Chemoresistance incancer cells, particularly in refractorytypes,such as colorectal cancer, poses a major challenge to effective treatment.In particular, the interaction between cancer cells and the tumormicroenvironment (TME) has been shown to exert substantial influenceon the efficacy of therapeutic agents. This study investigated whetheran intrinsic resistance phenotype alters drug distribution in theTME using xenograft models derived from HCT116 colorectal cancer cells,including oxaliplatin (OxPt)-sensitive and OxPt-resistant (OxR) variants.Tumors were prepared as formalin-fixed paraffin-embedded (FFPE) sections,followed by single-cell analysis with laser ablation inductively coupledplasma time-of-flight mass spectrometry (LA-ICP-TOFMS). Based on histologicalevaluations, a panel of metal-conjugated antibodies was designed totarget tissue architecture and distinct cell states within the TME.A dedicated calibration strategy was applied to accurately measureplatinum (Pt) uptake in phenotypically defined single cells acrossboth the tumor and its microenvironment. The results revealed substantialstructural differences: HCT116/OxR tumors exhibited robust growthfollowing drug administration, while parental tumors displayed extensivedegradation. Notably, OxPt accumulated significantly in necrotic regionsspecific to HCT116/OxR, indicating resistance-dependent changes indrug compartmentalization. These findings suggest that an intrinsicallyresistant cancer cell phenotype is capable of markedly altering metaldistributions within the TME.
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