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Updated: Jan 24, 2026

High-Throughput In Vitro Assay using Patient-Derived Tumor Organoids
Published on: June 14, 2021
An In Vitro System for Evaluating Molecular Targeted Drugs Using Lung Patient-Derived Tumor Organoids
Nobuhiko Takahashi1,2, Hirotaka Hoshi3, Arisa Higa4
1Medical-Industrial Translational Research Center, Fukushima Medical University, Fukushima 960-1295, Japan. tkhsnbhk@fmu.ac.jp.
Abstract:
Patient-derived tumor organoids (PDOs) represent a promising preclinical cancer model that better replicates disease, compared with traditional cell culture models. We have established PDOs from various human tumors to accurately and efficiently recapitulate the tissue architecture and function. Molecular targeted therapies with remarkable efficacy are currently in use against various tumors. Thus, there is a need for in vitro functional-potency assays that can be used to test the efficacy of molecular targeted drugs and model complex interactions between immune cells and tumor cells to evaluate the potential for cancer immunotherapy. This study represents an in vitro evaluation of different classes of molecular targeted drugs, including small-molecule inhibitors, monoclonal antibodies, and an antibody-drug conjugate, using lung PDOs. We evaluated epidermal growth factor receptor and human epidermal growth factor receptor 2 (HER2) inhibitors using a suitable high-throughput assay system. Next, the antibody-dependent cellular cytotoxicity (ADCC) activity of an anti-HER2 monoclonal antibody was evaluated to visualize the interactions of immune cells with PDOs during ADCC responses. Moreover, an evaluation system was developed for the immune checkpoint inhibitors, nivolumab and pembrolizumab, using PDOs. Our results demonstrate that the in vitro assay systems using PDOs were suitable for evaluating molecular targeted drugs under conditions that better reflect pathological conditions.
Insights
Patient-derived tumor organoids (PDOs) offer a better preclinical cancer model. These organoids enable in vitro testing of targeted therapies and immunotherapy by mimicking complex tumor and immune cell interactions.
Area of Science:
- Oncology
- Preclinical Cancer Models
- Drug Discovery
Background:
- Patient-derived tumor organoids (PDOs) offer a more accurate preclinical cancer model than traditional cell cultures.
- Molecular targeted therapies show efficacy, necessitating in vitro assays for drug potency and immunotherapy evaluation.
- Complex interactions between tumor cells and immune cells are crucial for immunotherapy assessment.
Purpose of the Study:
- To establish and validate in vitro assay systems using PDOs for evaluating molecular targeted drugs.
- To assess the efficacy of various drug classes, including small-molecule inhibitors, monoclonal antibodies, and antibody-drug conjugates.
- To model immune cell-tumor cell interactions for immunotherapy potential, specifically antibody-dependent cellular cytotoxicity (ADCC) and immune checkpoint inhibitors.
Main Methods:
- Established PDOs from various human tumors to recapitulate tissue architecture and function.
- Utilized a high-throughput assay system to evaluate epidermal growth factor receptor (EGFR) and human epidermal growth factor receptor 2 (HER2) inhibitors.
- Assessed antibody-dependent cellular cytotoxicity (ADCC) of an anti-HER2 monoclonal antibody and developed evaluation systems for immune checkpoint inhibitors (nivolumab, pembrolizumab) using PDOs.
Main Results:
- PDOs accurately recapitulated tumor tissue architecture and function.
- In vitro assay systems demonstrated suitability for evaluating molecular targeted drugs.
- Effective evaluation of EGFR and HER2 inhibitors, ADCC activity, and immune checkpoint inhibitors was achieved using PDOs.
Conclusions:
- In vitro assay systems using PDOs are effective for evaluating molecular targeted drugs.
- PDOs provide a more pathologically relevant model for drug efficacy testing.
- These PDO-based assays support the development of novel cancer therapies, including targeted agents and immunotherapies.
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