Use cases
Mesothelioma PDO—not NCI-H28 spheroids and not a renamed lung PDO.
| Use | Fit | Readout | Notes |
|---|---|---|---|
| Pleural / peritoneal meso PDO vs platinum-tolerance phenotypes | Recommended | Metabolism / drugs vs clinical exposure[1] | High-fidelity platforms can mirror dynamic cisplatin tolerance. |
| Peritoneal meso HIPEC-oriented drug-combination pilots | Contrast | Combination sensitivity[2] | In vivo HIPEC PK is a separate project—ex vivo is concentration contrast only. |
| NCI-H28 / MSTO spheroids as PDO | Do not mix | Spheroid diameter | Cell-line spheroids are not PDOs. |
In one line
Meso clusters / effusion cells → dome → EGF/FGF2 niche → brief Y-27632 → passage → EpCAM/CK → platinum drugs.
Protocol overview
- Ethics + cold chain; log pleural / peritoneal site, epithelioid / sarcomatoid / biphasic, and prior platinum exposure
- Mince/digest resections or enrich malignant effusion cells; brief RBC lysis (MC427) if bloody
- Matrix domes; EGF / FGF2 ± HGF mesothelial–tumor niche[[1]][[2]]
- Brief Y-27632; score cystic vs solid growth
- Feed every 2–3 days; mechanical split; bank histologic subtypes separately
- EpCAM, CK, E-Cadherin by subtype; mycoplasma; match the primary
- Platinum / HIPEC-related arms with vehicle; in vivo uses transplant SOPs—not this page