IntroductionTumour initiation, progression and treatment are influenced by its microenvironment (TME). Chronic inflammation is linked to cancer in diverse pathologies and most aggressive solid tumours, including non-small cell lung carcinoma (NSCLC), have high levels of immune cell infiltration. Tumor-associated macrophages (TAM) are among the most abundant infiltrating cells, with tumour-promoting effects such as induction of proliferation, angiogenesis and evasion from adaptive immunity. Recapitulation of the interaction between the different cellular players, along with the extracellular matrix (ECM), is critical for understanding the mechanisms underlying disease progression and for prediction of therapeutic response.Material and methodsIn this work, we established a 3D cell model, the 3D-3-culture, enclosing three cellular components: NSCLC tumour cell spheroids, cancer-associated fibroblasts and monocytes. The model is based on alginate microencapsulation, which allows direct interaction between different cell types and is compatible with continuous monitoring and functional assessment in long-term culture using stirred systems.Results and discussionsIn the 3D-3-culture, the invasive and immunosuppressive microenvironment of NSCLC was recreated, with accumulation of cytokines/chemokines (IL4, IL10, IL13, CCL22, CCL24, CXCL1), ECM elements (collagen I, IV and fibronectin) and matrix metalloproteinases (MMP1/9). Our system supported cell migration and promoted cell-cell interactions within the alginate microcapsules, allowing the infiltration of monocytes into the tumour tissue and transpolarization into an M2-like macrophage phenotype. Upon challenge with chemo- and immunotherapeutic agents, the response of each cellular component to therapy was assessed. The macrophage phenotype was modulated upon treatment with the CSF1R inhibitor BLZ945, resulting in a decrease of the M2-like macrophages.ConclusionThe crosstalk between the ECM and tumour, stroma and immune cells in microencapsulated 3D-3-cultures promotes the activation of monocytes into TAM, mimicking aggressive tumour stages. This 3D cell model constitutes a novel tool to study macrophage plasticity and repolarization in response to chemotherapeutic and immunomodulatory drugs.We acknowledge support from the IMI Joint Undertaking (grant agreement no.115188) and FCT (iNOVA4Health—UID/Multi/04462/2013, SFRH/BD/52202/2013, SFRH/BD/52208/2013).Utrecht University, Pharmaceutical Sciences, Utrecht, The Netherlands