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Preclinical Models of Anal Cancer Combined-Modality Therapy
Hillary R Johnson1, Laura C Gunder1, Amani Gillette2
1Department of Surgery, University of Wisconsin - Madison, Madison, Wisconsin.
Introduction:
There have been no significant changes in anal cancer treatment options in 4 decades. In this study, we highlight two preclinical models designed to assess anal cancer treatments.
Materials And Methods:
Transgenic K14E6/E7 mice were treated with 7, 12-dimethylbenz(a)anthracene until anal tumors developed. Mice were treated with localized radiation in addition to chemotherapy (combined-modality therapy [CMT]) and compared to no treatment control (NTC). K14E6/E7 mouse anal spheroids with and without Pik3ca mutations were isolated and treated with vehicle, LY3023414 (LY3) (a drug previously shown to be effective in cancer prevention), CMT, or CMT + LY3.
Results:
In the in vivo model, there was a significant increase in survival in the CMT group compared to the NTC group (P = 0.0392). In the ex vivo model, there was a significant decrease in the mean diameter of CMT and CMT + LY3-treated spheroids compared to vehicle (P ≤ 0.0001). For LY3 alone compared to vehicle, there was a statistically significant decrease in spheroid size in the K14E6/E7 group without mutation (P = 0.0004).
Conclusions:
We have provided proof of concept for two preclinical anal cancer treatment models that allow for the future testing of novel therapies for anal cancer.
Insights
New preclinical models for anal cancer treatment show promise. Combined-modality therapy (CMT) improved survival in mice, and LY3023414 (LY3) reduced tumor spheroid size, paving the way for novel anal cancer therapies.
Area of Science:
- Oncology
- Preclinical Cancer Models
- Drug Discovery
Background:
- Anal cancer treatment options have seen minimal advancement in four decades.
- There is a critical need for innovative therapeutic strategies.
- Preclinical models are essential for evaluating new anal cancer treatments.
Purpose of the Study:
- To develop and validate two distinct preclinical models for anal cancer.
- To assess the efficacy of combined-modality therapy (CMT) and a novel drug (LY3023414) in these models.
- To provide a foundation for future research into novel anal cancer therapies.
Main Methods:
- An in vivo model using transgenic K14E6/E7 mice treated with carcinogens to induce anal tumors.
- An ex vivo model utilizing K14E6/E7 mouse anal spheroids, with and without Pik3ca mutations.
- Treatment groups included no treatment control, CMT, LY3023414 (LY3) alone, and CMT + LY3.
Main Results:
- Combined-modality therapy (CMT) significantly increased survival in the in vivo anal cancer model compared to controls (P=0.0392).
- In the ex vivo model, CMT and CMT + LY3 significantly reduced spheroid diameter compared to vehicle (P≤0.0001).
- LY3 alone significantly decreased spheroid size in K14E6/E7 spheroids without mutation (P=0.0004).
Conclusions:
- Proof of concept for two novel preclinical models for anal cancer treatment.
- These models facilitate the testing of new therapeutic agents and combinations.
- The study supports further investigation into CMT and LY3 for anal cancer treatment.
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