Multicellular spheroids as an in vitro tumor model
Introduction
Sutherland et al. 1, 2established multicellular spheroids (MCS) as an in vitro model for the systematic study of tumor response to therapy. MCS are spherically symmetric aggregates of cells analogous to tissues, with no artificial substrate for cell attachment. This system has been widely used as a model for microenvironmental effects on basic biological mechanisms, such as the regulation of proliferation, metabolism, differentiation, cell death, invasion, angiogenesis or immune response [3]. Other applications include the study of metastasis, embryogenesis and artificial tissue modeling [4]. One major advantage of three-dimensional cultures is their well defined geometry, which makes it possible to directly relate structure to function and gene expression. Compared to conventional monolayer cultures, cells in three-dimensional aggregates more closely resemble the in vivo situation with regard to cell shape and cell environment, which in turn can affect the gene expression and biological behavior of the cells and in addition MCS resemble an in vitro system of intermediate complexity between monolayer cultures in vitro and tumors in vivo. Increased resistance to ionizing radiation and later on to cytotoxic drugs by MCS was identified by Durand and Sutherland, who created the term contact effect for this phenomenon [1]. In the three following decades the cell biology of MCS and the knowledge of the mechanisms to be held responsible for the increased drug resistance of MCS advanced considerably 3, 4.
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Cell biology of MCS
There exist different methods to initiate MCS from monolayer cultures of various cell lines derived from gliomas, fibroblasts and carcinoma cells (prostate, colon, breast, ovary, pancreas and others). MCS are formed in liquid overlay cultures (with the agarose coat preventing cell adhesion to culture flasks or dishes) upon mechanical stirring of cell suspensions in glass flasks or tissue culture vessels and in rotating wall microgravity vessels 5, 6. Stirring may select subpopulations of cells
ECM in MCS
The existence of an extracellular matrix was investigated in an early study in U-118 MG glioma cells and HTh-7 human thyroid cell spheroids [16]. The presence of fibronectin, laminin and collagen was detected by immunofluorescence staining and the presence of glycosaminoglycans was detected by radioactive labeling and extraction. The composition of an extracellular matrix (ECM) may be differently regulated in tumors, spheroids and monolayer cultures [4]. An ECM consists of a network of
Cell adhesion molecules in MCS
The cell surface contains specific molecules involved in cell–cell and cell–matrix binding and these receptor/ligands are additionally functional in the transduction of extracellular signals to intracellular molecules [23]. Four major families, namely CAMs (cell adhesion molecules), cadherins, selectins and integrins, and a number of other unrelated cell surface molecules, including the hyaluronic acid binding CD44 antigen, have been characterized. Integrin receptors are downregulated in
MCS and cytotoxic drugs
Cells isolated from MCS are generally more resistant to cytotoxic drugs than the same cells grown as monolayers 1, 2. A multicellular-mediated resistance to alkylating drugs was found in MCS from the EMT-6 mouse mammary tumors [26]. The same contact effect of MCS resistance previously found for ionizing radiation was held responsible for the resistance to cytotoxic drugs [27]. Intercellular communication via gap junctions, specific DNA packaging favoring increased repair in spheroids and other
Angiogenesis
MCS seem to be resistant to invasion by endothelial cells in co-culture. However, spheroids may be implanted into the peritoneal cavity of experimental animals where they eventually become vascularized and can be harvested for further studies [40]. VEGF (vascular endothelial growth factor) is upregulated in such glioma spheroids in hypoxic or hypoglycemic microenvironments [8]. Studies to develop an in vitro model of angiogenesis using MCS are in progress.
Conclusion
MCS have been studied in vitro as a representative model of avascular tumor regions in vivo and these investigations have provided a host of new results mainly concerning the role of the tumor microenvironment in response to therapeutic strategies. Most of this work has been done using several well established tumor lines derived from glioblastomas, prostate, mammary and other carcinomas. MCS are highly complex systems and their cellular properties are dependent on the origin of the tumor
Acknowledgements
This work was supported by a grant (#6960) from the Austrian National Bank.
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