Therapeutic and Side Effects Modeling of Electrolytic Cancer Ablation Therapy Using Organ-on-a-Chip

Moonchul Park, Jong man Yoo, Albert Kim
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Abstract

Minimal invasive ablation therapy is an emerging treatment that enables locoregional tumor removal. One promising modality is electrolytic ablation therapy which induces cell death through local delivery of low-energy direct current. However, the realization of electrolytic ablation in the clinic has hampered by not-well-defined efficacy and mechanism. In this paper, we introduce a Multi-Organoid-on-a-Chip (MOC) that enables the modeling of electrolytic ablation therapy. The evaluated efficacy of electrolytic ablation on pancreatic cancer organoids revealed a 0.14 %/min cell death, while the side effects on neighboring, normal liver organoids inflicted minimal cell death (0.001 %/min). The in vitro results demonstrate a mechanism of the cell death is mainly due to locoregional pH change, and side effects due to byproducts of the electrochemical reaction are minimal.
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基于芯片器官的电解癌症消融治疗及副作用建模
微创消融术是一种新兴的治疗方法,可以切除局部肿瘤。一种很有前景的方式是电解消融疗法,它通过局部输送低能量的直流电诱导细胞死亡。然而,电解消融的疗效和机制尚不明确,阻碍了其在临床上的实现。在本文中,我们介绍了一个多器官芯片(MOC),使电解消融治疗的建模。电解消融对胰腺癌类器官的疗效评估显示,细胞死亡率为0.14% /min,而对邻近正常肝类器官的副作用造成的细胞死亡率最小(0.001 %/min)。体外实验结果表明,细胞死亡的机制主要是由局部pH变化引起的,电化学反应的副产物引起的副作用很小。
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