Hubbard Molly E, Arnold Susan, Bin Zahid Abdullah, McPheeters Matthew, Gerard O'Sullivan M, Tabaran Alexandru-Flaviu, Hunt Matthew A, Pluhar G Elizabeth
a Department of Neurosurgery , University of Minnesota , Minneapolis , MN , USA.
b College of Veterinary Medicine , University of Minnesota , Minneapolis , MN , USA.
Cancer Invest. 2018;36(8):415-423. doi: 10.1080/07357907.2018.1514622. Epub 2018 Sep 20.
Current animal models of glioma are limited to small animal models, which are less predictive of treatment of human disease. Canines often develop gliomas de novo, but the natural history of the disease is not well described.
We provide data for naturally occurring canine gliomas; evaluating medical and surgical therapies.
We reviewed medical records of pet dogs with a presumptive diagnosis of glioma from MRI imaging that underwent surgery as part of the Canine Brain Tumor Clinical Trials Program. Breed, age, sex, median progression-free, and overall survival times and cause of death were recorded for multivariate analysis.
Ninety five dogs (56 male; mean age = 8.3 years) were included, but nine were excluded as final pathology was non-neoplastic. Gross total resection was reported in 81 cases based on postoperative MRI. Seventy had high-grade tumors (grade III or IV). Eighty three dogs presented with seizures, being the most common presenting clinical sign. Median survival after surgery was 723 days (95% CI 343-1103) for grade II tumors, 301 days (197-404) for grade III and 200 days (126-274) for grade IV (p = .009 Kaplan-Meier survival analysis; Log Rank test). Age (cox regression, p = .14) or sex (Kaplan-Meier test, p = .22) did not predict survival.
This study establishes normative data for a model exploiting dogs with naturally occurring glioma, which can be used to test novel therapies prior to translation to human trials. Further work will focus on the effects of different therapies, including chemotherapy, radiation therapy, and immunotherapy.
目前的胶质瘤动物模型仅限于小动物模型,对人类疾病治疗的预测性较差。犬类常新发胶质瘤,但该疾病的自然病史描述不完善。
我们提供自然发生的犬胶质瘤的数据;评估药物和手术治疗。
我们回顾了犬脑肿瘤临床试验项目中作为手术一部分的、经磁共振成像(MRI)初步诊断为胶质瘤的宠物狗的病历。记录品种、年龄、性别、无进展生存期和总生存期的中位数以及死亡原因用于多变量分析。
纳入95只狗(56只雄性;平均年龄 = 8.3岁),但9只因最终病理结果为非肿瘤性而被排除。根据术后MRI报告,81例实现了大体全切。70例为高级别肿瘤(III级或IV级)。83只狗出现癫痫发作,这是最常见的临床症状。II级肿瘤术后中位生存期为723天(95%置信区间343 - 1103),III级为301天(197 - 404),IV级为200天(126 - 274)(p = 0.009,Kaplan - Meier生存分析;对数秩检验)。年龄(Cox回归,p = 0.14)或性别(Kaplan - Meier检验,p = 0.22)不能预测生存期。
本研究为利用自然发生胶质瘤的犬建立了规范数据模型,可用于在转化为人体试验之前测试新疗法。进一步的工作将聚焦于不同疗法的效果,包括化疗、放疗和免疫治疗。