女性生殖系统恶性肿瘤小鼠人源性肿瘤组织异种移植(PDX)模型 构建可行性探索
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首都医科大学附属北京妇产医院

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北京市科协金桥工程种子资金项目(C类);北京市科学技术委员会首都临床特色诊疗技术研究及转化应用(Z221100007422087);国家自然科学基金(82102711);临床医学发展专项“扬帆”计划(编号:ZLRK20252);


Feasibility exploration of constructing a patient derived tumor tissue xenograft (PDX) model for malignant tumors of the female reproductive system in mice
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Capital Medical University Beijing Obstetrics and Gynecology Hospital

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    摘要:

    【】 目的:探索女性生殖系统小鼠人源性肿瘤组织异种移植模型(Patient derived tumor tissue xenograft,补充英文全称PDX)构建可行性及影响因素。方法:收集2023年3月至2023年10月在首都医科大学附属北京妇产医院进行治疗的78名女性生殖系统恶性肿瘤患者临床信息,肿瘤组织留存并进行小鼠PDX模型构建和传代,观察到2024年6月。结果:① 37例可以明确结局的小鼠PDX模型中,7例(18.92%)成功建模(传代),22例(59.46%)成功植入,罕见妇科肿瘤3例均未植入成功;女性生殖系统恶性肿瘤小鼠PDX模型植入失败组与植入成功组比较,肿瘤分期、肿瘤类型和分化均无显著差异(p>0.05)。② 19例宫颈癌患者,总植入成功率为63.2%(12/19),建模成功率为15.8%(3/19)。其中构建所需时间P0代25~87(47±16.7)d;P1代为55d;P2代69d。③子宫内膜癌10例,总植入成功率60.0%(6/10),建模成功率10.0%(1/10)。其中构建所需时间P0代24~93(50±19.7)d;P1代55d;P2代41d;P3代55d。④卵巢癌5例,总植入成功率80.0%(4/5),建模成功率60.0%(3/5)。其中构建所需时间P0代30~75(50天±20.7)d;P1代68~125(88天±32.1)d;⑤ 12例宫颈癌成功植入模型中,3例(75%成功率)为新辅助化疗(Neoadjuvant Chemotherapy,NACT)化疗后患者,转移灶植入1例。4例卵巢癌成功植入模型中转移灶1例(50%成功率)。因此女性生殖系统肿瘤新辅助化疗后及转移部分肿瘤均可以进行小鼠PDX模型构建。结论:女性生殖系统肿瘤构建小鼠PDX模型是可以行的,对于化疗后或者转移部位肿瘤构建也是可行。

    Abstract:

    【】 Objective: To explore the feasibility and influencing factors of constructing a patient derived tumor tissue xenograft model (PDX) in female reproductive system mice. Method: A mouse PDX model was constructed and passaged by collecting 78 patients suffering from gynecological oncology who treated in our hospital from March 2023 to October 2023, observations were made in June 2024. Result: ① Among the 37 mouse PDX models with clear outcomes, 7 cases (18.92%) were successfully modeled (passaged), and 22 cases (59.46%) were successfully implanted. Three cases of rare gynecological tumors were not successfully implanted. The success rate of implantation in P0 generation mice showed no significant difference between nude mice and NTG mice. There were no significant differences in tumor stage, tumor type and differentiation between the failed group and the successful inoculation group (p>0.05). ② 19 patients with cervical cancer had a modeling success rate of 15.8% (3/19), a total implantation success rate of 63.2% (12/19). The construction time for P0 generation varies from 25 to 87 (47 ± 16.7) days; The P1 generation is 55 days old; P2 generation takes 69 days. ③ 10 cases of endometrial cancer, the total implantation success rate is 60.0% (6/10),the success rate of modeling is 10.0% (1/10). The construction time required for P0 generation is 24-93 (50 ± 19.7) days; P1 generation all takes 55 days; P2 generation for 41 days; P3 generation takes 55 days. ④ There were 5 cases of ovarian cancer, the total implantation success rate is 80.0% (4/5),the success rate of modeling is 60.0% (3/5). The construction time required for P0 generation is 30-75 (50 ± 20.7) days; P1 generation takes 68-125 (88 ± 32.1) days. ⑤ Among the 12 cases of cervical cancer successfully implanted in the model, 3 patients (75% success rate) who underwent neoadjuvant chemotherapy (NACT) and 1 case was implanted with metastases. Among the 4 cases of ovarian cancer successfully implanted in the model, 1 cases (50% success rate) were implanted with metastases. Therefore, mouse PDX models could be constructed after neoadjuvant chemotherapy and metastases of female reproductive system tumors. Conclusion: It is feasible to construct a mouse PDX model for female reproductive system tumors, and it is also feasible for tumor construction after chemotherapy or at the site of metastasis.

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  • 收稿日期:2025-09-25
  • 最后修改日期:2025-11-04
  • 录用日期:2026-04-13
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