Kobaek-Larsen M, Thorup I, Diederichsen A, Fenger C, Hoitinga M R
Biomedical Laboratory, Faculty of Health Sciences, University of Southern Denmark, Odense University.
Comp Med. 2000 Feb;50(1):16-26.
Colorectal cancer (CRC) remains one of the most common cancer forms developing in industrialized countries, and its incidence appears to be rising. Studies of human population groups provide insufficient information about carcinogenesis, pathogenesis, and treatment of CRC. To study these phenomena in detail, a number of animal models of human CRC have been developed. The hypothetical ideal animal model should mimic the human disease in terms of morphology, biochemical alterations, and biological behavior. No existing model replicates the disease as an entity, but available models approximate many of the characteristics of human colonic carcinogenesis and metastasis. So far few comparative evaluations of the various animal models of CRC have been made.
Animal studies cannot replace human clinical trials, but they can be used as a pre-screening tool, so that human trials become more directed, with greater chances of success. The orthotopic transplantation of colon cancer cells into the cecum of syngeneic animals or intraportal inoculation appears to resemble the human metastatic disease most closely, providing a model for study of the treatment of metastases. Which model(s) to choose depends on the goal(s) of the experiment(s). The review published here can provide help in selecting the most optimal CRC model(s) for a certain purpose and in preventing unnecessary duplication of animal experimentation.
在工业化国家,结直肠癌(CRC)仍是最常见的癌症类型之一,且其发病率似乎在上升。对人群的研究提供的关于结直肠癌发生、发病机制及治疗的信息不足。为详细研究这些现象,已建立了多种人类结直肠癌动物模型。理想的动物模型应在形态、生化改变及生物学行为方面模拟人类疾病。目前尚无现有模型能完全复制该疾病,但现有模型近似人类结肠癌发生及转移的许多特征。到目前为止,对各种结直肠癌动物模型的比较评估较少。
动物研究不能替代人体临床试验,但可作为预筛选工具,使人体试验更具针对性,成功机会更大。将结肠癌细胞原位移植到同基因动物的盲肠或门静脉内接种似乎最接近人类转移性疾病,为研究转移治疗提供了模型。选择哪种模型取决于实验目的。本文发表的综述可为针对特定目的选择最优的结直肠癌模型及避免不必要的动物实验重复提供帮助。