Patient-derived organoids model treatment response of metastatic gastrointestinal cancers.

Patient-derived organoids model treatment response of metastatic gastrointestinal cancers.
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DOI:
10.1126/science.aao2774
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发表时间:
2018-02-23
期刊:
Science (New York, N.Y.)
影响因子:
--
通讯作者:
Valeri N
Valeri N
中科院分区:
其他
文献类型:
--
作者:
Vlachogiannis G;Hedayat S;Vatsiou A;Jamin Y;Fernández-Mateos J;Khan K;Lampis A;Eason K;Huntingford I;Burke R;Rata M;Koh DM;Tunariu N;Collins D;Hulkki-Wilson S;Ragulan C;Spiteri I;Moorcraft SY;Chau I;Rao S;Watkins D;Fotiadis N;Bali M;Darvish-Damavandi M;Lote H;Eltahir Z;Smyth EC;Begum R;Clarke PA;Hahne JC;Dowsett M;de Bono J;Workman P;Sadanandam A;Fassan M;Sansom OJ;Eccles S;Starling N;Braconi C;Sottoriva A;Robinson SP;Cunningham D;Valeri N

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Patient-derived organoids (PDOs) have recently emerged as robust pre-clinical models, however, their potential to predict patient clinical outcomes remain unclear. We report a living biobank of PDOs from metastatic, heavily-pretreated colorectal and gastroesophageal cancer patients recruited in phase I/II clinical trials. Phenotypic and genotypic profiling of PDOs showed a high-degree of similarity to the original patient tumor. Molecular profiling of tumor organoids was matched to drug screening results, suggesting PDOs could complement existing approaches in defining cancer vulnerabilities and improving treatment responses. We compared ex vivo organoid responses to anticancer agents, and PDO-based orthotopic mouse tumor xenograft models to the response of the patient in clinical trials. Our data suggest that PDOs can recapitulate patient responses in the clinic, and have the potential to be implemented in personalized medicine programs.
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