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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
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]