Use cases
Lung PDO—not a full airway developmental course and not A549 spheroids.
| Use | Fit | Readout | Notes |
|---|---|---|---|
| Lung ADC / SCC resection PDO drugs | Recommended | Viability, morphology, vs clinical response[1][3] | Driver annotation drives drug-arm design. |
| Normal airway organoid contrast | Contrast | Toxicity / differentiation contrast[2] | Keep normal airway dishes separate; similar medium, separate drug plates. |
| A549 / H1299 spheroids | Do not mix | Spheroid diameter | Cell-line spheroids are not PDOs. |
In one line
Lung-tumor clusters → dome → FGF/EGF niche → brief Y-27632 → mechanical split → CK/EpCAM + mycoplasma → subtype drugs.
Protocol overview
- Ethics + cold chain; log histology (ADC / SCC / SCLC etc.) and drivers
- Trim necrosis and obvious cartilage; collagenase to epithelial clusters
- Matrix domes; airway-like medium (EGF, FGF7/10, Noggin, R-spondin ± Wnt)[[1]][[2]]
- Brief Y-27632 + A83-01 to limit stroma; score cystic vs solid growth
- Feed every 2–3 days; mechanical split at 1–3 weeks
- CK8/19, EpCAM, E-Cadherin; mycoplasma; match primary IHC/NGS
- Drug arms by driver (EGFR-TKI, chemo…); include vehicle
- In vivo confirmation uses transplant SOPs—not this page