Peritoneal metastasis is a frequent complication of gastrointestinal malign
ancy. We have developed a three-dimensional model of the human peritoneum t
hat simulates the metastatic process in vitro. Peritoneal fibroblasts were
incorporated into collagen lattices, allowed to contract, then overlaid wit
h mesothelial cells. Scanning and transmission electron microscopy showed t
he model to have similar physical properties to human peritoneum. Mesotheli
al expression of the beta 1 integrin family, the basement membrane proteins
fibronectin, laminin, collagen types III and IV, and the cell adhesion mol
ecules ICAM-1, VCAM-1 and PECAM were assessed and showed similar results to
in vivo tissue. Gastrointestinal tumour cells seeded onto the model exhibi
ted mesothelial adhesion, cell spreading and vesicle formation, and invasio
n of the mesothelial monolayer on scanning electron microscopy. Two distinc
t patterns of tumour cell growth were observed using light microscopy: a su
perficial spreading layer, and discrete invasive deposits. Invasion was acc
ompanied by disruption of the mesothelial monolayer, degradation and re-ori
entation of the matrix, and rudimentary tumour cell differentiation. We bel
ieve the use of this in vitro peritoneal model will facilitate the study of
the molecular mechanisms involved in the metastatic process.