Krawczyk Ewa, Kitlińska Joanna
Department of Pathology, Center for Cell Reprogramming, Georgetown University Medical Center, Washington, DC 20057, USA.
Department of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC 20057, USA.
Cancers (Basel). 2023 Jun 23;15(13):3314. doi: 10.3390/cancers15133314.
Preclinical in vitro and in vivo models remain indispensable tools in cancer research. These classic models, including two- and three-dimensional cell culture techniques and animal models, are crucial for basic and translational studies. However, each model has its own limitations and typically does not fully recapitulate the course of the human disease. Therefore, there is an urgent need for the development of novel, advanced systems that can allow for efficient evaluation of the mechanisms underlying cancer development and progression, more accurately reflect the disease pathophysiology and complexity, and effectively inform therapeutic decisions for patients. Preclinical models are especially important for rare cancers, such as neuroblastoma, where the availability of patient-derived specimens that could be used for potential therapy evaluation and screening is limited. Neuroblastoma modeling is further complicated by the disease heterogeneity. In this review, we present the current status of preclinical models for neuroblastoma research, discuss their development and characteristics emphasizing strengths and limitations, and describe the necessity of the development of novel, more advanced and clinically relevant approaches.
临床前体外和体内模型仍然是癌症研究中不可或缺的工具。这些经典模型,包括二维和三维细胞培养技术以及动物模型,对于基础研究和转化研究至关重要。然而,每种模型都有其自身的局限性,通常不能完全重现人类疾病的进程。因此,迫切需要开发新的先进系统,以便能够高效评估癌症发生和发展的潜在机制,更准确地反映疾病的病理生理学和复杂性,并有效地为患者的治疗决策提供依据。临床前模型对于罕见癌症尤为重要,如神经母细胞瘤,在这种癌症中,可用于潜在治疗评估和筛选的患者来源标本非常有限。神经母细胞瘤建模因疾病异质性而进一步复杂化。在这篇综述中,我们介绍了神经母细胞瘤研究临床前模型的现状,讨论了它们的发展和特点,强调了优势和局限性,并描述了开发新的、更先进且与临床相关的方法的必要性。