Kato Itaru
Pediatrics, Kyoto University.
Rinsho Ketsueki. 2022;63(9):1335-1343. doi: 10.11406/rinketsu.63.1335.
Patient-derived xenograft (PDX) models have gained attention due to their wide applications in basic research and drug development, and due to the increase in requirements for pathological analysis and anticancer drug evaluation. The development of immunodeficient mouse strains with high-level engraftment of normal and diseased cells has contributed to the considerable progress in understanding the human pathophysiology. The PDX model is one of the most important tools to bridge the gap between traditional animal models and the clinical trials. PDX not only recapitulates human disease in vivo, but also multiplies the tumor cells. Therefore, efforts were made internationally to develop a PDX bank for leukemias and solid tumors for future research and experimentation. PDX might be an ideal model to simulate actual human diseases for cancer research; however, some challenges still persist. Thus, this review aimed to summarize the developmental history of immune-deficient mice, the efforts of overcoming PDX limitations, PDX model applications for preclinical research, and the current attempts to establish domestic leukemia PDX bank in Japan.
患者来源的异种移植(PDX)模型因其在基础研究和药物开发中的广泛应用,以及对病理分析和抗癌药物评估需求的增加而受到关注。具有高水平正常和病变细胞植入的免疫缺陷小鼠品系的开发,有助于在理解人类病理生理学方面取得显著进展。PDX模型是弥合传统动物模型与临床试验之间差距的最重要工具之一。PDX不仅能在体内重现人类疾病,还能使肿瘤细胞增殖。因此,国际上致力于开发白血病和实体瘤的PDX库,以供未来研究和实验使用。PDX可能是癌症研究中模拟实际人类疾病的理想模型;然而,一些挑战仍然存在。因此,本综述旨在总结免疫缺陷小鼠的发展历史、克服PDX局限性的努力、PDX模型在临床前研究中的应用,以及目前在日本建立国内白血病PDX库的尝试。