RT Journal Article SR Electronic T1 Three-dimensional collagen-based scaffold model to study the microenvironment and drug-resistance mechanisms of oropharyngeal squamous cell carcinomas JF Cancer Biology and Medicine JO Cancer Biol Med FD China Anti-Cancer Association SP 502 OP 516 DO 10.20892/j.issn.2095-3941.2020.0482 VO 18 IS 2 A1 Miserocchi, Giacomo A1 Cocchi, Claudia A1 De Vita, Alessandro A1 Liverani, Chiara A1 Spadazzi, Chiara A1 Calpona, Sebastiano A1 Di Menna, Giandomenico A1 Bassi, Massimo A1 Meccariello, Giuseppe A1 De Luca, Giovanni A1 Campobassi, Angelo A1 Tumedei, Maria Maddalena A1 Bongiovanni, Alberto A1 Fausti, Valentina A1 Cotelli, Franco A1 Ibrahim, Toni A1 Mercatali, Laura YR 2021 UL http://www.cancerbiomed.org/content/18/2/502.abstract AB Objective: Squamous cell carcinoma (SCC) represents the most common histotype of all head and neck malignancies and includes oropharyngeal squamous cell carcinoma (OSCC), a tumor associated with different clinical outcomes and linked to human papilloma virus (HPV) status. Translational research has few available in vitro models with which to study the different pathophysiological behavior of OSCCs. The present study proposes a 3-dimensional (3D) biomimetic collagen-based scaffold to mimic the tumor microenvironment and the crosstalk between the extracellular matrix (ECM) and cancer cells.Methods: We compared the phenotypic and genetic features of HPV-positive and HPV-negative OSCC cell lines cultured on common monolayer supports and on scaffolds. We also explored cancer cell adaptation to the 3D microenvironment and its impact on the efficacy of drugs tested on cell lines and primary cultures.Results: HPV-positive and HPV-negative cell lines were successfully grown in the 3D model and displayed different collagen fiber organization. The 3D cultures induced an increased expression of markers related to epithelial–mesenchymal transition (EMT) and to matrix interactions and showed different migration behavior, as confirmed by zebrafish embryo xenografts. The expression of hypoxia-inducible factor 1α (1α) and glycolysis markers were indicative of the development of a hypoxic microenvironment inside the scaffold area. Furthermore, the 3D cultures activated drug-resistance signaling pathways in both cell lines and primary cultures.Conclusions: Our results suggest that collagen-based scaffolds could be a suitable model for the reproduction of the pathophysiological features of OSCCs. Moreover, 3D architecture appears capable of inducing drug-resistance processes that can be studied to better our understanding of the different clinical outcomes of HPV-positive and HPV-negative patients with OSCCs.