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Review ArticleReview

Development of glioblastoma organoids and their applications in personalized therapy

Can Xu, Xiaoye Yuan, Pengyu Hou, Ziru Li, Changsheng Wang, Chuan Fang and Yanli Tan
Cancer Biology & Medicine May 2023, 20 (5) 353-368; DOI: https://doi.org/10.20892/j.issn.2095-3941.2023.0061
Can Xu
1School of Clinical Medicine, Hebei University, Department of Neurosurgery, Affiliated Hospital of Hebei University, Baoding 07100, China
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Xiaoye Yuan
2School of Basic Medical Sciences, Hebei University, Baoding 07100, China
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Pengyu Hou
2School of Basic Medical Sciences, Hebei University, Baoding 07100, China
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Ziru Li
2School of Basic Medical Sciences, Hebei University, Baoding 07100, China
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Changsheng Wang
1School of Clinical Medicine, Hebei University, Department of Neurosurgery, Affiliated Hospital of Hebei University, Baoding 07100, China
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Chuan Fang
1School of Clinical Medicine, Hebei University, Department of Neurosurgery, Affiliated Hospital of Hebei University, Baoding 07100, China
3Hebei Key Laboratory of Precise Diagnosis and Treatment of Glioma, Baoding 071000, China
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  • For correspondence: [email protected] [email protected]
Yanli Tan
2School of Basic Medical Sciences, Hebei University, Baoding 07100, China
3Hebei Key Laboratory of Precise Diagnosis and Treatment of Glioma, Baoding 071000, China
4Department of Pathology, Affiliated Hospital of Hebei University, Baoding 07100, China
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  • For correspondence: [email protected] [email protected]
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    Figure 1

    Diagram of the construction patterns of different GBOs. The in vitro model of GBM was developed from the original 2-D and 3-D models and translated to the GBO model, and the genetically manipulated cerebral organoids, GLICO, PDO, and 3-D printed models were derived from the GBO model.

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    Table 1

    Summary of characteristics of different GBM models

    GBM modelCell resourceCulture conditionCharacteristicsAdvantages and disadvantagesReferences
    2-D modelPatient-derived GBM cellsDMEM or DMEM/F12 culture medium with 10% FBSMonolayer adherent cellsEasy cultivation, lack of stemness and differentiation ability7,8
    Sensitivity to therapy and radiation10
    3-D modelEstablished cell lineDMEM/F12 medium without serum, supplemented with EGF and bFGFTumor ballsStemness, self-renewal, and differentiation ability; slow proliferation7–9
    Enhanced heterogeneity and drug resistance11,12
    GBOiPS cellsDMEM/F12 containing B27, N2, and bFGFBrain tissue organoidCharacteristics of human brain development1,13
    GBM cell lineMatrix-freeHigh stemness and strong cell-cell interaction15
    Genetically manipulated cerebral organoidsiPS cellsDMEM/F12 containing B27, N2, and bFGFApplied CRISPR/Cas9 technologyObservation of the earliest steps of tumorigenesis in a human context with a defined genetic manipulation17–19
    Organoids derived from patients with c-Met mutationAccelerated differentiation into neurons for c-Met iPSC-A compared with control iPSC-A20
    PDOPatient tumor tissueDMEM/F12 containing B27, N2, and bFGFOrganoids derived directly from glioblastoma specimensGeneration of gradients of stem cell density and hypoxia with PDOs22
    DMEM/F12, Neurobasal medium, 1× GlutaMAX, NEAAs, penicillin–streptomycin, N2, and B27Preservation of key characteristics and gene expression of the parental tumorsFast, recapitulation of heterogeneity and key features of glioblastomas23–25
    5% (w/v) GelMA and 0.25% (w/v) HA as the ECMApplication of GelMA–HA hydrogelsMaintenance of parental tumor features, such as the expression of key genes26
    DMEM, FBS, UltraGlutamine I, penicillin–streptomycin, and NEAADescription of specific stepsHigh success rate and favorable preservation of patient heterogeneity27,28
    Analysis of genetic characteristics of parental patients and PDO modelsMimicking of the tumor microenvironment and angiogenesis; high-throughput drug screening for precision medicine29,30
    GLICOmESCs and GSCsmESCs: DMEM-HG, KRS, MEM-NEAA, glutamine, β-mercaptoethanol, and LIF
    GSCs: Neurobasal medium, B27, N2, bFGF, and EGF
    GBM spheroids in coculture with mouse embryonic stem cell (mESC)–derived early-stage cerebral organoids (eCOs)Favorable simulation of organoid compartments and infiltration patterns31
    GSCs and hESCsGSCs: Neurobasal medium, B27, N2, bFGF, and FGF
    Cerebral organoids: DMEM/F12, Neurobasal medium, N2, B27, insulin, GlutaMAX, and MEM-NEAA
    GSCs co-cultured with cerebral organoidsSimulation of invasion patterns and chemoradiotherapy resistance of patients with GBM10,32
    iPSCs and GSCsGSCs: Neurobasal medium, B27, L-Glutamine, Heparin, bFGF, and EGF
    iPSCs: DMEM/F12 GlutaMAX, N2, B27, insulin, and L-glutamine
    Characterization of GBM invasion into human brain at a quantitative or transcriptional level33
    3-D printed GBOGBM cells, ECM, and HUVECsGBM cells: DMEM, FBS, and penicillin–streptomycin
    HUVECs: endothelial cell growth medium 2
    GBOs reconstructed from patient-derived glioma cells, vascular endothelial cells, and extracellular matrix, on the basis of 3-D printing technologyRecapitulation of the structural, biochemical, and biophysical properties of native tumors; reproduction of clinically observed patient-specific resistance to treatment37,38
    GBM cells, monocytes, GASCs, and microgliaGBM cells and monocytes: MEM, FBS, L-glutamine, and NEAA
    GASCs: DMEM-HG medium
    Microglia: microglia complete medium with serum
    Use of bioinks based on modified alginate to prepare tumor models incorporating tumor and stromal cells from glioblastomaSpatial organization of multiple cell types and recovery of protein and RNA at the single cell level39
    GSCs, macrophages, astrocytes, and neural stem cellsGSCs: Neurobasal medium, B27, L-glutamine, bFGF, and FGF
    Monocytes: RPMI 1640 medium, and FBS
    Neural stem cells: complete NBM medium for GSCs
    Astrocytes: astrocyte medium
    Model comprising patient-derived GSCs, macrophages, astrocytes, and neural stem cells in HA-rich hydrogelRecapitulation of glioblastoma transcriptional profiles; promotion of hypoxic and invasive signatures; platform for drug response modeling42,43
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    Table 2

    Applications of organoids in GBM research

    ApplicationTargetsMechanismsReferences
    Biological function studyInflammationDendritic polyglycerol sulfate limits GBM invasiveness by modulating microglial activation in GBOs.45
    Lipid metabolismGSCs have lower lipid droplet accumulation than non-GSCs in GBO models and xenograft tumors.46
    InvasionlncGRS antisense nucleotides decrease aggressive growth of tumors in GBOs.47
    ProliferationEGFRvIII mutation-induced astrogenesis and massive cell proliferation in human GBOs are observed.48
    MicroenvironmentQuiescent cells are partially responsible for tumor cell infiltration and invasion in GBOs.49,50
    Drug treatmentGamitrinibGamitrinib inhibits cell proliferation, and induces cell apoptosis and death, in 17 primary glioma cell lines, 6 TMZ-resistant glioma cell lines, 4 neurospheres, and 3 PDOs.56
    UM-002The novel BET inhibitor UM-002 decreases glioblastoma cell proliferation and invasion in GBOs.57
    AtorvastatinAtorvastatin has potent anti-angiogenic and apoptosis inducing effects against glioma spheroids.58
    TemozolomideBioprinted GBOs reproduce clinically observed patient-specific resistance to treatment with concurrent chemoradiation and temozolomide.38
    RuxolitinibPatients with GBM with than without LPS expression have higher levels of STAT1 and STAT2, and are more sensitive to ruxolitinib therapy.59
    LuteolinLuteolin decreases the proliferation of patient-derived glioma initiating cells and tumor organoids, but does not affect normal astrocytes.60
    CostunolideThe TERT inhibitor costunolide effectively decreases cell viability in both primary GBO models and GBO models pre-treated with chemotherapy and radiotherapy.61
    MONMON decreases U87MG tumor size in GBOs and significantly decreases PARP expression.62
    GSC researchPTENGSCs are highly sensitive to proteasome inhibition, owing to an increased protein synthesis rate and loss of autophagy, associated with PTEN loss and activation of the PI3K/mTOR pathway.68
    CiliogenesisCiliogenesis-induced differentiation prevents the infiltration of GSCs in GBOs.69
    PhenotypeDifferent microenvironments produced by transfer of GSC clonal populations from adherent culture to organoid conditions have different clonal phenotypes and are highly plasticized.70
    ZIKVZIKV selectively eliminates GSCs from species-matched human mature cerebral organoids and GBM surgical specimens, but this effect is reversed by integrin αvβ5 inhibition.71
    ICB therapyHSPA7 promotes macrophage infiltration and SPP1 expression via upregulating YAP1 and LOX expression in GSCs. Knockdown of HSPA7 increases the efficiency of anti-PD1 therapy in the GBO model.72
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Cancer Biology & Medicine: 20 (5)
Cancer Biology & Medicine
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15 May 2023
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Development of glioblastoma organoids and their applications in personalized therapy
Can Xu, Xiaoye Yuan, Pengyu Hou, Ziru Li, Changsheng Wang, Chuan Fang, Yanli Tan
Cancer Biology & Medicine May 2023, 20 (5) 353-368; DOI: 10.20892/j.issn.2095-3941.2023.0061

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Development of glioblastoma organoids and their applications in personalized therapy
Can Xu, Xiaoye Yuan, Pengyu Hou, Ziru Li, Changsheng Wang, Chuan Fang, Yanli Tan
Cancer Biology & Medicine May 2023, 20 (5) 353-368; DOI: 10.20892/j.issn.2095-3941.2023.0061
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    • Abstract
    • Introduction
    • Establishment of GBO models
    • Application of organoids in GBM research
    • Deficiencies in GBOs and methods for improvement
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