Primary cell culture is the out-of-the-body cultivation of cells taken from a multicellular organism, as opposed to the culture of immortalized cell lines. Some countries, like the United Kingdom, have enacted laws acknowledging that primary cell cultures are more accurate representations of the body’s tissue than cell lines. Nevertheless, primary cells require sufficient substrate or nutrients and after a certain number of cell divisions, they develop a senescent phenotype that causes them to permanently stop dividing. These two motivations led to the creation of cell lines. Both naturally immortalized primary cells (such as HeLa cells) and artificially immortalized primary cells (such as HEK cells) may be sub-cultured indefinitely.
Primary cell cultures did not gain popularity until the 21st century because of the strict conditions under which they must be cultivated to ensure viability. In comparison to cell lines, these primary cells better mimic the cellular variability of tissues, maintain a more true transcriptome and proteomic profile (particularly when cultivated in 3D), and exhibit more realistic functional responses, including pharmacological reactions. In contrast, it is well-documented that immortalized cell lines experience genetic drift and acquire genetic abnormalities, and that they become homogeneous through the natural selection of certain subgroups. Oftentimes, cell lines have been incorrectly identified, contaminated with other cells, or infected with Mycoplasma, a microscopic intracellular bacterium that went undiscovered for decades.
Sources:
Geraghty, R J; Capes-Davis, A; Davis, J M; Downward, J; Freshney, R I; Knezevic, I; et al. (September 2014). “Guidelines for the use of cell lines in biomedical research”. British Journal of Cancer. 111 (6): 1021–1046. doi:10.1038/bjc.2014.166. PMC 4453835. PMID 25117809
Campisi, Judith; d’Adda di Fagagna, Fabrizio (September 2007). “Cellular senescence: when bad things happen to good cells”. Nature Reviews Molecular Cell Biology. 8 (9): 729–740. doi:10.1038/nrm2233. PMID 17667954. S2CID 15664931
Freshney, R. Ian; Freshney, Mary G., eds. (1996). Culture of immortalized cells. New York: Wiley-Liss. ISBN 978-0-471-12134-3
Gillet, J.-P.; Varma, S.; Gottesman, M. M. (3 April 2013). “The Clinical Relevance of Cancer Cell Lines”. JNCI Journal of the National Cancer Institute. 105 (7): 452–458. doi:10.1093/jnci/djt007. PMC 3691946. PMID 23434901
Cree, Ian A; Glaysher, Sharon; Harvey, Alan L (August 2010). “Efficacy of anti-cancer agents in cell lines versus human primary tumour tissue”. Current Opinion in Pharmacology. 10 (4): 375–379. doi:10.1016/j.coph.2010.05.001. PMID 20570561
Tiriac, Hervé; Belleau, Pascal; Engle, Dannielle D.; Plenker, Dennis; Deschênes, Astrid; Somerville, Tim D. D.; et al. (September 2018). “Organoid Profiling Identifies Common Responders to Chemotherapy in Pancreatic Cancer”. Cancer Discovery. 8 (9): 1112–1129. doi:10.1158/2159-8290.CD-18-0349. PMC 6125219. PMID 29853643
American Type Culture Collection Standards Development Organization Workgroup (June 2010). “Cell line misidentification: the beginning of the end”. Nature Reviews Cancer. 10 (6): 441–448. doi:10.1038/nrc2852. PMID20448633. S2CID1904739