering in vitro cancer models have advanced drug discovery and the insight into cancer biology. However, the establishment of preclinical models that enable fully recapitulating the tumor microenvironment remains challenging owing to its intrinsic complexity. Recent progress in engineering techniques has allowed the development of a new generation of in vitro preclinical models that can recreate complex in vivo tumor microenvironments and accurately predict drug responses, including spheroids, organoids, and tumor-on-a-chip. These biomimetic 3D tumor models are of particular interest as they pave the way for better understanding of cancer biology and accelerating the development of new anticancer therapeutics with reducing animal use. Here, the recent advances in developing these in vitro platforms for cancer modeling and preclinical drug screening, focusing on incorporating hydrogels are reviewed to reconstitute physiologically relevant microenvironments. The combination of spheroids/organoids with microfluidic technologies is also highlighted to better mimic in vivo tumors and discuss the challenges and future directions in the clinical translation of such models for drug screening and personalized medicine.
几十年来,工程学在体外癌症模型方面的努力推动了药物发现和癌症生物学的发展。然而,由于其内在的复杂性,建立能够完全重现肿瘤微环境的临床前模型仍然具有挑战性。最近工程技术的进步使得新一代的体外临床前模型得以发展,这些模型可以重现复杂的体内肿瘤微环境,并准确预测药物反应,包括球体、类器官和芯片上的肿瘤。这些仿生 3D 肿瘤模型特别有趣,因为它们为更好地理解癌症生物学和加速开发新的抗癌治疗方法铺平了道路,同时减少了动物的使用。在这里,我们回顾了近年来为癌症建模和临床前药物筛选而开发这些体外平台的进展,重点介绍了用于重建生理相关微环境的水凝胶的应用。还强调了球体/类器官与微流控技术的结合,以更好地模拟体内肿瘤,并讨论了这些模型在药物筛选和个性化医疗的临床转化中的挑战和未来方向。