Method Profile

StarTrace Barcode Tracking of Pooled Colorectal Organoid Drug Response

Follow drug-associated changes in individual colorectal cancer organoid models within a shared pool using sequencing and targeted qPCR.

Tumor ModelsOrganoids
Histological section of colorectal adenocarcinoma.
Histological section of colorectal adenocarcinoma. (Nephron, CC BY-SA 3.0)

Research Applications

Compare prolonged drug responses across patient-derived models while tracking population-specific signals.

Model & Design

Established, uniquely barcoded colorectal cancer organoids combined into 12- and 15-model pools.

Experimental Format

Longitudinal barcode measurements, paired sequencing/qPCR comparisons and a miniaturized 96-well experiment.

Model Components

  • Component

    Models

    Description

    Prelabelled patient-derived colorectal cancer organoids with matched tumor/normal molecular information.

  • Component

    Measurements

    Description

    Nanopore barcode sequencing and barcode-specific qPCR.

  • Component

    Comparators

    Description

    Drug-treated versus vehicle-treated pools, with targeted genotype–drug test cases.

Measurements & Endpoints

  • Barcode-associated relative population change
  • Sequencing–qPCR correlation
  • Detectability after miniaturization

Analysis

Estimate model-specific response relative to vehicle in the pooled context; assess detection losses separately from measured drug sensitivity.

Published Evidence

  • Study Design

    Long-term pooled tracking with orthogonal molecular measurement.

    Study Sample

    Pool 1 contained 12 models; pool 2 contained 15; 12 remained analyzable after miniaturization.

    Comparison

    Sequencing versus qPCR and expected TP53–nutlin/RNF43–PORCN relationships.

    Finding

    Sequencing–qPCR correlations were 0.89 for nutlin, 0.79 for LGK-974 and 0.59 for etoposide.

    Interpretation & Limits
    • Three models were excluded from the miniaturized assay because untreated signals were insufficient.
    • Exogenous WNT reduced PORCN inhibitor activity.
    • The study did not validate pooled predictions against prospective patient outcomes.

Sources

  1. StarTrace: a multiplex organoid avatar drug testing platform for personalized medicine. BMC Cancer (2026). ↗