Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors

Abstract Treating metastatic brain tumors remains a significant challenge. This study introduces and applies the Patient-Derived Tumor Spheroid (PDTS) system, an ex vivo model for precision drug testing on metastatic brain tumor. The PDTS system utilizes a decellularized extracellular matrix (dECM)...

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Main Authors: Chun-Jen Chang, Kai-Wen Kan, Yu-Yin Shih, Yu-Han Nan, Yu-Chung Juan, Chih-Hsiu Tu, Chen-Ting Yang, Wei-Lin Hsu, Der-Yang Cho, Ming-You Shie, Yi-Wen Chen, Chun-Chung Chen
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83409-0
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author Chun-Jen Chang
Kai-Wen Kan
Yu-Yin Shih
Yu-Han Nan
Yu-Chung Juan
Chih-Hsiu Tu
Chen-Ting Yang
Wei-Lin Hsu
Der-Yang Cho
Ming-You Shie
Yi-Wen Chen
Chun-Chung Chen
author_facet Chun-Jen Chang
Kai-Wen Kan
Yu-Yin Shih
Yu-Han Nan
Yu-Chung Juan
Chih-Hsiu Tu
Chen-Ting Yang
Wei-Lin Hsu
Der-Yang Cho
Ming-You Shie
Yi-Wen Chen
Chun-Chung Chen
author_sort Chun-Jen Chang
collection DOAJ
description Abstract Treating metastatic brain tumors remains a significant challenge. This study introduces and applies the Patient-Derived Tumor Spheroid (PDTS) system, an ex vivo model for precision drug testing on metastatic brain tumor. The PDTS system utilizes a decellularized extracellular matrix (dECM) derived from adipose tissue, combined with the tumor cells, to form tumor spheroids. These spheroids were subsequently used to test anticancer drugs, with results compared to the clinical outcomes observed after administering these treatments to patients. To assess the validity of the data, the correlation between the drug responses observed in the PDTS model and actual patient outcomes was analyzed. Chi-square tests evaluated the significance of associations between lab predictions and clinical outcomes, using a significance threshold of p < 0.05. In preliminary data, 17 patients met the criteria for final analysis, which showed an overall 57% accuracy (p-value = 0.463), with improvements to 73% accuracy (p-value = 0.072) when patients receiving certain treatments were excluded. This PDTS offers real-time results within three weeks, simultaneous testing of multiple drugs, and the ability to culture and store tumor cells for reproducibility. Despite some limitations, further development of this model could enhance its clinical application and improve patient outcomes.
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spelling doaj-art-6e76c850b04e4a89bab763e586afa6d32025-01-05T12:30:43ZengNature PortfolioScientific Reports2045-23222024-12-0114111210.1038/s41598-024-83409-0Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumorsChun-Jen Chang0Kai-Wen Kan1Yu-Yin Shih2Yu-Han Nan3Yu-Chung Juan4Chih-Hsiu Tu5Chen-Ting Yang6Wei-Lin Hsu7Der-Yang Cho8Ming-You Shie9Yi-Wen Chen10Chun-Chung Chen11Department of Neurosurgery, China Medical University Hospitalx-Dimension Center for Medical Research and Translation, China Medical University HospitalResearch and Development Center for x-Dimensional Extracellular Vesicles, China Medical University HospitalDepartment of Neurosurgery, China Medical University HospitalDepartment of Neurosurgery, China Medical University HospitalDepartment of Neurosurgery, China Medical University HospitalDepartment of Neurosurgery, China Medical University HospitalDepartment of Neurosurgery, China Medical University HospitalDepartment of Neurosurgery, China Medical University Hospitalx-Dimension Center for Medical Research and Translation, China Medical University Hospitalx-Dimension Center for Medical Research and Translation, China Medical University HospitalDepartment of Neurosurgery, China Medical University HospitalAbstract Treating metastatic brain tumors remains a significant challenge. This study introduces and applies the Patient-Derived Tumor Spheroid (PDTS) system, an ex vivo model for precision drug testing on metastatic brain tumor. The PDTS system utilizes a decellularized extracellular matrix (dECM) derived from adipose tissue, combined with the tumor cells, to form tumor spheroids. These spheroids were subsequently used to test anticancer drugs, with results compared to the clinical outcomes observed after administering these treatments to patients. To assess the validity of the data, the correlation between the drug responses observed in the PDTS model and actual patient outcomes was analyzed. Chi-square tests evaluated the significance of associations between lab predictions and clinical outcomes, using a significance threshold of p < 0.05. In preliminary data, 17 patients met the criteria for final analysis, which showed an overall 57% accuracy (p-value = 0.463), with improvements to 73% accuracy (p-value = 0.072) when patients receiving certain treatments were excluded. This PDTS offers real-time results within three weeks, simultaneous testing of multiple drugs, and the ability to culture and store tumor cells for reproducibility. Despite some limitations, further development of this model could enhance its clinical application and improve patient outcomes.https://doi.org/10.1038/s41598-024-83409-0Metastatic brain tumorPatient-derived organoidPatient-derived tumor spheroidsMicro-organospherePrecision oncology
spellingShingle Chun-Jen Chang
Kai-Wen Kan
Yu-Yin Shih
Yu-Han Nan
Yu-Chung Juan
Chih-Hsiu Tu
Chen-Ting Yang
Wei-Lin Hsu
Der-Yang Cho
Ming-You Shie
Yi-Wen Chen
Chun-Chung Chen
Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors
Scientific Reports
Metastatic brain tumor
Patient-derived organoid
Patient-derived tumor spheroids
Micro-organosphere
Precision oncology
title Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors
title_full Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors
title_fullStr Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors
title_full_unstemmed Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors
title_short Preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors
title_sort preliminary study of utilizing a patient derived tumor spheroid model to augment precision therapy in metastatic brain tumors
topic Metastatic brain tumor
Patient-derived organoid
Patient-derived tumor spheroids
Micro-organosphere
Precision oncology
url https://doi.org/10.1038/s41598-024-83409-0
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