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癌症治疗中的类器官:全面综述

Organoids in cancer therapies: a comprehensive review.

作者信息

Xin-Yi Jiang, Yan-Ran Wang, Pin-Ru Di, Shi-Yi Qian, Hai-Tao Jiang

机构信息

School of Clinical Medicine, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Department of General Surgery, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.

出版信息

Front Bioeng Biotechnol. 2025 Jul 22;13:1607488. doi: 10.3389/fbioe.2025.1607488. eCollection 2025.

DOI:10.3389/fbioe.2025.1607488
PMID:40766972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12322668/
Abstract

Organoid technology has significantly advanced biomedical research, offering deep insights into tumor biology and therapeutic efficacy. While existing publications have covered organoid applications, this review uniquely stresses their transformative role in cancer research. We highlight their importance in studying intratumoral heterogeneity and microenvironment interactions. Our analysis addresses knowledge gaps by detailing how organoids function as models in cancer initiation, drug screening, target identification, and sensitivity assessment. We also explore their applications in personalized medicine, such as developing patient-derived models for treatment prediction and immune therapy evaluation. This review discusses the latest progress in using organoids for cancer treatment, like predicting patient responses to precision medicine. However, challenges remain, including maintaining genetic stability and mimicking conditions. By addressing these limitations, this review provides a novel perspective on how organoid technology may overcome current barriers and drive innovation in cancer therapy. Our analysis suggests that advancements in organoid systems could enhance personalized treatment strategies and improve oncology patient outcomes.

摘要

类器官技术极大地推动了生物医学研究,为肿瘤生物学和治疗效果提供了深入见解。虽然现有出版物涵盖了类器官的应用,但本综述独特地强调了它们在癌症研究中的变革性作用。我们强调了它们在研究肿瘤内异质性和微环境相互作用方面的重要性。我们的分析通过详细阐述类器官在癌症起始、药物筛选、靶点识别和敏感性评估中作为模型的功能,填补了知识空白。我们还探讨了它们在个性化医学中的应用,例如开发患者来源的模型用于治疗预测和免疫治疗评估。本综述讨论了使用类器官进行癌症治疗的最新进展,如预测患者对精准医学的反应。然而,挑战依然存在,包括维持基因稳定性和模拟条件。通过解决这些局限性,本综述为类器官技术如何克服当前障碍并推动癌症治疗创新提供了新的视角。我们的分析表明,类器官系统的进步可以增强个性化治疗策略并改善肿瘤患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e1/12322668/ac9b53b1df5d/fbioe-13-1607488-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e1/12322668/4dbb66e3b5e6/fbioe-13-1607488-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e1/12322668/30b36be2f8ab/fbioe-13-1607488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e1/12322668/ac9b53b1df5d/fbioe-13-1607488-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e1/12322668/4dbb66e3b5e6/fbioe-13-1607488-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e1/12322668/30b36be2f8ab/fbioe-13-1607488-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7e1/12322668/ac9b53b1df5d/fbioe-13-1607488-g003.jpg

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本文引用的文献

1
Application of tumor organoids simulating the tumor microenvironment in basic and clinical research of tumor immunotherapy.模拟肿瘤微环境的肿瘤类器官在肿瘤免疫治疗基础与临床研究中的应用
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024 Aug 28;49(8):1316-1326. doi: 10.11817/j.issn.1672-7347.2024.240187.
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Patient-Derived Organoids: A Game-Changer in Personalized Cancer Medicine.患者来源的类器官:个性化癌症医学的变革者。
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Patient-derived tumor organoids: a new avenue for preclinical research and precision medicine in oncology.
患者来源的肿瘤类器官:肿瘤学临床前研究和精准医学的新途径。
Exp Mol Med. 2024 Jul;56(7):1531-1551. doi: 10.1038/s12276-024-01272-5. Epub 2024 Jul 1.
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Hepatobiliary organoids differentiated from hiPSCs relieve cholestasis-induced liver fibrosis in nonhuman primates.人诱导多能干细胞分化的肝胆类器官可缓解非人灵长类动物胆汁淤积性肝纤维化。
Int J Biol Sci. 2024 Jan 21;20(4):1160-1179. doi: 10.7150/ijbs.90441. eCollection 2024.
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Advances in Microfluidic Technologies in Organoid Research.类器官研究中微流控技术的进展。
Adv Healthc Mater. 2024 Aug;13(21):e2302686. doi: 10.1002/adhm.202302686. Epub 2023 Dec 28.
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Single-cell transcriptome profiling of primary tumors and paired organoids of pancreatobiliary cancer.原发肿瘤和配对类器官的单细胞转录组图谱分析在胆胰肿瘤中的应用。
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Metabolic classification suggests the GLUT1/ALDOB/G6PD axis as a therapeutic target in chemotherapy-resistant pancreatic cancer.代谢分类提示 GLUT1/ALDOB/G6PD 轴是化疗耐药性胰腺癌的治疗靶点。
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Nanoblades allow high-level genome editing in murine and human organoids.纳米刀片可实现对小鼠和人类类器官的高水平基因组编辑。
Mol Ther Nucleic Acids. 2023 Jun 8;33:57-74. doi: 10.1016/j.omtn.2023.06.004. eCollection 2023 Sep 12.
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The applications and techniques of organoids in head and neck cancer therapy.类器官在头颈癌治疗中的应用与技术
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Cancer stem cell fate determination: mito-nuclear communication.肿瘤干细胞命运决定:线粒体-核通讯。
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