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Related Experiment Video

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Culture and Imaging of Ex Vivo Organotypic Pseudomyxoma Peritonei Tumor Slices from Resected Human Tumor Specimens
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Precision Oncology and Systemic Targeted Therapy in Pseudomyxoma Peritonei.

Jordi Martínez-Quintanilla1, Débora Cabot1, Doménico Sabia2

  • 1Translational Program, Stem Cells and Cancer Laboratory, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.

Clinical Cancer Research : an Official Journal of the American Association for Cancer Research
|July 17, 2024
PubMed
Summary
This summary is machine-generated.

New preclinical models of pseudomyxoma peritonei (PMP) identified BRAFV600E as a druggable target. Systemic BRAF inhibition with encorafenib effectively controlled PMP tumors in preclinical models, offering a new therapeutic strategy.

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Area of Science:

  • Oncology
  • Gastroenterology
  • Translational Research

Background:

  • Pseudomyxoma peritonei (PMP) is a rare malignancy characterized by mucin accumulation.
  • Current treatments like cytoreductive surgery have high recurrence rates, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To develop preclinical models for Pseudomyxoma peritonei (PMP).
  • To identify druggable targets and evaluate targeted therapies for PMP.

Main Methods:

  • Generated 50 patient-derived organoid (PDO) and xenograft (PDX) models from 120 PMP samples.
  • Performed whole exome sequencing, immunohistochemistry, and in vitro/in vivo drug efficacy studies.
  • Utilized droplet digital PCR to detect mutations in patient biopsies.

Main Results:

  • Identified BRAFV600E, KRASG12C, and KRASG12D as druggable targets in PMP models and patient biopsies.
  • BRAFV600E PMP-PDO models showed reduced viability with BRAFV600E inhibitor encorafenib.
  • Encorafenib treatment significantly reduced tumor growth and prolonged survival in BRAFV600E-PMP-PDX mouse models.

Conclusions:

  • Systemic targeted therapies can effectively control PMP tumors.
  • BRAF signaling pathway inhibition offers a new therapeutic avenue for BRAFV600E PMP patients.
  • Developed preclinical models provide a platform for evaluating other targeted therapies in PMP, advancing precision oncology.