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Live-Cell Analysis Handbook — Third Edition

       Kinetic Assays for Utilizing Complex Models





       Live-cell microplate assays for studying growth and health of three-dimensional cultures










       Introduction

       It is well established that conventional monolayer cultures of tumor   is desirable for drug testing. Multi-spheroid models capture the
       cells grown on plastic do not adequately reflect the in vivo situation.    inherent heterogeneity of tumor cells and are considered by many
                                                         1,2
       Yet, in vitro culture models of cancer cells are still an integral   to be more physiologically relevant.
       component of clinical drug development and for the advancement
       of our understanding of cancer cell biology. 3D cell culture models,   Employing these complex models is challenging due to  inherent
       although still relatively new compared to traditional 2D monolayer   limitations for studying cell growth, kinetics, and other
       cultures, are increasingly adopted as advanced tools to accelerate   characteristics in this 3D setting. These include time-consuming,
       drug discovery efforts.  This shift is most notable in cancer biology,   expensive or laborious workflows, labeling requirements that can
                        3
       immuno-oncology and hepatotoxicity, where organoids and 3D   affect cell  biology, and single time-point or indirect read-outs that
       microtissues can represent more relevant biological features such   do not report the full experimental time-course and potentially
                                                    4,5
       as hypoxic regions or tumor-immune cell interactions.  There   miss  valuable  information  about  size  or  growth,  or  shifts  in  the
       are a multitude of approaches to generating these models and   characteristics of cell populations.
       they can generally be described as scaffold-free (media-based) or
       scaffold-based.                                        The IncuCyte® S3 Live-cell Analysis System, for both scaffold-free
                                                              and scaffold-based 3D spheroid models, avoids such limitations by
       Scaffold-free models are easily achieved using round-bottom   providing simple, cost-conscious protocols that result in 3D cultures
       ultra-low attachment (ULA) microplates to promote spheroid self-  amenable  to  imaging,  employing  either  label-free  techniques  or
       assembly. These models generally yield a single tumor spheroid   use non-perturbing reagents, and enabling real-time monitoring
       per well and exhibit key features of solid tumors; larger spheroids   of morphological and cell health measurements without removing
       consisting of proliferating, quiescent, and necrotic zones resulting   precious samples from the incubator. The approach works both with
       from a radial gradient of nutrients, metabolites and oxygen.  single spheroids grown in round-bottomed ULA wells in 96- and
                                                              384-well formats, and multi-spheroid cultures grown on plates
       Current scaffold-based models rely primarily on an extracellular   coated with Matrigel® to reproduce the ECM scaffold.
       matrix (ECM) such as Matrigel® or collagen and attempt to
       recapitulate both physical  and  biochemical  characteristics  of  the   The IncuCyte® approach has many advantages over traditional cell
       tumor microenvironment. Generally, these models employ the use   analysis methods (summarized in Table 1). In the following chapter,
       of flat bottom plates and result in multiple tumor spheroids per well.  the assays are described in detail, demonstrating their potential as
                                                              a valuable tool for insightful scientific discovery and drug screening
       Choosing a model depends on the scientific question or objective   and development.
       at hand. Single spheroid models may be more representative of
       large solid tumors and can be made with high reproducibility which



















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