Department of Urology, Jiangsu Cancer Hospital & The Affiliated Cancer Hospital of Nanjing Medical University & Jiangsu Institute of Cancer Research, Nanjing, China.
Department of Radiology, The Fourth School of Clinical Medicine, Nanjing Medical University, Nanjing, Jiangsu, China.
BMC Urol. 2024 Jun 11;24(1):120. doi: 10.1186/s12894-024-01511-x.
Renal cell carcinoma, a leading cause of death in urological malignancies, arises from the nephron. Its characteristics include diversity in disease biology, varied clinical behaviors, different prognoses, and diverse responses to systemic therapies. The term 'organoids' is used to describe structures resembling tissues created through the three-dimensional cultivation of stem cells in vitro. These organoids, when derived from tumor tissues, can retain the diversity of the primary tumor, mirror its spatial tissue structure, and replicate similar organ-like functions. In contrast to conventional two-dimensional cell cultures and the transplantation of tumor tissues into other organisms, organoids derived from tumors maintain the complexity and microenvironment of the original tumor tissue. This fidelity makes them a more reliable model for the development of cancer drugs, potentially accelerating the translation of these drugs to clinical use and facilitating personalized treatment options for patients. This review aims to summarize the recent advancements in the use of organoids for studying renal cell carcinoma, focusing on their cultivation, potential applications, and inherent limitations.
肾细胞癌是泌尿系统恶性肿瘤中导致死亡的主要原因,它起源于肾单位。其特征包括疾病生物学的多样性、不同的临床行为、不同的预后以及对全身治疗的不同反应。“类器官”一词用于描述通过在体外三维培养干细胞而产生的类似于组织的结构。这些类器官源自肿瘤组织时,可以保留原发肿瘤的多样性,反映其空间组织结构,并复制类似器官的功能。与传统的二维细胞培养和将肿瘤组织移植到其他生物体中相比,源自肿瘤的类器官保留了原始肿瘤组织的复杂性和微环境。这种保真度使它们成为开发癌症药物更可靠的模型,有可能加速这些药物向临床应用的转化,并为患者提供个性化的治疗选择。本综述旨在总结利用类器官研究肾细胞癌的最新进展,重点介绍其培养、潜在应用和固有局限性。
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