2014
DOI: 10.1016/j.addr.2014.09.009
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Lessons from patient-derived xenografts for better in vitro modeling of human cancer

Abstract: The development of novel cancer therapeutics is often plagued by discrepancies between drug efficacies obtained in preclinical studies and outcomes of clinical trials. The inconsistencies can be attributed to a lack of clinical relevance of the cancer models used for drug testing. While commonly used in vitro culture systems are advantageous for addressing specific experimental questions, they are often gross, fidelity-lacking simplifications that largely ignore the heterogeneity of cancers as well as the comp… Show more

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Cited by 157 publications
(146 citation statements)
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References 316 publications
(352 reference statements)
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“…Histologically, these PDX models show a similar architecture and stroma as the original tumour. 10,17,18 The intratumour heterogeneity is preserved, such as chromosomal copy numbers, single-nucleotide polymorphisms and gene expression profiles. The orthotopic implantation may better mimic the human environment in which tumours originated and progressed.…”
Section: Limitations Of Mouse Tumour Modelsmentioning
confidence: 99%
“…Histologically, these PDX models show a similar architecture and stroma as the original tumour. 10,17,18 The intratumour heterogeneity is preserved, such as chromosomal copy numbers, single-nucleotide polymorphisms and gene expression profiles. The orthotopic implantation may better mimic the human environment in which tumours originated and progressed.…”
Section: Limitations Of Mouse Tumour Modelsmentioning
confidence: 99%
“…In addition, aberrant utilization of glutamine, also leading to elevated lactic acid production, has been observed to be highly common for cancers (13). These metabolic energy pathways lead to increased lactic acid secretion by the cancer cells into their microenvironment, facilitating multiple oncogenic, lactate-stimulated processes, including tissue invasion/metastasis, neoangiogenesis and responses to hypoxia (14)(15)(16)(17); furthermore, lactic acid-induced acidification of the cancer cell microenvironment (to pH 6.0-6.5) can lead to the suppression of local host anticancer immunity (14,18). The phenomenon of enhanced glucose metabolism by cancers is most commonly exploited clinically by 18 F-fluorodeoxyglucose PET (FDG-PET).…”
Section: Introductionmentioning
confidence: 99%
“…Most recently, Hidalgo and collaborators used "avatar" models as an in vivo platform to test treatment strategies suggested by parallel whole-exome sequencing analysis of 25 patients with advanced solid tumors, including seven PDAC patients 22 . However, the use of primary xenografts has still several inherent limitations and deficiencies 26 . The major challenge is the lack of a fully functional human immune system, which could only be reproduced via co-grafting of tumor tissue along with bone marrow stem cells of the same patient, developing extremely complex "humanized mice" 27 .…”
Section: Discussionmentioning
confidence: 99%