2018
DOI: 10.1038/s41467-018-07334-3
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Integrated mapping of pharmacokinetics and pharmacodynamics in a patient-derived xenograft model of glioblastoma

Abstract: Therapeutic options for the treatment of glioblastoma remain inadequate despite concerted research efforts in drug development. Therapeutic failure can result from poor permeability of the blood-brain barrier, heterogeneous drug distribution, and development of resistance. Elucidation of relationships among such parameters could enable the development of predictive models of drug response in patients and inform drug development. Complementary analyses were applied to a glioblastoma patient-derived xenograft mo… Show more

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Cited by 66 publications
(47 citation statements)
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“…Differential responsiveness of brain and non-brain PDXs to anti-cancer drugs has been observed in at least one other study [53]. There are several mechanisms to explain the difference between orthotopic and ectopic PDXs in response to epothilone B.…”
Section: Discussionmentioning
confidence: 78%
“…Differential responsiveness of brain and non-brain PDXs to anti-cancer drugs has been observed in at least one other study [53]. There are several mechanisms to explain the difference between orthotopic and ectopic PDXs in response to epothilone B.…”
Section: Discussionmentioning
confidence: 78%
“…This is supported by diverse murine studies showing a low drug penetration into tumors of xenografted mice [331][332][333] and PDGF-B-driven brainstem glioma models [334], due to ABC transporters P-gp and Bcrp [333,334]. In addition, a recent study using 3D-MSI showed a higher but non-homogeneous accumulation of erlotinib in the GBM tumors of xenografted mice than in brain parenchyma, proving that the BBTB is heterogeneously disrupted across the tumor [335].…”
Section: Multidrug Resistance In Glioma and The Blood-brain Tumor Barmentioning
confidence: 76%
“…Most models used in drug R&D programs are not spatially resolved, despite there being clear evidence that the spatial structure of tumors will considerably affect tumor response to treatment. 85,86 This contrasts with the academic literature on tumor modeling where spatially resolved models have been developed. 87 Spatial effects of clear relevance to predicting patient response include potential structural and genetic heterogeneity within tumors.…”
Section: Mathematical Modeling Approaches To Translation In Oncologymentioning
confidence: 97%
“…87 Spatial effects of clear relevance to predicting patient response include potential structural and genetic heterogeneity within tumors. Considering drug concentration gradients in tumors, stromal architecture can affect drug availability by several orders of magnitude 85 and can drive drug-resistant clonal selection. 88 Modeling approaches could encompass detailed tumor simulations of drug availability 89 through to classification-based approaches where architecture can be used to predict responsiveness.…”
Section: Mathematical Modeling Approaches To Translation In Oncologymentioning
confidence: 99%