Lavelle F
Programme de recherche en cancérologie, Rhône-Poulenc rorer SA, Vitry-sur-Seine.
Bull Cancer. 1998 Oct;85(10):837-42.
Two criteria are firstly used in the selection of new anticancer agents:--originality of the mechanism of action and significant experimental antitumor activity in an in vivo animal model. Murine tumors grafted in syngenic mice and human tumor xenografts implanted in nude mice are old models which continue to be widely used. Such models are useful but have the tendency to select many false positives (compounds active in mice but inactive in patients). This discrepancy can be explained by differences due to biological materials and also to the methodologies used in laboratories and clinic. Such models will certainly continue to play a major role in the future but they will have to be used in conditions more relevant for clinical extrapolation. Transgenic mice developing in situ tumors constitute new innovative models for in vivo evaluation of anticancer agents. Finally, a putative new class of antitumor agents emerges with the signal transduction modulators: such compounds have antitumor and toxicological properties very different from those of conventional chemotherapeutic agents. If the first representatives prove to be useful in clinic, rules for toxicology, preclinical and clinical evaluation will have to be changed.
——作用机制的原创性以及在体内动物模型中具有显著的实验性抗肿瘤活性。移植到同基因小鼠体内的鼠肿瘤和植入裸鼠体内的人肿瘤异种移植是长期以来一直被广泛使用的模型。这类模型很有用,但倾向于筛选出许多假阳性结果(在小鼠体内有活性但在患者体内无活性的化合物)。这种差异可以通过生物材料以及实验室和临床所使用方法的不同来解释。这类模型在未来肯定会继续发挥重要作用,但必须在更符合临床推断的条件下使用。原位发生肿瘤的转基因小鼠构成了用于体内评估抗癌药物的新型创新模型。最后,随着信号转导调节剂的出现,一类新的抗肿瘤药物应运而生:这类化合物具有与传统化疗药物非常不同的抗肿瘤和毒理学特性。如果首批代表药物在临床上被证明有用,毒理学、临床前和临床评估的规则将不得不改变。