3D dynamic cultures of HGSOC organoids to model innovative and standard therapies

Enrico Cavarzerani1,2, Isabella Caligiuri1, Michele Bartoletti3

  • 1Pathology Unit, Centro di Riferimento Oncologico di Aviano (C.R.O.) IRCCS, Aviano, Italy.

Insights

This study optimized a passive microfluidic platform for 3D ovarian cancer organoids, improving drug testing. The new method enhances organoid growth and drug penetration for faster, more accurate therapeutic evaluations.

Area of Science:

  • Biotechnology
  • Oncology
  • Microfluidics

Background:

  • High-grade serous ovarian cancer (HGSOC) is a fatal disease with limited therapeutic options.
  • Dynamic culture systems with patient-derived 3D cancer microstructures offer novel therapeutic exploration.
  • Existing methods require significant samples and lack rapid response for drug screening.

Purpose of the Study:

  • To optimize a passive microfluidic platform for culturing 3D ovarian cancer organoids.
  • To evaluate the platform's efficacy in improving organoid growth, drug penetration, and response time.
  • To establish a standardized, rapid, and sample-efficient method for ex vivo drug testing in HGSOC.

Main Methods:

  • Optimization of a passive microfluidic platform (OrganoFlow) with specific tilting angles and rocking intervals.
  • Culturing of patient-derived ovarian cancer organoids under static and optimized passive flow conditions.
  • Assessment of organoid growth, cell viability (Resazurin, ATP, DAPI/PI assays), and drug penetration (FITC-labeled paclitaxel).

Main Results:

  • Optimized passive flow conditions (15° tilt, 8 min rocking interval) enhanced organoid growth rate and reduced cell death compared to static culture.
  • Lower IC50 values for chemotherapeutic and targeted drugs were observed in passive flow conditions, indicating increased drug efficacy.
  • Improved penetration of FITC-labeled paclitaxel into the extracellular matrix (ECM) and accelerated cancer cell death (48h vs. 96h) were noted under passive flow.

Conclusions:

  • The developed passive microfluidic platform protocol supports enhanced organoid culture with faster growth and drug response.
  • The platform facilitates better drug penetration into the ECM and provides a standardized approach for ex vivo drug screening.
  • This technology enables rapid, sample-efficient evaluation of multiple drugs, potentially improving therapeutic strategies for ovarian cancer patients.

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