Evidence map›Paper›PMID 41088239›Full record

ArticleMolecular cancer2025

Exploring personalized prediction of clinical chemotherapy efficacy and revealing tumor heterogeneity using patient-derived 3D bioprinting gastric cancer models.

Liwei Du, Zicheng Zheng, Kai Zhang, Hang Sun, Yuce Lu, Minghao Sun, Mingchang Pang, Shangze Jiang, Yixuan He, Shunda Du and 5 more

Abstract read
In one paragraph

Article in Molecular cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

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  9. Organoids glimpse: the nexus for diverse tumor heterogeneity.Frontiers in cell and developmental biology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Liwei Du *Department of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Zicheng Zheng *Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Kai Zhang *Department of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Hang SunLiver Transplantation Center, National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, 100730, China.
Yuce LuDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Minghao SunDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Mingchang PangDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Shangze JiangDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Yixuan HeDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Shunda DuDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Haitao ZhaoDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Yilei MaoDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China.
Weiming KangDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China. Kangwm@pumch.cn.
Penglei GeDepartment of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou, Henan Province, China. doc677@126.com.
Huayu YangDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital, Peking Union Medical College (PUMC), Chinese Academy of Medical Sciences (CAMS), Beijing, 100730, China. dolphinyahy@hotmail.com.

Funding

CAMS Innovation Fund for Medical Sciences (CIFMS) No.2021-I2M-1-058National High Level Hospital Clinical Research Funding 2022-PUMCH-B-034National Natural Science Foundation of China 32271470
6 · The paper itself

Abstract

backgroundThe pronounced chemotherapeutic heterogeneity observed in gastric cancer (GC) poses significant challenges to personalized treatment strategies, with current approaches lacking reliable predictive modalities for chemotherapy efficacy and postoperative prognosis. While patient-derived organoid (PDO) and xenograft (PDX) models serve as established three-dimensional platforms, their prohibitive costs and inherent batch effect limit faithful replication of native tumor extracellular matrix (ECM) complexity.

methodsWe utilized patient-derived GC tissues to construct individualized 3D bioprinting (3DP)-GC models. After screening bioinks for optimal mechanical properties and biocompatibility, we successfully and efficiently constructed 3DP-GC models of 33 patients, and performed histopathological and genomic analyses to determine that the 3DP-GC model effectively preserved the histological architecture, biomarker expression abundance and genetic mutation profiles of the parental tumors. Drug screening on the 3DP-GC models was conducted using clinical gastric cancer therapies. Retrospective analysis of patients’ post-neoadjuvant therapy and follow-up of those post-adjuvant therapies were performed to evaluate the model’s potential in predicting and selecting chemotherapeutic agents for gastric cancer patients.

resultsIn this study, we successfully and efficiently constructed 3D in vitro models of 33 GC patients using 3D bioprinting technology, and performed histopathological and genomic validation to find that the 3DP-GC model well preserved the expression abundance and mutation profiles of markers in the parental tumors. A significant correlation was observed in drug sensitivity between the 3DP-GC platform and the actual clinical efficacy observed in patients.

conclusionOur study establishes a robust and stable 3DP-GC model. Crucially, drug testing of 3DP-GC model can accurately predict the clinical chemotherapy of patients in a shorter time and at a lower cost, offering a promising tool for high-throughput drug screening and personalized treatment decision-making.

Indexed as

Antineoplastic AgentsBioprintingPrecision MedicinePrinting, Three-DimensionalStomach NeoplasmsAnimalsBiomarkers, TumorFemaleHumansMaleMiddle AgedPrognosisTreatment OutcomeXenograft Model Antitumor AssaysAntineoplastic AgentsBiomarkers, TumorGastric cancerPersonalized drug screeningPrecision medicinePreclinical modelThree-dimensional bioprinting

Identifiers

PMID41088239
PMCPMC12522304

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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.