Tumor spheroid assembly on hyaluronic acid-based structures: A review

• Spheroids application in drug screening is emphasized.
• The influence of HA molecular weight on cancer cells behavior is summarized.
• The intracellular pathways activated due to cell-HA interactions were described.
• HA-based structures used for spheroids assembly were reviewed.

Two-dimensional (2D) cell culture is the main methodology used for screening anticancer therapeutics. However, these 2D cellular models misrepresent the architecture of native tumors, leading, in some cases, to unsuccessful prediction of cancer cell response to drugs. To overcome such limitations, cell growth in three dimensions (3D) arises as an alternative to reproduce in vitro the cellular arrangement found in tumors. Among the 3D cancer models developed so far, spheroids are the most attractive since these are cellular aggregates that broadly mimic many features of solid tumors affecting humans, like cell–cell interactions. One of the most applied techniques for producing spheroids is the liquid overlay technique, in which cells aggregate due to their limited adhesion to certain biomaterials, usually agarose or agar. Recently, the suitability of hyaluronic acid (HA) for spheroids assembly and HA-cell surface receptor interactions has been investigated. Ergo, this review gathers a summary of different studies where HA-based structures were developed and used for tumor spheroids production in order to be used in vitro as reliable 3D tumor models for therapeutic screening purposes.