Appropriateness of using patient-derived xenograft models for pharmacologic evaluation of novel therapies for esophageal/gastro-esophageal junction cancers

The high morbidity and mortality of patients with esophageal (E) and gastro-esophageal junction (GEJ) cancers, warrants new pre-clinical models for drug testing. The utility of primary tumor xenografts (PTXGs) as pre-clinical models was assessed. Clinicopathological, immunohistochemical markers (p53...

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Published inPloS one Vol. 10; no. 3; p. e0121872
Main Authors Dodbiba, Lorin, Teichman, Jennifer, Fleet, Andrew, Thai, Henry, Starmans, Maud H W, Navab, Roya, Chen, Zhuo, Girgis, Hala, Eng, Lawson, Espin-Garcia, Osvaldo, Shen, Xiaowei, Bandarchi, Bizhan, Schwock, Joerg, Tsao, Ming-Sound, El-Zimaity, Hala, Der, Sandy D, Xu, Wei, Bristow, Robert G, Darling, Gail E, Boutros, Paul C, Ailles, Laurie E, Liu, Geoffrey
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 31.03.2015
Public Library of Science (PLoS)
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Abstract The high morbidity and mortality of patients with esophageal (E) and gastro-esophageal junction (GEJ) cancers, warrants new pre-clinical models for drug testing. The utility of primary tumor xenografts (PTXGs) as pre-clinical models was assessed. Clinicopathological, immunohistochemical markers (p53, p16, Ki-67, Her-2/neu and EGFR), and global mRNA abundance profiles were evaluated to determine selection biases of samples implanted or engrafted, compared with the underlying population. Nine primary E/GEJ adenocarcinoma xenograft lines were further characterized for the spectrum and stability of gene/protein expression over passages. Seven primary esophageal adenocarcinoma xenograft lines were treated with individual or combination chemotherapy. Tumors that were implanted (n=55) in NOD/SCID mice had features suggestive of more aggressive biology than tumors that were never implanted (n=32). Of those implanted, 21/55 engrafted; engraftment was associated with poorly differentiated tumors (p=0.04) and older patients (p=0.01). Expression of immunohistochemical markers were similar between patient sample and corresponding xenograft. mRNA differences observed between patient tumors and first passage xenografts were largely due to loss of human stroma in xenografts. mRNA patterns of early vs late passage xenografts and of small vs large tumors of the same passage were similar. Complete resistance was present in 2/7 xenografts while the remaining tumors showed varying degrees of sensitivity, that remained constant across passages. Because of their ability to recapitulate primary tumor characteristics during engraftment and across serial passaging, PTXGs can be useful clinical systems for assessment of drug sensitivity of human E/GEJ cancers.
AbstractList The high morbidity and mortality of patients with esophageal (E) and gastro-esophageal junction (GEJ) cancers, warrants new pre-clinical models for drug testing. The utility of primary tumor xenografts (PTXGs) as pre-clinical models was assessed. Clinicopathological, immunohistochemical markers (p53, p16, Ki-67, Her-2/ neu and EGFR), and global mRNA abundance profiles were evaluated to determine selection biases of samples implanted or engrafted, compared with the underlying population. Nine primary E/GEJ adenocarcinoma xenograft lines were further characterized for the spectrum and stability of gene/protein expression over passages. Seven primary esophageal adenocarcinoma xenograft lines were treated with individual or combination chemotherapy. Tumors that were implanted (n=55) in NOD/SCID mice had features suggestive of more aggressive biology than tumors that were never implanted (n=32). Of those implanted, 21/55 engrafted; engraftment was associated with poorly differentiated tumors (p=0.04) and older patients (p=0.01). Expression of immunohistochemical markers were similar between patient sample and corresponding xenograft. mRNA differences observed between patient tumors and first passage xenografts were largely due to loss of human stroma in xenografts. mRNA patterns of early vs late passage xenografts and of small vs large tumors of the same passage were similar. Complete resistance was present in 2/7 xenografts while the remaining tumors showed varying degrees of sensitivity, that remained constant across passages. Because of their ability to recapitulate primary tumor characteristics during engraftment and across serial passaging, PTXGs can be useful clinical systems for assessment of drug sensitivity of human E/GEJ cancers.
The high morbidity and mortality of patients with esophageal (E) and gastro-esophageal junction (GEJ) cancers, warrants new pre-clinical models for drug testing. The utility of primary tumor xenografts (PTXGs) as pre-clinical models was assessed. Clinicopathological, immunohistochemical markers (p53, p16, Ki-67, Her-2/neu and EGFR), and global mRNA abundance profiles were evaluated to determine selection biases of samples implanted or engrafted, compared with the underlying population. Nine primary E/GEJ adenocarcinoma xenograft lines were further characterized for the spectrum and stability of gene/protein expression over passages. Seven primary esophageal adenocarcinoma xenograft lines were treated with individual or combination chemotherapy. Tumors that were implanted (n=55) in NOD/SCID mice had features suggestive of more aggressive biology than tumors that were never implanted (n=32). Of those implanted, 21/55 engrafted; engraftment was associated with poorly differentiated tumors (p=0.04) and older patients (p=0.01). Expression of immunohistochemical markers were similar between patient sample and corresponding xenograft. mRNA differences observed between patient tumors and first passage xenografts were largely due to loss of human stroma in xenografts. mRNA patterns of early vs late passage xenografts and of small vs large tumors of the same passage were similar. Complete resistance was present in 2/7 xenografts while the remaining tumors showed varying degrees of sensitivity, that remained constant across passages. Because of their ability to recapitulate primary tumor characteristics during engraftment and across serial passaging, PTXGs can be useful clinical systems for assessment of drug sensitivity of human E/GEJ cancers.
Audience Academic
Author Starmans, Maud H W
Teichman, Jennifer
El-Zimaity, Hala
Bandarchi, Bizhan
Der, Sandy D
Chen, Zhuo
Schwock, Joerg
Bristow, Robert G
Ailles, Laurie E
Xu, Wei
Darling, Gail E
Fleet, Andrew
Girgis, Hala
Espin-Garcia, Osvaldo
Liu, Geoffrey
Thai, Henry
Eng, Lawson
Tsao, Ming-Sound
Navab, Roya
Shen, Xiaowei
Dodbiba, Lorin
Boutros, Paul C
AuthorAffiliation 6 Department of Radiation Oncology (Maastro), GROW-School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, Netherlands
10 Department of Biostatistics, Princess Margaret Hospital, Toronto, Canada
1 Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada
11 Department of Pharmacology & Toxicology, University of Toronto, Toronto, ON, Canada
2 Wayne State University, School of Medicine, Detroit, Michigan, United States of America
4 University Health Network, Princess Margaret Hospital, Toronto, ON, Canada
8 Division of Thoracic Surgery, Toronto General Hospital, Toronto, ON, Canada
3 Ontario Cancer Institute, Toronto, ON, Canada
7 Department of Anatomical Pathology, Toronto General Hospital, Toronto, ON, Canada
5 Informatics and Biocomputing Program, Ontario Institute for Cancer Research, Toronto, Canada
9 Division of Epidemiology, Dalla Lana School of Public Health, Toronto, Canada
Peter MacCallum Cancer Centre, AUSTRALIA
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/25826681$$D View this record in MEDLINE/PubMed
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Copyright COPYRIGHT 2015 Public Library of Science
2015 Dodbiba et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
2015 Dodbiba et al 2015 Dodbiba et al
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– notice: 2015 Dodbiba et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Notes Competing Interests: The authors have declared that no competing interests exist.
Conceived and designed the experiments: LD JT AF HT RN ZC HG LEA GL. Performed the experiments: LD AF HT LE. Analyzed the data: LD JT AF MHWS OEG XS BB JS HEZ SDD RGB LEA GL. Contributed reagents/materials/analysis tools: MST HEZ WX GED LEA GL. Wrote the paper: LD JT MHWS PCB LEA GL.
GL and LEA are joint senior authors on this work.
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380353/
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Snippet The high morbidity and mortality of patients with esophageal (E) and gastro-esophageal junction (GEJ) cancers, warrants new pre-clinical models for drug...
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SubjectTerms Adenocarcinoma
Analysis
Animal models
Animals
Biophysics
Breast cancer
Chemotherapy
DNA methylation
Drug testing
Epidermal growth factor receptors
ErbB-2 protein
Esophageal cancer
Esophageal Neoplasms - drug therapy
Esophageal Neoplasms - pathology
Esophagogastric Junction - pathology
Esophagus
Evolution & development
Experiments
Gene expression
Health aspects
Health care networks
Hospitals
Humans
Informatics
Lung cancer
Markers
Medical prognosis
Medical research
Medical screening
Mice
Mice, Inbred NOD
Mice, SCID
Morbidity
mRNA
Oncology
p53 Protein
Pathology
Patients
Pharmacology
Proteins
RNA
Sensitivity
Sensitivity analysis
Stomach Neoplasms - drug therapy
Stomach Neoplasms - pathology
Stroma
Thoracic surgery
Tumor proteins
Tumors
Xenograft Model Antitumor Assays
Xenografts
Xenotransplantation
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Title Appropriateness of using patient-derived xenograft models for pharmacologic evaluation of novel therapies for esophageal/gastro-esophageal junction cancers
URI https://www.ncbi.nlm.nih.gov/pubmed/25826681
https://www.proquest.com/docview/1667954739
https://pubmed.ncbi.nlm.nih.gov/PMC4380353
https://doaj.org/article/01e94a5cbffc49d0a43bebc9d0825992
http://dx.doi.org/10.1371/journal.pone.0121872
Volume 10
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