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Breast cancer immunotherapy: Current biomarkers and the potential of in vitro assays
Journal article   Peer reviewed

Breast cancer immunotherapy: Current biomarkers and the potential of in vitro assays

Melissa C. Skala, Jose M. Ayuso, Mark E. Burkard and Dustin A. Deming
Current opinion in biomedical engineering, Vol.21, p.100348
03/01/2022
DOI: 10.1016/j.cobme.2021.100348
PMCID: PMC8654237
PMID: 34901585

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Abstract

Breakthroughs in metastatic breast cancer care require new model systems that can identify the unique features and vulnerabilities of each cancer. Primary tumor cultures are proposed to efficiently screen multiple treatment options in a patient-specific strategy to maximize therapeutic benefit, minimize toxicity, and enable mechanistic insights that inspire future biomarkers for patient selection. To realize the potential of patient-specific cultures, new tools are needed to capture cell-by-cell variability in behavior and dynamic response to treatments in living 3D specimens. Potential bioengineering tools that can achieve this include optical microscopy to image single-cell dynamics and microphysiological in vitro systems to evaluate cell–cell interactions and immunotherapies. [Display omitted] •Current breast cancer biomarkers do not fully capture clinical variability.•Functional biomarkers can help select patients for breast cancer immunotherapy.•Optical metabolic imaging monitors cellular heterogeneity in cancer.•Microphysiological systems model interactions between cancer and immune cells.
Cancer immunotherapy Cellular heterogeneity Microfluidic systems Microscopy Patient-derived cancer organoids

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