Ozaki Shinji, Vuyyuru Raja, Kageyama Ken, Terai Mizue, Ohara Masahiro, Cheng Hanyin, Manser Tim, Mastrangelo Michael J, Aplin Andrew E, Sato Takami
Department of Medical Oncology, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania; Department of Breast Surgery, National Hospital Organization, Kure Medical Center/Chugoku Cancer Center, Kure-shi, Japan.
Department of Microbiology and Immunology, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.
Am J Pathol. 2016 Jan;186(1):43-56. doi: 10.1016/j.ajpath.2015.09.011. Epub 2015 Nov 25.
Uveal melanoma (UM) is a rare type of melanoma, although it is the most common primary ocular malignant tumor in adults. Nearly one-half the patients with primary UM subsequently develop systemic metastasis, preferentially to the liver. Currently, no treatment is effective for UM hepatic metastasis, and the prognosis is universally poor. The main challenge in designing a treatment strategy for UM hepatic metastasis is the lack of suitable animal models. We developed two orthotopic mouse models for human UM hepatic metastases: direct hepatic implantation model (intrahepatic dissemination model) and splenic-implantation model (hematogenous dissemination model) and investigated the tumorgenesis in the liver. A human UM cell line, established from a hepatic metastasis and nonobese diabetic severe combined immunodeficient γ mice, were used for development of in vivo tumor models. In the direct hepatic implantation model, a localized tumor developed in the liver in all cases and intrahepatic dissemination was subsequently seen in about one-half of cases. However, in the splenic implantation model, multiple hepatic metastases were observed after splenic implantation. Hepatic tumors subsequently seeded intra-abdominal metastasis; however, lung metastases were not seen. These findings are consistent with those observed in human UM hepatic metastases. These orthotopic mouse models offer useful tools to investigate the biological behavior of human UM cells in the liver.
葡萄膜黑色素瘤(UM)是一种罕见的黑色素瘤,尽管它是成人中最常见的原发性眼部恶性肿瘤。近一半的原发性UM患者随后会发生全身转移,优先转移至肝脏。目前,尚无治疗方法对UM肝转移有效,预后普遍较差。设计UM肝转移治疗策略的主要挑战在于缺乏合适的动物模型。我们开发了两种用于人类UM肝转移的原位小鼠模型:直接肝植入模型(肝内播散模型)和脾植入模型(血行播散模型),并研究了肝脏中的肿瘤发生情况。一种从肝转移灶建立并用于非肥胖糖尿病严重联合免疫缺陷γ小鼠的人类UM细胞系,被用于体内肿瘤模型的构建。在直接肝植入模型中,所有病例肝脏均出现局限性肿瘤,随后约一半病例出现肝内播散。然而,在脾植入模型中,脾植入后观察到多个肝转移灶。肝肿瘤随后播散至腹腔转移;但未观察到肺转移。这些发现与人类UM肝转移中观察到的情况一致。这些原位小鼠模型为研究人类UM细胞在肝脏中的生物学行为提供了有用的工具。