2016
DOI: 10.14348/molcells.2016.2350
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An Integrative Approach to Precision Cancer Medicine Using Patient-Derived Xenografts

Abstract: Cancer is a heterogeneous disease caused by diverse genomic alterations in oncogenes and tumor suppressor genes. Despite recent advances in high-throughput sequencing technologies and development of targeted therapies, novel cancer drug development is limited due to the high attrition rate from clinical studies. Patient-derived xenografts (PDX), which are established by the transfer of patient tumors into immunodeficient mice, serve as a platform for co-clinical trials by enabling the integration of clinical d… Show more

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Cited by 110 publications
(55 citation statements)
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“…3 & 5). The outgrowth of the combination tumors may be due to heterogeneity either in RRM2 knockdown efficacy, where cells with less RRM2 knockdown grow out, or due to the inherent heterogeneity of patient-derived models (37, 38). Nonetheless, we had enough power for our biostatical approach to indicate a significant slowing of tumor growth in the combination (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…3 & 5). The outgrowth of the combination tumors may be due to heterogeneity either in RRM2 knockdown efficacy, where cells with less RRM2 knockdown grow out, or due to the inherent heterogeneity of patient-derived models (37, 38). Nonetheless, we had enough power for our biostatical approach to indicate a significant slowing of tumor growth in the combination (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…A small piece of human whole tumor tissue is directly implanted into immunocompromised mice. Over time, the human stromal cells are replaced by mouse stromal cells (68); however, the exact timing and replacement of human to with murine stromal cells in human CRC is not clear (9). The loss of human cancer associated fibroblasts, endothelial cells, and immune cells over time has been characterized as a pitfall of the PDX model because mixed murine and human receptor-ligand signaling may alter the human cancer phenotype (911).…”
mentioning
confidence: 99%
“…However, the results of these studies do not necessarily reflect human clinical data [21], mainly because of the lack of a tumor microenvironment in such cell and tumor models. Moreover, studies in mice often are not directly applicable to human patients [22,23]. Therefore, it is necessary to establish animal models that better reflect human clinical pathology.…”
Section: Discussionmentioning
confidence: 99%