Method Profile

Single-Cell Endocrine-State Prioritization with Human Breast Cancer PDxO Drug Tests

Preprint combining human FELINE trial profiles, expression-based drug prioritization and selected fourteen-day drug tests in four human xenograft-derived organoid models.

Tumor ModelsOrganoids
Colorized scanning electron micrograph of a compact breast cancer cell spheroid.
A breast cancer cell spheroid, shown as a topical image of a three-dimensional tumor model. (Khuloud T. Al-Jamal, David McCarthy & Izzat Suffian, CC BY 4.0)

Research Applications

Nominate and experimentally compare vulnerabilities of endocrine-insensitive epithelial populations in ER-positive breast cancer.

Model & Design

Nine human FELINE trial patients and four human patient-derived xenograft-derived organoid (PDxO) models: HCI003, HCI017, UIC013 and UIC020.

Experimental Format

Clinical single-cell differential abundance, model-specific single-cell signatures, Drug Estimation from single-cell Expression Profiles (DREEP) predictions and organoid-area dose–response assays.

Model Components

  • Component

    Human FELINE trial samples

    Description

    Postmenopausal ER-positive/HER2-negative breast tumors sampled before and after fourteen days of letrozole; five responders and four nonresponders.

  • Component

    Human tumor-derived organoids

    Description

    Human tumors passed through immunodeficient mice before organoid culture. Mouse-cell depletion/checks used; immune/inflammation context is reduced.

  • Component

    Computational drug reference

    Description

    Drug Estimation from single-cell Expression Profiles (DREEP), using Cancer Therapeutics Response Portal version 2 cell-line pharmacogenomics for 450 computational compound scores.

Measurements & Endpoints

  • Single-cell population abundance and expression state
  • Fourteen-day organoid area and response-curve area under the curve
  • EdU S-phase labeling
  • Retrospective signature–survival associations

Analysis

Keep differential-abundance labels, computational drug scores and measured drug effects separate. Selected PDxO assays used image cytometry, two or three independent biological experiments depending on compound, and AUC comparison by one-way ANOVA with Dunnett testing.

Published Evidence

  • Study Design

    Treat four PDxOs with endocrine drugs and selected DREEP-prioritized kinase inhibitors.

    Study Sample

    Four human PDxO models; two or three independent biological experiments per compound.

    Comparison

    Vehicle and dose-response comparisons among models; fulvestrant/4-hydroxytamoxifen at 1 μM for fourteen days.

    Finding

    Partial endocrine growth responses persisted during long passage; EdU declined even where area differences were nonsignificant. UIC013 was more sensitive to dasatinib/pluripotin and to vandetanib than selected comparators; AZD8055 responses were similar across the four models.

    Interpretation & Limits
    • Mouse passage changes population proportions and removes much of the immune context.
    • 450 scores are predictions, not 450 experimental drug tests.
    • Patient-average longitudinal cluster tests were nonsignificant despite cell-level interactions; the clinical cohort is small.

Sources

  1. Integrative pipeline to profile and target endocrine therapy-insensitive cell populations in ER+ breast cancer. bioRxiv. 2026-09-16. doi:10.64898/2026.09.10.750719. ↗