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Table 3 Research applications of urological cancer organoids

From: Urological cancer organoids, patients' avatars for precision medicine: past, present and future

Year

Author

Application

Model

Mainly findings

Refs

2014

Gao et al.

Disease modeling

PCO

Human prostate cancer organoids have been established for the first time and these organoids can reproduce the characteristic copy number and mutation profiles commonly found in prostate cancer

[40]

2016

Drost et al.

Disease modeling

PCO

They first cultured organoids derived from human metastatic prostate cancer biopsies and describe a specific culture protocol

[21]

2018

Park et al.

Disease modeling

NEPC organoid

Generation of NEPC organoids from benign prostate epithelial cells

[41]

2021

Servant et al.

Disease modeling

PCO

Furthermore, developed a biobank consisting of PCOs derived from 81 patients with primary and metastatic prostate cancer. A significant correlation was observed between the percentage of tumour cancers in the parental sample and organoid growth, implying that tumour purity could be a predictive factor for organoid growth

[42]

2016

Justin et al.

Disease modeling

BCO

They established 4 organoid lines derived from cancer specimens and found that organoids exhibited mutations that were highly concordant with original cancer samples

[51]

2018

Lee et al.

Disease modeling

BCO

Bladder cancer organoids harboring ERBB2 mutations and FGFR3-TACC3 fusions were established and their mutational, molecular and histopathological features were highly consistent with original cancers

[52]

2019

Mullenders et al.

Disease modeling

BCO

They created a variety of BCOs including basal and luminal subtypes. Moreover, all mouse and most human BCOs contained cells that stained positive for keratin 5 and CD44, which are two potential cancer stem cell markers

[22]

2015

Takasato et al.

Disease modeling

Kidney organoid

They established iPSC-derived kidney organoids

[67]

2015

Pan et al.

Disease modeling

RCO

They established renal cancer organoids from 786-O cell lines. These organoids expressed ccRCC characteristic gene CXCR4 and selective adhesion molecules, angiogenic factors and osteolytic factors related to bone metastasis

[68]

2015

Batchelder et al.

Disease modeling

RCO

20 renal cancer organoids were established from 25 ccRCC samples

[32]

2016

Drost et al.

Medium optimization

PCO

A fully defined serum-free medium for prostate cancer organoid was developed in which organoids contain pluripotent progenitor cells; can be cultured long-term; and contain the androgen receptor signaling pathway

[21]

2022

Cheaito et al.

Medium optimization

PCO

They simplified the regular 12-factor medium into a 5-factor medium. The 5-factor medium was found to increase the number and size of prostate cancer organoids, but prolonged culture time. The addition of R-spondin1 can significantly shorten the culture time

[46]

2019

Mullenders et al.

Medium optimization

BCO

A stable human bladder cancer organoid culture medium was developed and FGF7 and FGF10 were observed to stimulate the proliferation of human bladder cancer organoids

[22]

2018

Yoshida et al.

Medium optimization

BCO

The addition of heregulin and CHIR99021 to the medium promoted the growth of bladder cancer organoids

[15]

2020

Fendler et al.

Medium optimization

RCO

Amphotericin B, and heparin are added to the culture medium of ccRCC organoids and are widely used

[23]

2020

Elbadawy et al.

Drug screening

PCO

They demonstrate that PTEN deletion enhances resistance to next-generation anti-androgens, and that prostate cancers with double deletions of p53 and PTEN will be completely resistant to new-generation anti-androgens

[72]

2019

Chakraborty et al.

Drug screening

PCO

It was found that co-deletion of BRCA2 and RB1 induces EMT and is associated with cancer aggressiveness and progression; the PARP inhibitor olaparib inhibits the growth of mCRPC-derived organoids and promotes cancer cell apoptosis

[74]

2018

Lee et al.

Drug screening

BCO

Different organoids showed different responses to the MEK inhibitor trametinib and the ERK inhibitor SCH772984. Muscle-invasive carcinomas and tumors that recur after treatment failure showed greater drug resistance

[52]

2020

Kong et al.

Drug screening

BCO

They found the "amino acid synthesis and interconversion" pathway showed high predictive performance by network-based machine learning

[75]

2019

Grassi et al.

Drug screening

RCO

They demonstrated that ccRCC organoids were sensitive to SU11274 and foretinib and had reduced pAKT and pERK gene expression. Furthermore, forratinib sustained apoptosis in ccRCC organoids

[33]

2019

Grassi et al.

Nephrotoxicity testing

Renal organoid

They found that renal cell subtypes in which cleaved-Caspase3 co-expressed with LTL and WT1 antigens were sensitive to cisplatin. But only the tubular cells were damaged

[33]

2015

Åkerfelt et al.

TME

PCO

Using a real-time live-cell measurement platform, they observed that CAFs promote cancer organoid growth and invasion. And found that FAK inhibitors Y11 and PF-573228 selectively disrupted cancer-CAFs interactions, inhibited caner growth and invasion, and had no apparent cytotoxicity [46]

[83]

2021

Dhimoleaet et al.

TME

PCO

Co-culturing prostate cancer organoids with BMSCs and found that IL-6 secreted by BMSCs induced hormone-independent growth of prostate cancer organoids by activating the JAK/STAT signaling pathway and the model was less sensitive to enzalutamide

[84]

2018

Neal et al.

TME

RCO

They used an ALI method propagated PDOs from 100 human ccRCC biopsies or syngeneic immunocompetent mice as cancer epithelia with native embedded immune cells. The association in vivo between native TILs and cancer cells is preserved. They demonstrated that PDOs accurately preserved the original cancer TCR profile by 10 × Chromium single-cell sequencing. Both human and mouse cancer organoid TILs functionally exhibit activation, expansion and cytotoxicity responses to PD-1/PD-L1 checkpoint blockade

[85]

2014

Chua et al.

Cancer origin

PCO

They established mouse prostate cancer organoids using a prostate cancer luminal cell line and showed through lineage tracing that luminal cells facilitate organoid formation and generate basal cells in culture, suggesting progenitor properties of luminal cells

[88]

2016

Liu et al.

Cancer origin

PCO

Low CD38 expression can be used as a biomarker to identify luminal cells of prostate cancer

[90]

2016

Park et al.

Cancer origin

PCO

Both basal and luminal cells are thought to be progenitors of prostate cancer. Both basal and luminal cells can respond to the same oncogenic lesions to initiate tumorigenesis, but with different tumor phenotypes

[91]

2014

Choi et al.

Cancer origin

BCO

Basal-type bladder cancer was found to be more aggressive, metastatic, and less survival than the luminal type, and was more sensitive to cisplatin-based chemotherapy

[92, 93]

2016

Ohishi et al.

Cancer origin

BCO

Single cells from Shh-expressing cell derived organoids were able to self-renew and generating new organoids in subsequent cultures, suggesting that Shh-expressing basal urothelial cell populations include pluripotent stem cells

[54]

2015

Mout et al.

Precision treatment

PCO

Pioneering use of DLA to increase CTCs in patients with metastatic prostate cancer. This method provides a rich source for culturing organoids, enabling liquid biopsies

[96]

2017

Usui et al.

Precision treatment

Dog

PCO

For the first time, they established urine cancer stem cells derived PCOs from dogs with prostate cancer. They observed expression of the epithelial cell marker E-cadherin in the organoids by immunofluorescence staining

[99]

2019

Elbadawy et al.

Precision treatment

Dog

BCO

They generated dog bladder cancer organoids using urine samples. They found that the expression levels of MMP28, CTSE, CNN3, TFPI2, COL17A1 and AGPAT4 were specifically upregulated in dog BCOs

[100]

2020

Sun et al.

Precision treatment

RCO

They used 10% kECM to establish human USCs derived kidney organoids. And they demonstrated that USCs-derived kidney organoids were similar to HKCs derived organoids in morphology, histology and specific gene expression

[103]

2018

Wu et al.

Single-cell sequencing

Kidney organoid

Researchers compared single-cell transcriptomics of 83,130 cells from 65 kidney organoids with fetal and adult kidney cells by single-cell RNA sequencing. The results showed the organoid-derived cell types were immature with 10%-20% of the cells being non-renal cells and mostly neurons

[114]

2020

Calandrini et al.

Single-cell sequencing

Kidney tumor organoids

They established the first organoid biobank for paediatric cancers which included 54 kidney tumor organoids and matched normal kidney organoids. Using single-cell RNA sequencing and high-resolution 3D imaging, they demonstrated that Wilms tumor-derived organoids are composed of multiple distinct cell types including epithelial, stromal and blastocyst-like cells

[115]

2020

Fendler et al.

Single-cell sequencing

RCO

They used single-cell sequencing to determine the degree of heterogeneity within the kidney CSCs population. This yielded three subpopulations, two of which exhibited high expression of markers known to be associated with stem cells and kidney development

[23]

  1. PCO prostate cancer organoid, BCO bladder cancer organoid, RCO renal cell carcinoma organoid, NEPC neuroendocrine prostate cancer, ccRCC clear cell renal cell carcinoma, mCRPC metastatic castration-resistant prostate cancer, CAFs cancer-associated fibroblasts, BMSCs bone marrow stromal cells, PDOs Patient-Derived Organoids, TCR T cell receptor, TILs tumor-infiltrating lymphocytes, DLA diagnostic leukotomy, CTCs circulating tumor cells, kECM kidney-specific extracellular matrix, USCs urine stem cells, HKCs human kidney cells, 3D three-dimensional, CSCs cancer stem cells