Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoids

Abstract Background 3D-spatial interaction between cancer cells influences tumor behavior, making it essential to replicate tumor structures for predicting patient outcomes. Methods We collected data from three multicenter prospective studies to evaluate the ability to establish Patient-Derived Orga...

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Main Authors: Paloma Navarro, Tatiana P. Grazioso, Arantzazu Barquín, Maria Barba, Mónica Yagüe, Carlos Millán, Irene López, Elena Sevillano, Miguel Quiralte, Paloma Fernández, Diego Losada, Eduardo Caleiras, Julia Calzas, Beatriz Jiménez, Sergio Ruiz-Llorente, Juan Justo, Félix Guerrero, Vital Hevia, Raquel Martín, Francisco José Pérez-Rodriguez, Julia Tejerina, Mario Prieto, Paula Comune, Juan Francisco Rodriguez-Moreno, Jesús García-Donás
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Journal of Experimental & Clinical Cancer Research
Subjects:
Online Access:https://doi.org/10.1186/s13046-025-03437-0
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author Paloma Navarro
Tatiana P. Grazioso
Arantzazu Barquín
Maria Barba
Mónica Yagüe
Carlos Millán
Irene López
Elena Sevillano
Miguel Quiralte
Paloma Fernández
Diego Losada
Eduardo Caleiras
Julia Calzas
Beatriz Jiménez
Sergio Ruiz-Llorente
Juan Justo
Félix Guerrero
Vital Hevia
Raquel Martín
Francisco José Pérez-Rodriguez
Julia Tejerina
Mario Prieto
Paula Comune
Juan Francisco Rodriguez-Moreno
Jesús García-Donás
author_facet Paloma Navarro
Tatiana P. Grazioso
Arantzazu Barquín
Maria Barba
Mónica Yagüe
Carlos Millán
Irene López
Elena Sevillano
Miguel Quiralte
Paloma Fernández
Diego Losada
Eduardo Caleiras
Julia Calzas
Beatriz Jiménez
Sergio Ruiz-Llorente
Juan Justo
Félix Guerrero
Vital Hevia
Raquel Martín
Francisco José Pérez-Rodriguez
Julia Tejerina
Mario Prieto
Paula Comune
Juan Francisco Rodriguez-Moreno
Jesús García-Donás
author_sort Paloma Navarro
collection DOAJ
description Abstract Background 3D-spatial interaction between cancer cells influences tumor behavior, making it essential to replicate tumor structures for predicting patient outcomes. Methods We collected data from three multicenter prospective studies to evaluate the ability to establish Patient-Derived Organoids (PDOs) from different biological samples and timepoints, correlating their characteristics and drug sensitivity with clinical outcomes. Results From 184 patients (17 tumor types), 249 samples were collected: 149 (59.8%) from tumor tissue, 61 (24.5%) from peritoneal fluids, 39 (15.7%) from peripheral blood. Success rates for PDO establishment were 39.5%, 34.4%, and 25.6%, respectively. PDOs reproduced pathological and immunohistochemical patterns of source tumors, with pathogenic variants confirmed in 84% (21/25). In a series of 13 baseline and sequential PDOs from 9 patients undergoing treatment, responses to therapy mirrored patient responses during therapy. Conclusions PDOs preserve tumor features, reflect disease progression, and predict treatment responses, providing valuable models to complement molecular testing in precision medicine.
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spelling doaj-art-96791fb5cb5642c7982ab040f6dfce7e2025-08-20T04:01:47ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662025-07-0144112410.1186/s13046-025-03437-0Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoidsPaloma Navarro0Tatiana P. Grazioso1Arantzazu Barquín2Maria Barba3Mónica Yagüe4Carlos Millán5Irene López6Elena Sevillano7Miguel Quiralte8Paloma Fernández9Diego Losada10Eduardo Caleiras11Julia Calzas12Beatriz Jiménez13Sergio Ruiz-Llorente14Juan Justo15Félix Guerrero16Vital Hevia17Raquel Martín18Francisco José Pérez-Rodriguez19Julia Tejerina20Mario Prieto21Paula Comune22Juan Francisco Rodriguez-Moreno23Jesús García-Donás24Laboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsHM Hospitals Health Research InstituteHM Hospitals Health Research InstituteLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsInstitute of Applied Molecular Medicine (IMMA), Department of Basic Medical Sciences, Facultad de Medicina, Universidad San Pablo CEU, CEU Universities, Urbanización MontepríncipeLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsHistopathology Core Unit, Spanish National Cancer Center (CNIO)Medical Oncology Department, Fuenlabrada University HospitalHM Hospitals Health Research InstituteLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsHM Faculty of Health Sciences, Camilo José Cela UniversityDepartment of Urology, HM HospitalesDepartment of Urology, HM HospitalesDepartment of Pathology, Therapeutic Target Laboratory, Hospital Universitario HM SanchinarroDepartment of Pathology, Therapeutic Target Laboratory, Hospital Universitario HM SanchinarroHospital Universitario San JorgeDepartment of Pathology, Therapeutic Target Laboratory, Hospital Universitario HM SanchinarroVivía BiotechLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsLaboratory of Innovation in Oncology, Genitourinary, Gynecological and Skin Cancer Unit, HM Clara Campal Comprehensive Cancer Centre (CIOCC) MADRID. Sanchinarro HM University Hospital, HM HospitalsAbstract Background 3D-spatial interaction between cancer cells influences tumor behavior, making it essential to replicate tumor structures for predicting patient outcomes. Methods We collected data from three multicenter prospective studies to evaluate the ability to establish Patient-Derived Organoids (PDOs) from different biological samples and timepoints, correlating their characteristics and drug sensitivity with clinical outcomes. Results From 184 patients (17 tumor types), 249 samples were collected: 149 (59.8%) from tumor tissue, 61 (24.5%) from peritoneal fluids, 39 (15.7%) from peripheral blood. Success rates for PDO establishment were 39.5%, 34.4%, and 25.6%, respectively. PDOs reproduced pathological and immunohistochemical patterns of source tumors, with pathogenic variants confirmed in 84% (21/25). In a series of 13 baseline and sequential PDOs from 9 patients undergoing treatment, responses to therapy mirrored patient responses during therapy. Conclusions PDOs preserve tumor features, reflect disease progression, and predict treatment responses, providing valuable models to complement molecular testing in precision medicine.https://doi.org/10.1186/s13046-025-03437-0Precision MedicinePatient-derived organoidsDrug screening
spellingShingle Paloma Navarro
Tatiana P. Grazioso
Arantzazu Barquín
Maria Barba
Mónica Yagüe
Carlos Millán
Irene López
Elena Sevillano
Miguel Quiralte
Paloma Fernández
Diego Losada
Eduardo Caleiras
Julia Calzas
Beatriz Jiménez
Sergio Ruiz-Llorente
Juan Justo
Félix Guerrero
Vital Hevia
Raquel Martín
Francisco José Pérez-Rodriguez
Julia Tejerina
Mario Prieto
Paula Comune
Juan Francisco Rodriguez-Moreno
Jesús García-Donás
Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoids
Journal of Experimental & Clinical Cancer Research
Precision Medicine
Patient-derived organoids
Drug screening
title Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoids
title_full Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoids
title_fullStr Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoids
title_full_unstemmed Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoids
title_short Multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient-derived organoids
title_sort multicenter study correlating molecular characteristics and clinical outcomes of cancer cases with patient derived organoids
topic Precision Medicine
Patient-derived organoids
Drug screening
url https://doi.org/10.1186/s13046-025-03437-0
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