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Updated: Jun 2, 2026

Co-Culture In Vitro Systems to Reproduce the Cancer-Immunity Cycle
Published on: June 7, 2024
The reciprocal interaction: chemotherapy and tumor microenvironment
Soo-Hyun Kim1, Hyo-Jeong Kuh, Crispin R Dass
1Department of Biomedical Sciences, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract:
Despite significant improvements in ways to treat cancer, numerous patients still die from this disease. One of the reasons for this inability to cure cancer is the lack of ability of drugs to penetrate target cells properly. While studies on drug resistance have focused on the molecular mechanisms of single cells, there has been little attention on drug penetration or distribution in solid tumor tissues. It is reported that the factors that obstruct the penetration and distribution of drugs in solid tumors are closely related to the microenvironment of solid tumors. This review paper aims to discuss the microenvironment that hinders drug penetration in solid tumors and to investigate whether or not changes in the microenvironment can improve drug penetration. This review also introduces in vitro 3D multicellular culture systems that can reproduce the characteristics of solid tumors in vivo and that are required for such studies.
Insights
Drug penetration into solid tumors is hindered by the tumor microenvironment. Modifying this environment or using 3D culture systems may improve cancer drug delivery and efficacy.
Area of Science:
- Oncology
- Cancer Biology
- Drug Delivery
Background:
- Despite advances in cancer treatment, many patients succumb to the disease.
- Limited drug penetration into solid tumors is a key challenge in cancer therapy.
- Research has primarily focused on cellular drug resistance, neglecting drug distribution within tumor tissues.
Purpose of the Study:
- To review the tumor microenvironment factors impeding drug penetration in solid tumors.
- To explore if modulating the tumor microenvironment can enhance drug delivery.
- To introduce in vitro 3D multicellular models for studying drug penetration.
Main Methods:
- Literature review focusing on tumor microenvironment and drug penetration.
- Analysis of studies investigating strategies to alter the tumor microenvironment.
- Discussion of the utility of 3D multicellular culture systems.
Main Results:
- The tumor microenvironment significantly obstructs drug penetration and distribution.
- Specific microenvironmental factors are identified as barriers to drug delivery.
- In vitro 3D models show promise in mimicking in vivo tumor characteristics for drug studies.
Conclusions:
- The tumor microenvironment is a critical determinant of therapeutic efficacy.
- Targeting the tumor microenvironment represents a potential strategy to improve cancer drug penetration.
- Advanced in vitro models are essential for effective preclinical evaluation of drug delivery systems.
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