Abstract We have designed and manufactured a miniaturized 3D cell culture format called NaviPlate. The NaviPlate contains a novel geometry to support the generation of cancer spheroids for robust and sensitive complex biological assays. Cells added to the NaviPlate spontaneously form spheroids, consistent with the cell line phenotype reported in the literature when using U-bottom multi-well formats. In addition, we have been able to perform assays such as cytotoxicity with a minimum number of 200 cells/well, representing a 5-50-fold improvement on existing 3D cell culture assays.Using the NaviPlate, we examined the response to chemotherapy of four commonly used cancer cell lines: LNCaP, AR mutant lymph-node derived prostate cancer; A549, KRAS mutant/EGFR wt NSCLC; HCT116, KRAS mutant/p53 wt colon cancer; and MDA-MB-231 triple negative breast cancer. First, the lines were exposed to three types of chemotherapy with distinct modes of action: 5-FU (DNA damage), Docetaxel (inhibition of microtubular polymerization) and Flavopiridiol (pan-CDK inhibition). Except for Flavopiridiol in A549 cells, all cell lines were resistant to chemotherapy, when grown in 3D, inside the NaviPlate. Furthermore, we were able to show that this resistance was dependent on the 3D formation of spheroids, as HCT116 cells exposed to chemotherapy before forming spheroids were still sensitive to treatment. Interestingly, in A549 cells, which form less tight spheroids, the effect of 3D clustering was less profound on the response to monotherapy. Lastly, we explored NaviPlate as a platform to identify best chemotherapy combination partners. We combined the three chemotherapies in all cell lines, with most combinations efficiently killing the spheroids. On note, the commonly used combination of 5-FU and Docetaxel had no statistically significant effect on the viability of either A549 or MDA-MB-231 cells.In conclusion, NaviPlate is an easy to use, cancer spheroid platform for the identification of chemotherapy combination partners and thus a useful tool for exploring personalized oncology approaches in the clinic. Citation Format: Elad Katz, Maureen R. Deehan, Russell D. Petty, Paul Davies. High-throughput screening of cancer spheroids demonstrates sensitivity to combination chemotherapy [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 187.
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