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Updated: Jan 24, 2026

Multiparametric Tumor Organoid Drug Screening Using Widefield Live-Cell Imaging for Bulk and Single-Organoid Analysis
Published on: December 23, 2022
Application of Cancer Organoid Model for Drug Screening and Personalized Therapy
Jumpei Kondo1, Masahiro Inoue2
1Department of Clinical Bio-resource Research and Development, Graduate School of Medicine Kyoto University, Kyoto 606-8501, Japan. kondo.jumpei.2n@kyoto-u.ac.jp.
Abstract:
Drug screening-i.e., testing the effects of a number of drugs in multiple cell lines-is used for drug discovery and development, and can also be performed to evaluate the heterogeneity of a disease entity. Notably, intertumoral heterogeneity is a large hurdle to overcome for establishing standard cancer treatment, necessitating disease models better than conventional established 2D cell lines for screening novel treatment candidates. In the present review, we outline recent progress regarding experimental cancer models having more physiological and clinical relevance for drug screening, which are important for the successful evaluation of cellular response to drugs. The review is particularly focused on drug screening using the cancer organoid model, which is emerging as a better physiological disease model than conventional established 2D cell lines. We also review the use of cancer organoids to examine intertumor and intratumor heterogeneity, and introduce the perspective of the clinical use of cancer organoids to enable precision medicine.
Insights
Cancer organoids offer a more physiologically relevant model for drug screening compared to traditional 2D cell lines. This approach aids in understanding cancer heterogeneity and advancing precision medicine.
Area of Science:
- Oncology
- Drug Discovery
- Translational Medicine
Background:
- Intertumoral heterogeneity presents a significant challenge in developing standardized cancer treatments.
- Conventional 2D cell lines lack the physiological relevance needed for effective drug screening.
- Improved cancer models are crucial for evaluating drug efficacy and understanding disease complexity.
Purpose of the Study:
- To review recent advancements in experimental cancer models for drug screening.
- To highlight the potential of cancer organoids as superior disease models.
- To discuss the application of cancer organoids in studying heterogeneity and enabling precision medicine.
Main Methods:
- Review of current literature on experimental cancer models.
- Focus on cancer organoid technology for drug screening.
- Analysis of organoid utility in assessing intertumor and intratumor heterogeneity.
Main Results:
- Cancer organoids demonstrate greater physiological and clinical relevance than 2D cell lines for drug screening.
- Organoids effectively model both intertumor and intratumor heterogeneity.
- Emerging evidence supports the clinical application of organoids for personalized cancer therapy.
Conclusions:
- Cancer organoids represent a promising advancement over traditional models for drug discovery and development.
- Organoid technology facilitates a deeper understanding of cancer heterogeneity.
- The clinical implementation of cancer organoids is key to achieving precision medicine in oncology.
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