Department of Neurosurgery, Emory University, Atlanta, Georgia, USA.
Department of Neurosurgery, Emory University, Atlanta, Georgia, USA.
World Neurosurg. 2024 Sep;189:e872-e877. doi: 10.1016/j.wneu.2024.07.026. Epub 2024 Jul 8.
Brain tumors display remarkable cellular and molecular diversity, significantly impacting the progression and outcomes of the disease. The utilization of tumor tissue acquired through surgical handheld devices for tumor characterization raises important questions regarding translational research. This study seeks to evaluate the integrity of tissue resected using a microdebrider (MD) in the context of establishing tumor organoids from glioblastomas (GBM).
Tumor samples were collected from patients with GBM using both tumor forceps (en bloc) and a MD. The time required to protocol completion and cell viability of paired samples was measured. H&E staining was performed to examine histologic morphology.
Ten paired samples were obtained from GBM patients using tumor forceps and the MD. Samples collected with the MD demonstrated significantly shorter processing times compared to those obtained through en bloc resection, with overall means of 31.7 ± 2.4 mins and 38.8±3 mins, respectively (P < 0.001). Cell viability measured at the end of protocol completion was comparable between tissues obtained using both the MD and en bloc, with mean viabilities of 80.2 ± 12.4% and 79.1 ± 12.5%, respectively (P = 0.848). H&E examination of tissues revealed no significant differences in the cellular and histologic characteristics of paired samples obtained using both methods across GBM tumors, nor in the corresponding established organoids.
Tumor tissues obtained using the MD and en bloc methods demonstrate a high success rate in establishing GBM organoids, with the MD offering the advantage of significantly reduced processing time. Both methods display comparable cell viability and maintain consistent histologic characteristics in the resected tissue and the corresponding organoids.
脑肿瘤表现出显著的细胞和分子多样性,显著影响疾病的进展和结果。利用通过手术手持设备获得的肿瘤组织进行肿瘤特征描述,引发了关于转化研究的重要问题。本研究旨在评估使用微切除术(MD)切除的组织在建立胶质母细胞瘤(GBM)肿瘤类器官中的完整性。
使用肿瘤夹(整块)和 MD 从 GBM 患者中采集肿瘤样本。测量完成方案所需的时间和配对样本的细胞活力。进行 H&E 染色以检查组织形态学。
使用肿瘤夹和 MD 从 GBM 患者中获得了 10 对配对样本。与整块切除相比,使用 MD 采集的样本显示出明显更短的处理时间,总体平均值分别为 31.7±2.4 分钟和 38.8±3 分钟(P<0.001)。在完成方案结束时测量的细胞活力在使用 MD 和整块获得的组织之间具有可比性,平均活力分别为 80.2±12.4%和 79.1±12.5%(P=0.848)。对组织进行 H&E 检查显示,使用两种方法获得的配对样本在 GBM 肿瘤中在细胞和组织学特征方面没有显著差异,在相应建立的类器官中也没有差异。
使用 MD 和整块方法获得的肿瘤组织在建立 GBM 类器官方面具有很高的成功率,MD 具有明显缩短处理时间的优势。两种方法在切除组织和相应类器官中均显示出相当的细胞活力并保持一致的组织学特征。