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Comparison of Clinical Features and Outcomes in Epithelial Ovarian Cancer according to Tumorigenicity in Patient-Derived Xenograft Models.


ABSTRACT:

Purpose

Although the use of xenograft models is increasing, few studies have compared the clinical features or outcomes of epithelial ovarian cancer (EOC) patients according to the tumorigenicity of engrafted specimens. The purpose of this study was to evaluate whether tumorigenicity was associated with the clinical features and outcomes of EOC patients.

Materials and methods

Eighty-eight EOC patients who underwent primary or interval debulking surgery from June 2014 to December 2015 were included. Fresh tumor specimens were implanted subcutaneously on each flank of immunodeficient mice. Patient characteristics, progression-free survival (PFS), and germline mutation spectra were compared according to tumorigenicity.

Results

Xenografts were established successfully from 49 of 88 specimens. Tumorigenicity was associated with lymphovascular invasion and there was a propensity to engraft successfully with high-grade tumors. Tumors from patientswho underwent non-optimal (residual disease ≥ 1 cm) primary orinterval debulking surgery had a significantly greater propensity to achieve tumorigenicity than those who received optimal surgery. In addition, patients whose tumors became engrafted seemed to have a shorter PFS and more frequent germline mutations than patients whose tumors failed to engraft. Tumorigenicity was a significant factor for predicting PFS with advanced International Federation of Gynecology and Obstetrics stage and high-grade cancers.

Conclusions

Tumorigenicity in a xenograft model was a strong prognostic factor and was associated with more aggressive tumors in EOC patients. Xenograft models can be useful as a preclinical tool to predict prognosis and could be applied to further pharmacologic and genomic studies on personalized treatments.

SUBMITTER: Eoh KJ 

PROVIDER: S-EPMC6056987 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Publications

Comparison of Clinical Features and Outcomes in Epithelial Ovarian Cancer according to Tumorigenicity in Patient-Derived Xenograft Models.

Eoh Kyung Jin KJ   Chung Young Shin YS   Lee So Hyun SH   Park Sun-Ae SA   Kim Hee Jung HJ   Yang Wookyeom W   Lee In Ok IO   Lee Jung-Yun JY   Cho Hanbyoul H   Chay Doo Byung DB   Kim Sunghoon S   Kim Sang Wun SW   Kim Jae-Hoon JH   Kim Young Tae YT   Nam Eun Ji EJ  

Cancer research and treatment 20171017 3


<h4>Purpose</h4>Although the use of xenograft models is increasing, few studies have compared the clinical features or outcomes of epithelial ovarian cancer (EOC) patients according to the tumorigenicity of engrafted specimens. The purpose of this study was to evaluate whether tumorigenicity was associated with the clinical features and outcomes of EOC patients.<h4>Materials and methods</h4>Eighty-eight EOC patients who underwent primary or interval debulking surgery from June 2014 to December 2  ...[more]

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