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拓展头颈部癌患者来源异种移植物队列的概念:现状与未来展望。

Expanding the concept of patient-derived xenografts cohorts in head and neck cancer: current and future perspectives.

机构信息

Dept. of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai 200011, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Dec 1;39(6):617-623. doi: 10.7518/hxkq.2021.06.001.

Abstract

Head and neck cancer is the seventh common cancer in the world, and various existing treatment strategies provide modest benefit for most patients with head and neck cancer. Meanwhile, therapeutic strategies lacking molecular typing significantly hinder the development of individualized treatment for head and neck cancer. In recent years, connected by preclinical models, the novel ideal has gradually reached a consensus in terms of facilitating inter-transformation of clinical problems and basic achievements. As a bridge between basic research and clinical transformation, patient-derived xenografts (PDX) models precisely replicate genetic characteristics and tumor evolution, which are displaying great vitality in elucidating the mechanism of tumorigenesis and progression. Moreover, cohorts composed of several PDX models highlight the unique advantages of mice for drug screening and biomarker analysis for patients. This ideal preclinical model explores potential treatment strategies suited the ethical standards as much as possible for patients.

摘要

头颈部癌症是全球第七大常见癌症,各种现有治疗策略为大多数头颈部癌症患者提供了适度的益处。同时,缺乏分子分型的治疗策略严重阻碍了头颈部癌症个体化治疗的发展。近年来,通过临床前模型的连接,新的理想方案逐渐在促进临床问题与基础成果的相互转化方面达成共识。作为基础研究与临床转化之间的桥梁,患者来源的异种移植(PDX)模型精确复制了遗传特征和肿瘤的演进,在阐明肿瘤发生和进展的机制方面显示出巨大的活力。此外,由多个 PDX 模型组成的队列突出了小鼠在患者药物筛选和生物标志物分析方面的独特优势。这种理想的临床前模型探索了尽可能符合伦理标准的潜在治疗策略,以适应患者的需求。

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