A tumour consists of more than just cancer cells. In the body, solid tumours grow in close interaction with blood vessels, nerves and the surrounding tissue. To replicate basic organ functions outside the body the technology known as organ-on-chip is used. Researchers have now developed such a model of head and neck cancer and demonstrated that the concept works. The entire system fits on a plate roughly the size of a postage stamp.
Charlotte Perhammar
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The model enables researchers to study complex interactions under highly controlled conditions.
鈥淩ather than having to carry out research on animals or test potential drugs in humans, we want to be able to carry out tests in a single microsystem in the laboratory. If we want to understand why a tumour grows, spreads, causes pain or resists treatment, we need models that can replicate the interactions between the tumour and its surroundings,鈥� says Pierfrancesco Pagella, Senior Associate Professor at Link枚ping University, who led the study published in PNAS.
Mimic the body's substances
To replicate interactions in the body, the researchers developed the model in three steps. In the body, cells are immersed in a network of proteins and carbohydrates known as the extracellular matrix, or ECM. The researchers developed a material designed to mimic the ECM, based on hyaluronic acid, collagen and laminins, all substances that are key component of the body鈥檚 ECM. They found that ECM composition changed radically the behaviour of cancer cells and influenced their response to chemotherapy, indicating that the choice of ECM is an important factor in models that try to imitate human disease.
Cancer cells sensed blood vessels
The researchers then added blood vessel-like structures to their organ-on-chip. Blood vessels are important for tumour growth because they supply cells with oxygen and nutrients. They are also the most common route by which tumours spread to other parts of the body. In addition, anticancer medicines are transported to tumours through the bloodstream.
Charlotte Perhammar鈥淲e saw that the cancer cells responded to the nearby blood vessel, moved rapidly towards it and invaded it, which is the first step in tumour spread. However, the cells behaved very differently depending on the material surrounding them,鈥� says Pierfrancesco Pagella.
The researchers then used the blood vessel structure on the chip to administer cisplatin, a medicine commonly used to treat this type of cancer. Here too, the type of ECM material had an impact on how effectively cisplatin killed the cancer cells.
Interactions between tumour and nerves
To complete the organ-on-chip model, the researchers used stem cells to recreate trigeminal ganglia, the starting point of the nerves that are involved in sensation and pain in the mouth and throughout the face. Within a few days, the nerves had grown around the tumours.
Alessia Maria Pignataro, Cornelia Christina Schwarz, Emilia Wiechec et al鈥淚n our three-dimensional system, we saw that tumours in contact with nerves were less likely to invade blood vessels, but at the same time grew larger. Our model enables us to study nerves as an active component of the tumour microenvironment. This is particularly interesting in head and neck cancer, where nerves are involved both in regulating tumour behaviour and aggressiveness, and in cancer-related pain,鈥� says Pierfrancesco Pagella.
Flexible model
The researchers behind the study believe that their organ-on-chip model could be adapted to other solid tumour types in which interactions with surrounding structures and tissues are important. Besides supporting studies that increase our understanding of how cancer behaves and is affected by its surroundings, the method could eventually prove useful for applications such as drug screening and testing treatment response.
Charlotte Perhammar
The study received funding from, among others, the Swedish Research Council, the Knut and Alice Wallenberg Foundation, the European Research Council (糖心直播) and the Swedish Foundation for Strategic Research (SSF). The organ-on-chip technology was developed in collaboration with MiMic Lab at Politecnico di Milano, led by Professor Marco Rasponi, Chair of the European Organ-on-Chip Society.
The article: , Alessia Maria Pignataro, Cornelia Christina Schwarz, Emilia Wiechec et al. (2026), PNAS, published online 27 October 2026. DOI: https://doi.org/10.1073/pnas.2602541123
