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Updated: Jul 3, 2025

Patient-Derived Tumor Explants As a "Live" Preclinical Platform for Predicting Drug Resistance in Patients
Published on: February 7, 2021
Empowering personalized medicine: unleashing the potential of patient-derived explants in clinical practice
Oliwia Piwocka1,2,3, Wiktoria M Suchorska1,3, Katarzyna Kulcenty3
1Department of Electroradiology, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Abstract:
In recent decades, significant progress has been made in understanding the molecular characteristics of cancer and its microenvironment, leading to the development of life-saving treatments. However, patients often experience side effects from standard therapies, highlighting the need for personalized medicine. Personalized medicine aims to customize drug therapy and preventive care based on individual patients' specific requirements. The heterogeneity within tumors and among patients necessitates personalized medicine approaches. Patient-derived organoids (PDOs), xenografts (PDXs), and explants (PDEs) have emerged as valuable models for studying tumor behaviour and drug response. This paper aims to summarize the latest advancements in patient-derived explants, focusing on their potential utility in the clinic. Different methods for culturing PDEs, including the free-floating approach, the grid method, and sponge scaffolds, are discussed. These approaches provide opportunities for long-term viability, oxygen and nutrient supply, and maintenance of tissue integrity. Additionally, various solid tumor models using PDEs are highlighted, together with assays to study PDE viability, characteristics, and response to drug treatment.
Insights
Patient-derived explants (PDEs) offer a promising approach for personalized cancer medicine. These models help study tumor behavior and drug response, advancing tailored treatments for individual patients.
Area of Science:
- Oncology
- Translational Medicine
- Biotechnology
Background:
- Significant progress in cancer molecular biology has yielded life-saving treatments.
- Standard cancer therapies often cause side effects, necessitating personalized medicine.
- Tumor and patient heterogeneity drives the need for individualized treatment strategies.
Purpose of the Study:
- To summarize recent advancements in patient-derived explants (PDEs).
- To highlight the clinical utility of PDEs in personalized cancer therapy.
- To discuss various culturing methods and applications of PDEs in solid tumor modeling.
Main Methods:
- Review of different patient-derived explant (PDE) culturing techniques, including free-floating, grid, and sponge scaffold methods.
- Discussion of solid tumor models utilizing PDEs.
- Overview of assays for assessing PDE viability, characteristics, and drug response.
Main Results:
- Various PDE culture methods support long-term viability, nutrient supply, and tissue integrity.
- PDEs serve as valuable models for studying tumor behavior and drug sensitivity.
- Established assays enable comprehensive analysis of PDE characteristics and treatment responses.
Conclusions:
- Patient-derived explants (PDEs) show significant potential for clinical application in personalized cancer medicine.
- Advanced culturing techniques enhance the utility of PDEs for preclinical drug testing.
- PDEs facilitate the study of tumor heterogeneity and individual drug responses, paving the way for tailored therapies.
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