Patient-Derived Models of Prostate Cancer: Capturing Tumour Complexity from Initiation to Metastasis
Journal Title
Cancer Letters
Publication Type
Research article
Abstract
Prostate cancer is a growing global health challenge. To identify new ways to improve patient care, researchers need a variety of preclinical models that faithfully recapitulate human tumours across the disease continuum, from initiation to metastasis. These complementary models include primary cultures of prostate epithelial cells (PrECs), co-cultures, patient-derived explants (PDEs), patient-derived organoids (PDOs) and patient-derived xenografts (PDXs). Collectively, these models enable researchers to study tumour biology and therapeutic responses in clinically relevant contexts. Yet, there is still a need to improve the fidelity of preclinical models to human tumours by integrating diverse cell types from the tumour microenvironment and mimicking biomechanical features. By improving culture methods with matrix components that resemble the tumour microenvironment and new formulations of media that imitate human plasma, in vitro models will more accurately reflect human physiology, nutrient availability, and metabolism. In time this may reduce the reliance on animal testing through organ-on-chip and related techniques. These more complex models are suited to more detailed experimental readouts, including single-cell and spatial analyses. Intravital imaging also enables dynamic visualisation of cell-cell interactions and treatment responses in vivo. Collectively, these approaches are facilitating a shift towards sophisticated models that capture patients' tumour heterogeneity, different cellular niches, and provide opportunities to carefully study tumorigenesis, metastasis, lineage plasticity, and therapy resistance. In this review, we discuss the current progress and future directions for patient-derived models of prostate cancer, highlighting how they can be generated, refined, characterised and shared to accelerate the worldwide effort in translational research.
Publisher
Elsevier
Keywords
Pdo; Pdx; PrEC; Prostate cancer; co-culture; organ-on-chip; organoid; tumour microenvironment
Department(s)
Laboratory Research
Open Access at Publisher's Site
https://doi.org/10.1016/j.canlet.2026.218791
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2026-09-14 12:01:06
Last Modified: 2026-09-14 12:01:21
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