肺癌类器官的规范化构建及其在肺癌精准诊疗中的应用进展OA
Standardized Construction of Lung Cancer Organoids and Their Application Progress in the Precise Treatment of Lung Cancer
肺癌是我国发病风险最高、死亡率最高的癌症类型.尽管随着多种新型治疗手段的应用,肺癌的治疗较前已经取得显著进展.然而肺癌早期诊断困难的问题仍然存在,超过半数患者在诊断时已经发生了远处转移,这与理想中的精准治疗仍存在较大的差距.因此迫切需要开发一种新型的个体化诊疗模型.传统的癌细胞系模型缺乏空间结构,无法真实还原亲本组织的生长变化;患者来源异种移植模型造价昂贵,移植成功率低.肺癌类器官(lung cancer organoids,LCOs)模型相较于其他模型稳定遗传性高,培养迅速,不仅可真实模拟原始肿瘤的自然生长变化,而且减少了对动物的依赖,更加适合大规模药物筛选.然而随着类器官技术的快速发展,LCOs的构建方法尚未达成一致意见,本文系统阐述了LCOs模型的标准化构建及其在肺癌精准诊疗中的应用和最新进展情况,以期指导其临床应用,进而提高患者的生存质量,延长生存期.
Lung cancer is the malignancy with the highest incidence and mortality rates in China.Although signifi-cant progress has been made in its treatment due to the application of various novel therapeutic approaches,challenges remain in early diagnosis,as more than half of patients present with distant metastases at diagnosis,indicating a substantial gap com-pared to ideal precision therapy.Therefore,there is an urgent need to develop a novel personalized diagnostic and therapeutic model.Traditional cancer cell line models lack spatial structure and fail to accurately replicate the growth dynamics of native tissues;patient-derived xenograftmodels are costly and exhibit low transplantation success rates.In contrast,lung cancer organ-oids(LCOs)demonstrate superior genetic stability and rapid culture efficiency compared to other models,faithfully simulating the natural growth patterns of primary tumors and reducing animal dependency,making them particularly suitable for large-scale drug screening.However,despite rapid advancements in organoid technology,consensus has yet to be reached regarding standardized LCOs construction methods.This article systematically outlines the standardized development of LCOs models,their applications in precision lung cancer diagnosis and treatment,and recent progress,aiming to guide clinical implementa-tion and improve patients'quality of life and survival outcomes.
曹森;李文;张晓宽;牛天翼;吴峥;汪治宇
050011 石家庄,河北医科大学第四医院肿瘤免疫科050017 石家庄,河北医科大学肿瘤学系050011 石家庄,河北医科大学第四医院肿瘤免疫科050011 石家庄,河北医科大学第四医院肿瘤免疫科050011 石家庄,河北医科大学第四医院肿瘤免疫科050011 石家庄,河北医科大学第四医院肿瘤免疫科
肺肿瘤肺癌类器官药物敏感性检测肿瘤微环境
Lung neoplasmsLung cancer organoidsDrug sensitivity testingTumor microenvironment
《中国肺癌杂志》 2026 (6)
445-452,8
This paper was supported by the grants from the National Natural Science Foundation of China(No.81872101,to Zhiyu WANG)and the Natural Science Foundation of Hebei Province(No.H2024206210,to Zhiyu WANG). 本文受国家自然科学基金项目(No.81872101)和河北省自然科学基金项目(No.H2024206210)资助
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