Patient-Derived Organoid (PDO) Establishment and Expansion
Materials Required
Principle
Patient-derived organoids (PDOs) are 3D in vitro models derived from patient tumor tissues that recapitulate the histological, genetic, and functional heterogeneity of the original tumors. These models are established by isolating tumor cells or tissue fragments and culturing them in a 3D extracellular matrix (ECM), such as Matrigel or decellularized ECM, to support self-organization, proliferation, and differentiation. The culture system preserves key features of the tumor microenvironment, including cell-cell interactions, stromal components, and ECM signaling, enabling accurate modeling of tumor biology and drug response for personalized medicine applications.
MCE has not independently verified the accuracy of these methods. They are for reference only.
Experimental Materials
• Enzymatic digestion reagents (e.g., collagenase, dispase);
• Matrigel or decellularized extracellular matrix (dECM);
• Serum-free organoid culture media (e.g., Gibco OncoPro Tumoroid Medium, modified 5-factor medium);
• Ultra-low attachment plates;
• Growth factors (e.g., Wnt ligands, EGF, R-spondin);
• Antibiotics;
• Cryopreservation medium;
• Immunohistochemistry/immunofluorescence reagents;
• Phase-contrast microscope;
• Microfluidic devices (for tri-culture models).
Experimental Procedure
• 2.Mechanically dissociate and enzymatically digest tissue into single-cell suspensions or small fragments.
• 3.Filter cell suspension to remove debris and clumps.
• 4.Resuspend cells in pre-warmed Matrigel or dECM and plate into culture wells or microfluidic arrays.
• 5.Add appropriate organoid culture medium supplemented with essential growth factors.
• 6.Incubate at 37°C with 5% CO2.
• 7.Monitor organoid formation weekly using phase-contrast microscopy.
• 8.Perform passaging by enzymatic digestion and re-embedding in new Matrigel/ECM.
• 9.Expand and maintain cultures over multiple passages.
• 10.Freeze viable organoids in cryopreservation medium for long-term storage.
• 11.Validate organoids via histology, immunofluorescence, RNA sequencing, and drug sensitivity assays.
Troubleshooting
Low organoid formation efficiency:
Optimize tissue sampling depth and area; increase Wnt ligand concentration; use co-culture with mesenchymal stromal cells (MSCs) or fibroblasts.Contamination with normal epithelial cells:
Implement stringent quality controls and use selective media formulations.Organoid overgrowth or loss of heterogeneity:
Adjust culture medium composition and passage frequency.Poor viability after thawing:
Ensure optimal cryopreservation protocol and use high-quality freezing medium.Limited scalability:
Adopt suspension culture formats or automated platforms for high-throughput screening.References:
- [1]. Aggarwal D, Russo S, Naik P, et al. Istituzione e coltura di organoidi mammari derivati da pazienti[J]Journal of Visualized Experiments (JoVE), 2023 (192): e64889.
- [2]. Cheaito K, Bahmad H F, Hadadeh O, et al. Establishment and characterization of prostate organoids from treatment‑naïve patients with prostate cancer[J]Oncology letters, 2022, 23(1): 1-16.
- [3]. Nam Y, Cha E, Kwak S M, et al. Harnessing Decellularized Extracellular Matrix for Enhanced Fidelity in Colorectal Cancer Organoid and Cell-Derived Xenograft Models[J]Journal of Microbiology and Biotechnology, 2024, 34(8): 1711.
- [4]. Morimoto T, Takemura Y, Miura T, et al. Novel and efficient method for culturing patient‐derived gastric cancer stem cells[J]Cancer science, 2023, 114(8): 3259-3269.
- [5]. Wong M, Vasani S, Breik O, et al. The potential of hydrogel‐free tumoroids in head and neck squamous cell carcinoma[J]Cancer Medicine, 2024, 13(16): e70129.
- [6]. Strocchi S, Santandrea G, Zanetti E, et al. A two-step protocol for isolation and maintenance of lung cancer primary 3D cultures[J]Cancers, 2024, 17(1): 27.
- [7]. Shapira-Netanelov I, Furman O, Rogachevsky D, et al. Patient-derived gastric cancer assembloid model integrating matched tumor organoids and stromal cell subpopulations[J]Cancers, 2025, 17(14): 2287.
- [8]. Paul C D, Yankaskas C, Shahi Thakuri P, et al. Long-term maintenance of patient-specific characteristics in tumoroids from six cancer indications[J]Scientific reports, 2025, 15(1): 3933.
- [9]. Bartucci M, Ferrari A C, Kim I Y, et al. Personalized medicine approaches in prostate cancer employing patient derived 3D organoids and humanized mice[J]Frontiers in Cell and Developmental Biology, 2016, 4: 64.
- [10]. Yang H, Sun L, Liu M, et al. Patient-derived organoids: A promising model for personalized cancer treatment[J]Gastroenterology report, 2018, 6(4): 243-245.
- [11]. Spagnol G, Sensi F, De Tommasi O, et al. Patient derived organoids (PDOs), extracellular matrix (ECM), tumor microenvironment (TME) and drug screening: state of the art and clinical implications of ovarian cancer organoids in the era of precision medicine[J]Cancers, 2023, 15(7): 2059.
- [12]. Sui Z, Wu X, Wang J, et al. Mesenchymal stromal cells promote the formation of lung cancer organoids via Kindlin-2[J] Stem Cell Research Therapy, 2025, 16(1): 7.
- [13]. Busch C, Hill C J, Paterson K, et al. Functional, patient-derived 3D tri-culture models of the uterine wall in a microfluidic array[J]Human Reproduction, 2024, 39(11): 2537-2550.
- [14]. Sensi F, Spagnol G, Repetto O, et al. Patient-derived extracellular matrix from decellularized high-grade serous ovarian carcinoma tissues as a biocompatible support for organoid growth[J]Translational Oncology, 2025, 61: 102523.
- [15]. Foo M A, You M, Chan S L, et al. Clinical translation of patient-derived tumour organoids-bottlenecks and strategies[J]Biomarker Research, 2022, 10(1): 10.
- [16]. Xie B Y, et al. Organoid culture of isolated cells from patient-derived tissues with colorectal cancer[J]Chinese Medical Journal, 2016, 129(20): 2469-2475.
- [17]. Shiihara M, et al. Application of patient-derived cancer organoids to personalized medicine[J]Journal of Personalized Medicine, 2022, 12(5): 789.
- [18]. Obreque J, Vergara-Gómez L, Venegas N, et al. Advances towards the use of gastrointestinal tumor patient-derived organoids as a therapeutic decision-making tool[J]Biological Research, 2023, 56(1): 63.