PMID- 35597867 OWN - NLM STAT- MEDLINE DCOM- 20220818 LR - 20221113 IS - 1532-1827 (Electronic) IS - 0007-0920 (Print) IS - 0007-0920 (Linking) VI - 127 IP - 4 DP - 2022 Sep TI - Modelling immune cytotoxicity for cholangiocarcinoma with tumour-derived organoids and effector T cells. PG - 649-660 LID - 10.1038/s41416-022-01839-x [doi] AB - BACKGROUND: Immunotherapy with immune checkpoint inhibitors (ICIs) is being explored to improve cholangiocarcinoma (CCA) therapy. However, it remains difficult to predict which ICI will be effective for individual patients. Therefore, the aim of this study is to develop a co-culture method with patient-derived CCA organoids and immune cells, which could represent anti-cancer immunity in vitro. METHODS: CCA organoids were co-cultured with peripheral blood mononuclear cells or T cells. Flow cytometry, time-lapse confocal imaging for apoptosis, and quantification of cytokeratin 19 fragment (CYFRA) release were applied to analyse organoid and immune cell behaviour. CCA organoids were also cultured in immune cell-conditioned media to analyse the effect of soluble factors. RESULTS: The co-culture system demonstrated an effective anti-tumour organoid immune response by a decrease in live organoid cells and an increase in apoptosis and CYFRA release. Interpatient heterogeneity was observed. The cytotoxic effects could be mediated by direct cell-cell contact and by release of soluble factors, although soluble factors only decreased viability in one organoid line. CONCLUSIONS: In this proof-of-concept study, a novel CCA organoid and immune cell co-culture method was established. This can be the first step towards personalised immunotherapy for CCA by predicting which ICIs are most effective for individual patients. CI - (c) 2022. The Author(s). FAU - Zhou, Guoying AU - Zhou G AUID- ORCID: 0000-0002-0108-2103 AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. estelly88@gmail.com. FAU - Lieshout, Ruby AU - Lieshout R AUID- ORCID: 0000-0002-7848-3933 AD - Department of Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - van Tienderen, Gilles S AU - van Tienderen GS AD - Department of Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - de Ruiter, Valeska AU - de Ruiter V AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - van Royen, Martin E AU - van Royen ME AUID- ORCID: 0000-0002-6814-0996 AD - Department of Pathology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Boor, Patrick P C AU - Boor PPC AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Magre, Luc AU - Magre L AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Desai, Jyaysi AU - Desai J AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Koten, Kubra AU - Koten K AD - Department of Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Kan, Yik Yang AU - Kan YY AD - Department of Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Ge, Zhouhong AU - Ge Z AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Campos Carrascosa, Lucia AU - Campos Carrascosa L AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Geuijen, Cecile AU - Geuijen C AD - Merus N.V., Utrecht, The Netherlands. FAU - Sprengers, Dave AU - Sprengers D AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - van der Laan, Luc J W AU - van der Laan LJW AD - Department of Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. FAU - Verstegen, Monique M A AU - Verstegen MMA AUID- ORCID: 0000-0001-9908-6673 AD - Department of Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. m.verstegen@erasmusmc.nl. FAU - Kwekkeboom, Jaap AU - Kwekkeboom J AD - Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220521 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 SB - IM MH - *Bile Duct Neoplasms MH - Bile Ducts, Intrahepatic/pathology MH - *Cholangiocarcinoma MH - Humans MH - Leukocytes, Mononuclear/metabolism MH - Organoids MH - T-Lymphocytes/pathology PMC - PMC9381772 COIS- The authors declare no competing interests. EDAT- 2022/05/22 06:00 MHDA- 2022/08/19 06:00 PMCR- 2022/05/21 CRDT- 2022/05/21 23:19 PHST- 2021/11/02 00:00 [received] PHST- 2022/04/28 00:00 [accepted] PHST- 2022/04/15 00:00 [revised] PHST- 2022/05/22 06:00 [pubmed] PHST- 2022/08/19 06:00 [medline] PHST- 2022/05/21 23:19 [entrez] PHST- 2022/05/21 00:00 [pmc-release] AID - 10.1038/s41416-022-01839-x [pii] AID - 1839 [pii] AID - 10.1038/s41416-022-01839-x [doi] PST - ppublish SO - Br J Cancer. 2022 Sep;127(4):649-660. doi: 10.1038/s41416-022-01839-x. Epub 2022 May 21.