Department of Oncology, Mario Negri Institute for Pharmacological Research, Milan, Italy.
Clin Cancer Res. 2010 Oct 15;16(20):4958-67. doi: 10.1158/1078-0432.CCR-10-0317. Epub 2010 Aug 20.
Myxoid liposarcoma is a common subtype of liposarcoma. It is associated in more than 90% of cases with the chromosomal translocation t(12;16)(q13;p11) leading to the fusion FUS-CHOP gene that is responsible for the oncogenic transformation of preadipocytes. Recently the marine natural product trabectedin has shown highly selective activity for myxoid liposarcoma, even in the most aggressive round-cell subtype.
Fragments of 17 sarcomas were transplanted s.c. in female athymic NCr-nu/nu mice. Xenografts were established and characterized by morphology, fluorescence in situ hybridization analysis for the translocation and reverse transcriptase-PCR analysis for fusion transcripts. Trabectedin was injected i.v.
Seven of 17 tumors grew as continuous xenografts, five of them being myxoid liposarcoma of the round-cell subtype. The chromosomal rearrangement and fusion transcripts in different passages were the same as in the human tumors from which they were derived. The responsiveness to trabectedin in type II myxoid liposarcoma xenografts was as high as in patients. The pathologic response was associated with the presence of the FUS-CHOP fusion gene, indicating that the drug does not totally eradicate the disease. Type III myxoid liposarcoma xenografts seemed much less sensitive to trabectedin, confirming previous clinical observations.
This study reports for the first time the characterization of human myxoid liposarcoma xenografts that adequately mimic the biological and pharmacologic features of the human tumor. These models offer a useful tool for investigating the mechanism of selectivity of trabectedin, testing new combinations with this drug and evaluating novel therapies for myxoid liposarcoma.
黏液样脂肪肉瘤是脂肪肉瘤的常见亚型。超过 90%的病例与染色体易位 t(12;16)(q13;p11)相关,导致 FUS-CHOP 融合基因的产生,该基因负责前脂肪细胞的致癌转化。最近,海洋天然产物 trabectedin 对黏液样脂肪肉瘤表现出高度的选择性活性,甚至在最具侵袭性的圆形细胞亚型中也是如此。
将 17 个肉瘤的片段皮下移植到雌性无胸腺 NCr-nu/nu 小鼠中。通过形态学、易位的荧光原位杂交分析和融合转录本的逆转录-PCR 分析来建立和鉴定异种移植物。trabectedin 通过静脉注射。
17 个肿瘤中有 7 个连续作为异种移植物生长,其中 5 个为圆形细胞亚型的黏液样脂肪肉瘤。不同传代中的染色体重排和融合转录本与它们来源于的人类肿瘤相同。Ⅱ型黏液样脂肪肉瘤异种移植物对 trabectedin 的反应率与患者一样高。病理反应与 FUS-CHOP 融合基因的存在有关,表明该药物不能完全消除疾病。Ⅲ型黏液样脂肪肉瘤异种移植物对 trabectedin 的敏感性似乎要低得多,这证实了先前的临床观察。
本研究首次报道了人类黏液样脂肪肉瘤异种移植物的特征,这些异种移植物充分模拟了人类肿瘤的生物学和药理学特征。这些模型为研究 trabectedin 的选择性机制、测试与该药物的新组合以及评估治疗黏液样脂肪肉瘤的新疗法提供了有用的工具。