Overview of Preclinical Drug-Resistant Tumor Models and Their Application in Drug Discovery

Bin Li1, Ting Ni1, Dong Wang2

  • 1In Vivo Pharmacology Unit, WuXi Biology, WuXi AppTec Co., Ltd, Suzhou, China.

Current Protocols
|December 10, 2025
PubMed

Insights

Understanding cancer drug resistance is key to improving patient outcomes. This review compares preclinical models like xenografts and cell lines to accelerate the development of new cancer therapies and overcome treatment failures.

Area of Science:

  • Oncology
  • Translational Medicine
  • Drug Discovery

Background:

  • Cancer drug resistance is a major cause of treatment failure and relapse.
  • Effective preclinical models are essential for understanding resistance mechanisms and developing new therapeutic strategies.

Purpose of the Study:

  • To compare three classes of preclinical cancer models: patient-derived xenografts, induced-resistance models, and engineered isogenic cell lines.
  • To summarize resistance mechanisms and therapeutic approaches informed by these models.

Main Methods:

  • Comparative analysis of clinical patient-derived xenografts, in vivo/in vitro induced-resistance models, and engineered isogenic cell lines.
  • Review of key resistance mechanisms and potential therapeutic strategies.

Main Results:

  • Patient-derived xenografts retain tumor heterogeneity and can reflect patient resistance.
  • Induced-resistance models recapitulate tumor evolution under therapy.
  • Engineered isogenic cell lines isolate specific resistance drivers.

Conclusions:

  • Integrating diverse preclinical models accelerates mechanistic insights into cancer drug resistance.
  • These models inform the development of combination therapies, targeted inhibitors, and immune-based strategies to overcome resistance.
  • This overview aids in selecting appropriate preclinical models and designing strategies to combat cancer drug resistance.

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