A new locoregional mouse model of gastric cancer for identifying probes for fluorescence guided surgery

Kristin E Cox1, Siamak Amirfakhri1, Thinzar M Lwin2

  • 1Department of Surgery, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, La Jolla, CA.

Surgery
|March 5, 2025
PubMed
Abstract

Insights

A new mouse model accurately mimics gastric cancer spread, enabling testing of fluorescence-guided surgery probes for improved R0 resections. This model aids in validating agents for enhanced surgical outcomes in gastric cancer patients.

Area of Science:

  • Oncology
  • Surgical Innovation
  • Preclinical Models

Background:

  • Gastric cancer cure relies on surgical resection.
  • Fluorescence-guided surgery (FGS) aims to improve R0 resection rates.
  • Validated mouse models are crucial for FGS probe development.

Purpose of the Study:

  • To establish and characterize a locoregional mouse model for gastric cancer.
  • To assess tumor engraftment, spread, and lymph node metastasis.
  • To evaluate the utility of fluorescence-guided imaging in this model.

Main Methods:

  • MKN45 human gastric cancer cells injected into mouse stomachs.
  • Tumor growth monitored for 8-12 weeks.
  • Mice received anti-CEA antibody (M5A) or IgG control, conjugated with IRDye800CW for fluorescence imaging.

Main Results:

  • 76.5% of mice developed infiltrative tumors.
  • 55.5% showed celiac lymph node metastases.
  • M5A-IR800 effectively labeled primary tumors and metastatic lymph nodes.

Conclusions:

  • A novel locoregional mouse model for gastric cancer has been developed.
  • This model accurately recapitulates tumor spread and lymph node involvement.
  • It serves as a valuable platform for validating FGS agents in gastric cancer surgery.