Lung Cancer - Strategies for Diagnosis and Treatment 2018
DOI: 10.5772/intechopen.78946
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Chemoresistance of Lung Cancer Cells: 2D and 3D In Vitro Models for Anticancer Drug Screening

Abstract: Chemoresistance of lung cancer cells is a key factor that limits the treatment of lung cancer patients. Patients may initially respond to standard chemotherapy, but this is often followed by rapid development of drug resistance and disease progression. Tumor heterogeneity and the presence of putative cancer stem-like cells (CS-LCs) provide a viable explanation for the chemoresistance of several types of tumors. In this book chapter, we will first describe the current knowledge of the role of both tumor heterog… Show more

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Cited by 6 publications
(5 citation statements)
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“…Conversely, Fingolimod induced reduced cell growth but only at the highest dose of 10 µM ( Figure S4D ). Moreover, 3D models have been shown to better mimic drug response and resistance and showed generally less drug sensitivity including in lung cancer models [ 50 , 51 , 52 ]. Such phenomena might participate to explain the observed difference in Fingolimod sensitivity between the 2D and 3D experiments.…”
Section: Resultsmentioning
confidence: 99%
“…Conversely, Fingolimod induced reduced cell growth but only at the highest dose of 10 µM ( Figure S4D ). Moreover, 3D models have been shown to better mimic drug response and resistance and showed generally less drug sensitivity including in lung cancer models [ 50 , 51 , 52 ]. Such phenomena might participate to explain the observed difference in Fingolimod sensitivity between the 2D and 3D experiments.…”
Section: Resultsmentioning
confidence: 99%
“…Spheroid cell cultures are useful models to mimic chemotherapeutic resistance in cancer and have been used to screen for more effective anticancer compounds and new drug combinations. Several approaches to generating spheroids have been established, and evidence suggests that scaffold-free spheroid cultures, such as those used in the current study, preserve in vivo -like cell–cell interactions and nutrient gradients . Unlike monolayers, spheroid cells can also reflect tumor-like differences in cell layers that may consist of proliferating, quiescent, and/or necrotic cells .…”
Section: Discussionmentioning
confidence: 99%
“…Tumor heterogeneity is responsible for superior drug resistance in 3D spheroids when compared to 2D culture models, which are devoid of essential tumor microenvironment 82,83 . Poor penetration of drugs through the scaffolds and spheroidal microenvironment barriers are also responsible for superior drug resistance in 3D spheroids [84][85][86] . Thus, there is a need to develop drugs with better penetrating ability to the most interior sections of tumors.…”
Section: Discussionmentioning
confidence: 99%