Reconstruction of T cell infiltration in an osteosarcoma PDX-organoid interactive biobank for personalized

Wei Sun1, Yining Tao1, Xin He1

  • 1Department of Orthopedics, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Bone Tumor Institution, Shanghai, China.

Cell Reports. Medicine
|February 28, 2026
PubMed

Insights

We developed novel osteosarcoma organoid models (iOSs) that mimic patient tumors. These models show a PRMT5 inhibitor improves immunotherapy response in specific osteosarcoma subtypes.

Area of Science:

  • Oncology
  • Biotechnology
  • Genomics

Background:

  • Osteosarcoma (OS) is an aggressive bone cancer with poor therapeutic outcomes and limited immunotherapy efficacy.
  • The rarity of OS hinders clinical translation, necessitating advanced preclinical models.
  • Patient-derived xenograft (PDX) models offer clinical relevance but lack the scalability of organoid systems.

Purpose of the Study:

  • To establish a novel osteosarcoma patient-derived xenograft-organoid (PDX-organoid) interactive biobank.
  • To create individualized osteosarcoma organoids (iOSs) that recapitulate tumor architecture and function.
  • To utilize these models for evaluating novel therapeutic strategies, including immunotherapy combinations.

Main Methods:

  • Self-assembly of single-cell suspensions into individualized osteosarcoma organoids (iOSs).
  • Validation of iOS fidelity through histopathology, spatial analysis, genomics, transcriptomics, and pharmacogenomics.
  • Reconstruction of T cell infiltration in PDX-derived iOS models to study immune responses.

Main Results:

  • iOS models successfully recapitulated the spatial and architectural features of OS at a millimeter scale.
  • iOS models maintained functional pairing with matched PDX models, confirmed by multi-omics analyses.
  • Paired iOS-PDX models demonstrated that a PRMT5 inhibitor enhances immunotherapy response in chromosome 9p21.3-deleted OS.

Conclusions:

  • The established OS PDX-organoid interactive biobank provides a powerful platform for preclinical research.
  • iOS models serve as a bridge between PDX systems and next-generation platforms, facilitating translational studies.
  • This platform supports the development of effective immunotherapy strategies for osteosarcoma, particularly in specific genetic subtypes.

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