Department of Oncology, Biomedical Research Institute - INCLIVA, University of Valencia, Valencia, Spain; Candiolo Cancer Institute-FPO, IRCCS, Candiolo, TO, Italy; centro de investigación biomedical en red CIBERONC, Spain.
Department of Oncology, Biomedical Research Institute - INCLIVA, University of Valencia, Valencia, Spain; centro de investigación biomedical en red CIBERONC, Spain.
Biochim Biophys Acta Rev Cancer. 2018 Dec;1870(2):239-246. doi: 10.1016/j.bbcan.2018.06.004. Epub 2018 Jun 28.
Precision medicine approaches have revolutionized oncology. Personalized treatments require not only identification of the driving molecular alterations, but also development of targeted therapies and diagnostic tests to identify the appropriate patient populations for clinical trials and subsequent therapeutic implementation. Preclinical in vitro and in vivo models are widely used to predict efficacy of newly developed treatments. Here we discuss whether, and to what extent, preclinical models including cell lines, organoids and tumorgrafts recapitulate key features of human tumors. The potential of preclinical models to anticipate treatment efficacy and clinical benefit is also presented, using examples in different tumor types.
精准医学方法已经彻底改变了肿瘤学领域。个性化治疗不仅需要识别驱动分子改变,还需要开发靶向治疗和诊断测试,以确定适合临床试验和后续治疗实施的患者人群。临床前的体外和体内模型广泛用于预测新开发治疗方法的疗效。在这里,我们讨论了临床前模型(包括细胞系、类器官和肿瘤移植)是否以及在多大程度上能够重现人类肿瘤的关键特征。还使用不同肿瘤类型的例子介绍了临床前模型预测治疗效果和临床获益的潜力。