22–23 Jul 2026
Heidelberg Congress Center
Europe/Berlin timezone

Exploring Exercise Oncology Through 3D In Vitro Models: Impact of Exercise-Conditioned Serum on Breast Cancer Cell Tumorigenicity

23 Jul 2026, 11:45
1h 15m
Heidelberg Congress Center ( Heidelberg Congress Center )

Heidelberg Congress Center

Heidelberg Congress Center

Czernyring 20 69115 Heidelberg Germany
1 - Scientific Poster Poster Session

Speaker

Prof. Mauro De Santi (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy)

Description

Purpose: Cell culture models in exercise oncology enable the assessment of exercise effects on cancer cell tumorigenicity and the identification of physiological predictors. Our research group pioneered the application of 3D translational in vitro approaches to evaluate exercise effects in breast cancer survivors and to explore potential predictors of exercise-conditioned serum activity.
Methods: Thirty breast cancer survivors completed a 12-week lifestyle intervention (LI) including aerobic exercise training and educational counseling. A subset performed two acute exercise sessions at 40% heart rate reserve (HRR; Moderate EX) and 70% HRR (Vigorous EX). Sera collected before and after LI, and post-exercise, were used to stimulate triple-negative breast cancer (TNBC) cells and patient-derived organoids (PDOs) to assess 3D spheroid formation in semi-solid matrices.
Results: Compared to pre-intervention sera, LI-conditioned sera significantly reduced TNBC spheroid formation, indicating decreased tumorigenic potential. IGF-1 emerged as a significant predictor of these effects. Exercise-conditioned sera also showed less capacity to form TNBC cell spheroids, compared to those collected at rest. Particularly, the strongest effects were observed 3h post-Moderate EX (-14.3 ± 6.7%). Similar trends were partially confirmed in PDOs, supporting the translational relevance of these findings.
Conclusions: These results reinforce the potential of aerobic exercise interventions to control tumor progression and recurrence risk in breast cancer survivors. Translational in vitro models represent a promising tool to predict the role of exercise-induced metabolic and physiological changes, advancing knowledge in exercise oncology and supporting personalized exercise prescriptions.

Keywords

Breast cancer survivors; 3D cell culture models; lifestyle; aerobic exercise

Abstract submitters declaration yes
Conflict of Interest & Ethical Approval yes

Author

Prof. Mauro De Santi (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy)

Co-authors

Dr Giulia Baldelli (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Dr Veronica Gentilini (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Asja Conti (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Dr Valentina Natalucci (Department of Experimental and Clinical Medicine, Neurorehabilitation Clinic, Università Politecnica delle Marche, Ancona, Italy) Dr Carlo Ferri Marini (Department of Human Movement Sciences, University Medical Center Groningen, Groningen, The Netherlands) Prof. Francesco Lucertini (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Prof. Giosuè Annibalini (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Prof. Davide Sisti (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Dr Roberta Saltarelli (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Prof. Paolo Ceppi (Department of Biochemistry and Molecular Biology, University of Southern Denmark: Odense, Syddanmark, DK) Dr Vincenzo Catalano (U.O.C. Medical Oncology AST PESARO URBINO, Santa Maria della Misericordia Hospital, Urbino, Italy) Dr Rita Emili (U.O.C. Medical Oncology AST PESARO URBINO, Santa Maria della Misericordia Hospital, Urbino, Italy) Prof. Giorgio Brandi (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy) Prof. Elena Barbieri (Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy)

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