Abstract
This project addresses the current lack of quantifiable and clinically relevant imaging endpoints for use in
patient-derived organoid models. Microphysiological tumor models (μPTMs) are tissue-engineered 3D tumors
that can be grown inside microfluidic devices to form multicellular tissue-like constructs that retain the
biological and functional characteristics of the tissue of origin. These μPTMs provide a powerful model of
individual patients’ tumor and are used in drug discovery, cancer research, and personalized medicine.
However, a critical hurdle remains that, unlike xenotransplanted tumors, μPTMs are incompatible with positron
emission tomography (PET) and other diagnostic imaging tools used in oncology. There is a dearth of
quantitative imaging methods that can be applied seamlessly across physical scales, ranging from in vitro cell
cultures to animal models and cancer patients. Drawing from extensive preliminary work, we will bridge this
gap by harnessing the ability of radioluminescence microscopy (RLM) to image clinical radionuclides in
organoids with ultra-high spatial resolution. Upon completion, this project will enable routine imaging of in vitro
tumor models using the growing array of diagnostic and therapeutic radiopharmaceuticals, many of which are
used as clinical standard of care. This goal will be achieved by pursuing three specific aims. First, we will
demonstrate that quantitative image-based metrics can be acquired using PET tracers in patient-derived
organoids. Validation will be conducted for three PET tracers against mouse xenograft models derived from the
same set of cancer patients. Second, we will refine the μPTMs by incorporating functional (perfusable) human
microvascular networks within the 3D matrix and, using imaging and other assays, determine the effect of the
vasculature on image-based endpoints. Third, as a pilot translational study, we will develop patient-specific
μPTMs (n=10) and compare fluorodeoxyglucose (FDG) metabolic activity in these organoids against
biomarkers derived from clinical FDG-PET. In sum, this project will enhance the ability of researchers to run
clinical trials “on a chip”, using the patient’s own tumor and clinically approved radiopharmaceuticals.
Ultimately, these advances could be translated to predict the efficacy of new drugs, test biological hypotheses,
and individualize patient therapy.