Beyond genomics: 3D microtumor assays for rapid, clinically relevant functional drug testing
Marina Chan1, Taranjit S Gujral2,3
1Division of Human Biology, Fred Hutchinson Cancer Center, Seattle, WA, USA. mchan23@fredhutch.org.
Oncogene
|November 25, 2025
Summary
Three-dimensional (3D) microtumor models offer a powerful functional platform for precision oncology drug screening. These models capture complex tumor biology missed by genomics alone, improving therapy prediction for challenging cancer cases.
Area of Science:
- Oncology
- Biotechnology
- Drug Discovery
Background:
- Precision oncology increasingly integrates functional drug testing beyond genomic analysis.
- Genomic sequencing alone often fails to identify effective treatments for rare, resistant, or complex tumors.
- Current limitations hinder personalized therapy selection for a subset of cancer patients.
Purpose of the Study:
- To highlight three-dimensional (3D) microtumor models as an advanced platform for functional drug screening in oncology.
- To demonstrate the capability of 3D microtumor models in preserving native tumor architecture and microenvironment.
- To showcase the potential of 3D models in overcoming limitations of 2D cultures and genomics for predicting therapeutic response.
Main Methods:
- Utilizing three-dimensional (3D) microtumor models derived from patient tumors.
- Preserving tumor architecture, cellular composition, and microenvironmental factors within the 3D models.
- Performing drug screening assays on these 3D microtumor models to assess therapeutic efficacy.
Main Results:
- 3D microtumor models successfully recapitulate key aspects of intact tumor biology.
- These models capture biological responses to therapies that are missed by 2D models and genomic data.
- The approach demonstrates enhanced accuracy in predicting therapeutic vulnerabilities.
Conclusions:
- Three-dimensional (3D) microtumor models represent a significant advancement in functional drug screening for precision oncology.
- This technology expands the precision oncology toolkit, offering new therapeutic options for patients with difficult-to-treat cancers.
- By integrating functional testing, 3D microtumor models improve the prediction of treatment effectiveness, especially for genomically ambiguous or resistant tumors.


