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Generation of Tumor-Reactive T Cells by Co-culture of Peripheral Blood Lymphocytes and Tumor Organoids
Open accessAbstract
Cancer immunotherapies have shown substantial clinical activity for a subset of patients with epithelial cancers. Still, technological platforms to study cancer T-cell interactions for individual patients and understand determinants of responsiveness are presently lacking. Here, we establish and validate a platform to induce and analyze tumor-specific T cell responses to epithelial cancers in a personalized manner. We demonstrate that co-cultures of autologous tumor organoids and peripheral blood lymphocytes can be used to enrich tumor-reactive T cells from peripheral blood of patients with mismatch repair-deficient colorectal cancer and non-small-cell lung cancer. Furthermore, we demonstrate that these T cells can be used to assess the efficiency of killing of matched tumor organoids. This platform provides an unbiased strategy for the isolation of tumor-reactive T cells and provides a means by which to assess the sensitivity of tumor cells to T cell-mediated attack at the level of the individual patient.
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“In addition, ex vivo coculture systems utilizing human peripheral blood mononuclear cells or tumor-infiltrating lymphocytes cocultured with patient-derived organoids provide valuable platforms to interrogate human-specific immune responses to phage-delivered antigens or immunotherapies [111–113]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [112]
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BackgroundInfluentialApplication Progress of Organoids in Colorectal Cancer
Luo, L., Ma, Y., Zheng, Y., Su, J., & Huang, G. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.815067 · Cited by 30
“Moreover, these T cells can also be used to evaluate the efficiency of killing matched tumor organoids (Dijkstra et al., 2018).”
BackgroundThree-dimensional models of the lung: past, present and future: a mini review
Sen, C., Freund, D., & Gomperts, B. N. (2022) · Biochemical Society Transactions · doi:10.1042/bst20190569 · Cited by 25
Next generation patient derived tumor organoids
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Development and characterization of patient-derived salivary gland cancer organoid cultures
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Chen, J., & Na, F. (2022) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2022.1066869 · Cited by 25
“Platforms that allow the analysis and modeling of the complexity of the microenvironment would greatly contribute to the understanding of the critical mechanism that mediates a successful antitumor immune response (Dijkstra et al., 2018; Yuki et al., 2020; Wu et al., 2022).”
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Bae, J., Choi, Y. S., Cho, G., & Jang, S. J. (2022) · Cancers · doi:10.3390/cancers14092144 · Cited by 27
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“Investigations, such as the seminal work by Banys-Paluchowski et al. and Dijkstra et al., have established a robust link between the detection of CTCs and an elevated association between disease recurrence and metastasis [144,170].”
MethodModeling lung adenocarcinoma metastases using patient-derived organoids
Liu, Y., Lankadasari, M. B., Rosiene, J. A., Johnson, K. E., Zhou, J., Bapat, S., Chow-Tsang, L.-F., Tian, H., Mastrogiacomo, B., He, D., et al. (2024) · Cell Reports Medicine · doi:10.1016/j.xcrm.2024.101777 · Cited by 25
“48 However, given our interest in immune priming to enhance tumor cell immunogenicity, we used a PDO composed of pure tumor cells and a PBMC coculture system 51 to focus on the tumor cells exclusively and identify the most appropriate immune-priming strategy (chemotherapy or radiation).”
Li, P., Huang, M., Li, M., Li, G., Ma, Y., Zhao, Y. X., Wang, X., Zhang, Y., & Shi, C. (2025) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-025-03332-8 · Cited by 26
“Considering that PDO_3 is less sensitive to chemotherapy and targeted drugs, we constructed a co-culture model of organoids with PBMCs from autologous to test the effect of the PD-1 inhibitor pembrolizumab [32].”
Poggi, A. D., Villa, F., Fernandez, J. L. C., Costa, D., Zocchi, M. R., & Benelli, R. (2021) · Cancers · doi:10.3390/cancers13143417 · Cited by 25
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“Organoid co-cultures enabled the study of cell–cell interactions and facilitated the testing of stromal-targeted therapeutics; however, these methods relied upon human cells that were typically not autologous or syngeneic [26,27].”
Lung Cancer Organoids: The Rough Path to Personalized Medicine
Rossi, R., Angelis, M. L. D., Xhelili, E., Sette, G., Eramo, A., Maria, R. D., Incani, U. C., Francescangeli, F., & Zeuner, A. (2022) · Cancers · doi:10.3390/cancers14153703 · Cited by 27
Genomic and Epigenomic Characterization of Tumor Organoid Models
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“Compared with the epithelial-only organoid models (15, 48), or coculture of peripheral blood cells with organoids (49), the BC WTCs preserve the primary tumor cells with their endogenous TME components (Fig.”
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Self-citationBioengineering Approaches for the Pancreatic Tumor Organoids Research and Application
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Beelen, N. A., Aberle, M. R., Bruno, V., Damink, S. W. M. O., Bos, G. M. J., Rensen, S. S., & Wieten, L. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1133796 · Cited by 26
Landon‐Brace, N., Li, N. T., & McGuigan, A. P. (2023) · Advanced Healthcare Materials · doi:10.1002/adhm.202300903 · Cited by 25
Cholangiocarcinoma Disease Modelling Through Patients Derived Organoids
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Mechanoimmunology in the solid tumor microenvironment
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TIL Therapy in Lung Cancer: Current Progress and Perspectives
Hu, W., Bian, Y., & Ji, H. (2024) · Advanced Science · doi:10.1002/advs.202409356 · Cited by 25
Human Organoids and Their Application in Tumor Models, Disease Modeling, and Tissue Engineering
Song, S., Liu, Z., Wang, Y., & Gong, B. (2025) · Medicine Bulletin · doi:10.1002/mdb2.70001 · Cited by 25
Kidney organoid systems for studies of immune-mediated kidney diseases: challenges and opportunities
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Greco, L., Rubbino, F., Morelli, A., Gaiani, F., Grizzi, F., de’Angelis, G. L., Malesci, A., & Laghi, L. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222111469 · Cited by 22
Fate mapping and scRNA sequencing reveal origin and diversity of lymph node stromal precursors
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Affolter, A., Kern, J., Bieback, K., Scherl, C., Rotter, N., & Lammert, A. (2022) · International Journal of Oncology · doi:10.3892/ijo.2022.5378 · Cited by 22
“The authors aim at discovering personalized determinants of response to immu‐ notherapy (117).”
BackgroundTumor Organoid Model and Its Pharmacological Applications in Tumorigenesis Prevention
Cao, X., Zheng, W., Qiang, Y., Yao, N., Zuo, F., & Qiu, S. (2022) · Current Molecular Pharmacology · doi:10.2174/1874467215666220803125822 · Cited by 23
Patrício, D., Santiago, J., Mano, J. F., & Fardilha, M. (2022) · WIREs Mechanisms of Disease · doi:10.1002/wsbm.1590 · Cited by 26
Targeting alternative splicing in cancer immunotherapy
Han, N., & Liu, Z. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1232146 · Cited by 21
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Mouse Models of Oncoimmunology in Hepatocellular Carcinoma
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“other cancer types (ie, in colorectal cancer and lung cancer) (80).”
BackgroundModeling the tumor immune microenvironment for drug discovery using 3D culture
Lee, J. Y., & Chaudhuri, O. (2021) · APL Bioengineering · doi:10.1063/5.0030693 · Cited by 22
Microdissection tools to generate organoids for modeling the tumor immune microenvironment
Cordts, S. C., Yuki, K., Echeverri, M. F. H., Narasimhan, B., Kuo, C. J., & Tang, S. K. Y. (2024) · Microsystems & Nanoengineering · doi:10.1038/s41378-024-00756-8 · Cited by 21
“Prior studies have assembled organoids (or spheroids) from single tumor cells that lack stroma and cocultured them with peripheral immune populations 19 – 21 .”
Intestinal organoid coculture systems: current approaches, challenges, and future directions
Al-Qadami, G. H., Raposo, A. E., Chien, C.-C., Ma, C., Priebe, I. K., Hor, M., & Fung, K. Y. C. (2024) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00203.2024 · Cited by 24
Tseng, Y., & Boehm, J. S. (2019) · Current Opinion in Genetics & Development · doi:10.1016/j.gde.2019.02.007 · Cited by 21
Alkan, A., Hofving, T., Angenete, E., & Yrlid, U. (2021) · Biomarker Research · doi:10.1186/s40364-021-00313-9 · Cited by 22
Functional precision cancer medicine: drug sensitivity screening enabled by cell culture models
Flobak, Å., Skånland, S. S., Hovig, E. J., Taskén, K., & Russnes, H. G. (2022) · Trends in Pharmacological Sciences · doi:10.1016/j.tips.2022.08.009 · Cited by 26
Feng, B., Pan, B., Huang, J., Du, Y., Wang, X., Wu, J., Ma, R., Shen, B., Huang, G., & Feng, J. (2023) · Cancer Letters · doi:10.1016/j.canlet.2023.216224 · Cited by 21
Biomarkers and experimental models for cancer immunology investigation
Xu, H., Jia, Z., Liu, F., Li, J., Huang, Y., Jiang, Y., Pu, P., Shang, T., Tang, P., Zhou, Y., et al. (2023) · MedComm · doi:10.1002/mco2.437 · Cited by 21
“257,264 Tumor-reactive T cells with high cytotoxicity and specificity from peripheral blood can be efficiently enriched in coculture systems of autologous patient-derived organoids (PDOs) from patients with dMMR CRC and NSCLC. 257 Submerged models can also reproduce characteristic responses of…”
BackgroundYang, X., Yang, Y., Zhang, Z., & Li, M. (2023) · Langmuir · doi:10.1021/acs.langmuir.3c03046 · Cited by 21
Organoids as a tool to study homeostatic and pathological immune–epithelial interactions in the gut
Kromann, E. H., Peña‐Cearra, A., & Neves, J. F. (2024) · Clinical & Experimental Immunology · doi:10.1093/cei/uxad118 · Cited by 22
“Recent work has demonstrated how patient-derived tumour organoids are advancing treatments by selectively expanding autologous tumour-reactive T cells [88, 89] (Fig.”
BackgroundAdvancements in 3D In Vitro Models for Colorectal Cancer
Vitale, S., Calapà, F., Colonna, F., Luongo, F., Biffoni, M., Maria, R. D., & Fiori, M. E. (2024) · Advanced Science · doi:10.1002/advs.202405084 · Cited by 22
Preclinical pharmacology modeling of chimeric antigen receptor T therapies
Kumari, R., Ouyang, X., Wang, J., Xu, X., Zheng, M., An, X., & Li, Q. (2021) · Current Opinion in Pharmacology · doi:10.1016/j.coph.2021.08.008 · Cited by 21
Tumor organoid model of colorectal cancer (Review)
Yang, C., Xiao, W., Wang, R., Hu, Y., Yi, K., Sun, X., Wang, G., & Xu, X. (2023) · Oncology Letters · doi:10.3892/ol.2023.13914 · Cited by 24
Breast cancer organoids and their applications for precision cancer immunotherapy
Guan, D., Liu, X., Shi, Q., He, B., Zheng, C., & Meng, X. (2023) · World Journal of Surgical Oncology · doi:10.1186/s12957-023-03231-2 · Cited by 20
“…to enhance clinical outcomes in BC, particularly for TNBC. Growing evidence suggests that BC is markedly heterogeneous concerning immune infiltration and the TME, and that lymphocyte infiltration into tumors is related to a better prognosis and better clinical responses to chemotherapy [82, 83].”
BackgroundPatient-derived glioblastoma organoids reflect tumor heterogeneity and treatment sensitivity
Verduin, M., Hoosemans, L., Vanmechelen, M., van Heumen, M., Piepers, J. A. F., Astuti, G., Ackermans, L. P. C. M., Schijns, O. E. M. G., Kampen, K. R., Tjan‐Heijnen, V. C. G., et al. (2023) · Neuro-Oncology Advances · doi:10.1093/noajnl/vdad152 · Cited by 20
“38 Additionally, co-culture systems of patient-derived GBM cells together with human embryonic stem-cell-derived cerebral organoids have been developed to mimic invasion and GBM–brain cell interaction.”
BackgroundMethodLeto, S. M., Grassi, E., Avolio, M., Vurchio, V., Cottino, F., Ferri, M., Zanella, E. R., Borgato, S., Corti, G., di Blasio, L., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-51909-2 · Cited by 20
“…models that preserve the overall tumor cellular contexture and architecture, including cocultures of tumoroids with autologous peripheral blood lymphocytes 62 or carcinoma-associated fi broblasts 63,64 , human air – liquid interface cohesive units 65 , and thin-slice tumor fragments 66 .”
Long-term maintenance of patient-specific characteristics in tumoroids from six cancer indications
Paul, C. D., Yankaskas, C., Thakuri, P. S., Balhouse, B. N., Salen, S., Bullock, A., Beam, S., Chatman, A., Djikeng, S., Yang, X. J., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-86979-9 · Cited by 19
“That said, murine-derived BME may itself cause reactivity of CD4 + T cells 62 , and the microenvironment in which tumoroid and immune cell co-culture assays are performed should be carefully considered.”
Madan, A., Saini, R., Dhiman, N., Juan, S., & Satapathy, M. K. (2025) · Organoids · doi:10.3390/organoids4040023 · Cited by 24
“Critical parameters such as PD-L1 expression, HLA class I presentation, interferon-gamma sensitivity, and tumor mutational burden can be interrogated under various conditions, including IFN-γ stimulation or co-culture with immune effector cells [157].”
Dominijanni, A. J., Mazzocchi, A. R., Shelkey, E., Forsythe, S. D., Devarasetty, M., & Söker, S. (2020) · Current Opinion in Biomedical Engineering · doi:10.1016/j.cobme.2020.03.005 · Cited by 20
Multimodal predictors for precision immunotherapy
Roelofsen, L. M., Kaptein, P., & Thommen, D. S. (2022) · Immuno-Oncology Technology · doi:10.1016/j.iotech.2022.100071 · Cited by 19
DeStefanis, R. A., Kratz, J. D., Olson, A. M., Sunil, A., DeZeeuw, A. K., Gillette, A. A., Sha, G. C., Johnson, K. A., Pasch, C. A., Clipson, L. J., et al. (2022) · Scientific Reports · doi:10.1038/s41598-022-08937-z · Cited by 21
Spatiotemporal T cell dynamics in a 3D bioprinted immunotherapy model
Morley, C. D., Flores, C., Drake, J., Moore, G. L., Mitchell, D. A., & Angelini, T. E. (2022) · Bioprinting · doi:10.1016/j.bprint.2022.e00231 · Cited by 21
Clinical applications of 3D normal and breast cancer organoids: A review of concepts and methods
Lewis, S. M., Callaway, M. K., & dos Santos, C. O. (2022) · Experimental Biology and Medicine · doi:10.1177/15353702221131877 · Cited by 20
Advancements in melanoma cancer metastasis models
Melo, L. M. N., Kumar, S., Riess, V., Szylo, K. J., Eisenburger, R. T., Schadendorf, D., Ubellacker, J. M., & Tasdogan, A. (2022) · Pigment Cell & Melanoma Research · doi:10.1111/pcmr.13078 · Cited by 20
“A key advantage of 3D organoids includes the ability to propagate and generate a biobank of organoids from different patients for future therapy analysis (Dijkstra et al., 2018; Jacob et al., 2020; Neal et al., 2018).”
BackgroundBourreau, C., Treps, L., Faure, S., Fradin, D., & Clere, N. (2023) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2023.108347 · Cited by 20
Intersection of nanomaterials and organoids technology in biomedicine
Shen, C., Zhang, Z., Li, X., Huang, Y.-P., Wang, Y., Zhou, H. R., Xiong, L., Wen, Y., Zou, H., & Liu, Z. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1172262 · Cited by 21
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Engineering Heterogeneous Tumor Models for Biomedical Applications
Wu, Z., Huang, D., Wang, J., Zhao, Y., Sun, W., & Shen, X. (2023) · Advanced Science · doi:10.1002/advs.202304160 · Cited by 19
Organoids: An Emerging Precision Medicine Model for Prostate Cancer Research
Waseem, M., & Wang, B. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25021093 · Cited by 21
“Additionally, previous studies have shown that co-culturing NSCLC or colon organoids with matched PBMC cells resulted in an increase in the CD8 + anti-tumor T cell population [94].”
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The potential application of organoids in breast cancer research and treatment
Ebrahimi, N., Esfahani, A. N., Samizade, S., Mansouri, A., Ghanaatian, M., Adelian, S., Shadman-Manesh, V., & Hamblin, M. R. (2021) · Human Genetics · doi:10.1007/s00439-021-02390-0 · Cited by 20
Chen, D., Xu, L., Xuan, M., Chu, Q., & Xue, C. (2024) · Clinical and Translational Medicine · doi:10.1002/ctm2.1802 · Cited by 20
“56 Using CRISPR-mediated mutagenesis, Coelho et al. 57 systematically explored the genetic landscapes of interferon γ (IFN-γ ) in colorectal cancer tumour organoids co-cultured with matched tumour-reactive T cells.”
BackgroundD’Amore, T., Zolfanelli, C., Lauciello, V., Ciancia, A. D., Vagliasindi, A., Smaoui, S., & Varzakas, T. H. (2025) · Microorganisms · doi:10.3390/microorganisms13061335 · Cited by 21
“Organoids derived from cancerous tissue (tumoroids) are particularly valuable for modeling tumor biology and drug responses [155–158].”
Intratumoural vaccination via checkpoint degradation-coupled antigen presentation
Han, Y., Ma, Y., Pei, M., Yin, S., Wang, J., Guo, L., Fang, Y., Guo, W., Deng, C. L., Zhao, S., et al. (2026) · Nature · doi:10.1038/s41586-025-09903-1 · Cited by 23
Phenotype transition of fibroblasts incorporated into patient‐derived oral carcinoma organoids
Chen, X., Li, R., Zhao, H., Wang, X., Shao, Z., & Shang, Z. (2021) · Oral Diseases · doi:10.1111/odi.14071 · Cited by 19
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“Co-cultures of peripheral blood lymphocytes with PDOs have been used for screening immune checkpoint inhibitors [25].”
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Head and neck cancer patient-derived tumouroid cultures: opportunities and challenges
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“Additional supplements, such as antiCD28, anti-CD3, and IL-2 antibodies, have been suggested for the long-term preservation of immune cells [111, 117].”
BackgroundChan, W. S., Mo, X.-T., Ip, P. P. C., & Tse, K. Y. (2023) · Cancer Medicine · doi:10.1002/cam4.6521 · Cited by 20
“119 The enriched tumor-reactive T cells could then be used to kill the efficacy and mechanism of matched tumor organoids.”
BackgroundEstablishing mouse and human oral esophageal organoids to investigate the tumor immune response
Jiang, Y., Zhao, H., Kong, S., Zhou, D., Dong, J., Cheng, Y., Zhang, S., Wang, F., Kalra, A., Yang, N., et al. (2024) · Disease Models & Mechanisms · doi:10.1242/dmm.050319 · Cited by 19
Organoid models: the future companions of personalized drug development
Piraino, F., Costa, M., Meyer, M., Cornish, G. H., Ceroni, C., Garnier, V., Hoehnel, S., & Brandenberg, N. (2024) · Biofabrication · doi:10.1088/1758-5090/ad3e30 · Cited by 21
“To address these issues, co-culturing tumor organoids with autologous immune components such as T cell lymphocytes (T cells) became a compelling tool for understanding interactions between tumor cells and the immune system [54, 102, 103].”
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Advancing cancer immunotherapy: a vision for the field
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“Prior studies confirm that co-culturing tumor organoids with immune cells effectively recapitulates the tumor immune microenvironment (TIME) [63–66].”
Single-cell sequencing and organoids: applications in organ development and disease
Li, T., Yin, J., Hao, Y., Gao, W., Li, Q., Feng, Q., Tao, B., Hao, M., Liu, Y., Lin, C., et al. (2025) · Molecular Biomedicine · doi:10.1186/s43556-025-00364-6 · Cited by 20
“The maturity of organoids is often limited by the imper-fections of the culture systems [88].”
Vascularizing organoids-on-chip for perfused and personalized models
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Metadata
- Authors
- Dijkstra, K. K., Cattaneo, C. M., Weeber, F., Chalabi, M., van de Haar, J., Fanchi, L. F., Slagter, M., van der Velden, D. L., Kaing, S., Kelderman, S., van Rooij, N., van Leerdam, M. E., Depla, A., Smit, E. F., Hartemink, K. J., de Groot, R., Wolkers, M. C., Sachs, N., Snaebjornsson, P., Monkhorst, K., Haanen, J., Clevers, H., Schumacher, T. N., & Voest, E. E.
- Affiliations
- The Netherlands Cancer Institute (NL)
- Slotervaartziekenhuis (NL)
- Sanquin (NL)
- University Medical Center Utrecht (NL)
- Corresponding author
- Voest, Emile E.
- ORCID
- Dijkstra, Krijn K.
- Cattaneo, Chiara M.
- Weeber, Fleur
- Chalabi, Myriam
- van de Haar, Joris
- Fanchi, Lorenzo F.
- Slagter, Maarten
- van Rooij, Nienke
- van Leerdam, Monique E.
- Smit, Egbert F.
- Hartemink, Koen J.
- de Groot, Rosa
- Wolkers, Monika C.
- Sachs, Norman
- Monkhorst, Kim
- Haanen, John
- Clevers, Hans
- Schumacher, Ton N.
- Voest, Emile E.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 174
- Issue
- 6
- Pages
- 1586-1598.e12
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC6558289
- OpenAlex
- W2885650843
- Cited by
- 1,135
- References
- 47
- Citations by year
- 2026: 172 · 2025: 175 · 2024: 143 · 2023: 154 · 2022: 144 · 2021: 168 · 2020: 106 · 2019: 62 · 2018: 10
- FWCI
- 37.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- PubMed Central (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion)
- KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Funders
- NWO Gravitation Program (NWO (2012-2022)
- KWF (HUBR2014-7006)
- KWF Queen Wilhelmina (NKI 2013-6122)
- ERC AdG SENSIT
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- tumor-reactive T cells, tumor organoids, peripheral blood lymphocytes, co-culture, personalized cancer immunotherapy, non-small cell lung cancer, epithelial cancers, T cell-mediated killing
- MeSH terms
- Aged, Carcinoma, Non-Small-Cell Lung, Female, Humans, Interferon-gamma, Leukocytes, Mononuclear, Lung Neoplasms, Lymphocyte Activation, Male, Middle Aged, T-Lymphocytes, Tumor Cells, Cultured, Colorectal Neoplasms, Coculture Techniques, Cell Culture Techniques, In Vitro Techniques
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