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用于转化性肉瘤研究的临床前模型。

Preclinical models for translational sarcoma research.

作者信息

Hamacher Rainer, Bauer Sebastian

机构信息

aDepartment of Medical Oncology, Sarcoma Center, West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen bGerman Cancer Consortium (DKTK), Heidelberg, Germany.

出版信息

Curr Opin Oncol. 2017 Jul;29(4):275-285. doi: 10.1097/CCO.0000000000000373.

Abstract

PURPOSE OF REVIEW

Sarcoma is a basket term for mesenchymal tumors for which more than 75 genetically and histologically distinct subtypes are recognized. Therapeutic progress has largely been achieved with classical chemotherapeutic drugs that were tested in empirical clinical trials. However, outcome in metastatic patients remains poor and with few exceptions numerous trials have failed or only provided limited improvement in recent years.

RECENT FINDINGS

Given the genomic heterogeneity, preclinical model systems will be indispensable to identify new molecular targets and to prioritize drugs and drug combinations. Cell culture is still widely used in preclinical sarcoma research to identify potential novel therapeutic approaches and resistance mechanisms. New and improved techniques in genome-wide and proteome-wide screens enable a better characterization. In addition to cell line xenograft mouse models, patient-derived xenografts crucially broadened and improved preclinical studies using primary human samples. Finally, novel strategies for genome editing, like CRISPR/Cas and sleeping beauty transposon, lead to development of novel genetically engineered cell lines and mouse models.

SUMMARY

The present review gives a non-comprehensive overview on current model systems used in sarcoma research and discusses their translational relevance. Those include cell lines, subtype-specific patient-derived cell lines and xenografts as well as developments in genome editing and genetically engineered cell lines and mouse models.

摘要

综述目的

肉瘤是间充质肿瘤的统称,目前已识别出75种以上基因和组织学上不同的亚型。治疗进展主要得益于在经验性临床试验中测试的经典化疗药物。然而,转移性患者的预后仍然很差,除少数例外,近年来众多试验均告失败或仅带来有限的改善。

最新发现

鉴于基因组的异质性,临床前模型系统对于识别新的分子靶点以及确定药物和药物组合的优先级将不可或缺。细胞培养仍广泛应用于临床前肉瘤研究,以识别潜在的新型治疗方法和耐药机制。全基因组和蛋白质组筛选中的新技术和改进技术有助于更好地表征。除细胞系异种移植小鼠模型外,患者来源的异种移植极大地拓宽和改进了使用原代人样本的临床前研究。最后,CRISPR/Cas和睡美人转座子等新型基因组编辑策略导致了新型基因工程细胞系和小鼠模型的开发。

总结

本综述对肉瘤研究中目前使用的模型系统进行了非全面概述,并讨论了它们的转化相关性。这些包括细胞系、亚型特异性患者来源的细胞系和异种移植,以及基因组编辑和基因工程细胞系及小鼠模型的进展。

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