Department of Medicine, Division of Medical Oncology, Duke University School of Medicine, Durham, NC, 27710, USA.
Duke Cancer Institute, Duke University School of Medicine, Durham, NC, 27710, USA.
Prostate Cancer Prostatic Dis. 2022 Sep;25(3):513-523. doi: 10.1038/s41391-021-00460-y. Epub 2021 Oct 13.
Prostate cancer is a clinically and molecularly heterogeneous disease, with highest incidence and mortality among men of African ancestry. To date, prostate cancer patient-derived xenograft (PCPDX) models to study this disease have been difficult to establish because of limited specimen availability and poor uptake rates in immunodeficient mice. Ancestrally diverse PCPDXs are even more rare, and only six PCPDXs from self-identified African American patients from one institution were recently made available.
In the present study, we established a PCPDX from prostate cancer tissue from a patient of estimated 90% West African ancestry with metastatic castration resistant disease, and characterized this model's pathology, karyotype, hotspot mutations, copy number, gene fusions, gene expression, growth rate in normal and castrated mice, therapeutic response, and experimental metastasis.
This PCPDX has a mutation in TP53 and loss of PTEN and RB1. We have documented a 100% take rate in mice after thawing the PCPDX tumor from frozen stock. The PCPDX is castrate- and docetaxel-resistant and cisplatin-sensitive, and has gene expression patterns associated with such drug responses. After tail vein injection, the PCPDX tumor cells can colonize the lungs of mice.
This PCPDX, along with others that are established and characterized, will be useful pre-clinically for studying the heterogeneity of prostate cancer biology and testing new therapeutics in models expected to be reflective of the clinical setting.
前列腺癌是一种临床和分子上具有异质性的疾病,在非洲裔男性中的发病率和死亡率最高。迄今为止,由于标本可用性有限以及免疫缺陷小鼠中的吸收率低,用于研究这种疾病的前列腺癌患者来源异种移植物(PCPDX)模型一直难以建立。起源多样化的 PCPDX 更为罕见,最近仅从一家机构的六位自认为是非洲裔美国患者的患者中获得了 PCPDX。
在本研究中,我们从一名估计有 90%西非血统的转移性去势抵抗性前列腺癌患者的组织中建立了 PCPDX,并对该模型的病理学、核型、热点突变、拷贝数、基因融合、基因表达、在正常和去势小鼠中的生长速度、治疗反应和实验性转移进行了特征描述。
该 PCPDX 存在 TP53 突变和 PTEN 和 RB1 缺失。我们已经记录了从冷冻库存中解冻 PCPDX 肿瘤后,在小鼠中 100%的接种率。PCPDX 对去势和多西他赛耐药,对顺铂敏感,并且具有与这些药物反应相关的基因表达模式。经尾静脉注射后,PCPDX 肿瘤细胞可在小鼠肺部定植。
随着其他 PCPDX 的建立和特征描述,该 PCPDX 将在临床前用于研究前列腺癌生物学的异质性,并在预计反映临床环境的模型中测试新的治疗方法方面具有重要意义。