A rectal cancer organoid platform to study individual responses to chemoradiation Journal Article


Authors: Ganesh, K.; Wu, C.; O’Rourke, K. P.; Szeglin, B. C.; Zheng, Y.; Sauvé, C. E. G.; Adileh, M.; Wasserman, I.; Marco, M. R.; Kim, A. S.; Shady, M.; Sanchez-Vega, F.; Karthaus, W. R.; Won, H. H.; Choi, S. H.; Pelossof, R.; Barlas, A.; Ntiamoah, P.; Pappou, E.; Elghouayel, A.; Strong, J. S.; Chen, C. T.; Harris, J. W.; Weiser, M. R.; Nash, G. M.; Guillem, J. G.; Wei, I. H.; Kolesnick, R. N.; Veeraraghavan, H.; Ortiz, E. J.; Petkovska, I.; Cercek, A.; Manova-Todorova, K. O.; Saltz, L. B.; Lavery, J. A.; DeMatteo, R. P.; Massagué, J.; Paty, P. B.; Yaeger, R.; Chen, X.; Patil, S.; Clevers, H.; Berger, M. F.; Lowe, S. W.; Shia, J.; Romesser, P. B.; Dow, L. E.; Garcia-Aguilar, J.; Sawyers, C. L.; Smith, J. J.
Article Title: A rectal cancer organoid platform to study individual responses to chemoradiation
Abstract: Rectal cancer (RC) is a challenging disease to treat that requires chemotherapy, radiation and surgery to optimize outcomes for individual patients. No accurate model of RC exists to answer fundamental research questions relevant to patients. We established a biorepository of 65 patient-derived RC organoid cultures (tumoroids) from patients with primary, metastatic or recurrent disease. RC tumoroids retained molecular features of the tumors from which they were derived, and their ex vivo responses to clinically relevant chemotherapy and radiation treatment correlated with the clinical responses noted in individual patients’ tumors. Upon engraftment into murine rectal mucosa, human RC tumoroids gave rise to invasive RC followed by metastasis to lung and liver. Importantly, engrafted tumors displayed the heterogenous sensitivity to chemotherapy observed clinically. Thus, the biology and drug sensitivity of RC clinical isolates can be efficiently interrogated using an organoid-based, ex vivo platform coupled with in vivo endoluminal propagation in animals. © 2019, The Author(s), under exclusive licence to Springer Nature America, Inc.
Journal Title: Nature Medicine
Volume: 25
Issue: 10
ISSN: 1078-8956
Publisher: Nature Publishing Group  
Date Published: 2019-10-01
Start Page: 1607
End Page: 1614
Language: English
DOI: 10.1038/s41591-019-0584-2
PUBMED: 31591597
PROVIDER: scopus
PMCID: PMC7385919
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Charles L Sawyers
    226 Sawyers
  2. Sujata Patil
    511 Patil
  3. Leonard B Saltz
    791 Saltz
  4. Philip B Paty
    500 Paty
  5. Jose Guillem
    414 Guillem
  6. Jinru Shia
    720 Shia
  7. Martin R Weiser
    539 Weiser
  8. Rona Denit Yaeger
    322 Yaeger
  9. Joan Massague
    389 Massague
  10. Richard N Kolesnick
    300 Kolesnick
  11. Afsar Barlas
    35 Barlas
  12. Garrett Nash
    264 Nash
  13. Michael Forman Berger
    768 Berger
  14. Scott W Lowe
    249 Lowe
  15. Chin-Tung Chen
    63 Chen
  16. Helen Hyeong-Eun Won
    109 Won
  17. Paul Bernard Romesser
    193 Romesser
  18. Jesse Joshua Smith
    224 Smith
  19. Karuna   Ganesh
    68 Ganesh
  20. Mohammad   Adileh
    12 Adileh
  21. Emmanouil Pappou
    92 Pappou
  22. Iris Hsin - chu Wei
    67 Wei
  23. Maha Shady
    8 Shady
  24. Chao Wu
    21 Wu
  25. Bryan Charles Szeglin
    10 Szeglin
  26. Michael Marco
    18 Marco
  27. Youyun Zheng
    10 Zheng
  28. Jessica Ann Lavery
    80 Lavery
  29. Seo-Hyun Choi
    12 Choi
  30. Jennifer Whittington Harris
    5 Harris
  31. Charles-Etienne Gabriel Sauve
    7 Sauvé
  32. James S Strong
    6 Strong
  33. Eduardo Jose Ortiz
    6 Ortiz
  34. Amanda Kim
    1 Kim