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肝外胆管癌类器官的建立及影响因素分析

Establishment and related factors analysis of extrahepatic cholangiocarcinoma organoids

  • 摘要:
    目的 建立肝外胆管癌(extrahepatic cholangiocarcinoma, ECC)类器官,探讨影响类器官构建成功的因素。
    方法  从肝门胆管癌和远端胆管癌患者的肿瘤样本中分离细胞,采用三维培养技术建立ECC类器官。采用苏木精-伊红(hematoxylin-eosin, HE)、免疫组织化学染色对类器官进行组织学特征的评估和鉴定。比较不同肿瘤类型类器官构建的成功率,以及培养成功与失败患者的临床特征。
    结果  肝门胆管癌和远端胆管癌的类器官成功率偏低,分别为42.4%(14/33)、51.9%(14/27)。培养成功患者的肿瘤大于培养失败患者(P<0.001);培养成功与失败患者肿瘤分化程度、脉管侵犯、神经侵犯差异无统计学意义。
    结论  ECC类器官培养成功率较低,较大肿瘤类器官培养成功率较高。

     

    Abstract:
    Objective To establish a cell bank of extrahepatic cholangiocarcinoma (ECC)-derived organoids and investigate the key factors influencing the organoids generation.
    Methods  The tumor samples from patients with portal cholangiocarcinoma (pCCA) and distal cholangiocarcinoma (dCCA) were used to isolate cells, and these cells were cultured using three-dimensional (3D) technique to establish ECC organoids. Histological characteristics of the organoids were evaluated and identified through hematoxylin-eosin (HE) and immunohistochemistry stainings. The success rates of organoids generation from different tumor types were compared. And clinical characteristics of patients between successful and failure culture groups were compared.
    Results  The success rates of organoids establishment from pCCA and dCCA were all low, with 42.4% (14/33), 51.9% (14/27), respectively. The tumor was larger in successful group than that in failure group (P<0.001); there was no statistical difference in tumor differentiation status, microvascular invasion, and perineural invasion between the two groups.
    Conclusions The successful rate of ECC-derived organoids establishment is low, and larger tumor has higher successful culture rate.

     

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