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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Interrogating open issues in cancer precision medicine with patient-derived xenografts
Annette T Byrne1, Denis G Alférez2, Frédéric Amant3,4
1EurOPDX Consortium and are at the Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Abstract:
Patient-derived xenografts (PDXs) have emerged as an important platform to elucidate new treatments and biomarkers in oncology. PDX models are used to address clinically relevant questions, including the contribution of tumour heterogeneity to therapeutic responsiveness, the patterns of cancer evolutionary dynamics during tumour progression and under drug pressure, and the mechanisms of resistance to treatment. The ability of PDX models to predict clinical outcomes is being improved through mouse humanization strategies and the implementation of co-clinical trials, within which patients and PDXs reciprocally inform therapeutic decisions. This Opinion article discusses aspects of PDX modelling that are relevant to these questions and highlights the merits of shared PDX resources to advance cancer medicine from the perspective of EurOPDX, an international initiative devoted to PDX-based research.
Insights
Patient-derived xenografts (PDXs) are crucial for advancing oncology research by modeling tumor heterogeneity and drug resistance. Enhancements like mouse humanization and co-clinical trials improve their predictive power for patient outcomes.
Area of Science:
- Oncology
- Translational Cancer Research
- Biomedical Science
Background:
- Patient-derived xenografts (PDXs) are valuable preclinical models in oncology.
- PDXs enable the study of tumor heterogeneity, cancer evolution, and treatment resistance.
- Current research focuses on improving PDX model predictability for clinical outcomes.
Purpose of the Study:
- To discuss the utility of PDX models in addressing key questions in oncology.
- To highlight advancements in PDX modeling, including humanization and co-clinical trials.
- To emphasize the benefits of shared PDX resources for cancer research.
Main Methods:
- Review of current literature and practices in PDX modeling.
- Discussion of strategies to enhance PDX model relevance (e.g., mouse humanization).
- Exploration of co-clinical trial frameworks utilizing PDXs.
Main Results:
- PDX models are instrumental in investigating therapeutic responsiveness and resistance mechanisms.
- Tumor heterogeneity and evolutionary dynamics can be effectively studied using PDXs.
- Co-clinical trials and shared resources enhance the clinical translation of PDX findings.
Conclusions:
- PDX models are critical for understanding cancer biology and developing novel treatments.
- Advancements in PDX technology are improving their predictive capacity for clinical success.
- Collaborative efforts, such as EurOPDX, are vital for maximizing the impact of PDX research in cancer medicine.
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