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ENDOMETRIUM Publication-derived

Endometrial Cancer Tumouroids for Drug Screening

Source Boretto et al., 2019 · KU Leuven, Laboratory of Tissue Plasticity in Health and Disease · 10.1038/s41556-019-0360-z

Authors: Matteo Boretto, Nina Maenhoudt, Xinlong Luo, Aurélie Hennes, Bram Boeckx, Bich Bui, Ruben Heremans, Lisa Perneel, Hiroto Kobayashi, Indra Van Zundert, Hilde Brems, Benoit Cox, Marc Ferrante, Hiroshi Uji-i, Kian Peng Koh, Thomas D'Hooghe, Arne Vanhie, Ignace Vergote, Christel Meuleman, Carla Tomassetti, Diether Lambrechts, Joris Vriens, Dirk Timmerman, Hugo Vankelecom Duration: 30 days 17 phases Cell source: Patient-Derived Endometrial Tissue (Healthy and Endometrial Diseases: Endometriosis, Hyperplasia, Endometrial Cancer)

Abstract

This protocol describes the derivation and long-term expansion of three-dimensional organoids from patient endometrial biopsies spanning healthy and diseased endometrium including endometriosis, hyperplasia, and endometrial cancer. The organoids maintain genomic and transcriptomic stability, reproduce disease-associated phenotypes both in vitro and in vivo, and are suitable for drug screening applications.

Cell source
Patient-Derived Endometrial Tissue (Healthy and Endometrial Diseases: Endometriosis, Hyperplasia, Endometrial Cancer)
Application
Disease modeling and drug screening

Protocol overview

70 steps across 17 phases

Phase 1 · Tissue Preparation and Dissociation Day 0-1
  1. a Tissue Mincing and Rinsing
  2. b Enzymatic Dissociation with Collagenase IV
  3. c TrypLE Treatment
  4. d Digestion Stop and Centrifugation
Phase 2 · Organoid Seeding and Initial Culture Day 0-7 (organoids form within 7-14 days)
  1. a Matrigel Droplet Preparation
  2. b Standard Organoid Medium (SOM) Addition
  3. c Initial Culture and Organoid Monitoring
Phase 3 · Organoid Expansion and Passaging Day 14 onwards (every 10-20 days per passage)
  1. a Organoid Recovery from Matrigel
  2. b TrypLE Dissociation
  3. c Replating in Matrigel
  4. d Cryopreservation for Biobanking
Phase 4 · Clonogenic Capacity Assessment (Optional) Day 0-30
  1. a Single-Cell Dissociation and Filtration
  2. b Low-Density Single-Cell Seeding
  3. c Organoid Formation and Counting
Phase 5 · Medium Optimization Studies (For EC-O) 7-20 days per condition
  1. a Preparation of Modified Media
  2. b Culture of Dissociated Organoid Cells in Modified Media
  3. c Organoid Quantification
Phase 6 · WNT Pathway Interrogation (Optional) 7-10 days
  1. a Culture in WNT-Modified Media
  2. b Organoid Counting and RNA Extraction
Phase 7 · In Vivo Transplantation Day 0 (transplant); assess after 1-2 months
  1. a Organoid Preparation for Transplantation
  2. b Subrenal Transplantation (For Initial Feasibility)
  3. c Intraperitoneal Injection (For Endometriosis Models)
  4. d Uterine Orthotopic Transplantation (For Endometrial Cancer Models)
  5. e Graft Assessment and Tissue Collection
Phase 8 · Immunohistochemical and Histological Characterization Concurrent with organoid culture and post-transplantation
  1. a Organoid Fixation and Embedding
  2. b Haematoxylin and Eosin (H&E) Staining
  3. c Immunohistochemical (IHC) Staining
  4. d Periodic Acid–Schiff (PAS) Staining
  5. e Immunofluorescence (IF) Staining
Phase 9 · Transmission Electron Microscopy (TEM) Processing time: 3-5 days
  1. a Organoid Preparation for TEM
  2. b Heavy Metal Staining
  3. c Dehydration and Resin Embedding
  4. d Ultramicrotomy and TEM Imaging
Phase 10 · Two-Photon Excitation Microscopy for 3D Imaging Concurrent with organoid culture
  1. a Organoid Fixation and Labeling
  2. b Two-Photon Confocal Microscopy
Phase 11 · Genomic and Transcriptomic Characterization (aCGH, WES, RNA-seq) 10-30 days (processing time varies)
  1. a DNA Extraction
  2. b Array Comparative Genomic Hybridization (aCGH)
  3. c Whole-Exome Sequencing (WES) Library Preparation
  4. d Whole-Genome Library Preparation for Shallow Sequencing
  5. e Sequencing on HiSeq4000
  6. f WES Data Analysis and Variant Calling
  7. g Shallow-Seq and Copy Number Analysis
  8. h TP53 Sequencing Analysis
  9. i Microsatellite Instability (MSI) Assessment
Phase 12 · RNA Sequencing and Gene Expression Analysis 10-20 days (processing time)
  1. a RNA Extraction
  2. b RNA Amplification
  3. c RNA-Seq Library Preparation
  4. d NextSeq500 Sequencing
  5. e RNA-Seq Read Alignment and Quantification
  6. f Differential Gene Expression Analysis
  7. g Gene Ontology and Pathway Analysis
  8. h SNP Variant Calling from RNA-seq
Phase 13 · Reverse Transcription–Quantitative PCR (RT-qPCR) 1 day (per experiment)
  1. a RNA Extraction and Reverse Transcription
  2. b qPCR Setup
  3. c qPCR Data Analysis
Phase 14 · Drug Screening and Chemosensitivity Testing 10-20 days (per drug panel)
  1. a Organoid Dissociation and Seeding
  2. b Drug Preparation and Addition
  3. c Cell Viability Assessment (XTT Assay)
  4. d Dose–Response Curve Generation and IC50 Calculation
Phase 15 · Ion Channel Functionality Analysis 1-3 days (per experiment)
  1. a Organoid Dissociation and Cell Seeding
  2. b Calcium Indicator Loading
  3. c Ion Channel Agonist Stimulation
  4. d Calcium Imaging and Data Analysis
  5. e Ion Channel Blocker Cocktail Treatment (Optional)
Phase 16 · Targeted Sequencing for Mismatch Repair Genes (Lynch Syndrome) 1-2 days
  1. a PCR Amplification of Target Regions
  2. b Mutation Confirmation
Phase 17 · Quality Control and Statistical Analysis Throughout protocol execution
  1. a Genomic Stability Assessment
  2. b Transcriptomic Stability Verification
  3. c Statistical Analysis
  4. d Reproducibility and Replication

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Attribution

This SOP was written by Organthis based on the published method in Boretto et al., 2019. Once the originating laboratory has confirmed it, the SOP is marked Verified.

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