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Precision-cut tumor slices for modeling hepatocellular carcinoma enable at-scale drug screening

Lookup NU author(s): Amy Collins, Keara Kirkness, Erik Ramon Gil, Eleni Tzortzopoulou, Daniel Geh, Jack Dishington, Eleanor Graham, Rhys Muir, Rainie Cameron, Dr Saimir LuliORCiD, Daniel Storey, Dr Hannah Paish, Dr Glyn NelsonORCiD, Dr David McDonald, Professor Andrew FilbyORCiD, Dr Lee BorthwickORCiD, Professor Fiona OakleyORCiD, Professor Derek MannORCiD, Dr Jack LeslieORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2025 The Author(s). Published by Wolters Kluwer Health, Inc.Background: Disease modeling is vital for our understanding of disease mechanisms and for developing new therapeutic strategies. Accurately modeling the intact tumor microenvironment (TME) is increasingly recognized as essential for gaining insights into cancer biology and therapeutic response. Preclinical mouse models have provided utility for studying the evolving TME, but these models are costly and can lead to animal suffering and the discontinuation of drug investigations. To address these limitations, particularly in hepatocellular carcinoma (HCC), we have developed an ex vivo model using tumor precision-cut slices (TPCS) derived from orthotopic liver tumors. Methods: Murine HCC tumors were generated via intrahepatic injection of Hep-53.4 cells, providing a source of tumor tissue for TPCS generation. Subsequent scaling to a 96-well format and modification to include a secreted luciferase enabled longitudinal ex vivo screening of 26 drugs applied at 2 doses over an 8-day period, using just 5 tumors. One drug identified in the screen, salinomycin, was then validated in vivo via intraperitoneal injection of mice with orthotopic liver tumors. Results: Histological characterization determined that TPCS maintain the architecture, cellular complexity, and drug responsiveness of the original HCC-TME under simplified culture conditions that preserve viability and metabolic activity. In addition to typical HCC therapies, sorafenib and anti-PD1 immunotherapy, the screen identified 2 drugs as potent anticancer agents capable of impacting the viability of TPCS: salinomycin and rottlerin. Salinomycin was further validated in vivo, significantly reducing tumor burden without evidence of toxicity. Conclusions: We present a 3Rs (Reduction, Refinement, Replacement) approach for studying HCC biology and performing 96-well-scale drug screening within an intact, metabolically active TME, offering a more ethical and effective platform for drug discovery.


Publication metadata

Author(s): Collins AL, Kirkness K, Ramon-Gil E, Tzortzopoulou E, Geh D, Dishington J, Graham E, Muir R, Cameron R, Luli S, Khurram E, Storey D, Paish HL, Nelson G, Mcdonald D, Filby A, Borthwick LA, Oakley F, Mann DA, Leslie J

Publication type: Article

Publication status: Published

Journal: Hepatology Communications

Year: 2025

Volume: 9

Issue: 6

Print publication date: 01/06/2025

Acceptance date: 11/02/2025

Date deposited: 02/06/2025

ISSN (print): 2471-254x

ISSN (electronic): 2471-254x

Publisher: Lippincott Williams and Wilkins

URL: https://doi.org/10.1097/HC9.0000000000000706

DOI: 10.1097/HC9.0000000000000706

PubMed id: 40377490


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Funding

Funder referenceFunder name
C18342/A23390Cancer Research UK CRUK (open competition)
DRCRPGNov22/100007
Medical Sciences Springboard award (SBF009\1103)
MR/R023026/1Medical Research Council (MRC)
MR/Y003365/1
MR/K0019494/1
MRC
Royal Society Research Grant (RG\R2\232323)
Wellcome Trust Equipment Grant (087961)

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