# Gastric cancer organoids: a promising model for personalized treatment of gastric cancer

**Authors:** Yu Chang, Yu Liu, Huahua Zhang, Xia Lei, Yunfeng Hu

PMC · DOI: 10.3389/fcell.2025.1712621 · Frontiers in Cell and Developmental Biology · 2026-01-29

## TL;DR

Gastric cancer organoids are promising for personalized treatment by mimicking tumor behavior and drug responses in a lab setting.

## Contribution

This paper systematically reviews gastric cancer organoid models and their role in advancing precision treatment strategies.

## Key findings

- Organoid models retain tumor heterogeneity and can predict treatment responses.
- Organoids bridge basic research and clinical practice for personalized gastric cancer treatment.
- Organoids aid in drug sensitivity testing and biomarker discovery.

## Abstract

Gastric cancer is one of the most prevalent malignant tumors in the gastrointestinal tract. At present, the main treatment methods of gastric cancer include chemotherapy, targeted therapy and immunotherapy. However, due to the strong heterogeneity of tumor cells, the current treatment schemes have different effects on each patient. Therefore, individualized treatment strategies for different patients have become an inevitable trend. The organoid model is an emerging technology for three-dimensional (3D) cell culture in vitro, which can simulate the three-dimensional structure of real organs and the interaction between cells, while retaining the heterogeneity of patients’ tumor cells. The response of organoid model to treatment can replace the response of patients’ tumor cells to treatment. Organoid model of gastric cancer can effectively bridge the basic research and clinical practice, and show remarkable transformation potential and broad application prospects in promoting individualized treatment of gastric cancer. In this paper, the establishment methods of organoid model of gastric cancer are systematically reviewed, and its application in drug sensitivity detection, biomarker discovery and mechanism research is discussed, in order to provide theoretical basis and practical reference for the development of precise treatment strategy for gastric cancer.

## Linked entities

- **Diseases:** gastric cancer (MONDO:0001056)

## Full-text entities

- **Genes:** CD274 (CD274 molecule) [NCBI Gene 29126] {aka ADMIO5, B7-H, B7H1, PD-L1, PDCD1L1, PDCD1LG1}, IFI27 (interferon alpha inducible protein 27) [NCBI Gene 3429] {aka FAM14D, ISG12, ISG12A, P27}, ABCG2 (ATP binding cassette subfamily G member 2 (JR blood group)) [NCBI Gene 9429] {aka ABC15, ABCP, BCRP, BMDP, CD338, CDw338}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, BATF2 (basic leucine zipper ATF-like transcription factor 2) [NCBI Gene 116071] {aka SARI}, EGFR (epidermal growth factor receptor) [NCBI Gene 1956] {aka ERBB, ERBB1, ERRP, HER1, NISBD2, NNCIS}, H3P16 (H3 histone pseudogene 16) [NCBI Gene 644914] {aka H3.6, H3F3AP6, p21}, EXOSC5 (exosome component 5) [NCBI Gene 56915] {aka CABAC, RRP41B, RRP46, Rrp46p, hRrp46p, p12B}, CCND1 (cyclin D1) [NCBI Gene 595] {aka BCL1, D11S287E, PRAD1, U21B31}, MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, MUC16 (mucin 16, cell surface associated) [NCBI Gene 94025] {aka CA125}, AFP (alpha fetoprotein) [NCBI Gene 174] {aka AFPD, FETA, HPAFP}, ATOH1 (atonal bHLH transcription factor 1) [NCBI Gene 474] {aka ATH1, DFNA89, HATH1, MATH-1, bHLHa14}, CTNNB1 (catenin beta 1) [NCBI Gene 1499] {aka CTNNB, EVR7, MRD19, NEDSDV, armadillo}, HDGF (heparin binding growth factor) [NCBI Gene 3068] {aka HMG1L2}, SCD (stearoyl-CoA desaturase) [NCBI Gene 6319] {aka FADS5, MSTP008, SCD1, SCDOS, hSCD1}, NUF2 (NUF2 component of NDC80 kinetochore complex) [NCBI Gene 83540] {aka CDCA1, CT106, NUF2R}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, EGF (epidermal growth factor) [NCBI Gene 1950] {aka HOMG4, URG}, ARID1A (AT-rich interaction domain 1A) [NCBI Gene 8289] {aka B120, BAF250, BAF250a, BM029, C1orf4, CSS2}, TENM1 (teneurin transmembrane protein 1) [NCBI Gene 10178] {aka ODZ1, ODZ3, TEN-M1, TEN1, TNM, TNM1}, PTTG1IP (PTTG1 interacting protein) [NCBI Gene 754] {aka C21orf1, C21orf3, PBF, PTTG1IP1}, PTEN (phosphatase and tensin homolog) [NCBI Gene 5728] {aka 10q23del, BZS, CWS1, DEC, GLM2, MHAM}, ADAR (adenosine deaminase RNA specific) [NCBI Gene 103] {aka ADAR1, AGS6, DRADA, DSH, DSRAD, G1P1}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, GAS1 (growth arrest specific 1) [NCBI Gene 2619], ASF1B (anti-silencing function 1B histone chaperone) [NCBI Gene 55723] {aka CIA-II}, CEACAM3 (CEA cell adhesion molecule 3) [NCBI Gene 1084] {aka CD66D, CEA, CGM1, CGM1a, W264, W282}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, STAT3 (signal transducer and activator of transcription 3) [NCBI Gene 6774] {aka ADMIO, ADMIO1, APRF, HIES}, FOS (Fos proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 2353] {aka AP-1, C-FOS, p55}, KDM1A (lysine demethylase 1A) [NCBI Gene 23028] {aka AIMAH3, AOF2, BHC110, CPRF, KDM1, LSD1}, PDCD1 (programmed cell death 1) [NCBI Gene 5133] {aka ADMIO4, AIMTBS, CD279, PD-1, PD1, SLEB2}
- **Diseases:** lymph node metastasis (MESH:D008207), gastric (MESH:D013272), necrotic (MESH:D009336), colorectal cancer (MESH:D015179), rare (MESH:D035583), endometrial cancer (MESH:D016889), deaths (MESH:D003643), carcinogenic (MESH:D011230), ascites (MESH:D001201), XL (MESH:D000080345), cytotoxicity (MESH:D064420), infection (MESH:D007239), carcinogenesis (MESH:D063646), EGC (MESH:D013274), gallbladder cancer (MESH:D005706), gastric mucinous metaplasia (MESH:D008679), Hp infection (MESH:D016481), prostate cancer (MESH:D011471), hepatitis B (MESH:D006509), rectal malignant tumors (MESH:D012004), biliary tract cancer (MESH:D001661), GEA (MESH:D000230), Cancer (MESH:D009369), lung cancer (MESH:D008175)
- **Chemicals:** hydroxycamptothecin (MESH:C527042), DS-8201 (MESH:C000614160), CO2 (MESH:D002245), larotrectinib (MESH:C000609083), XELOX (MESH:C519688), ROS (MESH:D017382), docetaxel (MESH:D000077143), PBS (MESH:D007854), entrectinib (MESH:C000607349), mitomycin (MESH:D016685), carboplatin (MESH:D016190), FOLFOX (MESH:C410216), HE (MESH:D006371), DMEM/ (-), cisplatin (MESH:D002945), epirubicin (MESH:D015251), panitumumab (MESH:D000077544), 5-FU (MESH:D005472), oxaliplatin (MESH:D000077150), trastuzumab (MESH:D000068878), paclitaxel (MESH:D017239), Quercetin (MESH:D011794), F12 (MESH:C007782)
- **Species:** Homo sapiens (human, species) [taxon 9606], human gammaherpesvirus 4 (Epstein Barr virus, no rank) [taxon 10376], Helicobacter pylori (species) [taxon 210]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12921360/full.md

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12921360/full.md

## References

110 references — full list in the complete paper: https://tomesphere.com/paper/PMC12921360/full.md

---
Source: https://tomesphere.com/paper/PMC12921360