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Table 4 Precision treatment for immunotherapy using GIC PDOs

From: The pivotal application of patient-derived organoid biobanks for personalized treatment of gastrointestinal cancers

Cancer type

Immunotherapy

Assay

Key findings

Ref.

CRC

IFNγ treatment

FC

Only 3/612 non-silent mutations encode for neoantigens that are detectable by MS, establishing a low detection rate for non-silent mutations encoding for presented neoantigens. The finding may partly explain the unsatisfactory effect of ICIs for patients with non-hypermutated CRC.

[120]

CRC

CEA and CD3

FC

Heterogeneity of CEA expression contributed to low response to cibisatamab in CRC PDOs.

[121]

CRC

CAR-engineered lymphocytes

Organoid numbers

The CRC PDO platform to access tumor specificity and CAR efficacy and was established.

[122]

GC

PD-1 blocking antibody

Organoid areas

The co-culture of GC PDOs and immune cells may be used to study the function of MDSCs within the TME. The mTOR signaling regulates PD-L1 expression induced by GLI in GC

[123]

PDAC

anti-PD-1 and GEM

Apoptosis assay

The combination of GEM with anti-PD-1 induces sustained relief or even the complete elimination of aggressive PDAC by targeting Pin1.

[124]

  1. PDOs Patient-dervied organoids, Ref Reference, CRC Colorectal cancer, FC Flow cytometry, MS Mass spectrometry, ICI Immune checkpoint inhibitor, CAR Chimeric antigen receptor, MDSCs Myeloid-derived suppressor cells, TME Tumor microenvironment, PDAC Pancreatic ductal carcinoma, GEM Gemcitabine