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基于患者来源异种移植模型小鼠分子靶向药物细胞内药代动力学分析的药物研发

[Drug Development Based on Intracellular Pharmacokinetic Analysis of Molecular Target Drug in Mice Bearing Patient-derived Xenograft Model].

作者信息

Hamada Akinobu

机构信息

Division of Molecular Pharmacology, National Cancer Center Research Institute.

出版信息

Yakugaku Zasshi. 2020;140(5):641-648. doi: 10.1248/yakushi.19-00218-5.

Abstract

Traditionally, anticancer drug discovery research has been conducted based on immortalized cancer cell lines, either cultured in vitro or grown in vivo. In the USA and Europe, patient derived xenograft (PDX) model is rapidly expelling traditional in vitro and in vivo models due to the good predictability of clinical outcome and its nature of retaining characteristics and heterogeneity in the original tumor. Furthermore, a significant association was also reported between drug responses in patient and corresponding PDX as high as 87%. We are preparing a PDX model for Japanese cancer patients including drug resistance examples and rare cancers. Using the established PDX model, we confirmed the possibility that the tumor microenvironment might affect the efficacy and distribution of drugs even if the target receptor is expressed in tumor sites as compared to the cell line (CDX) model, which has been widely used in drug discovery. Interestingly, although expressing a target receptor in viable tumor cells, we also have found a PDX model with a lower distribution of molecular target drug. Therefore we will evaluate the usefulness of the PDX model in drug development by exploring new biomarkers and elucidating the mechanisms of drug resistance in target tumors. Moreover, pharmaco-imaging system will allow us to visualize the exposure and distribution of drugs in tumors at macro and micro levels. Finally, we evaluate relations between distribution of drugs in the tumor microenvironment including target tumor cells, neovessels, stromal cells, immune cells, and fibroblasts.

摘要

传统上,抗癌药物研发研究是基于永生化癌细胞系进行的,这些细胞系要么在体外培养,要么在体内生长。在美国和欧洲,患者来源的异种移植(PDX)模型正迅速取代传统的体外和体内模型,因为其对临床结果具有良好的预测性,且能保留原发肿瘤的特征和异质性。此外,也有报道称患者与相应PDX的药物反应之间存在高达87%的显著关联。我们正在为日本癌症患者准备PDX模型,包括耐药病例和罕见癌症。利用已建立的PDX模型,我们证实了与药物研发中广泛使用的细胞系(CDX)模型相比,即使靶受体在肿瘤部位表达,肿瘤微环境也可能影响药物疗效和分布的可能性。有趣的是,尽管在存活的肿瘤细胞中表达了靶受体,但我们也发现了一种分子靶标药物分布较低的PDX模型。因此,我们将通过探索新的生物标志物和阐明靶肿瘤的耐药机制来评估PDX模型在药物开发中的实用性。此外,药物成像系统将使我们能够在宏观和微观层面可视化药物在肿瘤中的暴露和分布。最后,我们评估药物在包括靶肿瘤细胞、新生血管、基质细胞、免疫细胞和成纤维细胞在内的肿瘤微环境中的分布之间的关系。

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