학술논문

The impact of extracellular matrix on the precision medicine utility of pancreatic cancer patient-derived organoids
Document Type
article
Source
JCI Insight. 9(1)
Subject
Biomedical and Clinical Sciences
Cancer
Pancreatic Cancer
Rare Diseases
Digestive Diseases
Development of treatments and therapeutic interventions
5.1 Pharmaceuticals
Good Health and Well Being
Humans
Animals
Mice
Precision Medicine
Pancreatic Neoplasms
Carcinoma
Pancreatic Ductal
Extracellular Matrix
Organoids
Cell Biology
Drug therapy
Extracellular matrix
Oncology
Biomedical and clinical sciences
Health sciences
Language
Abstract
The use of patient-derived organoids (PDOs) to characterize therapeutic sensitivity and resistance is a promising precision medicine approach, and its potential to inform clinical decisions is now being tested in several large multiinstitutional clinical trials. PDOs are cultivated in the extracellular matrix from basement membrane extracts (BMEs) that are most commonly acquired commercially. Each clinical site utilizes distinct BME lots and may be restricted due to the availability of commercial BME sources. However, the effect of different sources of BMEs on organoid drug response is unknown. Here, we tested the effect of BME source on proliferation, drug response, and gene expression in mouse and human pancreatic ductal adenocarcinoma (PDA) organoids. Both human and mouse organoids displayed increased proliferation in Matrigel compared with Cultrex and UltiMatrix. However, we observed no substantial effect on drug response when organoids were cultured in Matrigel, Cultrex, or UltiMatrix. We also did not observe major shifts in gene expression across the different BME sources, and PDOs maintained their classical or basal-like designation. Overall, we found that the BME source (Matrigel, Cultrex, UltiMatrix) does not shift PDO dose-response curves or drug testing results, indicating that PDO pharmacotyping is a robust approach for precision medicine.