RT Journal Article SR Electronic T1 Resolving drug effects in patient-derived cancer cells links organoid responses to genome alterations JF bioRxiv FD Cold Spring Harbor Laboratory SP 124446 DO 10.1101/124446 A1 Julia Neugebauer A1 Franziska M. Zickgraf A1 Jeongbin Park A1 Steve Wagner A1 Xiaoqi Jiang A1 Katharina Jechow A1 Kortine Kleinheinz A1 Umut H. Toprak A1 Marc A. Schneider A1 Michael Meister A1 Saskia Spaich A1 Marc Sütterlin A1 Matthias Schlesner A1 Andreas Trumpp A1 Martin Sprick A1 Roland Eils A1 Christian Conrad YR 2017 UL http://biorxiv.org/content/early/2017/04/06/124446.abstract AB Cancer drug screening in patient-derived cells holds great promise for personalized oncology and drug discovery but lacks standardization. Whether cells are cultured as conventional monolayer or advanced organoid cultures influences drug effects and thereby drug selection and clinical success. To precisely compare drug profiles in differently cultured primary cells, we developed DeathPro, an automated microscopy-based assay to resolve drug-induced cell death and proliferation inhibition. Using DeathPro, we screened cells from ovarian cancer patients in monolayer or organoid culture with clinically relevant drugs. Drug-induced growth arrest and efficacy of cytostatic drugs differed between the two culture systems. Interestingly, drug effects in organoids were more diverse and had lower therapeutic potential. Genomic analysis revealed novel links between drug sensitivity and DNA repair deficiency in organoids that were undetectable in monolayers. Thus, our results highlight the dependency of cytostatic drugs and pharmacogenomic associations on culture systems, and guide culture selection for drug tests.