Spheroids are three-dimensional cell aggregates expressing histotypic organ
isation in vitro comparable to tissue continuity in vivo. They can be prepa
red from normal tissue and from tumour fragments. In the experiments presen
ted here, dermal human spheroids and brain tumour spheroids are prepared fr
om the same patient. The dermal tissue originates from the border of the in
cision wound made to effect a stereotactic brain tumour biopsy. The tumour
originates from a fragment of the collected stereotactic biopsy. The dermal
fragment and the brain biopsy are explanted in vitro to form confluent mon
olayers. At confluency, the dermal cells are transferred into small Erlenme
yer flasks and rotated at 37 degreesC for 1-2 days and rotation mediated sp
heroids are formed. Small flaps of the tumour monolayer are placed on a sem
isolid non-adhesive substrate, reorganise and form agar overlay spheroids.
After spheroid formation, a dermal spheroid is confronted with a brain tumo
ur derived spheroid. The confronting pair, after adhering to each other, pr
esent an invasion model in vitro. The dermal spheroid functions as the auto
logous host for the brain tumour spheroid. Putative invasive cells present
in the reaggregated brain spheroid will invade the dermal spheroid and dest
roy it. If no invasive cells are present in the tumour derived spheroid no
morphologic changes will be seen in the dermal spheroid; 24 tested brain bi
opsy spheroids demonstrated a clear correlation between malignancy in situ
and invasiveness in vitro. So it can be concluded that the autologous confr
ontation of brain tumour derived spheroids with dermal spheroids derived fr
om the patient has a predictive value concerning malignant evolution and mi
mics the situation of the tumour in situ. (C) 2000 Elsevier Science Ireland
Ltd. All rights reserved.