Evidence map›Paper›PMID 35780216›Full record

ArticleAnnals of surgical oncology2022

Patient-Specific Sarcoma Organoids for Personalized Translational Research: Unification of the Operating Room with Rare Cancer Research and Clinical Implications.

Steven D Forsythe, Hemamylammal Sivakumar, Richard A Erali, Nadeem Wajih, Wencheng Li, Perry Shen, Edward A Levine, Katherine E Miller, Aleksander Skardal, Konstantinos I Votanopoulos

Open access · greenAbstract read
In one paragraph

Article in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
9.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 57 citations in OpenAlex.

  1. Drug sensitivity testing of patient-derived bone sarcomas identifies selective kinase inhibitors for patients with refractory disease.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Steven D Forsythe *Wake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Hemamylammal Sivakumar *Wake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Richard A EraliWake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Nadeem WajihWake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Wencheng LiDepartment of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Perry ShenDepartment of Surgery, Division of Surgical Oncology, Wake Forest Baptist Health, Wake Forest University, Winston-Salem, NC, USA.
Edward A LevineDepartment of Surgery, Division of Surgical Oncology, Wake Forest Baptist Health, Wake Forest University, Winston-Salem, NC, USA.
Katherine E MillerThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Aleksander SkardalWake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA. skardal.1@osu.edu.
Konstantinos I VotanopoulosWake Forest Institute for Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA. kvotanop@wakehealth.edu.
Wake Forest University · USAtrium Health Wake Forest Baptist · USThe Ohio State University · USForest Institute · US

Funding

Tumor Organoid-Mediated Drug Testing and Clonality Analysis in Peritoneal Surface Disease of Intestinal OriginR01CA249087 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, LANCE DAVID, VOTANOPOULOS, KONSTANTINOS · 2021 to 2025
$2.5M
Establishing the Repertoire of Actionable Alterations in Appendiceal AdenocarcinomaR01CA258692 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Lance David Miller, Konstantinos Votanopoulos · 2022 to 2026
$2.5M
Translational Oncology Training ProgramT32CA247819 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PARDEE, TIMOTHY SEBASTIAN, WATABE, KOUNOSUKE · 2020 to 2024
$1.4M
Predicting Tumor Heterogeneity Evolution After Therapy In Patient-Derived Ex Vivo Glioblastoma OrganoidsR21CA229027 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SKARDAL, ALEKSANDER, STROWD, ROY ERVIN · 2018 to 2019
$597k
NCI NIH HHS R01 CA249087NCI NIH HHS R01 CA258692NCI NIH HHS R21 CA229027NCI NIH HHS T32 CA247819NIH HHS R01A158569NIH HHS R01CA249087NIH HHS R01CA258692NIH HHS R21CA229027NIH HHS T32CA247819
6 · The paper itself

Abstract

introductionSarcoma clinical outcomes have been stagnant for decades due to heterogeneity of primaries, lack of comprehensive preclinical models, and rarity of disease. We hypothesized that engineering hydrogel-based sarcoma organoids directly from the patient without xenogeneic extracellular matrices (ECMs) or growth factors is routinely feasible and allows rare tumors to remain viable as avatars for personalized research.

methodsSurgically resected sarcomas (angiosarcomas, leiomyosarcoma, gastrointestinal stromal tumor, liposarcoma, myxofibrosarcoma, dermatofibrosarcoma protuberans [DFSP], and pleiomorphic abdominal sarcoma) were dissociated and incorporated into a hyaluronic acid and collagen-based ECM hydrogel and screened for chemotherapy efficacy. A subset of organoids was enriched with a patient-matched immune system for screening of immunotherapy efficacy (iPTOs). Response to treatment was assessed using LIVE/DEAD staining and metabolic assays.

resultsSixteen sarcomas were biofabricated into three-dimensional (3D) patient-specific sarcoma organoids with a 100% success rate. Average time from organoid development to initiation of drug testing was 7 days. Enrichment of organoids with immune system components derived from either peripheral blood mononuclear cells or lymph node cells was performed in 10/16 (62.5%) patients; 4/12 (33%) organoids did not respond to chemotherapy, while response to immunotherapy was observed in 2/10 (20%) iPTOs.

conclusionsA large subset of sarcoma organoids does not exhibit response to chemotherapy or immunotherapy, as currently seen in clinical practice. Routine development of sarcoma hydrogel-based organoids directly from the operating room is a feasible platform, allowing for such rare tumors to remain viable for personalized translational research.

Indexed as

SarcomaSoft Tissue NeoplasmsAdultHumansHyaluronic AcidHydrogelsLeukocytes, MononuclearOperating RoomsOrganoidsTranslational Research, BiomedicalHyaluronic AcidHydrogels

Identifiers

PMID35780216
PMCPMC9561054
OpenAlexW4283786723

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.