Department of Surgery (Urology), McGill University Health Centre and Research Institute, Montreal, Quebec, Canada.
Prostate. 2012 May 15;72(7):752-61. doi: 10.1002/pros.21479. Epub 2011 Aug 31.
Rodent models are often suboptimal for translational research on human prostate cancer (PCa). To better fill the gap with human, we refined the previously described orthotopic dog prostate cancer (DPC)-1 model.
Cyclosporine (Cy) A was used for immune suppression at varying doses and time-periods prior and after orthotopic DPC-1 cell implantation in the dog prostate (n = 12). Follow up included digital rectal examination, ultrasound prostate imaging and biopsies of hypoechoic areas. At necropsy, the prostate, iliosacral lymph nodes (LN), lung nodules, and suspicious bone segments were collected for histopathology.
15 mg CyA/kg daily for 10 days was optimal for tumor take. Maintaining these conditions post-implantation resulted in a rapid tumor development within and beyond the prostate and in iliosacral LNs. To minimize tumor burden, 10 times less DPC-1 cells were implanted. A series of dogs was next followed for 3-4 months, under continuous immune suppression (n = 3) or with CyA interruption at 8.5 weeks (n = 2). In all instances, multifocal tumors were found within the prostate. Predominant patterns were micropapillary and cribriform. Metastases were present in iliosacral LNs and lungs. Moreover, pelvic bone metastases producing a mixed osteoblastic/osteolytic reaction were confirmed in two dogs, one per group. Lastly, the release of CyA 1-2 weeks post-implantation (n = 3) did not prevent tumor growth and spreading to LNs.
The continuing growth of DPC-1 tumors despite the release of CyA and, for the first time, spreading to bones renders this refined model closer to the spontaneous canine and hormone-refractory phase of human PCa.
啮齿动物模型通常不适合用于人类前列腺癌(PCa)的转化研究。为了更好地与人类接轨,我们改进了先前描述的犬前列腺癌(DPC)-1 模型。
在犬前列腺原位接种 DPC-1 细胞前后,使用环孢素 A(CyA)以不同剂量和时间进行免疫抑制(n=12)。随访包括直肠指检、超声前列腺成像和低回声区活检。尸检时,收集前列腺、髂腹股沟淋巴结(LN)、肺结节和可疑骨段进行组织病理学检查。
每天 15mg/kg CyA 连续使用 10 天有利于肿瘤生长。在植入后维持这些条件会导致前列腺内和前列腺外的肿瘤以及髂腹股沟 LN 迅速发展。为了最大限度地减少肿瘤负担,植入的 DPC-1 细胞数量减少了 10 倍。随后,一组犬在连续免疫抑制下(n=3)或在 8.5 周时中断 CyA 治疗(n=2)进行了 3-4 个月的随访。在所有情况下,均在前列腺内发现多灶性肿瘤。主要模式为微乳头状和筛状。转移灶见于髂腹股沟 LN 和肺部。此外,在 2 只犬(每组 1 只)中证实了骨盆骨转移,产生了混合成骨/溶骨性反应。最后,在植入后 1-2 周释放 CyA(n=3)并没有阻止肿瘤生长和向 LN 扩散。
尽管释放了 CyA,但 DPC-1 肿瘤仍持续生长,并首次扩散到骨骼,这使得该改良模型更接近自发的犬类和激素难治性人类 PCa 阶段。