Advances on colorectal cancer 3D models: The needed translational technology for nanomedicine screening

Adv Drug Deliv Rev. 2021 Aug:175:113824. doi: 10.1016/j.addr.2021.06.001. Epub 2021 Jun 4.

Abstract

Colorectal cancer (CRC) is a heterogeneous and molecularly complex disease, associated with high mortality worldwide, exposing the urgent need for novel therapeutic approaches. Their development and translation to the clinic have been hampered, partially due to the absence of reliable cellular models that resemble key features of the human disease. While traditional 2D models are not able to provide consistent and predictive responses about the in vivo efficiency of the formulation, animal models frequently fail to recapitulate cancer progression and to reproduce adverse effects. On its turn, multicellular 3D systems, by mimicking key genetic, physical and mechanical cues of the tumor microenvironment, constitute a promising tool in cancer research. In addition, they constitute more physiological and relevant environment for anticancer drugs screening and for predicting patient's response towards personalized approaches, bridging the gap between simplified 2D models and unrepresentative animal models. In this review, we provide an overview of CRC 3D models for translational research, with focus on their potential for nanomedicines screening.

Keywords: Drug discovery; Microfluidic devices; Organ-on-a chip; Organoids; Personalized medicine; Spheroids; Tumor microenvironment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / therapeutic use*
  • Colorectal Neoplasms / drug therapy*
  • Colorectal Neoplasms / pathology
  • Humans
  • Nanomedicine / methods*
  • Nanoparticle Drug Delivery System
  • Organoids / drug effects
  • Organoids / pathology
  • Spheroids, Cellular / drug effects
  • Spheroids, Cellular / pathology
  • Tissue Scaffolds*
  • Translational Research, Biomedical / methods

Substances

  • Antineoplastic Agents
  • Nanoparticle Drug Delivery System