4.6 Review

Patient-derived cancer organoids for drug screening: Basic technology and clinical application

Journal

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
Volume 37, Issue 8, Pages 1446-1454

Publisher

WILEY
DOI: 10.1111/jgh.15930

Keywords

cancer organoids; drug screening; precision medicine

Funding

  1. National Natural Science Foundation of China [82173191]
  2. Guangdong Basic and Applied Basic Research Foundation [2019B151502009]

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This review provides an updated overview of tumor organoid development, summarizes the general approach to establish tumor organoids, and discusses the application of anti-cancer drug screening and personalized therapy based on tumor organoids. The opportunities and challenges for organoids to guide precision medicine are also outlined.
Cancer organoids, a three-dimensional (3D) culture system of cancer cells derived from tumor tissues, recapitulate physiological structure of the parental tumor. Different tumor organoids have been established for a variety of tumor types, such as colorectal, liver, stomach, pancreatic and brain tumors. Some tumor organoid biobanks are built to screen and discover novel antitumor drug targets. Moreover, patients-derived tumor organoids (PDOs) could predict treatment response to chemoradiotherapy, targeted therapy and immunotherapy to provide guidance for personalized cancer therapy. In this review, we provide an updated overview of tumor organoid development, summarize general approach to establish tumor organoids, and discuss the application of anti-cancer drug screening based on tumor organoid and its application in personalized therapy. We also outline the opportunities and challenges for organoids to guide precision medicine.

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