Related Experiment Video
Updated: Jul 24, 2025

Multiparametric Tumor Organoid Drug Screening Using Widefield Live-Cell Imaging for Bulk and Single-Organoid Analysis
Published on: December 23, 2022
Viability Analysis and High-Content Live-Cell Imaging for Drug Testing in Prostate Cancer Xenograft-Derived Organoids
Annelies Van Hemelryk1, Sigrun Erkens-Schulze1, Lifani Lim1
1Department of Urology, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
Abstract:
Tumor organoids have been pushed forward as advanced model systems for in vitro oncology drug testing, with the eventual goal to direct personalized cancer treatments. However, drug testing efforts suffer from a large variation in experimental conditions for organoid culturing and organoid treatment. Moreover, most drug tests are restricted to whole-well viability as the sole read-out, thereby losing important information about key biological aspects that might be impacted due to the use of administered drugs. These bulk read-outs also discard potential inter-organoid heterogeneity in drug responses. To tackle these issues, we developed a systematic approach for processing organoids from prostate cancer (PCa) patient-derived xenografts (PDXs) for viability-based drug testing and identified essential conditions and quality checks for consistent results. In addition, we generated an imaging-based drug testing procedure using high-content fluorescence microscopy in living PCa organoids to detect various modalities of cell death. Individual organoids and cell nuclei in organoids were segmented and quantified using a dye combination of Hoechst 33342, propidium iodide and Caspase 3/7 Green, allowing the identification of cytostatic and cytotoxic treatment effects. Our procedures provide important insights into the mechanistic actions of tested drugs. Moreover, these methods can be adapted for tumor organoids originating from other cancer types to increase organoid-based drug test validity, and ultimately, accelerate clinical implementation.
Insights
This study presents a standardized method for prostate cancer organoid drug testing. The new approach uses high-content imaging to accurately assess drug effects on cell death, improving personalized cancer treatment strategies.
Area of Science:
- Oncology
- Biotechnology
- Pharmacology
Background:
- Tumor organoids are advanced models for in vitro oncology drug testing aiming for personalized cancer treatments.
- Current drug testing methods for organoids face challenges due to variable experimental conditions and limited read-outs, often overlooking inter-organoid heterogeneity.
- Existing bulk viability assays lose crucial information on specific biological responses and cell death modalities.
Purpose of the Study:
- To develop a systematic and standardized approach for prostate cancer (PCa) patient-derived xenograft (PDX) organoid drug testing.
- To establish an imaging-based procedure for high-content fluorescence microscopy to detect various cell death modalities in living PCa organoids.
- To identify essential conditions and quality checks for consistent and reliable organoid drug testing results.
Main Methods:
- Developed a systematic processing method for PCa PDX organoids for viability-based drug testing.
- Implemented an imaging-based drug testing procedure using high-content fluorescence microscopy on living PCa organoids.
- Utilized a dye combination (Hoechst 33342, propidium iodide, Caspase 3/7 Green) for segmentation and quantification of organoids and cell nuclei.
- Identified cytostatic and cytotoxic treatment effects by analyzing individual organoids and cell nuclei.
Main Results:
- Established essential conditions and quality checks for consistent organoid culturing and drug testing.
- Generated a high-content fluorescence microscopy-based drug testing procedure for PCa organoids.
- Successfully detected and quantified various modalities of cell death, distinguishing cytostatic from cytotoxic effects.
- Provided insights into the mechanistic actions of tested drugs on organoids.
Conclusions:
- The developed systematic approach enhances the validity of organoid-based drug testing for prostate cancer.
- The imaging-based procedure offers detailed mechanistic insights into drug responses, including specific cell death pathways.
- These methods are adaptable for other cancer types, potentially accelerating the clinical implementation of organoid drug testing.
More Related Videos
07:21Establishment and Analysis of Three-Dimensional 3D Organoids Derived from Patient Prostate Cancer Bone Metastasis Specimens and their Xenografts
Published on: February 3, 2020
09:13Author Spotlight: Developing Multiplexed Kinetic Assays for Organoid-Based Drug Response Analysis
Published on: January 5, 2024