Method Profile

Hyaluronan-Embedded Peritoneal Explant Drug Testing with Ascites

Maintain precision-cut peritoneal-metastasis tissue in tuned hyaluronan hydrogels and compare drug response with and without patient ascites.

Tumor ModelsTissue Explants
The orange NUS entrance sign beside a road, trees and landscaped greenery.
Entrance A at the National University of Singapore, photographed in March 2024. (ZKang123, CC BY-SA 4.0)

Research Applications

Investigate how native tumor tissue and its fluid environment affect short-term drug response.

Model & Design

Resected peritoneal-metastasis slices, 300 μm thick, from a 21-patient collection with distinct subsets per assay. A 2% hyaluronan (HA)-RGD-PQ hydrogel supports the mixed native tissue.

Experimental Format

Optimized 2% hyaluronan with a storage modulus around 350 Pa; preservation measured through 12 days. The drug assay uses two days of culture, one day of serum starvation, 24-hour pretreatment with 5% ascites and 48-hour drug exposure, with pre/post-treatment resazurin measurements.

Model Components

  • Component

    Preservation comparisons

    Description

    PTFE, Matrigel, two- versus three-dimensional hyaluronan, stiffness/degradability-matched hyaluronan and PEG, plus RGD/RDG controls.

  • Component

    Drug and context measurements

    Description

    Cisplatin, doxorubicin, erlotinib and TM5441 dose-response; resazurin metabolic change, live/dead staining, histology, cell-state RNA profiles and ascites PAI-1.

Measurements & Endpoints

  • Slice area and live-cell fraction
  • Histological and collagen preservation
  • Cell-type expression and inferred interactions
  • Baseline-normalized metabolic drug inhibition

Analysis

Do not substitute area preservation for viability or tissue-wide metabolic inhibition for a tumor-specific cell count. Separate preservation subsets, three-patient profiling, two-patient ascites profiling and six-fluid TM5441 comparison.

Published Evidence

  • Study Sample

    Fresh samples from 21 patients; main preservation experiments use at least two patients with at least three technical replicates where specified. Day-8 tissue profiling uses three patients and ascites profiling two patients. The TM5441 comparison uses six ascites samples.

    Comparison

    PTFE/Matrigel, material-property controls, serum versus ascites, different fluid/tumor pairings and untreated drug controls.

    Finding

    Optimized hyaluronan supported tissue preservation; stiffer gels could retain area with poorer viability. Ascites did not improve basic preservation but increased drug tolerance. TM5441 response was associated with PAI-1, but PC294/PC307 fluids did not sensitize NCC-MC-308/NCC-MC-375 tumors.

    Interpretation & Limits
    • Subsets and technical repeats differ across experiments.
    • Tissue-wide metabolic endpoint; not a tumor-specific survival assay.
    • Contractility and communication mechanisms include pharmacological and transcript-inference limits.
    • Short ex vivo window; no systemic pharmacokinetics or prospective clinical-response validation.
    Study Design

    Primary study comparisons of the named models, exposures and measured outcomes.

Sources

  1. Hydrogel‐Mediated Preservation of Live Tumor Explants for Drug Development in Peritoneal Metastases. Advanced Materials (2025). ↗