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Table 1 Key information and opinions in recent OC PDX research

From: Harnessing preclinical models for the interrogation of ovarian cancer

Patients’ material

Mice strain

Grafting site

Number of models

Grafting rate

Histology

Therapy

Genetical profiling

Original findings and opinions

Reference

Tumor tissue

Nude

SQ

61

46.92%

SOC, CCC, EMC, MOC, MMMT, Brenner

NI

YES

1). engraftment rate of OC PDX was correlated with patients’ prognosis.

2). Differentially expressed genes selected according to PDX engraftment status could be a prognosis marker of CCC patients.

Shin, Ha-Yeon et al. [60]

Tumor tissue

NOD/SCID, NRG, NSG

SQ

33

76.74%

HGSOC

Cisplatin and/or paclitaxel

YES

1). PDXs remained stable in histological and genetic features throughout propagation.

2). HGSOC PDX models faithfully recapitulated the chemotherapy response of corresponding patients.

3). Development of HGSOC PDX that can be visualized by bioluminescence imaging.

Cybula, Magdalena et al. [61]

Tumor tissue

NPI

SQ

92

58.23%

HGSOC, LGSOC, EMC, CCC, MOC

Paclitaxel + carboplatin/ cisplatin, carboplatin + doxorubicin

YES

1). Despite certain deviations in transcriptomic level, OC PDXs retained the histology, protein expression, and genetic alteration of parental tumors

2). OC PDX showed significant similarity with patients in chemotherapy response.

Chen, Jiayu et al. [62]

Tumor cell suspension

NOD/SCID, NSG

MFP

38

NI

HGSOC

Carboplatin

YES

1). OC PDXs showed similar sensitivity to carboplatin as the patients’ tumor.

2). OC PDXs recapitulated the diversity of genomic alterations in HGSOC.

3). OC PDXs represented all HGSOC subtypes except for the immunoreactive group.

Cybulska, Paulina et al. [63]

Ascites, pleural effusions

Nude, NSG

IP

14

14.89%

HGSOC, ADENO, Mixed

Carboplatin and/or paclitaxel

YES

1). Histologic and molecular features were preserved through PDX passaging and post-luciferization.

2). PDX models responded to first-line chemotherapy in a way reflective of the clinical features of OC.

3). Generation of PDX models with malignant ascites and pleural effusions may better reflect recurrent treatment-resistant OC.

Liu, Joyce F et al. [64]

Tumor tissue

NSG

OTP

37

92.50%

BRCAmut HGSOC

ATR/CHK1 inhibitor, PARP inhibitor

YES

1). Establishment of HR-deficient HGSOC PDX models.

2). OC PDXs were suitable models for preclinical study of chemotherapies and targeted therapies based on RPPA identification

George, Erin et al. [65]

Tumor tissue

Nude

SRC

22

48.89%

SOC, CCC

Paclitaxel + carboplatin, EGFR inhibitor

YES

1). Patients with successfully engrafted tumor had inferior OS.

2). Chemotherapy response of PDXs was concordant with that of patients.

3). Erlotinib significantly decreased the tumor weight of an CCC PDX in preclinical experiments.

Heo, Eun Jin et al. [66]

Tumor tissue

NOD/SCID, NSG

SQ, OTP

9

NI

HGSOC

NI

YES

1). OC PDXs maintained similar histologies, cellular compositions and oncogenic markers of original tumor.

2). Steroid hormone receptors loss and immunoresponsive genes alteration were obseved in PDX tumors.

Dong, Ruifen et al. [67]

Tumor tissue, ascites

Nude

SQ, IP, OTP

34

24.64%

SOC, EMC, CCC, MOC, Mixed, Brenner, others

Paclitaxel + cisplatin

YES

1). OC PDXs were histologically similar to the corresponding patient tumor and comprised all the major ovarian cancer subtypes.

2). Othotopic transplantation resulted in peritoneal tumor dessemination and ascites.

3). Drug response of OC PDXs resembled corresponding patients.

Ricci, Francesca et al. [68]

Tumor tissue

NOD/SCID

SQ, OTP

10

83.33%

HGSOC

Cisplatin

YES

1). HGSOC PDX models could inherit BRCA mutation and oncogene overexperssion in original tumor.

2). OC PDXs could be used for better design of future clinical trials.

Topp, Monique D et al. [69]

Tumor cell suspension

NOD/SCID

IP

168

74%

SOC, EMC, CCC, MOC, Mixed, Others

Carboplatin /paclitaxel

YES

1). OC PDX retained key clinical and molecular features of primary tumor, demonstrating considerable diversity.

2). OC PDX biobank can serve as accurate surrogates for OC patients for individualized therapy development.

Weroha, S John et al. [70]

Tumor tissue

NOD/SCID

SRC

11

96%

SOC, MOC, GCT

NI

NO

1). SRC xenografts and donor tissues showed highly similar histopathological features.

2). Subrenal capsule implantation yeilded achievable, consistently high enngraftment rate.

Lee, Cheng-Han et al. [71]

Tumor tissue, ascites, pleural effusions

Nude

SQ, IP

15 for IP

18 for SP

28% for IP

30% for SP

SOC, ADENO, EMC, CCC, MMMT

NI

NO

1). Overexpression of mutant P53 tended to influence the tumorigeneity of OC.

2). OC PDX panels are usful models for cancer biology and therapeutic studies.

Verschraegen, Claire F et al. [72]

Ascites

Nude

SQ, IP

4

20%

HGSOC

Cisplatin, adriamycin and cyclophosphamide

NO

1). The histology of xenografts remained stable.

2). Genetic content in PDX was not markedly different from that of original tumor, with minimal variations through passages.

3). Heterogeneity of OC in chemotherapy response was reserved in xenografts.

Massazza, G et al. [73]

  1. SQ Subcutaneous, MFP Mammary fat pad, IP Intraperitoneal, OTP Orthotopic, SRC Subrenal capsule, SOC Serous ovarian carcinoma, CCC Clear cell carcinoma, EMC Endometrioid carcinoma, MOC Mucinous carcinoma, MMMT Malignant Müllerian mixed tumor, HGSOC High-grade serous ovarian carcinoma, LGSOC Low-grade serous ovarian carcinoma, ADENO adenocarcinoma, GCT Granulosa cell tumor, RPPA Reverse phase protein array, OS Overall survival, EGFR Epidermal growth factor receptor, NI Not informed, ATR Ataxia telangiectasia and rad3, CHK Checkpoint kinase 1, PARP Poly ADP-ribose polymerase