1. Xenografts Derived From Patients' Ascites Recapitulate the Gemcitabine Resistance Observed in Pancreatic Cancer Patients
- Author
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Akihito Machinaga, Makoto Miyoshi, Yuichi Hori, Ken Sasai, Kazuya Shimizu, Tomoo Itoh, Kyohei Okahara, and Emmy Yanagita
- Subjects
Male ,chemotherapy resistance ,patient-derived xenograft ,endocrine system diseases ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,pancreatic ductal adenocarcinoma ,Drug resistance ,Deoxycytidine ,03 medical and health sciences ,Mice ,ascites ,0302 clinical medicine ,Endocrinology ,Refractory ,Pancreatic cancer ,Ascites ,Internal Medicine ,Carcinoma ,medicine ,Neoplasm ,Animals ,Humans ,preclinical model ,Aged, 80 and over ,Chemotherapy ,Mice, Inbred BALB C ,Hepatology ,business.industry ,gemcitabine ,Middle Aged ,medicine.disease ,Xenograft Model Antitumor Assays ,Gemcitabine ,digestive system diseases ,Pancreatic Neoplasms ,Drug Resistance, Neoplasm ,030220 oncology & carcinogenesis ,Cancer research ,030211 gastroenterology & hepatology ,Female ,medicine.symptom ,business ,medicine.drug ,Carcinoma, Pancreatic Ductal - Abstract
Objectives Most patient-derived pancreatic ductal adenocarcinoma (PDAC) xenografts have been established from surgical specimens of patients who have not received chemotherapy. However, xenografts have rarely been established from chemotherapy-resistant, advanced PDACs, because such cases are usually inoperable. The purpose of this study is to establish patient-derived xenografts using PDAC cells refractory to chemotherapy. Methods Clinical PDAC cells obtained from ascites of patients who had received continuous chemotherapy were implanted into the flanks of immunocompromised mice. Growth and histological features of the xenografts with and without gemcitabine treatment were then analyzed. Results Ascites-derived PDAC cells were successfully expanded through serial xenograft passage without changes in histological appearance. While treatment with gemcitabine substantially inhibited the growth of all PDAC xenografts tested, the tumor volume gradually increased, and the tumors showed marked regrowth even under continued gemcitabine treatment. These findings are consistent with the actual clinical course of the corresponding patients for each xenograft. Conclusions Ascites-derived xenograft models represent a valuable experimental system for testing the efficacy of currently available therapeutic compounds on chemotherapy-resistant PDAC cells and for elucidation of the mechanisms underlying chemotherapy resistance.
- Published
- 2019