Improved Drug-Response Prediction Model of APC Mutant Colon Cancer Patient-Derived Organoids for Precision Medicine

Colorectal cancer is the third most common cancer in the world, with an annual incidence of 2 million cases. The success of first-line chemotherapy plays a crucial role in determining the disease outcome. Therefore, there is an increasing demand for precision medicine to predict drug responses and o...

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Veröffentlicht in:Cancers 2023-11, Vol.15 (23), p.5531
Hauptverfasser: Shin, Yong Jae, Jo, Eun Hae, Oh, Yunjeong, Kim, Da Som, Hyun, Seungyoon, Yu, Ahran, Hong, Hye Kyung, Cho, Yong Beom
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container_end_page
container_issue 23
container_start_page 5531
container_title Cancers
container_volume 15
creator Shin, Yong Jae
Jo, Eun Hae
Oh, Yunjeong
Kim, Da Som
Hyun, Seungyoon
Yu, Ahran
Hong, Hye Kyung
Cho, Yong Beom
description Colorectal cancer is the third most common cancer in the world, with an annual incidence of 2 million cases. The success of first-line chemotherapy plays a crucial role in determining the disease outcome. Therefore, there is an increasing demand for precision medicine to predict drug responses and optimize chemotherapy in order to increase patient survival and reduce the related side effects. Patient-derived organoids have become a popular in vitro screening model for drug-response prediction for precision medicine. However, there is no established correlation between oxaliplatin and drug-response prediction. Here, we suggest that organoid culture conditions can increase resistance to oxaliplatin during drug screening, and we developed a modified medium condition to address this issue. Notably, while previous studies have shown that survivin is a mechanism for drug resistance, our study observed consistent survivin expression irrespective of the culture conditions and oxaliplatin treatment. However, clusterin induced apoptosis inhibition and cell survival, demonstrating a significant correlation with drug resistance. This study's findings are expected to contribute to increasing the accuracy of drug-response prediction in patient-derived APC mutant colorectal cancer organoids, thereby providing reliable precision medicine and improving patient survival rates.
doi_str_mv 10.3390/cancers15235531
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subjects Adenomatous polyposis coli
Analysis
Apoptosis
Bevacizumab
Cancer
Cancer patients
Cancer therapies
Care and treatment
Cell culture
Cell survival
Chemotherapy
Clusterin
Colon cancer
Colorectal carcinoma
Drug resistance
Drug screening
Health aspects
Irinotecan
Medical research
Medicine, Experimental
Mutants
Organoids
Oxaliplatin
Patients
Precision medicine
Prediction models
Scientific equipment and supplies industry
Spheroids
Survivin
title Improved Drug-Response Prediction Model of APC Mutant Colon Cancer Patient-Derived Organoids for Precision Medicine
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