首页|肺癌类器官疾病模型的建立与药敏初步试验

肺癌类器官疾病模型的建立与药敏初步试验

扫码查看
目的 探讨构建肺癌类器官的体外培养方法,利用类器官模型进行个性化药物敏感度的初步检测.方法 借助手术、纤维支气管镜及CT引导下肺穿刺活检等技术选取病变组织进行取材,获取肺癌患者肿瘤组织.将所取病变组织清洗处理后,经剪切、消化、过滤后可获取肺癌细胞,用基质胶重悬肺癌细胞并接种于培养皿,3D立体培养类器官;ki-67、CD133免疫组化比较类器官与亲本肿瘤组织相关性;化疗药物(长春瑞滨、顺铂、紫杉醇、吉西他滨和培美曲塞)处理分析药敏结果.结果 肺癌类器官核异型性明显,与亲本肺癌组织一致.肺癌类器官CD133免疫组化强阳性,提示肺癌类器官是肿瘤干细胞的富集,ki-67细胞比例超50%,说明类器官具备一定的增殖能力.化疗药物作用后,肺癌类器官对顺铂、吉西他滨、紫杉醇为高度敏感,对长春瑞滨和培美曲塞为低度敏感.结论 本研究成功建立了肺癌类器官体外培养体系,可初步用于体外药敏试验.
Establishment of Lung Cancer Organoid Model and it's Preliminary Drug Sensitivity Test
Objective To explore the method for in vitro culture of organoid model of lung cancer,and use the organoid model for preliminary detection of personalized drug sensitivity.Methods Lung cancer patient tumor tissues were obtained by techniques such as surgery,fiberoptic bronchoscopy and CT-guided lung puncture biopsy.The lesion tissues were washed,cut,digested and filtered to ob-tain lung cancer cells.The lung cancer cells were resuspended in matrigel and inoculated in culture dishes for 3D organoid culture.ki-67 and CD133 immunohistochemistry were used to compare the correlation between organoids and parent tumor tissues.Chemotherapeutic drugs(vinorelbine,cisplatin,paclitaxel,gefitinib and pemetrexed)were used to analyze drug sensitivity results.Results Lung cancer organoids showed obvious nuclear atypia,consistent with parent lung cancer tissues.Lung cancer organoids showed strong positive CD133 immunohistochemistry,suggesting that lung cancer organoids were enriched with tumor stem cells.The proportion of ki-67 positive cells exceeded 50%,indicating that the organoids had certain proliferation ability.After treatment with chemotherapeutic drugs,lung cancer organoids were highly sensitive to cisplatin,gefitinib and paclitaxel,but less sensitive to vinorelbine and pemetrexed.Conclusion This study successfully established an in vitro culture system of lung cancer organoids,which can be preliminarily used for in vitro drug sensi-tivity test.

Lung cancerThree-dimensional cultureOrganoidDrug sensitivity test

华红伟、丁罡

展开 >

201318 上海国际医学中心

201315 上海和睦家新城医院

肺癌 3D立体培养 类器官 药敏试验

上海市卫生健康委员会卫生行业临床研究专项面上项目

201940403

2024

医学研究杂志
中国医学科学院

医学研究杂志

CSTPCD
影响因子:0.702
ISSN:1673-548X
年,卷(期):2024.53(6)
  • 3