Three‐dimensional culture models to study drug resistance in breast cancer

Despite recent advances in breast cancer treatment, drug resistance frequently presents as a challenge, contributing to a higher risk of relapse and decreased overall survival rate. It is now generally recognized that the extracellular matrix and cellular heterogeneity of the tumor microenvironment...

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Bibliographic Details
Published in:Biotechnology and bioengineering Vol. 117; no. 7; pp. 2262 - 2278
Main Authors: Fisher, Madeline F., Rao, Shreyas S.
Format: Journal Article
Language:English
Published: United States Wiley Subscription Services, Inc 01-07-2020
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Summary:Despite recent advances in breast cancer treatment, drug resistance frequently presents as a challenge, contributing to a higher risk of relapse and decreased overall survival rate. It is now generally recognized that the extracellular matrix and cellular heterogeneity of the tumor microenvironment influences the cancer cells' ultimate fate. Therefore, strategies employed to examine mechanisms of drug resistance must take microenvironmental influences, as well as genetic mutations, into account. This review discusses three‐dimensional (3D) in vitro model systems which incorporate microenvironmental influences to study mechanisms of drug resistance in breast cancer. These bioengineered models include spheroid‐based models, biomaterial‐based models such as polymeric scaffolds and hydrogels, and microfluidic chip‐based models. The advantages of these model systems over traditionally studied two‐dimensional tissue culture polystyrene are examined. Additionally, the applicability of such 3D models for studying the impact of tumor microenvironment signals on drug response and/or resistance is discussed. Finally, the potential of such models for use in the development of strategies to combat drug resistance and determine the most promising treatment regimen is explored. Three dimensional in vitro culture models to study drug resistance in breast cancer are discussed in this review. These platforms include spheroid‐based models, biomaterial‐based polymeric scaffold and hydrogel models, as well as microfluidic chip‐based models. The signaling pathways and mechanisms by which the breast cancer cells resist treatment to chemo and/or targeted therapeutics are highlighted.
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ISSN:0006-3592
1097-0290
DOI:10.1002/bit.27356