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Protocol to Establish Estrogen Receptor-Negative Heterozygous BRCA1 Organoids.
Madhura Deshpande1, Jeannine Gerhardt1,2
1The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, New York, NY 10021, USA.
Methods and Protocols
|November 24, 2025
Summary
Researchers developed a new human organoid model from breast cells with BRCA1 mutations. This model helps study how triple-negative breast cancer develops in BRCA1 carriers, advancing cancer research.
Area of Science:
- Oncology
- Genetics
- Cell Biology
Background:
- BRCA1 carriers often develop triple-negative breast cancer (TNBC), a complex cancer type.
- The exact mechanisms driving cancer in BRCA1 carriers are not fully understood.
- A lack of suitable cell models hinders research into TNBC development in BRCA1 mutation carriers.
Purpose of the Study:
- To establish a novel human organoid model for studying cancer development in BRCA1 carriers.
- To characterize estrogen receptor (ER)-, progesterone receptor (PR)-, and HER2-negative breast progenitor cells with BRCA1 mutations.
- To provide a platform for in-depth investigation of early cancer initiation steps in BRCA1-associated TNBC.
Main Methods:
- Generation of human ER/PR/HER2-negative breast organoids carrying a BRCA1 germline mutation.
- Confirmation of organoid characteristics, including estrogen unresponsiveness, self-renewal capacity, and stem/progenitor marker (CD44) expression.
- Assessment of organoid morphology for resemblance to mammary gland structures.
Main Results:
- Successfully generated human ER/PR/HER2-negative breast organoids with a BRCA1 germline mutation.
- Confirmed these organoids exhibit key stem/progenitor cell properties and are unresponsive to estrogen.
- Observed organoid outgrowths mimicking mature ductal and lobular units of the mammary gland.
Conclusions:
- The developed organoid model is a valuable tool for studying cancer initiation in ER/PR/HER2-negative cells with BRCA1 mutations.
- This model system facilitates a deeper understanding of the multi-step process leading to TNBC in BRCA1 carriers.
- Further research using this model can elucidate critical factors and mechanisms in BRCA1-associated breast cancer development.

