A novel design of microfluidic platform for metronomic combinatorial chemotherapy drug screening based on 3D tumor

Sharanya Sankar1, Viraj Mehta1, Subhashini Ravi1

  • 1Regenerative Medicine and Stem Cell Laboratory (RMS), Department of Biomedical Engineering, Indian Institute of Technology Hyderabad, Telangana, India.

Biomedical Microdevices
|October 1, 2021
PubMed

Insights

This study introduces a novel microfluidic device for testing chemotherapy drug combinations on 3D lung tumor spheroids. It identifies effective low-dose metronomic (LDM) combinations to improve cancer treatment and reduce toxicity.

Area of Science:

  • Biomedical Engineering
  • Cancer Research
  • Drug Discovery

Background:

  • Chemotherapy drug combinations improve cancer treatment outcomes but identifying effective combinations is challenging.
  • Traditional 2D cell culture models fail to accurately predict in vivo drug efficacy.
  • 3D spheroid models and microfluidic platforms offer more physiologically relevant environments for drug testing.

Purpose of the Study:

  • To develop and validate a novel polydimethylsiloxane (PDMS) microfluidic platform for evaluating chemotherapy drug combinations.
  • To test all possible combinations of Paclitaxel, Vinorelbine, and Etoposide on lung tumor spheroids.
  • To identify synergistic low-dose metronomic (LDM) chemotherapy combinations with reduced toxicity.

Main Methods:

  • A novel PDMS microfluidic device with U-shaped wells was designed and computationally validated.
  • Three chemotherapy drugs (Paclitaxel, Vinorelbine, Etoposide) were tested in all combinations on 3D lung tumor spheroids.
  • Drug efficacy was evaluated under static conditions in well plates and then in a dynamic microfluidic environment.

Main Results:

  • The microfluidic device design was validated using computational fluid dynamics.
  • The study identified effective drug combinations at concentrations below the maximum tolerated dose (MTD).
  • A proof-of-concept demonstrated the efficacy of a selected drug combination in the dynamic microfluidic system.

Conclusions:

  • The developed microfluidic platform enables efficient testing of multiple chemotherapy drug combinations.
  • Low-dose metronomic (LDM) combinatorial chemotherapy shows potential for improved efficacy and reduced toxicity in cancer treatment.
  • The platform can be adapted for personalized medicine by using patient-specific tumor spheroids to identify tailored drug combinations.

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