PMID- 38499265 OWN - NLM STAT- MEDLINE DCOM- 20240409 LR - 20240409 IS - 1872-7980 (Electronic) IS - 0304-3835 (Linking) VI - 588 DP - 2024 Apr 28 TI - Patient-derived tumoroid models of pulmonary large-cell neuroendocrine carcinoma: a promising tool for personalized medicine and developing novel therapeutic strategies. PG - 216816 LID - S0304-3835(24)00209-X [pii] LID - 10.1016/j.canlet.2024.216816 [doi] AB - Pulmonary large-cell neuroendocrine carcinoma (LCNEC), a disease with poor prognosis, is classified as pulmonary high-grade neuroendocrine carcinoma, along with small-cell lung cancer. However, given its infrequent occurrence, only a limited number of preclinical models have been established. Here, we established three LCNEC tumoroids for long-term culture. Whole-exome sequencing revealed that these tumoroids inherited genetic mutations from their parental tumors; two were classified as small-cell carcinoma (S-LCNEC) and one as non-small cell carcinoma (N-LCNEC). Xenografts from these tumoroids in immunodeficient mice mimicked the pathology of the parent LCNEC, and one reproduced the mixed-tissue types of combined LCNEC with a component of adenocarcinoma. Drug sensitivity tests using these LCNEC tumoroids enabled the evaluation of therapeutic agent efficacy. Based on translational research, we found that a CDK4/6 inhibitor might be effective for N-LCNEC and that Aurora A kinase inhibitors might be suitable for S-LCNEC or LCNEC with MYC amplification. These results highlight the value of preclinical tumoroid models in understanding the pathogenesis of rare cancers and developing treatments. LCNEC showed a high success rate in tumoroid establishment, indicating its potential application in personalized medicine. CI - Copyright (c) 2024 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Yokota, Etsuko AU - Yokota E AD - Department of General Surgery, Kawasaki Medical School, Okayama, Japan. FAU - Iwai, Miki AU - Iwai M AD - General Medical Center Research Unit, Kawasaki Medical School, Okayama, Japan. FAU - Yukawa, Takuro AU - Yukawa T AD - Department of General Surgery, Kawasaki Medical School, Okayama, Japan. FAU - Naomoto, Yoshio AU - Naomoto Y AD - Department of General Surgery, Kawasaki Medical School, Okayama, Japan. FAU - Haisa, Minoru AU - Haisa M AD - Kawasaki Medical School General Medical Center, Okayama, Japan; Department of Medical Care Work, Kawasaki College of Health Professions, Okayama, Japan; Kawasaki Geriatric Medical Center, Okayama, Japan. FAU - Monobe, Yasumasa AU - Monobe Y AD - Okayama Medical Laboratories CO., Ltd, Kurashiki, Japan. FAU - Takigawa, Nagio AU - Takigawa N AD - General Medical Center Research Unit, Kawasaki Medical School, Okayama, Japan; Department of General Internal Medicine 4, Kawasaki Medical School, Okayama, Japan. FAU - Fukazawa, Takuya AU - Fukazawa T AD - Department of General Surgery, Kawasaki Medical School, Okayama, Japan; General Medical Center Research Unit, Kawasaki Medical School, Okayama, Japan. Electronic address: fukazawat@med.kawasaki-m.ac.jp. FAU - Yamatsuji, Tomoki AU - Yamatsuji T AD - Department of General Surgery, Kawasaki Medical School, Okayama, Japan. LA - eng PT - Journal Article DEP - 20240316 PL - Ireland TA - Cancer Lett JT - Cancer letters JID - 7600053 SB - IM MH - Humans MH - Animals MH - Mice MH - Precision Medicine MH - *Lung Neoplasms/drug therapy/genetics/pathology MH - *Carcinoma, Neuroendocrine/drug therapy/genetics/pathology MH - *Carcinoma, Small Cell/pathology MH - *Small Cell Lung Carcinoma/genetics MH - *Carcinoma, Large Cell/drug therapy/genetics/pathology OTO - NOTNLM OT - Non-small cell lung cancer OT - Personalized medicine OT - Pulmonary large-cell neuroendocrine carcinoma OT - Small-cell lung cancer OT - Tumoroid COIS- Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests. T. Yamatsuji reports grants from MSD, Chugai Pharmaceutical, Japan; Takeda Pharmaceutical, Japan; Daiichi-Sankyo, Japan; Kaken Pharmaceutical, Japan; Astellas Pharma, Japan; Eli Lilly Japan, Japan; Shionogi, Japan; Taiho Pharmaceutical, Japan; Bayer Yakuhin, Japan; and Otsuka Pharmaceutical Co., Ltd. Japan and personal fees from Yakult Honsha, Japan outside the submitted work. N. Takigawa reports grants and personal fees from Eli Lilly Japan, Japan; AstraZeneca, United Kingdom; Daiichi-Sankyo, Japan; Chugai Pharmaceutical, Japan; Taiho Pharmaceutical, Japan; Pfizer Inc., United States; Boehringer-Ingelheim Japan, Japan and Ono Pharmaceutical, Japan; grants from Kyowa Hakko Kirin, Japan; Nippon Kayaku, Japan and Takeda Pharmaceutical, Japan and personal fees from MSD and Bristol-Myers Squibb Company, United States outside the submitted work. No disclosures have been reported by the other authors. EDAT- 2024/03/19 00:42 MHDA- 2024/04/09 06:45 CRDT- 2024/03/18 20:27 PHST- 2023/11/19 00:00 [received] PHST- 2024/03/04 00:00 [revised] PHST- 2024/03/12 00:00 [accepted] PHST- 2024/04/09 06:45 [medline] PHST- 2024/03/19 00:42 [pubmed] PHST- 2024/03/18 20:27 [entrez] AID - S0304-3835(24)00209-X [pii] AID - 10.1016/j.canlet.2024.216816 [doi] PST - ppublish SO - Cancer Lett. 2024 Apr 28;588:216816. doi: 10.1016/j.canlet.2024.216816. Epub 2024 Mar 16.