推进研究和治疗的生物样本采集:通过欧洲研究和欧洲尤因肉瘤联盟声明对抗骨肉瘤。
Biological Sample Collection to Advance Research and Treatment: A Fight Osteosarcoma Through European Research and Euro Ewing Consortium Statement.
机构信息
Biomedical Research Centre, Norwich Medical School, University of East Anglia, Norwich, United Kingdom.
Princess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands.
出版信息
Clin Cancer Res. 2024 Aug 15;30(16):3395-3406. doi: 10.1158/1078-0432.CCR-24-0101.
Osteosarcoma and Ewing sarcoma are bone tumors mostly diagnosed in children, adolescents, and young adults. Despite multimodal therapy, morbidity is high and survival rates remain low, especially in the metastatic disease setting. Trials investigating targeted therapies and immunotherapies have not been groundbreaking. Better understanding of biological subgroups, the role of the tumor immune microenvironment, factors that promote metastasis, and clinical biomarkers of prognosis and drug response are required to make progress. A prerequisite to achieve desired success is a thorough, systematic, and clinically linked biological analysis of patient samples, but disease rarity and tissue processing challenges such as logistics and infrastructure have contributed to a lack of relevant samples for clinical care and research. There is a need for a Europe-wide framework to be implemented for the adequate and minimal sampling, processing, storage, and analysis of patient samples. Two international panels of scientists, clinicians, and patient and parent advocates have formed the Fight Osteosarcoma Through European Research consortium and the Euro Ewing Consortium. The consortia shared their expertise and institutional practices to formulate new guidelines. We report new reference standards for adequate and minimally required sampling (time points, diagnostic samples, and liquid biopsy tubes), handling, and biobanking to enable advanced biological studies in bone sarcoma. We describe standards for analysis and annotation to drive collaboration and data harmonization with practical, legal, and ethical considerations. This position paper provides comprehensive guidelines that should become the new standards of care that will accelerate scientific progress, promote collaboration, and improve outcomes.
骨肉瘤和尤文肉瘤是主要发生在儿童、青少年和年轻成人的骨肿瘤。尽管采用了多模式治疗,但发病率仍然很高,生存率仍然很低,特别是在转移性疾病的情况下。针对靶向治疗和免疫疗法的试验并没有取得突破性进展。需要更好地了解生物学亚群、肿瘤免疫微环境的作用、促进转移的因素以及预后和药物反应的临床生物标志物,才能取得进展。要取得预期的成功,必须对患者样本进行彻底、系统和临床相关的生物学分析,但疾病的罕见性和组织处理方面的挑战,如物流和基础设施,导致缺乏用于临床护理和研究的相关样本。需要在全欧洲范围内实施一个框架,以适当和最小限度地采集、处理、储存和分析患者样本。两个由科学家、临床医生以及患者和家长倡导者组成的国际小组组成了 Fight Osteosarcoma Through European Research 联盟和 Euro Ewing 联盟。这些联盟分享了他们的专业知识和机构实践,以制定新的指南。我们报告了适当和最小限度采样(时间点、诊断样本和液体活检管)、处理和生物银行的新参考标准,以支持骨肉瘤的高级生物学研究。我们描述了分析和注释的标准,以推动合作,并考虑实际、法律和伦理因素,实现数据协调。本立场文件提供了全面的指南,这些指南应成为新的护理标准,这将加速科学进步、促进合作并改善结果。