Frontiers in Oncology (Apr 2021)

Pleural Fluid Has Pro-Growth Biological Properties Which Enable Cancer Cell Proliferation

  • Rachelle Asciak,
  • Rachelle Asciak,
  • Rachelle Asciak,
  • Nikolaos I. Kanellakis,
  • Nikolaos I. Kanellakis,
  • Nikolaos I. Kanellakis,
  • Nikolaos I. Kanellakis,
  • Xuan Yao,
  • Xuan Yao,
  • Megat Abd Hamid,
  • Megat Abd Hamid,
  • Rachel M. Mercer,
  • Maged Hassan,
  • Eihab O. Bedawi,
  • Melissa Dobson,
  • Peter Fsadni,
  • Stephen Montefort,
  • Tao Dong,
  • Tao Dong,
  • Najib M. Rahman,
  • Najib M. Rahman,
  • Najib M. Rahman,
  • Najib M. Rahman,
  • Ioannis Psallidas,
  • Ioannis Psallidas,
  • Ioannis Psallidas

DOI
https://doi.org/10.3389/fonc.2021.658395
Journal volume & issue
Vol. 11

Abstract

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ObjectivesPatients with malignant pleural mesothelioma (MPM) or pleural metastases often present with malignant pleural effusion (MPE). This study aimed to analyze the effect of pleural fluid on cancer cells.Materials and MethodsEstablished patient-derived cancer cell cultures derived from MPE (MPM, breast carcinoma, lung adenocarcinoma) were seeded in 100% pleural fluid (exudate MPM MPE, transudate MPE, non-MPE transudate fluid) and proliferation was monitored. In addition, the establishment of new MPM cell cultures, derived from MPE specimens, was attempted by seeding the cells in 100% MPE fluid.ResultsAll established cancer cell cultures proliferated with similar growth rates in the different types of pleural fluid. Primary MPM cell culture success was similar with MPE fluid as with full culture medium.ConclusionsPleural fluid alone is adequate for cancer cell proliferation in vitro, regardless of the source of pleural fluid. These results support the hypothesis that pleural fluid has important pro-growth biological properties, but the mechanisms for this effect are unclear and likely not malignant effusion specific.

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