Table 1.

Comparison of mono- and coculture: advantages and challenges

MonocultureCoculture
Spontaneous apoptosis (−) Samples with low viability (<0.25) present a technical challenge (+) Samples with low viability are rescued from spontaneous apoptosis 
Plate-positional effects (−) Edge effect: edge wells have systematically lower viabilities (+) No edge effect 
Reproducibility (+) Good correlation (r = 0.92) (+) Good correlation (r = 0.88) 
Microenvironmental effects (−) No signals from the microenvironment (+) Ex vivo model of the bone marrow microenvironment 
Drug sensitivity (+) Drug sensitivity profiles can be used for personalized medicine (citations) (++) Drug sensitivity profiles in presence of microenvironment signals 
Drug-gene associations (++) Many drug-gene associations are correlated with the clinical outcome (+) Directions of drug-gene associations preserved. Lower effect size estimates. Variance reduction enhances some associations 
Experimental complexity (+) Easy to handle (−) More labor-intense 
Image analysis (+) Straightforward (−) Requires additional staining or machine learning to separate cancer cells from stromal cells 
MonocultureCoculture
Spontaneous apoptosis (−) Samples with low viability (<0.25) present a technical challenge (+) Samples with low viability are rescued from spontaneous apoptosis 
Plate-positional effects (−) Edge effect: edge wells have systematically lower viabilities (+) No edge effect 
Reproducibility (+) Good correlation (r = 0.92) (+) Good correlation (r = 0.88) 
Microenvironmental effects (−) No signals from the microenvironment (+) Ex vivo model of the bone marrow microenvironment 
Drug sensitivity (+) Drug sensitivity profiles can be used for personalized medicine (citations) (++) Drug sensitivity profiles in presence of microenvironment signals 
Drug-gene associations (++) Many drug-gene associations are correlated with the clinical outcome (+) Directions of drug-gene associations preserved. Lower effect size estimates. Variance reduction enhances some associations 
Experimental complexity (+) Easy to handle (−) More labor-intense 
Image analysis (+) Straightforward (−) Requires additional staining or machine learning to separate cancer cells from stromal cells 

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