Sui-Seng Tee1, Izabela Suster1, Sangmoo Jeong1, Roozbeh Eskandari1, Valentina Di Gialleonardo1, Kristin L Granlund1, Vesselin Miloushev1, Steven Truong2, and Kayvan Keshari1
1Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2Hunter College, New York
Synopsis
Cell-line
tumor spheroids or patient-derived organoids are 3D structures that
self-organize when grown in a suitable extracellular matrix. As they mirror in
vivo physiology and biology well, these structures have been used as surrogates
for clinical trials. This study describes the ability to grow spheroids in
NMR-compatible scaffolds that metabolize hyperpolarized [1-13C] pyruvate. These
spheroids are also sensitive to AKT inhibition that manifest in significantly decreased
lactate production. Histological analysis confirms on-target inhibition, demonstrating
that hyperpolarized magnetic resonance spectroscopy can be used to probe treatment
response in spheroids that can mimic human disease.
Purpose
Hyperpolarized NMR has greatly
increased the sensitivity of detection for 13C NMR enabling rapid flux
measurements of labeled metabolites in biological samples. The first
hyperpolarized experiments were performed on a suspension of lymphoma cells1. Subsequent iterations used alginate
encapsulated to maximise cell number over short-term culture2. While hyperpolarized studies have
been performed on custom-sectioned human tissue slices3, these tissues do not remain viable
for extended periods of time. The ability to measure metabolic flux in
patient-derived tumor organoids or cell line-derived tumor spheroids that are
3D cultures that mimic human disease4 will allow high-throughput
screening of multiple samples with distinct genetic backgrounds, providing
complementary information prior to clinical trials. This study demonstrates the
ability to culture tumor spheroids in NMR-compatible scaffolds and the quantification
of treatment response using hyperpolarized pyruvate.
Materials and Methods
LnCAP
prostate spheroids were obtained by seeding a solution of 1:1 sodium
alginate:Matrigel at 1x105cells/ml and loading into hollow fibers
(A/G Technology Corporation, NY) and dropped into a 100mM CaCl2
solution to polymerize and culture over at least 10 days. [1-13C] pyruvate were
prepared for HP according to published reports using a prototype SpinLab
(General Electric, NY) before dissolving to a final concentration of 5mM.
Spectra were acquired on a 1T Magritek spectrometer (Magritek, San Diego, CA)
using a 10o flip angle every 5 s for 25 scans. The sum of all
spectra was quantified by taking the ratio of lactate to pyruvate hydrate and
was normalized to the amount of DNA present.Results
LnCAP cells were cultured in porous
hollow fibers that are compatible with NMR studies (Fig. 1A). Spheroids readily
form clusters up to 100µm (Fig. 1B) after approximately 10 days of culture in a
rotating incubator. These clusters are closely associated, multi-cellular
structures as evidenced by nuclear staining (Fig. 1C) and are viable when probed
with calcein-AM, a cell-permeant viability dye (Fig. 1D).
As a proof of concept that hyperpolarized
MRS enables measurement of metabolic flux in tumor spheroids, hollow fibers
were treated either with vehicle (DMSO) or a pan-AKT inhibitor, MK2206. Vehicle-treated
spheroids demonstrated production of lactate, and lactate production is reduced
in MK2206-treated spheroids by approximately 30% as shown in Fig. 2A and 2B
(n=3 each condition, p < 0.05). Immunohistochemistry of spheroids revealed
reduction phospho-AKT staining at residue serine 473, demonstrating specific,
on-target inhibition by MK2206.
Discussion
Hyperpolarized measurements performed on
cell cultures have either been in suspension or encapsulation of large
quantities of cells, neither of which recapitulate in vivo physiology. This
study demonstrates that lower initial cell seeding densities give rise to
spheroids that self-organize in the presence of an extracellular matrix. Significantly, we have adopted a porous
scaffold that enables long-term culture and also possess physical dimensions
suitable for NMR. The porous hollow fiber material allowed rapid diffusion of
hyperpolarized pyruvate through the membrane even though the outer diameter of
the hollow fiber is approximately 1mm. Additionally, there is no requirement to
culture spheroids in the spectrometer or magnet, ensuring ease of use where the
hollow fiber is directly dropped into an NMR tube immediately before
dissolution. This technique can be easily translated for use with human-derived
tissue to form organoids that have proven to be informative in neurology5, stem cell biology6 as well as oncology7.
To demonstrate the utility of this model, we
selected a pan-AKT inhibitor. AKT has been called the master regulator of
metabolism and we observed a decrease of lactate production from hyperpolarized
pyruvate. The ability to subsequently retrieve the hollow fiber enabled histological
slices to be obtained. Besides pharmacological inhibition in oncology, spheroid
and organoid metabolism can also be modulated using growth factors, distinct
extracellular matrices as well as co-culture with different cell types and
subsequently probed with a range of hyperpolarized metabolites.
Conclusion
Biological samples such as tumor spheroids
can be grown in physiologically-relevant extracellular matrices over extended
periods of time in porous hollow fibers to enable measurements using
hyperpolarized NMR. Metabolic perturbations using clinically relevant drugs can
be quantified and later verified using immunohistochemistry.
Acknowledgements
This research was funded in part through the NIH/NCI Cancer Center Support Grant P30
CA008748 and NIH/NIBIB R00 EB014328 as well as Memorial Sloan
Kettering’s Center for Molecular Imaging and Nanotechnology (CMINT).References
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