Zimina Tatiana M, Sitkov Nikita O, Gareev Kamil G, Mikhailova Natalia V, Combs Stephanie E, Shevtsov Maxim A
Department of Micro and Nanoelectronics, St. Petersburg Electrotechnical University "LETI" (ETU), Saint Petersburg, Russia.
Personalized Medicine Centre, Almazov National Medical Research Centre, Saint Petersburg, Russia.
Front Med (Lausanne). 2024 Nov 19;11:1452298. doi: 10.3389/fmed.2024.1452298. eCollection 2024.
Acute and requiring attention problem of oncotheranostics is a necessity for the urgent development of operative and precise diagnostics methods, followed by efficient therapy, to significantly reduce disability and mortality of citizens. A perspective way to achieve efficient personalized treatment is to use methods for operative evaluation of the individual drug load, properties of specific tumors and the effectiveness of selected therapy, and other actual features of pathology. Among the vast diversity of tumor types-brain tumors are the most invasive and malignant in humans with poor survival after diagnosis. Among brain tumors glioblastoma shows exceptionally high mortality. More studies are urgently needed to understand the risk factors and improve therapy approaches. One of the actively developing approaches is the tumor-on-a-chip (ToC) concept. This review examines the achievements of recent years in the field of ToC system developments. The basics of microfluidic chips technologies are considered in the context of their applications in solving oncological problems. Then the basic principles of tumors cultivation are considered to evaluate the main challengers in implementation of microfluidic devices, for growing cell cultures and possibilities of their treatment and observation. The main achievements in the culture types diversity approaches and their advantages are being analyzed. The modeling of angiogenesis and blood-brain barrier (BBB) on a chip, being a principally important elements of the life system, were considered in detail. The most interesting examples and achievements in the field of tumor-on-a-chip developments have been presented.
肿瘤诊疗学的急性且需关注的问题是迫切需要开发手术和精确诊断方法,随后进行有效治疗,以显著降低公民的残疾率和死亡率。实现高效个性化治疗的一个有前景的方法是使用方法对个体药物负荷、特定肿瘤的特性、所选治疗的有效性以及病理学的其他实际特征进行手术评估。在众多肿瘤类型中,脑肿瘤是人类中最具侵袭性和恶性的,诊断后的生存率很低。在脑肿瘤中,胶质母细胞瘤的死亡率极高。迫切需要更多研究来了解风险因素并改进治疗方法。积极发展的方法之一是芯片上的肿瘤(ToC)概念。本综述探讨了近年来ToC系统开发领域的成果。在微流控芯片技术应用于解决肿瘤问题的背景下,考虑了其基本原理。然后考虑肿瘤培养的基本原则,以评估微流控设备实施中的主要挑战、细胞培养的生长以及治疗和观察的可能性。分析了培养类型多样性方法的主要成果及其优势。详细考虑了芯片上血管生成和血脑屏障(BBB)的建模,这是生命系统的主要重要元素。展示了芯片上肿瘤开发领域最有趣的例子和成果。