Thoracic Oncology Research Group, Laboratory Medicine and Molecular Pathology, Central Pathology Laboratory, St. James's Hospital, Dublin, Ireland.
Department of Medical Oncology, Mater Misericordiae University Hospital, Dublin, Ireland.
Expert Opin Ther Targets. 2020 Mar;24(3):187-204. doi: 10.1080/14728222.2020.1732353. Epub 2020 Feb 26.
: Small-cell lung cancer (SCLC) is an aggressive form of lung cancer that has a dismal prognosis. One of the factors hindering therapeutic developments for SCLC is that most SCLC is not surgically resected resulting in a paucity of material for analysis. To address this, significant efforts have been made by investigators to develop pre-clinical models of SCLC allowing for downstream target identification in this difficult to treat cancer.: In this review, we describe the current pre-clinical models that have been developed to interrogate SCLC, and outline the benefits and limitations associated with each. Using examples we show how each has been used to (i) improve our knowledge of this intractable cancer, and (ii) identify and validate potential therapeutic targets that (iii) are currently under development and testing within the clinic.: The large numbers of preclinical models that have been developed have dramatically improved the ways in which we can examine SCLC and test therapeutic targets/interventions. The newer models are rapidly providing novel avenues for the design and testing of new therapeutics. Despite this many of these models have inherent flaws that limit the possibility of their use for individualized therapy decision-making for SCLC.
小细胞肺癌(SCLC)是一种侵袭性肺癌,预后不良。阻碍 SCLC 治疗发展的因素之一是,大多数 SCLC 无法通过手术切除,因此用于分析的材料很少。为了解决这个问题,研究人员做出了巨大的努力,开发了 SCLC 的临床前模型,从而可以在这种难以治疗的癌症中确定下游的靶点。
在这篇综述中,我们描述了目前为研究 SCLC 而开发的临床前模型,并概述了每种模型的优缺点。我们通过示例展示了每种模型如何被用于:(i)提高我们对这种难治性癌症的认识,(ii)确定和验证潜在的治疗靶点,(iii)目前正在临床开发和测试中。
已经开发出大量的临床前模型,极大地改进了我们研究 SCLC 和测试治疗靶点/干预措施的方法。较新的模型正在迅速为新的治疗方法的设计和测试提供新的途径。尽管如此,这些模型中的许多都存在固有缺陷,限制了它们在 SCLC 个体化治疗决策中的应用可能性。