Evaluation of surrogate tissues as indicators of drug activity in a melanoma skin model

Palak R Parekh1,2, Rohini Choudhuri2,3, Urbain Weyemi2

  • 1Department of Radiation Oncology, Greenbaum Cancer Center, School of Medicine, University of Maryland, Baltimore, Maryland.

Cancer Medicine
|June 25, 2016
PubMed

Insights

This study explored using DNA damage in skin cells as a reliable indicator of cancer drug effectiveness. Basal keratinocytes showed transient DNA damage, suggesting their potential as a surrogate tissue for monitoring treatment efficacy.

Area of Science:

  • Oncology
  • Pharmacology
  • Biochemistry

Background:

  • Developing effective cancer treatments is hindered by poor prediction of drug efficacy from models and difficulty monitoring drug activity in tumors.
  • Novel methods are needed to assess drug response in vivo, especially when tumors are inaccessible.

Purpose of the Study:

  • To evaluate drug-induced DNA damage in surrogate tissues as a potential indicator of cancer drug efficacy.
  • To analyze the response of a melanoma skin model to chemotherapy and identify reliable surrogate tissues for monitoring drug activity.

Main Methods:

  • Utilized a commercially available melanoma skin model (Mattek MLNM-FT-A375) with melanoma nodules, keratinocytes, and fibroblasts.
  • Treated the model with various chemotherapeutic regimens for 1, 4, or 8 days.
  • Assessed DNA double-stranded breaks (γH2AX foci) and apoptosis (TUNEL assay) in tumor and normal tissue layers.

Main Results:

  • Observed a wide range of drug responses in both melanoma and normal skin components.
  • Melanoma primarily responded with apoptosis, while basal keratinocytes showed transient γH2AX foci formation.
  • Basal keratinocytes emerged as the most reliable indicator of drug response within this melanoma skin model.

Conclusions:

  • Drug-induced DNA damage in surrogate tissues, particularly basal keratinocytes, can serve as an indicator of cancer drug efficacy.
  • The complex relationship between tumor and surrogate tissue responses necessitates careful control of variables, such as sampling time, for accurate interpretation.
  • Surrogate tissue analysis holds promise as a clinical tool for monitoring cancer therapeutic effectiveness.

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