Mouse model

小鼠模型
  • 文章类型: Journal Article
    NF2相关神经鞘瘤病(NF2-SWN)是一种需要新解决方案的疾病。NF2-SWN的标志,显性遗传性肿瘤形成综合征,是双侧前庭神经鞘瘤(VSs),逐渐扩大,导致感觉神经性听力损失,耳鸣,面部无力,和疼痛转化为社会障碍和临床抑郁症。生长的VSs的标准治疗包括手术和放射治疗(RT);然而,两者都有进一步神经损伤的风险,可能导致耳聋和面神经麻痹。由此产生的痛苦和堕落,结合治疗选择的匮乏,使NF2-SWN的有效治疗成为尚未满足的主要医疗需求。更好地理解这些机制对于开发新的治疗靶点以控制肿瘤生长和改善患者的生活质量至关重要。以前,我们建立了第一个原位桥小脑角小鼠模型,忠实地模仿肿瘤引起的听力损失。在这个模型中,我们观察到小鼠表现出共济失调和前庭功能障碍的症状。因此,我们进一步开发了一组适用于小鼠VS模型的五个测试,并研究了肿瘤生长和治疗如何影响步态,协调,和运动功能。使用这个共济失调测试小组,我们证明共济失调和运动功能随着肿瘤进展而恶化。我们进一步证明(i)用抗VEGF治疗导致肿瘤大小减小,减轻共济失调,(ii)克唑替尼治疗稳定了肿瘤生长,并改善了共济失调和圆棒表现;(iii)氯沙坦治疗不影响肿瘤生长,也不改善共济失调或运动功能。我们的研究表明,这些方法,与听力测试配对,能够全面评估肿瘤诱导的神经功能缺损,并有助于评估新疗法的有效性,以改善NF2治疗。
    NF2-related Schwannomatosis (NF2-SWN) is a disease that needs new solutions. The hallmark of NF2-SWN, a dominantly inherited neoplasia syndrome, is bilateral vestibular schwannomas (VSs), which progressively enlarge, leading to sensorineural hearing loss, tinnitus, facial weakness, and pain that translates to social impairment and clinical depression. Standard treatments for growing VSs include surgery and radiation therapy (RT); however, both carry the risk of further nerve damage that can result in deafness and facial palsy. The resultant suffering and debility, in combination with the paucity of therapeutic options, make the effective treatment of NF2-SWN a major unmet medical need. A better understanding of these mechanisms is essential to developing novel therapeutic targets to control tumor growth and improve patients\' quality of life. Previously, we developed the first orthotopic cerebellopontine angle mouse model of VSs, which faithfully mimics tumor-induced hearing loss. In this model, we observed that mice exhibit symptoms of ataxia and vestibular dysfunction. Therefore, we further developed a panel of five tests suitable for the mouse VS model and investigated how tumor growth and treatment affect gait, coordination, and motor function. Using this panel of ataxia tests, we demonstrated that both ataxia and motor function deteriorated concomitantly with tumor progression. We further demonstrated that (i) treatment with anti-VEGF resulted in tumor size reduction, mitigated ataxia, and improved rotarod performance; (ii) treatment with crizotinib stabilized tumor growth and led to improvements in both ataxia and rotarod performance; and (iii) treatment with losartan did not impact tumor growth nor ameliorate ataxia or motor function. Our studies demonstrated that these methods, paired with hearing tests, enable a comprehensive evaluation of tumor-induced neurological deficits and facilitate the assessment of the effectiveness of novel therapeutics to improve NF2 treatments.
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  • 文章类型: Journal Article
    MECP2重复综合征(MDS)是由MECP2基因座及其周围基因的串联重复引起的神经发育障碍,包括IRAK1。目前的MDS小鼠模型仅涉及MECP2的转基因表达,限制了它们对疾病研究的适用性。在这里,我们证明了一种有效和精确的基于CRISPR/Cas9融合邻近的方法可用于生成Irak1-Mecp2串联重复小鼠模型(\"Mecp2Dup\").Mecp2Dup小鼠模型通过包含包含Mecp2和Irak1的160kb串联重复来概括人类MDS的基因组景观,这代表了最少的致病重复,以及邻近基因Opnmw1和Tex28。Mecp2Dup模型表现出神经行为异常,以及以前在其他小鼠模型中未观察到的对感染的异常免疫反应,可能是由于Irak1过度表达。因此,Mecp2Dup模型提供了研究MDS疾病机制和开发适用于患者的潜在疗法的工具。
    MECP2 duplication syndrome (MDS) is a neurodevelopmental disorder caused by tandem duplication of the MECP2 locus and its surrounding genes, including IRAK1. Current MDS mouse models involve transgenic expression of MECP2 only, limiting their applicability to the study of the disease. Herein, we show that an efficient and precise CRISPR/Cas9 fusion proximity-based approach can be utilized to generate an Irak1-Mecp2 tandem duplication mouse model (\"Mecp2 Dup\"). The Mecp2 Dup mouse model recapitulates the genomic landscape of human MDS by harbouring a 160 kb tandem duplication encompassing Mecp2 and Irak1, representing the minimal disease-causing duplication, and the neighbouring genes Opnmw1 and Tex28. The Mecp2 Dup model exhibits neuro-behavioral abnormalities, and an abnormal immune response to infection not previously observed in other mouse models, possibly owing to Irak1 overexpression. The Mecp2 Dup model thus provides a tool to investigate MDS disease mechanisms and develop potential therapies applicable to patients.
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  • 文章类型: Journal Article
    人源化异种移植模型和癌细胞系广泛用于临床前药物评估,生物学研究,以及癌症研究中的靶向治疗策略。人源化小鼠模型是经过基因改造以含有特定人类基因的实验室小鼠,细胞,或组织。通过将人类特有的元素引入啮齿动物,研究人员可以更准确地表示人体生理和病理过程。缺乏合适的骨肉瘤(OS)动物模型,阻碍了对OS转移进展的潜在机制的理解。很明显,转移影响骨肉瘤的预后和治疗。深入了解转移的机制和发生可能有助于肿瘤学家改进治疗方法。因此,重要的是建立肺转移OS模型来研究其进展的基本生物学。本研究使用注射到雄性NOD中的HOS-143B细胞系建立了荷瘤小鼠模型。SCIDγ(NSG)小鼠在两个位置;分别肌内(后腿)和皮下(背部)。通过触诊诱导的肿瘤面积并使用数字卡尺定量来监测原发性和转移性肿瘤的大小。病理学家进行H&E染色以确认转移。我们的结果表明,注射了100万个癌细胞的小鼠无法产生肿瘤。同时,注射了300万个癌细胞的小鼠在接种癌细胞25天后显示出肿瘤发展和肺转移。总之,本研究成功建立了肺转移OS小鼠模型,可用于OS的生物学研究。这些发现暗示该模型对于临床试验前的安全性和有效性至关重要,加速从基础研究到治疗应用的转化。
    Humanised xenograft models and cancer cell lines are widely used for preclinical drug evaluation, biological studies, and targeted therapy strategies in cancer research. A humanised mouse model is a laboratory mouse that has been genetically modified to contain specific human genes, cells, or tissues. By introducing human-specific elements into rodents, researchers can create a more accurate representation of human physiological and pathological processes. Lacking an appropriate animal model for osteosarcoma (OS), hindered understanding of underlying mechanisms in OS metastasis progression. Markedly, metastasis influences the prognosis and treatment of osteosarcoma. Gaining insight into the mechanisms and occurrences of metastasis could potentially facilitate oncologists in improving therapies. Hence, it is important to develop a lung metastatic OS model to study the basic biology of its progression. This study has established a tumour-bearing mouse model using HOS-143B cell line which was injected into male NOD.SCID gamma (NSG) mice at two locations; intramuscularly (hind leg) and subcutaneously (back) respectively. The primary and metastatic tumour size was monitored by palpating the area of tumour induced and quantified using digital calliper. H&E staining was performed by pathologist to confirm metastasis. Our results showed that mice injected with 1 million cancer cells were unable to produce tumours. Meanwhile, mice injected with three million cancer cells showed tumour development and lung metastasis after 25 days of cancer cell inoculation. In conclusion, this study has successfully established a lung metastatic OS mouse model that could be useful for biological studies of OS. These findings imply that this model is essential for safety and efficacy before clinical trials, accelerate the translation from basic research to therapeutic applications.
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  • 文章类型: Journal Article
    除了小牛,没有其他牛冠状病毒(BCoV)感染模型,由于其价值高且操作不便,使得BCoV疫苗的疗效评估和致病机理研究不便。本研究旨在建立小鼠BCoV感染模型。用BCoV感染4周龄雄性BALB/c小鼠,筛选最佳感染条件,包括以下感染途径:灌胃,腹腔注射,和尾静脉注射剂量为1×108TCID50、2×108TCID50和4×108TCID50。利用最佳感染条件,BALB/c小鼠感染BCoV,和他们的体重,血常规,炎症因子,尸检,病毒分布,在感染后1、3、5和7天测量病毒载量。结果表明,BCoVHLJ-325株感染BALB/c小鼠的最佳条件是连续口服灌胃3天,剂量为4×108TCID50。感染后第7天,肺部有明显的广泛巩固和结肠壁变薄。在各种器官中观察到明显的炎症,尤其是在结肠和肺泡中,大量炎症细胞浸润的地方.BCoVAg和核酸在内脏器官中均为阳性。结肠和肺中的病毒载量显著高于其他器官(p<0.001)。BCoV感染的小鼠从第5天开始显示出体重下降的趋势,并且在第6天和第7天与对照组相比存在显着差异(p<0.001)。感染后24h,白细胞和淋巴细胞总数开始减少,明显低于对照组(p<0.001),并逐渐恢复到控制水平。细胞因子TNF-α,IL-1β,IL-6呈增加趋势,第5天和第7天显著高于对照组(p<0.001)。这些结果表明BCoVHLJ-325株可以感染BALB/c小鼠并引起炎症反应和组织损伤。在感染后的第七天,用4×108TCID50的剂量和连续的三次灌胃观察到了最显著的效果。这项研究建立,第一次,BCoV感染的BALB/c小鼠模型,为评价BCoV疫苗的免疫效力和研究其致病机制提供了技术手段。
    There are no other bovine coronavirus (BCoV) infection models except calves, which makes efficacy evaluation of vaccines and pathogenic mechanism research of BCoV inconvenient owing to their high value and inconvenient operation. This study aimed to establish a mouse model of BCoV infection. BCoV was used to infect 4-week-old male BALB/c mice and the optimal infection conditions were screened, including the following infection routes: gavage, intraperitoneal injection, and tail vein injection at doses of 1 × 108 TCID50, 2 × 108 TCID50 and 4 × 108 TCID50. Using the optimal infection conditions, BALB/c mice were infected with BCoV, and their body weight, blood routine, inflammatory factors, autopsy, virus distribution, and viral load were measured at 1, 3, 5, and 7 days after infection. The results showed that the optimal conditions for infecting BALB/c mice with BCoV HLJ-325 strain were continuous oral gavage for 3 days with a dose of 4 × 108 TCID50. On the 7th day after infection, there was significant extensive consolidation of the lungs and thinning of the colon wall. Significant inflammation was observed in various organs, especially in the colon and alveoli, where a large number of inflammatory cells infiltrate. Both BCoV Ag and nucleic acid are positive in visceral organs. The viral load in the colon and lungs was significantly higher than that in the other organs (p < 0.001). BCoV-infected mice showed a decreasing trend in body weight starting from day 5, and there was a significant difference compared to the control group on days 6 and 7 (p < 0.001). The total number of white blood cells and lymphocytes began to decrease and was significantly lower than that in the control group 24 h after infection (p < 0.001), and gradually returned to the control level. The cytokine TNF-α, IL-1β, and IL-6 showed an increasing trend, significantly higher than the control group on day 5 and 7 (p < 0.001). These results indicate that the BCoV HLJ-325 strain can infect BALB/c mice and cause inflammatory reactions and tissue lesions. The most significant effect was observed on the seventh day after infection with a dose of 4 × 108 TCID50 and three consecutive gavages. This study established, for the first time, a BALB/c mouse model of BCoV infection, providing a technical means for evaluating the immune efficacy of BCoV vaccines and studying their pathogenic mechanisms.
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  • 文章类型: Journal Article
    胸膜肺炎放线杆菌(APP)是猪肺部感染的主要原因。与实验操作的便利性有关,实验小鼠比猪有优势,疾病研究和治疗,丰富的遗传资源,和成本。然而,由于小鼠的小呼吸道和细菌宿主嗜性,将APP引入小鼠肺是一个挑战。在这项研究中,在小鼠中开发了APP血清型1(APP1)的有效空气传播,用于肺部感染。因此,APP1感染BALB/c小鼠并在指定条件下感染后三天内导致60%死亡。APP1似乎进入了肺部,反过来,在感染后的前5天传播到小鼠的其他器官。因此,APP1损伤了肺,其形态学和组织学检查证明了这一点。此外,氨苄青霉素完全保护小鼠对抗APP1,如它们的存活率所示,临床症状,身体体重减轻,APP1计数,和肺损伤。最后,两个额外的APP菌株的毒力,基于小鼠的存活率,比较模型中的APP2和APP5。总的来说,本研究成功建立了一种快速、可靠的APP小鼠模型,有利于APP的研究和治疗。这样的模型是用于气道细菌感染的潜在有用的模型。
    Actinobacillus pleuropneumoniae (APP) is a major cause of lung infections in pigs. An experimental mouse has the edge over pigs pertaining to the ease of experimental operation, disease study and therapy, abundance of genetic resources, and cost. However, it is a challenge to introduce APP into a mouse lung due to the small respiratory tract of mice and bacterial host tropism. In this study, an effective airborne transmission of APP serovar 1 (APP1) was developed in mice for lung infection. Consequently, APP1 infected BALB/c mice and caused 60% death within three days of infection at the indicated condition. APP1 seemed to enter the lung and, in turn, spread to other organs of the mice over the first 5 days after infection. Accordingly, APP1 damaged the lung as evidenced by its morphological and histological examinations. Furthermore, ampicillin fully protected mice against APP1 as shown by their survival, clinical symptoms, body weight loss, APP1 count, and lung damages. Finally, the virulence of two extra APP strains, APP2 and APP5, in the model was compared based on the survival rate of mice. Collectively, this study successfully established a fast and reliable mouse model of APP which can benefit APP research and therapy. Such a model is a potentially useful model for airway bacterial infections.
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  • 文章类型: Journal Article
    慢性排斥反应是移植后的主要并发症。在肺移植中,慢性排斥反应被认为是以气道为中心.慢性肺同种异体移植功能障碍(CLAD),定义为涵盖所有晚期慢性并发症,这使得从免疫学角度理解慢性排斥反应变得更加困难。这项研究调查了真实的性质,整个慢性排斥反应的时间和位置,在小鼠肺移植中。
    40只小鼠接受了原位左肺移植,在第70天处死,并通过组织学和体内μCT进行评估。对于拒绝的时间和位置,在第7,35,56天处死额外的移植物,并通过离体μCT或单细胞RNA(scRNA)谱分析进行研究.
    慢性排斥反应起源于小动脉周围的先天性炎症,向适应性组织演变,随后发生动脉终末纤维化和闭塞性病变。随后,出现静脉和胸膜浸润,其次是气道相关的细支气管折叠和罕见的闭塞性细支气管炎。离体µCT和scRNA分析验证了时间,以内皮破坏和激活为主要发病的事件的位置和顺序。
    反对目前的信念,肺移植中的慢性排斥反应可能始于动脉反应,其次是小静脉的反应,胸膜,and,只有在后期,细支气管,这可能在一些但不是所有的CLAD患者中看到。
    UNASSIGNED: Chronic rejection is a major complication post-transplantation. Within lung transplantation, chronic rejection was considered as airway centred. Chronic Lung Allograft Dysfunction (CLAD), defined to cover all late chronic complications, makes it more difficult to understand chronic rejection from an immunological perspective. This study investigated the true nature, timing and location of chronic rejection as a whole, within mouse lung transplantation.
    UNASSIGNED: 40 mice underwent an orthotopic left lung transplantation, were sacrificed at day 70 and evaluated by histology and in vivo µCT. For timing and location of rejection, extra grafts were sacrificed at day 7, 35, 56 and investigated by ex vivo µCT or single cell RNA (scRNA) profiling.
    UNASSIGNED: Chronic rejection originated as innate inflammation around small arteries evolving toward adaptive organization with subsequent end-arterial fibrosis and obliterans. Subsequently, venous and pleural infiltration appeared, followed by airway related bronchiolar folding and rarely bronchiolitis obliterans was observed. Ex vivo µCT and scRNA profiling validated the time, location and sequence of events with endothelial destruction and activation as primary onset.
    UNASSIGNED: Against the current belief, chronic rejection in lung transplantation may start as an arterial response, followed by responses in venules, pleura, and, only in the late stage, bronchioles, as may be seen in some but not all patients with CLAD.
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  • 文章类型: Journal Article
    白癜风是一种多病因的自身免疫性皮肤病,没有完全治愈的方法。这种慢性色素脱失的特征是表皮黑素细胞丢失,并导致毁容和严重的社会心理困扰。小鼠模型已被广泛用于进一步了解白癜风的复杂疾病机制,以及为人类潜在治疗策略的临床介入研究提供临床前平台。目前的小鼠模型可以分为三组:自发小鼠模型,诱导小鼠模型,和转基因小鼠。尽管有其局限性,这些模型使我们能够在分子上了解白癜风的病理过程,cell,组织,器官,和系统级别,并已用于测试预期药物。在这次审查中,我们全面评估白癜风现有的小鼠系统,并阐明其各自的特点,旨在为研究人员提供全景图,为他们的研究选择合适的小鼠模型。
    Vitiligo is an autoimmune skin disease of multiple etiology, for which there is no complete cure. This chronic depigmentation is characterized by epidermal melanocyte loss, and causes disfigurement and significant psychosocial distress. Mouse models have been extensively employed to further our understanding of complex disease mechanisms in vitiligo, as well as to provide a preclinical platform for clinical interventional research on potential treatment strategies in humans. The current mouse models can be categorized into three groups: spontaneous mouse models, induced mouse models, and transgenic mice. Despite their limitations, these models allow us to understand the pathology processes of vitiligo at molecule, cell, tissue, organ, and system levels, and have been used to test prospective drugs. In this review, we comprehensively evaluate existing murine systems of vitiligo and elucidate their respective characteristics, aiming to offer a panorama for researchers to select the appropriate mouse models for their study.
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  • 文章类型: Journal Article
    水动力尾静脉注射(HTVi),也称为流体动力学基因转移(HGT),正在吸引越来越多的人对肝癌发生建模的兴趣。这种高度通用的方法可再现地提供了具有裸DNA的肝细胞的有效体内转染。这里,我们对注射过程进行了深入的描述,这是方法成功的关键。HTVi需要将大量含有质粒的溶液注射到小鼠的尾静脉中。注射造成的短暂右心超负荷迫使血液回流到肝静脉,扩大内皮窗和渗透一部分肝细胞几秒钟。这导致透化肝细胞摄取质粒,引起它们的体内转染。在注射的质粒中包括睡美人转座子系统导致肝细胞亚群的稳定转染。HTVi是一种强大的技术,可以在肝癌生物学中应用众多,比如癌基因合作研究,肿瘤异质性,以及与肿瘤微环境的相互作用。
    Hydrodynamic tail vein injection (HTVi), also called hydrodynamic gene transfer (HGT), is attracting increasing interest for modeling hepatic carcinogenesis. This highly versatile approach reproducibly provides efficient in vivo transfection of hepatocytes with naked DNA. Here, we give an in-depth description of the injection procedure, which is key for the success of the method. HTVi requires the injection of a large volume of a solution containing plasmids into the tail vein of the mouse. The transient right heart overload created by the injection forces the blood to flow back into the hepatic veins, enlarging the endothelial fenestrae and permeabilizing a fraction of hepatocytes for a few seconds. This results in the uptake of plasmids by the permeabilized hepatocytes, giving rise to their in vivo transfection. Including the Sleeping Beauty transposon system among the injected plasmids leads to the stable transfection of a subset of hepatocytes. HTVi is a powerful technique which enables numerous applications in liver cancer biology, such as a study of oncogene cooperation, of tumor heterogeneity, and interaction with the tumor microenvironment.
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  • 文章类型: Journal Article
    背景:尽管阿尔茨海默病(AD)与便秘之间的关联存在争议,其因果关系和潜在机制仍然未知。
    目的:使用流行病学数据和小鼠模型研究慢肠道运输与AD之间的潜在关联。
    方法:我们在韩国进行了一项双边队列研究(发现队列,N=3,130,193)和日本(验证队列,N=4,379,285),以确定先前的诊断史(2009-2010年)和随访期(2011-2021年)。为了评估因果关系,我们使用洛哌丁胺在5xFAD转基因小鼠中诱导了缓慢的肠道运输。使用ELISA检查淀粉样β(Aβ)和其他标志物的变化,qRT-PCR,RNA-seq,和行为测试。
    结果:在发现队列中,便秘与AD风险增加相关(风险比,2.04;95%置信区间[CI],2.01-2.07)和验证队列(风险比;2.82;95%CI,2.61-3.05)。我们发现洛哌丁胺在5xFAD小鼠中诱导了较慢的肠道运输,大脑中Aβ和小胶质细胞水平增加,与去甲肾上腺素分泌和免疫反应相关的基因转录增加,并降低结肠组织中细菌防御的转录。
    结论:肠道运输受损可能通过肠-脑轴促进AD发病,因此表明肠屏障破坏与大脑中Aβ积累之间存在周期性关系。我们建议肠道运输或运动可能是预防AD的可改变的生活方式因素,和进一步的临床研究是必要的。
    BACKGROUND: Although the association between Alzheimer\'s disease (AD) and constipation is controversial, its causality and underlying mechanisms remain unknown.
    OBJECTIVE: To investigate the potential association between slow gut transit and AD using epidemiological data and a murine model.
    METHODS: We conducted a bi-national cohort study in South Korea (discovery cohort, N=3,130,193) and Japan (validation cohort, N=4,379,285) during the pre-observation period to determine the previous diagnostic history (2009-2010) and the follow-up period (2011-2021). To evaluate the causality, we induced slow gut transit using loperamide in 5xFAD transgenic mice. Changes in amyloid-beta (Aβ) and other markers were examined using ELISA, qRT-PCR, RNA-seq, and behavioral tests.
    RESULTS: Constipation was associated with an increased risk of AD in the discovery cohort (hazard ratio, 2.04; 95% confidence interval [CI], 2.01-2.07) and the validation cohort (hazard ratio; 2.82; 95% CI, 2.61-3.05). We found that loperamide induced slower gut transit in 5xFAD mice, increased Aβ and microglia levels in the brain, increased transcription of genes related to norepinephrine secretion and immune responses, and decreased the transcription of defense against bacteria in the colonic tissue.
    CONCLUSIONS: Impaired gut transit may contribute to AD pathogenesis via the gut-brain axis, thus suggesting a cyclical relationship between intestinal barrier disruption and Aβ accumulation in the brain. We propose that gut transit or motility may be a modifiable lifestyle factor in the prevention of AD, and further clinical investigations are warranted.
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  • 文章类型: Journal Article
    目的:术前(新辅助)放射治疗(RT)是多模式直肠癌治疗的重要组成部分。最近,全新辅助治疗(TNT)是一种有效的治疗方法,它将同步放化疗和额外的化疗疗程(CTx)相结合.TNT在大约30%的切除患者中实现了病理完全缓解,为避免根治性器官切除的治疗策略开辟了途径。此外,最近的研究表明,抗PD-1免疫疗法(IT)可以在具有特定遗传改变的患者中诱导临床完全缓解。总的来说,有很大的潜力通过强化来提高成果,个性化,和降级的治疗方法。然而,对RT或TNT的异质性缓解率以及对IT无特异性遗传变化的患者致敏策略仍知之甚少.
    方法:我们开发了一种新型的直肠癌原位小鼠模型,该模型基于精确定义的反映肿瘤异质性的肿瘤类器官的内窥镜注射。随后,我们采用内窥镜和计算机断层扫描引导的RT,并使用小动物磁共振成像和内窥镜随访验证直肠肿瘤的生长和对治疗的反应率。
    结果:在两次类器官注射后,在所有小鼠中成功诱导直肠肿瘤形成。5×5Gy的临床相关RT方案可明显延迟肿瘤进展的临床体征,并显着提高生存率。与人类疾病一致,直肠肿瘤的进展与肝和肺转移的发展有关。值得注意的是,放疗后的长期幸存者没有显示肿瘤复发的证据,如体内放射学肿瘤分期和组织病理学检查所示。
    结论:我们的新型小鼠模型通过非侵入性和精确的直肠类器官注射和小动物RT结合了原位肿瘤生长。该模型对研究肿瘤细胞内在方面的影响具有重要的前景。宿主的遗传改变,或外源因素(例如,营养或微生物群)对RT结果的影响。此外,它允许探索涉及CTX的联合疗法,IT或新型靶向疗法。
    OBJECTIVE: Preoperative (neoadjuvant) radiation therapy (RT) is an essential part of multimodal rectal cancer therapy. Recently, total neoadjuvant therapy (TNT), which combines simultaneous radiochemotherapy with additional courses of chemotherapy, has emerged as an effective approach. TNT achieves a pathologic complete remission in approximately 30% of resected patients, opening avenues for treatment strategies that avoid radical organ resection. Furthermore, recent studies have demonstrated that anti-programmed cell death protein 1 immunotherapy can induce clinical complete responses in patients with specific genetic alterations. There is significant potential to enhance outcomes through intensifying, personalizing, and de-escalating treatment approaches. However, the heterogeneous response rates to RT or TNT and strategies to sensitize patients without specific genetic changes to immunotherapy remain poorly understood.
    METHODS: We developed a novel orthotopic mouse model of rectal cancer based on precisely defined endoscopic injections of tumor organoids that reflect tumor heterogeneity. Subsequently, we employed endoscopic- and computed tomography-guided RT and validated rectal tumor growth and response rates to therapy using small-animal magnetic resonance imaging and endoscopic follow-up.
    RESULTS: Rectal tumor formation was successfully induced in all mice after 2 organoid injections. Clinically relevant RT regimens with 5 × 5 Gy significantly delayed clinical signs of tumor progression and significantly improved survival. Consistent with human disease, rectal tumor progression correlated with the development of liver and lung metastases. Notably, long-term survivors after RT showed no evidence of tumor recurrence, as demonstrated by in vivo radiologic tumor staging and histopathologic examination.
    CONCLUSIONS: Our novel mouse model combines orthotopic tumor growth via noninvasive and precise rectal organoid injection and small-animal RT. This model holds significant promise for investigating the effect of tumor cell-intrinsic aspects, genetic alterations of the host, and exogenous factors (eg, nutrition or microbiota) on RT outcomes. Furthermore, it allows for the exploration of combination therapies involving chemotherapy, immunotherapy, or novel targeted therapies.
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