Use cases
Gastric PDO—not a full normal gastric-gland course and not AGS spheroids.
| Use | Fit | Readout | Notes |
|---|---|---|---|
| Gastric resection / met PDO biobank | Recommended | Subtype fidelity and drug response[1][3] | Yan living biobank showed organoids can retain heterogeneity. |
| Normal gastric gland organoid contrast | Contrast | Toxicity contrast[2] | Similar medium—keep separate from tumor drug plates. |
| AGS / MKN spheroids | Do not mix | Spheroid diameter | Cell-line spheroids are not PDOs. |
In one line
Gastric-tumor clusters → dome → Wnt/FGF10/gastrin niche → brief Y-27632 → mechanical split → CK/EpCAM → drugs.
Protocol overview
- Ethics + cold chain; log Lauren/WHO subtype and H. pylori history if known
- Trim necrosis; collagenase to clusters; keep matched normal mucosa separate
- Matrix domes; gastric niche (Wnt3a, R-spondin, Noggin, EGF, FGF10, gastrin)[[1]][[2]]
- Brief Y-27632 + A83-01; score cystic budding
- Feed every 2–3 days; mechanical split by growth
- CK19/20, EpCAM, E-Cadherin; mycoplasma; match the primary
- Drug assays with vehicle and standard-of-care arms[[3]]
- In vivo confirmation uses transplant SOPs