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Improved drug screening for bowel cancer

Project title:  Improved drug screening for bowel cancer
University:  University of Nottingham
Principal investigator:  Dr Abdolrahman Shams Nateri
Co-investigator:  Dr Austin Acheson, Dr David Humes, Dr Lodewijk Dekker and Dr Alice Soragni
Project timescale:  October 2023 - October 2025

The Humane Research Trust is funding a research project to provide an optimal human-based model for testing bowel cancer treatments. Researchers at the University of Nottingham developed a new technique to replicate the tumour environment in the lab. This research will help us identify effective treatments and provide a framework for application in other cancer research areas.

Dr Abdolrahman Shams Nateri and his research team at the University of Nottingham
Dr Abdolrahman Shams Nateri and his research team at the University of Nottingham

Current challenges in bowel cancer research

Bowel cancer is an aggressive cancer that kills over 16,500 people in the UK every year. At present, we do not have effective bowel cancer drugs. Researchers are concerned that current drug testing and prediction models and technologies are inadequate. The tumour environment is complex, with research suggesting that the substances secreted around the tumour may have a role.

“Animal studies have been limited in that they do not precisely model human tumours,” explains Dr Abdolrahman Shams Nateri, Associate Professor in Cancer Genetics and Stem Cells at the University of Nottingham. “As a result, newly developed bowel cancer drugs regularly fail clinical testing. This delays progress and leads to a positive feedback loop of greater animal experimentation to validate the next best targets.”

A popular animal-free technique within cancer research makes use of lab-made ‘organoids’. Researchers can partially recreate the complexity of human bowel tissues in a dish. They grow these organoids, also called 'mini-gut organs;, as three-dimensional structures, and use them to test potential cancer treatments. However, Dr Nateri warns that since these organoids lack immune cells, they are not able to reproduce the cell interactions found in tumours.

An animal-free future for bower cancer research

In real cancer cases, the substances secreted around tumours mediate the cell interactions. We call this outer environment of secretions the 'tumour matrix'. One such secretion within the tumour matrix is a molecule known as ‘SPOCK1 protein’. The data suggests that SPOCK1 may play an essential role in the tumour matrix of various cancer types. As SPOCK1 secretes into and circulates via the blood, it may impact patients’ responses to drugs.

The Humane Research Trust is currently funding Dr Nateri to lead a new bowel cancer research. Within this project, the research group are recreating a more accurate bowel tumour environment in the lab. Dr Nateri and his research group are using a model called a ‘patient-derived explant’ (PDE) within their study. This model is advantageous in that it retains the complexity of the tumour environment.

Representative images from colorectal PDEs. H&E-stained sections of colorectal cancer/tumour PDEs (tPDE) along with adjacent healthy tissues (hPDE).
Representative images from colorectal PDEs. H&E-stained sections of colorectal cancer/tumour PDEs (tPDE) along with adjacent healthy tissues (hPDE).

The researchers combine the patient-derived explant with a ‘mini-ring system.’ Essentially, scientists mix a ring of tumour explant material with tumour matrix around the wall of the microplate. This means they can test potential treatments and quickly ascertain drug sensitivity and clinical benefit. The SPOCK1 secretion is an unfavourable biomarker in the tumour matrix. Thus, scientists can use this model to develop treatments which effectively target it.

Illustration of 3D tumour patient-derived mini-ring screening methodology to identify drugs targeting secreted SPOCK1, depicting the workflow
Illustration depicting the 3D tumour patient-derived mini-ring screening methodology in use to identify drugs targeting secreted SPOCK1

In addition, Dr Nateri believes that scientists can apply this model to other organs, including lung, pancreas, and breast cancers. Dr Nateri said: “We encourage other research groups to consider using patient-derived mini-ring technology systems. This will lead to significant replacement and, subsequently, reduction of animals in research.”

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