(A) Schematic diagram depicting the generation of organoids, acquisition of autologous immune cells, and establishment of their coculture system. (B) Images showing the morphology of T cells during culture and after activation with anti-CD3 and anti-CD28 antibodies. (C) Percentage of CD3- and CD8-positive cells after 2 weeks of T cell proliferation (n = 8, independent experiments). (D) Percentages of CD8+ T cells positive for granzyme B (GZMB), IFN-γ, and TNFα in the proliferated T cell populations. “−anti–PD-1” refers to no anti–PD-1 antibody (nivolumab) in the culture system, while “+anti–PD-1” indicates the addition of nivolumab in the culture system. “+anti–PD-1 + stimulation” represents the addition of nivolumab and stimulation with PMA and ionomycin in the culture system (n = 7, independent experiments for IFN-γ; n = 5 for TNFα and GZMB). (E) Optical images of small OMM clumps cocultured with T cells. (F) Percentages of PD-1− and CD8+ T cells positive for TNFα and IFN-γ in the OMM5_OPA-P15 organoid and T cell coculture group. (G) Radiation examination and therapeutic schedule for the parental tumors of OMM21 in the clinic. (H) Percentages of PD-1− CD8+ T cells positive for TNFα (left) and IFN-γ (right) in the OMM21_OP-P18 and OMM21_OLN-P11 organoid and autologous T cell coculture group. T cells were acquired after OMM21_TLN TILs cell expansion and CD8+ T microbeads-based cell sorting. (I) Proportions of live cancer cells in OMM21_OP and OLN after coculture with autologous T cells. For (C), (D), (F), (H), and (I), data are presented as the means ± SEM, (F, H, and I) with biologically independent replicates (n = 4 to 6). For (F), (H) and (I), cells were stimulated with PMA and ionomycin. A two-tailed unpaired Student’s t test was used for the P values. *P < 0.05, **P < 0.01, and ***P < 0.001.