Drouin Zacharie, Lévesque Flavie, Mouzakitis Korina, Labrie Marilyne
Department of Immunology and Cell Biology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3201 Rue Jean-Mignault, Sherbrooke, QC, J1E 4K8, Canada.
Centre de Recherche du Centre Hospitalier de l'Université de Sherbrooke (CRCHUS), Sherbrooke, QC, Canada.
Clin Exp Metastasis. 2024 Dec 19;42(1):5. doi: 10.1007/s10585-024-10318-x.
Brain metastases (BMs) represent the most prevalent intracranial malignancy within the adult. They are identified in up to 20% of patients with solid tumors and this percentage varies between tumor types and age. Due to the selective permeability of the blood-brain barrier, most anticancer drugs can't reach significant concentrations in the brain, representing a major obstacle to the patients' survival. Furthermore, intra- and inter-patient heterogeneity and the unique brain microenvironment add a layer of complexity to the clinical management of BMs. In the perspective of finding new therapeutic approaches and better understanding the molecular mechanisms involved in brain metastasis, the use of appropriate preclinical models is essential. Here, we review current in vivo, in vitro and ex vivo models for the study of brain metastasis while outlining their advantages and limitations.
脑转移瘤(BMs)是成人中最常见的颅内恶性肿瘤。在高达20%的实体瘤患者中可发现脑转移瘤,这一比例因肿瘤类型和年龄而异。由于血脑屏障的选择性通透性,大多数抗癌药物无法在脑中达到有效浓度,这是影响患者生存的主要障碍。此外,患者内和患者间的异质性以及独特的脑微环境增加了脑转移瘤临床管理的复杂性。从寻找新的治疗方法和更好地理解脑转移相关分子机制的角度来看,使用合适的临床前模型至关重要。在此,我们综述了目前用于研究脑转移的体内、体外和离体模型,同时概述了它们的优点和局限性。