Abstract

Simple SummaryThe classical approach to study the immune response against a tumor was mixing immune cells with tumor cell suspensions in several experimental settings. These models lack the appropriate tissue architecture in which the immune response takes place and do not consider other cellular and extracellular players of the tumor microenvironment essential to understand the anti-tumor immune response. Thus, to confirm in vitro data, in vivo experiments have been extensively performed, using animal models that may not fully reproduce what happens in humans. Indeed, in animal-based studies, tumors are artificially generated in a short time, and immune cell subsets and receptor-ligands pairs, involved in tumor cells recognition by the immune system, are often different from human counterparts. To reduce the number of animals used, and possibly replace animal models, alternative methods of culture have been developed. Herein, some of these approaches will be described, highlighting their advantages and disadvantages, focusing on natural killer cells as the first line of anti-tumor effector cells able to contrast tumor growth.Several approaches have shown that the immune response against tumors strongly affects patients’ clinical outcome. Thus, the study of anti-tumor immunity is critical to understand and potentiate the mechanisms underlying the elimination of tumor cells. Natural killer (NK) cells are members of innate immunity and represent powerful anti-tumor effectors, able to eliminate tumor cells without a previous sensitization. Thus, the study of their involvement in anti-tumor responses is critical for clinical translation. This analysis has been performed in vitro, co-incubating NK with tumor cells and quantifying the cytotoxic activity of NK cells. In vivo confirmation has been applied to overcome the limits of in vitro testing, however, the innate immunity of mice and humans is different, leading to discrepancies. Different activating receptors on NK cells and counter-ligands on tumor cells are involved in the antitumor response, and innate immunity is strictly dependent on the specific microenvironment where it takes place. Thus, three-dimensional (3D) culture systems, where NK and tumor cells can interact in a tissue-like architecture, have been created. For example, tumor cell spheroids and primary organoids derived from several tumor types, have been used so far to analyze innate immune response, replacing animal models. Herein, we briefly introduce NK cells and analyze and discuss in detail the properties of 3D tumor culture systems and their use for the study of tumor cell interactions with NK cells.

Highlights

  • In late 1980s, the seminal findings of Rosenberg and colleagues on the so-called lymphokine activated killer (LAK) cells have shown that LAK-killing of tumor cells can eliminate both autologous and heterologous tumor cells in vitro, and cure mice from melanoma [1,2,3,4]

  • Spheroids and organoids can be culchemically defined media; this is of relevance to avoid any influence during the experimental procedures of animal/viral tured in chemically defined media; this is of relevance to avoid any influence during the experiderived factors; this leads to the generation of a more physiologic microenvironment

  • This parameter changed during both spheroid infiltration by Natural killer (NK) cells and NK cell-mediated killing of tumor cells [126]. These findings indicate that mass density can characterize a tumor cell spheroid, and its evaluation can provide new insights on how tumor cells respond to NK

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Summary

Introduction

In late 1980s, the seminal findings of Rosenberg and colleagues on the so-called lymphokine activated killer (LAK) cells have shown that LAK-killing of tumor cells can eliminate both autologous and heterologous tumor cells in vitro, and cure mice from melanoma [1,2,3,4]. The key role of the immune response became evident testing immune-checkpoint (IC) blockers (B) to reactivate the anti-tumor immune response in host bearing tumors [7,8,9,10,11] In this case, using appropriate tools such as humanized monoclonal antibodies (hmAb) to programmed cell death receptor 1 (PD1), programmed cell death receptor ligand 1 (PDL1) or cytotoxic activated T lymphocyte. 4 receptor (CTLA4), it is possible to reactivate the adaptive anti-tumor-specific immune response [7,8,9,10,11] This strategy is effective when IC-inhibited tumor-specific T cells are already present in the host, targeted hmAb can relieve the tumor microenvironment (TME)-mediated immunosuppression [11,12,13,14,15,16]. To better understand how innate cells can be used to fight cancer, suitable and feasible 3D culture models composed of tumor cells, tumor stromal cells and immune effectors have been set up and used to evaluate the anti-tumor effect of NK cells

Developing 3D Culture Models
Natural as Anti-Tumor
Basic Interaction between Natural Killer Cells and Tumor Cells
Tumor Cell Spheroids as a 3D Model to Study Tumor Cell Biology and
CRC Biological Features and CRC Spheroids
Schematic representation
Generation of CRC Spheroids and Molecules Involved in NK Cell Mediated
Invasion and Killing of CRC Spheroids
NK Cells Interaction with Other Solid Tumor Spheroids
Co-Culture Conditions of Organoids and Immune Cells
Culture Requirements of NK Cells
Interactions of NK Cells and CRC-Derived Organoids
Limitations of Spheroids and Organoids as 3D Culture Models
Microfluidic Model to Study the NK Cell Distribution in Tumor Spheroids
Heterotypic Spheroids to Better Mimic TME
Findings
Conclusions
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