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Table 2 Links between genetic alterations and drug response

From: Patient-derived organoid (PDO) platforms to facilitate clinical decision making

Cell type

Paper

Cell characteristics

Drug sensitivities

Breast cancer organoids

[28]

Overexpression of HER2

Sensitive to drugs blocking HER signalinga

Breast cancer organoids

[28]

High BRCA1/2 signature

Sensitive to the poly(ADP-ribose) polymerase inhibitors: olaparib and niraparib

Colorectal cancer organoids

[29, 47]

Loss of function mutations in the tumor suppressor TP53

Resistant to nutlin-3a

Colorectal cancer organoids

[47]

Truncating mutation in RNF43 (a recessive cancer gene encoding a negative regulator of WNT pathway)

Highly sensitive to the WNT secretion inhibitor IWP2

Liver cancer organoids

[6]

CTNNB1 mutants

Wnt-dependent tumor

KRAS mutant

Lines that are insensitive to BRAF and/or MEK inhibitors (dabrafenib and drametinib)

Resistant to the porcupine inhibitor LGK974

Sensitive to the porcupine inhibitor LGK974

Resistant to the EGFR family inhibitor AZD8931

Organoid formation inhibited by SCH772984

Liver cancer organoids transplanted into mice

[6]

Lines that are insensitive to BRAF and/or MEK inhibitors (dabrafenib and drametinib)

Significant reduction in tumor growth by SCH772984

Prostate cancer organoids

[27]

PTEN loss and PIK3R1 mutation

Sensitive to both everolimus and BKM-120

  1. aOften but not always