Whether a tumor grows and spreads and how it responds to therapy depends not only on the molecular characteristics of the tumor itself but also on interactions between the tumor and its cellular environment, including the physical properties of the surrounding tissues. An example is pancreatic ductal adenocarcinoma (PDAC), a type of pancreatic cancer that is often resistant to chemotherapy. Heilshorn, Kuo, and Curtis recently found that PDAC tumors grown in a stiffer environment show increased resistance to chemotherapy, suggesting that the mechanical environment around a tumor could determine whether a patient responds to therapy. While previous studies have looked at patient-specific responses to drugs, they have not factored in the mechanical environment. With the support of the SCI Pancreatic Cancer Innovation Award, Heilshorn, Kuo, and Curtis plan to test how mechanical properties affect the response of tumors to different drug regimens. They will first characterize patient-specific tumor tissues and then grow patient cells in 3-dimensional cultures (called cancer organoids) that mimic the mechanical properties of the tissues. These organoids will be used to test which drug regimens are most effective given a specific mechanical environment. The study will establish a foundation for a personalized medicine approach to treating PDAC with the hope of improving treatment outcomes for this deadly disease.
Funding Opportunities
SCI Pancreatic Cancer Innovation Awardee
October 2023