遗传定义的卵巢癌同基因小鼠模型作为联合免疫疗法发现的工具。

Genetically Defined Syngeneic Mouse Models of Ovarian Cancer as Tools for the Discovery of Combination Immunotherapy.

机构信息

Whitehead Institute for Biomedical Research, Cambridge, Massachusetts.

Laura and Isaac Perlmutter Cancer Center, NYU-Langone Medical Center, New York, New York.

出版信息

Cancer Discov. 2021 Feb;11(2):384-407. doi: 10.1158/2159-8290.CD-20-0818. Epub 2020 Nov 6.

Abstract

Despite advances in immuno-oncology, the relationship between tumor genotypes and response to immunotherapy remains poorly understood, particularly in high-grade serous tubo-ovarian carcinomas (HGSC). We developed a series of mouse models that carry genotypes of human HGSCs and grow in syngeneic immunocompetent hosts to address this gap. We transformed murine-fallopian tube epithelial cells to phenocopy homologous recombination-deficient tumors through a combined loss of and overexpression of and , which was contrasted with an identical model carrying wild-type . For homologous recombination-proficient tumors, we constructed genotypes combining loss of and overexpression of , and driven by or or overexpression. These lines form tumors recapitulating human disease, including genotype-driven responses to treatment, and enabled us to identify follistatin as a driver of resistance to checkpoint inhibitors. These data provide proof of concept that our models can identify new immunotherapy targets in HGSC. SIGNIFICANCE: We engineered a panel of murine fallopian tube epithelial cells bearing mutations typical of HGSC and capable of forming tumors in syngeneic immunocompetent hosts. These models recapitulate tumor microenvironments and drug responses characteristic of human disease. In a -overexpressing model, immune-checkpoint resistance was driven by follistatin..

摘要

尽管免疫肿瘤学取得了进展,但肿瘤基因型与免疫治疗反应之间的关系仍知之甚少,特别是在高级别浆液性卵巢癌 (HGSC) 中。我们开发了一系列携带人类 HGSC 基因型并在同种异体免疫活性宿主中生长的小鼠模型,以解决这一差距。我们通过同时缺失和过表达 和 ,将小鼠输卵管上皮细胞转化为同源重组缺陷型肿瘤,与携带野生型的相同模型形成对比。对于同源重组有效的肿瘤,我们构建了基因型,结合缺失和过表达 ,并由 或 或 过表达驱动。这些系形成了 recapitulating 人类疾病的肿瘤,包括基因型驱动的治疗反应,使我们能够鉴定出卵泡抑素是对检查点抑制剂耐药的驱动因素。这些数据提供了概念验证,证明我们的模型可以在 HGSC 中识别新的免疫治疗靶点。意义:我们设计了一组携带 HGSC 典型突变的小鼠输卵管上皮细胞,能够在同种异体免疫活性宿主中形成肿瘤。这些模型再现了肿瘤微环境和人类疾病特征的药物反应。在 过表达模型中,免疫检查点耐药是由卵泡抑素驱动的。

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