[Application and Research Progress of Lung Cancer Organoid in Precision Medicine 
for Lung Cancer]

Zhicheng Huang1, Bowen Li1, Yadong Wang1

  • 1Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing 100730, China.

Insights

Lung cancer organoids (LCOs) closely mimic tumors, aiding personalized medicine. Advanced LCO models improve drug testing for tailored lung cancer treatments.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biotechnology

Background:

  • Precision medicine for lung cancer relies on molecular detection but faces challenges from tumor heterogeneity, impacting metastasis, recurrence, and drug resistance.
  • Individual responses to lung cancer therapies vary even with identical genetic mutations, highlighting the need for personalized treatment strategies.

Purpose of the Study:

  • To review the application progress and challenges of lung cancer organoids (LCOs) in advancing precision medicine for lung cancer.
  • To highlight LCOs as a personalized tumor model that simulates in vivo tumor characteristics for improved lung cancer treatment strategies.

Main Methods:

  • Review of current research on lung cancer organoid (LCO) technology.
  • Discussion of co-culture models integrating LCOs with tumor microenvironments.
  • Exploration of tissue engineering advancements, including microfluidic chips, for LCO applications.

Main Results:

  • Lung cancer organoids (LCOs) effectively simulate in vivo tumor biology, supporting the use of novel therapeutics like antibody-drug conjugates.
  • Advanced LCO models, including co-cultures and microfluidic systems, better preserve tumor tissue characteristics and enhance drug sensitivity screening.
  • LCOs facilitate high-throughput and automated drug sensitivity experiments crucial for personalized lung cancer therapy.

Conclusions:

  • Lung cancer organoids (LCOs) are vital tools for developing personalized treatment strategies in precision medicine for lung cancer.
  • Continued development of LCO technology, particularly in co-culture and microfluidic applications, promises to further refine drug efficacy testing and patient outcomes.