Ex vivo modelling of drug efficacy in a rare metastatic urachal carcinoma

Autor: Ville Härmä, Nina Rintanen, Tobias Paprotka, Lauri Paasonen, Antti Arjonen, Kerstin Rönsch, Teijo Kuopio, Rami Mäkelä, Juha Rantala, Juha Kononen
Rok vydání: 2019
Předmět:
0301 basic medicine
Male
Cancer Research
Urachus
Efficacy
3D cell culture
0302 clinical medicine
Medicine
Precision Medicine
media_common
Ex vivo drug screening
TOR Serine-Threonine Kinases
Proto-Oncogene Proteins c-met
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Oncology
030220 oncology & carcinogenesis
Urachal carcinoma
Research Article
Drug
Adult
Urachal cancer
Cell Survival
media_common.quotation_subject
Primary Cell Culture
Context (language use)
Antineoplastic Agents
Adenocarcinoma
Cystectomy
lcsh:RC254-282
Proto-Oncogene Proteins p21(ras)
03 medical and health sciences
Cell Line
Tumor

Genetics
Humans
Viability assay
Cell Proliferation
Enzyme Assays
Mitogen-Activated Protein Kinase Kinases
Dose-Response Relationship
Drug

business.industry
Reproducibility of Results
Rare cancer
medicine.disease
030104 developmental biology
Urinary Bladder Neoplasms
Mutation
Cancer research
Feasibility Studies
Drug Screening Assays
Antitumor

business
Cytometry
Ex vivo
Zdroj: BMC Cancer
BMC Cancer, Vol 20, Iss 1, Pp 1-10 (2020)
ISSN: 1471-2407
Popis: Background Ex vivo drug screening refers to the out-of-body assessment of drug efficacy in patient derived vital tumor cells. The purpose of these methods is to enable functional testing of patient specific efficacy of anti-cancer therapeutics and personalized treatment strategies. Such approaches could prove powerful especially in context of rare cancers for which demonstration of novel therapies is difficult due to the low numbers of patients. Here, we report comparison of different ex vivo drug screening methods in a metastatic urachal adenocarcinoma, a rare and aggressive non-urothelial bladder malignancy that arises from the remnant embryologic urachus in adults. Methods To compare the feasibility and results obtained with alternative ex vivo drug screening techniques, we used three different approaches; enzymatic cell viability assay of 2D cell cultures and image-based cytometry of 2D and 3D cell cultures in parallel. Vital tumor cells isolated from a biopsy obtained in context of a surgical debulking procedure were used for screening of 1160 drugs with the aim to evaluate patterns of efficacy in the urachal cancer cells. Results Dose response data from the enzymatic cell viability assay and the image-based assay of 2D cell cultures showed the best consistency. With 3D cell culture conditions, the proliferation rate of the tumor cells was slower and potency of several drugs was reduced even following growth rate normalization of the responses. MEK, mTOR, and MET inhibitors were identified as the most cytotoxic targeted drugs. Secondary validation analyses confirmed the efficacy of these drugs also with the new human urachal adenocarcinoma cell line (MISB18) established from the patient’s tumor. Conclusions All the tested ex vivo drug screening methods captured the patient’s tumor cells’ sensitivity to drugs that could be associated with the oncogenic KRASG12V mutation found in the patient’s tumor cells. Specific drug classes however resulted in differential dose response profiles dependent on the used cell culture method indicating that the choice of assay could bias results from ex vivo drug screening assays for selected drug classes.
Databáze: OpenAIRE