Abstract

The transcoelomic metastasis pathway is an alternative to traditional lymphatic/hematogenic metastasis. It is most frequently observed in ovarian cancer, though it has been documented in colon and gastric cancers as well. In transcoelomic metastasis, primary tumor cells are released into the abdominal cavity and form cell aggregates known as spheroids. These spheroids travel through the peritoneal fluid and implant at secondary sites, leading to the formation of new tumor lesions in the peritoneal lining and the organs in the cavity. Models of this process that incorporate the fluid shear stress (FSS) experienced by these spheroids are few, and most have not been fully characterized. Proposed herein is the adaption of a known dynamic cell culture system, the orbital shaker, to create an environment with physiologically-relevant FSS for spheroid formation. Experimental conditions (rotation speed, well size and cell density) were optimized to achieve physiologically-relevant FSS while facilitating the formation of spheroids that are also of a physiologically-relevant size. The FSS improves the roundness and size consistency of spheroids versus equivalent static methods and are even comparable to established high-throughput arrays, while maintaining nearly equivalent viability. This effect was seen in both highly metastatic and modestly metastatic cell lines. The spheroids generated using this technique were fully amenable to functional assays and will allow for better characterization of FSS’s effects on metastatic behavior and serve as a drug screening platform. This model can also be built upon in the future by adding more aspects of the peritoneal microenvironment, further enhancing its in vivo relevance.

Highlights

  • Ovarian cancer (OC) is the deadliest gynecological cancer, expected to cause over 14,000 deaths in2018, with a five-year survival rate that can be as low as 30% [1]

  • About 90% of ovarian cancers are epithelial in origin (Epithelial Ovarian Cancer—EOC) [2]

  • We report the first characterization and optimization of an orbital shaker/rotating plate for producing ovarian cancer spheroids under physiologically-relevant fluid shear stress (FSS), and directly comparing to the morphology and viability of those produced by common static methods

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Summary

Introduction

Ovarian cancer (OC) is the deadliest gynecological cancer, expected to cause over 14,000 deaths in2018, with a five-year survival rate that can be as low as 30% [1]. OC’s high fatality rate arises from both difficulties in diagnosis and treatment. Most common, is high-grade serous carcinoma (HGSC, ~70% of clinical cases), which is believed to originate in the fallopian tubes via serous tubal intraepithelial carcinoma (STIC) lesions [3]. The second is clear cell carcinoma (CCC), which accounts for about 10% of clinical cases [4], and closer to 25% for Asian women. Clear cell carcinoma has attracted significant attention due to its highly aggressive nature compared to other subtypes [5]. In both cases, the symptoms are typically mild digestive complications and/or pelvic pain, among

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