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Advanced Human Immune Cell‐Organoid Co‐Cultures for Functional Testing of Cancer Nanovaccines
Advanced Human Immune Cell‐Organoid Co‐Cultures for Functional Testing of Cancer Nanovaccines
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Advanced Human Immune Cell‐Organoid Co‐Cultures for Functional Testing of Cancer Nanovaccines
Advanced Human Immune Cell‐Organoid Co‐Cultures for Functional Testing of Cancer Nanovaccines

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Advanced Human Immune Cell‐Organoid Co‐Cultures for Functional Testing of Cancer Nanovaccines
Advanced Human Immune Cell‐Organoid Co‐Cultures for Functional Testing of Cancer Nanovaccines
Journal Article

Advanced Human Immune Cell‐Organoid Co‐Cultures for Functional Testing of Cancer Nanovaccines

2026
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Overview
Pancreatic ductal adenocarcinoma (PDAC) remains a major clinical challenge due to late detection and limited treatment responsiveness. To better evaluate complex immunotherapies in a human‐relevant setting, we developed an integrated organoid–immune co‐culture pipeline using PDAC patient‐derived organoids (PDOs) and matched HLA immune cells. As a proof of concept, we assessed an MSLN‐targeted nanovaccine (Mesovac), alone and in combination with FOLFIRINOX chemotherapy and Atezolizumab. We evaluated Mesovac across a multi‐stage pipeline, including T‐cell stimulation, ex vivo expansion, and PDO‐immune co‐cultures, to assess immune activation, specificity, and synergy with combinatorial treatments. MSLN‐stimulated T‐cells, derived from PDAC patients, showed increased IFN‐γ production and selective infiltration into MSLN‐expressing PDOs. Artificial antigen‐presenting cells (aAPCs) boosted the expansion of reactive T‐cells, enhancing antitumor responses. Notably, combining Mesovac with FOLFIRINOX and Atezolizumab maintained PD‐L1+ T‐cell levels and reduced cancer stem cells and aggressive PDAC subsets. Using this advanced in vitro workflow, we highlight that this platform, using human organoid–immune cell co‐cultures, enables the evaluation of complex processes related to nanovaccine strategies that would not be possible in vivo. Pancreatic ductal adenocarcinoma remains difficult to treat. We establish an organoid–immune co‐culture using patient‐derived organoids and matched T‐cells to assess cancer vaccines. A mesothelin‐targeted nanovaccine activates antigen‐specific T‐cells, increases IFN‐γ, and targets MSLN+ organoids. Combined with FOLFIRINOX and Atezolizumab, it reduces stemness and maintains immune activity, enabling personalized ex vivo vaccine evaluation.