Abstract

Pancreatic cancer is a unique cancer in that up to 90% of its tumour mass is composed of a hypovascular and fibrotic stroma. This makes it extremely difficult for chemotherapies to be delivered into the core of the cancer mass. We tissue-engineered a biomimetic 3D pancreatic cancer (“tumouroid”) model comprised of a central artificial cancer mass (ACM), containing MIA Paca-2 cells, surrounded by a fibrotic stromal compartment. This stromal compartment had a higher concentration of collagen type I, fibronectin, laminin, and hyaluronic acid (HA) than the ACM. The incorporation of HA was validated with alcian blue staining. Response to paclitaxel was determined in 2D MIA Paca-2 cell cultures, the ACMs alone, and in simple and complex tumouroids, in order to demonstrate drug sensitivity within pancreatic tumouroids of increasing complexity. The results showed that MIA Paca-2 cells grew into the complex stroma and invaded as cell clusters with a maximum distance of 363.7 µm by day 21. In terms of drug response, the IC50 for paclitaxel for MIA Paca-2 cells increased from 0.819 nM in 2D to 3.02 nM in ACMs and to 5.87 nM and 3.803 nM in simple and complex tumouroids respectively, indicating that drug penetration may be significantly reduced in the latter. The results demonstrate the need for biomimetic models during initial drug testing and evaluation.

Highlights

  • Pancreatic ductal adenocarcinoma (PDA) is one of the most devastating cancer prognoses due to the extremely poor five-year survival rates of 15–20% [1]

  • Alcian Blue Staining for Presence of hyaluronic acid (HA)

  • In order to accurately model the fibrotic stroma in PDA, HA had to be incorporated into the stromal compartment of the tumouroids

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Summary

Introduction

Pancreatic ductal adenocarcinoma (PDA) is one of the most devastating cancer prognoses due to the extremely poor five-year survival rates of 15–20% [1]. As PDA progresses, the staging is defined by tumour size and spread to lymph nodes, major local blood vessels, and other organs such as the spleen, lungs, or liver. Common treatments may involve surgery to remove parts of the pancreas (e.g., Whipple) or complete pancreatectomy [3]. Palliative radiotherapy may be applied to shrink tumour mass. Chemotherapies such as gemcitabine, cisplatin, or paclitaxel are used for prolonged treatments [4]. Whilst there are a range of treatments available for pancreatic cancer, only

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