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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Disclosures
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

Here, we present a protocol for an ex vivo lung cancer model that mimics the steps of tumor progression and helps to isolate a primary tumor, circulating tumor cells, and metastatic lesions.

Abstract

It is difficult to isolate tumor cells at different points of tumor progression. We created an ex vivo lung model that can show the interaction of tumor cells with a natural matrix and continual flow of nutrients, as well as a model that shows the interaction of tumor cells with normal cellular components and a natural matrix. The acellular ex vivo lung model is created by isolating a rat heart-lung block and removing all the cells using the decellularization process. The right main bronchus is tied off and tumor cells are placed in the trachea by a syringe. The cells move and populate the left lung. The lung is then placed in a bioreactor where the pulmonary artery receives a continual flow of media in a closed circuit. The tumor grown on the left lung is the primary tumor. The tumor cells that are isolated in the circulating media are circulating tumor cells and the tumor cells in the right lung are metastatic lesions. The cellular ex vivo lung model is created by skipping the decellularization process. Each model can be used to answer different research questions.

Introduction

Cancer metastasis is the culprit behind most cancer-related deaths and poses the ultimate challenge in the effort to fight cancer. The overall goal of this method is to design a protocol for a four-dimensional (4-D) cell culture which has a dimension of flow, in addition to the three-dimensional (3-D) cell growth. It represents the three distinct phases of the metastasis process [i.e., the primary tumor, circulating tumor cells (CTCs), and metastatic lesions].

Over the past three decades, scientists around the world yielded an unparalleled wealth of information to understand the mechanisms underlying the metastatic progression in d....

Protocol

The protocols for animal experiments were approved by the Institutional Animal Care and Use Committee at the Houston Methodist Research Institute and carried out in accordance with all regulations, applicable laws, guidelines, and policies.

1. Rat Lung Harvest

  1. Anesthetize a 4- to 6-week-old male Sprague-Dawley rat by an intraperitoneal (IP) injection of ketamine (100 mg/kg) and xylazine (10 mg/kg) in its flank. Ensure anesthesia by checking for an absence of movement when the hind limb toe is pinched with forceps. 
  2. After 10 min, shave the chest and abdomen and wipe the skin with a chlorhexidine swab.

Representative Results

The lung harvested from rat maintains the intact vasculature and alveoli11 (Figure 3A and 3B). Upon decellularization, the extracellular matrix components of an acellular lung, such as collagen, fibronectin, and elastin, are preserved11 (Figure 3C, 3D, 3E, and 3F). The decellularization leads to a complete removal o.......

Discussion

The ex vivo 4-D lung provides an opportunity to study tumor growth and metastasis in a laboratory set-up. A native lung matrix is a complex system that provides support to normal tissue and maintains cell-cell interactions, cell-matrix interactions, cellular differentiation, and tissue organization. It provides an opportunity to add any tumor microenvironment components to study their effects on tumor growth and the interaction with other cells.

The lung harvest is the critical step .......

Disclosures

The authors have nothing to disclose.

Acknowledgements

Min P. Kim received grant support from the Second John W. Kirklin Research Scholarship, American Association for Thoracic Surgery, Graham Research Foundation, Houston Methodist Specialty Physician Group Grant, and Michael M. and Joann H. Cone Research Award. We thank Ann Saikin for the language editing of the manuscript.

....

Materials

NameCompanyCatalog NumberComments
Sprague Dowley ratHarlan206MMale
Chlorhexidine swabPrevantics, NY, USANDC 10819-1080-1
HeparinSagent Pharmaceuticals, Schaumburg, IL, USANDC 25021-400-10
18-gauge needleMcMaster Carr, USA75165A249
2-0 silk tieEthicon, San Angelo, TX, USAA305H
Masterflex L/S pumpCole-Parmer, Vernon Hills, IL, USAEW-07554-80
Masterflex L/S pump headCole-Parmer, Vernon Hills, IL, USAEW-07519-05
Masterflex L/S pump cartridgeCole-Parmer, Vernon Hills, IL, USAEW-07519-70
Tygon TubeCole-Parmer, Vernon Hills, IL, USA14171211
MasterFlex Pump tubeCole-Parmer, Vernon Hills, IL, USA06598-16
Female luer lock connectorsCole-Parmer, Vernon Hills, IL, USA45508-3475165A249
Male luer lock connectorsCole-Parmer, Vernon Hills, IL, USA45513-04
black nylon ringCole-Parmer, Vernon Hills, IL, USAEW-45509-04
Intravenous setCareFusion41134E
Sodium Dodecyl Sulfate (SDS)Fisher ScientificCAS151-21-3
Triton X-100Sigma-AldrichX100-1L
AntibioticsGibco15240-062
Silicone oxygenatorCole-Parmer, Vernon Hills, IL, USAABW00011Saint-GoBain-
Wire mesh1164610105LowesNew York Wire
Female luer Lug Style TEECole-Parmer, Vernon Hills, IL, USA45508-56
Male luer integral lock ring to 200series BarbCole-Parmer, Vernon Hills, IL, USA45518-08
Female luer thread style couplerCole-Parmer, Vernon Hills, IL, USA45508-22
Clave connectorICU Medical11956
Hi-Flo ™4-way Stopcock w/swivel male luer locksmith MedicalMX9341L
MasterFlex Pump tubeCole-Parmer, Vernon Hills, IL, USA06598-13for cannula

References

  1. Siegel, R. L., Miller, K. D., Jemal, A. Cancer Statistics, 2017. CA: A Cancer Journal for Clinicians. 67 (1), 7-30 (2017).
  2. Torre, L. A., Siegel, R. L., Jemal, A. Lung Cancer Statistics. Advances in Experimental Medicine and Biology. 893, 1-19 (2016).
  3. ....

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