A growth model of neuroendocrine tumor surrogates and the efficacy of a novel somatostatin-receptor-guided antibody-drug conjugate: Perspectives on clinical response?

A growth model of neuroendocrine tumor surrogates and the efficacy of a novel somatostatin-receptor-guided antibody-drug conjugate: Perspectives on clinical response?
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DOI:
10.1016/j.surg.2019.04.073
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发表时间:
2020-01
期刊:
影响因子:
3.8
通讯作者:
Jaskula-Sztul R
Jaskula-Sztul R
中科院分区:
医学2区
文献类型:
--
作者:
Herring B;Whitt J;Aweda T;Ou J;Guenter R;Lapi S;Berry J;Chen H;Liu X;Rose JB;Jaskula-Sztul R

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由于缺乏用于测试个性化治疗的患者来源的异种移植物(PDX)和神经内分泌肿瘤(NET)的其他临床前模型,我们开发了灌注的3D生物反应器模型以从患者来源的NET培养肿瘤替代物。这项工作评估了替代培养的持续时间和替代对新型抗体-药物缀合物(ADC)的反应。培养了27个患者来源的NET。在肿瘤植入两个生物反应器之前,评估胰腺NET(pNET)异种移植物(BON-1)肿瘤的组织切片的SSTR 2表达。一种替代物用ADC处理,所述ADC包含与生长抑素受体2(SSTR 2)抗体连接的抗有丝分裂单甲基奥瑞他汀-E(MMAE)。通过用IR-783和RealTime-Glo™ AnnexinV凋亡和坏死测定(Promega)预成像孵育六天来评估活力和治疗反应。同样评价了原代人pNET。平均替代生长持续时间为34.8天。与对照相比,经处理的BON-1替代物表现出较少的增殖(1.2与1.9倍)和较高的凋亡(1.5与1.1倍),而经处理的患者来源的NET生物反应器表现出较高程度的凋亡(13与9倍)和坏死(2.5与1.6倍)。患者来源的NET替代物可以在生物反应器内可靠地培养。该模型可用于体外评价抗体引导化疗的疗效,并可用于预测临床反应。
As patient-derived xenografts (PDXs) and other preclinical models of neuroendocrine tumors (NETs) for testing personalized therapeutics are lacking, we have developed a perfused 3D bioreactor model to culture tumor surrogates from patient-derived NETs. This work evaluates the duration of surrogate culture and surrogate response to a novel antibody-drug conjugate (ADC). 27 Patient-derived NETs were cultured. Histologic sections of a pancreatic NET (pNET) xenograft (BON-1) tumor were assessed for SSTR2 expression before tumor implantation into two bioreactors. One surrogate was treated with ADC comprised an anti-mitotic Monomethyl auristatin-E (MMAE), linked to a somatostatin receptor 2 (SSTR2) antibody. Viability and therapeutic response were assessed by pre-imaging incubation with IR-783 and the RealTime-Glo™ AnnexinV Apoptosis and Necrosis Assay (Promega) over six days. A primary human pNET was likewise evaluated. Mean surrogate growth duration was 34.8 days. Treated BON-1 surrogates exhibited less proliferation (1.2 vs. 1.9-fold) and higher apoptosis (1.5 vs. 1.1-fold) than controls, while treated patient-derived NET bioreactors exhibited higher degrees of apoptosis (13 vs. 9-fold) and necrosis (2.5 vs. 1.6-fold). Patient-derived NET surrogates can be reliably cultured within the bioreactor. This model can be used to evaluate the efficacy of antibody-guided chemotherapy ex vivo and may be useful for predicting clinical responses.
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