Organoid forming potential as complementary parameter for accurate evaluation of breast cancer neoadjuvant therapeutic efficacy

© 2024. The Author(s), under exclusive licence to Springer Nature Limited..

BACKGROUND: 13-15% of breast cancer/BC patients diagnosed as pathological complete response/pCR after neoadjuvant systemic therapy/NST suffer from recurrence. This study aims to estimate the rationality of organoid forming potential/OFP for more accurate evaluation of NST efficacy.

METHODS: OFPs of post-NST residual disease/RD were checked and compared with clinical approaches to estimate the recurrence risk. The phenotypes of organoids were classified via HE staining and ER, PR, HER2, Ki67 and CD133 immuno-labeling. The active growing organoids were subjected to drug sensitivity tests.

RESULTS: Of 62 post-NST BC specimens, 24 were classified as OFP-I with long-term active organoid growth, 19 as OFP-II with stable organoid growth within 3 weeks, and 19 as OFP-III without organoid formation. Residual tumors were overall correlated with OFP grades (P < 0.001), while 3 of the 18 patients (16.67%) pathologically diagnosed as tumor-free (ypT0N0M0) showed tumor derived-organoid formation. The disease-free survival/DFS of OFP-I cases was worse than other two groups (Log-rank P < 0.05). Organoids of OFP-I/-II groups well maintained the biological features of their parental tumors and were resistant to the drugs used in NST.

CONCLUSIONS: The OFP would be a complementary parameter to improve the evaluation accuracy of NST efficacy of breast cancers.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:130

Enthalten in:

British journal of cancer - 130(2024), 7 vom: 09. Apr., Seite 1109-1118

Sprache:

Englisch

Beteiligte Personen:

Ye, Hai-Shan [VerfasserIn]
Zhou, Dan [VerfasserIn]
Li, Hong [VerfasserIn]
Lv, Jin [VerfasserIn]
Huang, Hui-Qi [VerfasserIn]
She, Jia-Jun [VerfasserIn]
Nie, Jun-Hua [VerfasserIn]
Li, Ting-Ting [VerfasserIn]
Lu, Meng-Di [VerfasserIn]
Du, Bo-Le [VerfasserIn]
Yang, Shu-Qing [VerfasserIn]
Chen, Pei-Xian [VerfasserIn]
Li, Sheng [VerfasserIn]
Ye, Guo-Lin [VerfasserIn]
Luo, Wei [VerfasserIn]
Liu, Jia [VerfasserIn]

Links:

Volltext

Themen:

EC 2.7.10.1
Journal Article
Receptor, ErbB-2

Anmerkungen:

Date Completed 05.04.2024

Date Revised 06.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41416-024-02595-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368310248