Wnt Stimulation and Inhibition in the Development and Phenotype of Patient-Derived Gallbladder Organoids

Ankita Dutta1,2, Payel Guha1, Akshaya Vijayan Selvarajan3

  • 1Tata Translational Cancer Research Centre, Kolkata, India.

Biology of the Cell
|July 2, 2026
PubMed
Abstract

Insights

Wnt pathway modulation impacts gallbladder organoid development and drug response. Wnt activation promotes long-term growth and gemcitabine sensitivity, while inhibition preserves tumor features.

Area of Science:

  • Oncology
  • Cell Biology
  • Cancer Research

Background:

  • Gallbladder cancer (GBC) is a lethal malignancy lacking adequate experimental models.
  • Patient-derived organoids (PDOs) are promising models, but Wnt pathway influence on gallbladder PDOs is uncharacterized.

Purpose of the Study:

  • To systematically compare Wnt activation versus inhibition on gallbladder PDO development, phenotype, and drug response.
  • To guide selection of culture conditions for GBC modeling and precision oncology.

Main Methods:

  • Generated gallbladder PDOs from matched malignant and non-malignant tissues under Wnt-activating (WNT extsuperscript{Act}) and Wnt-inhibiting (WNT extsuperscript{Inh}) conditions.
  • Assessed PDO establishment, propagation, molecular features via transcriptomics, and gemcitabine response.

Main Results:

  • Both WNT extsuperscript{Act} and WNT extsuperscript{Inh} media yielded functional PDOs with comparable efficiency.
  • WNT extsuperscript{Act} supported superior long-term propagation, while WNT extsuperscript{Inh} better retained malignant features.
  • PDOs in WNT extsuperscript{Act} medium exhibited significantly higher gemcitabine sensitivity, which was reversible.

Conclusions:

  • Wnt signaling modulation presents a trade-off between long-term propagation and histological fidelity in gallbladder PDOs.
  • Wnt signaling dynamically influences gemcitabine sensitivity in a reversible manner.
  • This study provides a framework for optimizing gallbladder PDO culture for research and clinical applications.