胰腺癌临床前肿瘤模型的建立与应用进展
DOI: 10.12449/JCH250402
Advances in the establishment and application of preclinical tumor models of pancreatic cancer
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摘要: 本文阐述了用于胰腺癌临床前肿瘤研究的各类模型的特点及应用进展,分析并探讨了人源性组织异种移植、条件重编程、患者来源的类器官等模型的历史发展、研究现状和优缺点,并在此基础上梳理了从临床前模型实现临床转化的研究,指出未来可能的研究前景。Abstract: This article reviews the research advances in the characteristics and application progress of various new models for preclinical cancer research on pancreatic cancer, analyzes and discusses the history, current research status, and advantages and disadvantages of new models of pancreatic cancer, including patient-derived tissue xenograft, conditional reprogramming, and patient derived organoids, and it also reviews the studies that have achieved clinical transformation from preclinical models and proposes possible research prospects in the future.
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表 1 胰腺癌临床前肿瘤模型对比
Table 1. Comparison of pancreatic cancer preclinical tumor models
模型类型 来源 核心优势 局限性 PDX模型 患者肿瘤细胞;癌组织来源的CR细胞 保留肿瘤异质性和遗传特性,临床相关性高 成本高,周期长,不稳定且依赖动物实验 CR技术模型 患者肿瘤细胞 快速扩增原代细胞,保留原发瘤特性,无需挑选和基因操作 可能丢失异质性,缺乏肿瘤微环境互作 PDO模型 患者肿瘤细胞;癌组织来源的CR细胞 构建迅速,保留遗传特征,能构建出较为复杂的肿瘤微环境,伦理问题少 与真正反应机体内微环境的目标尚有差距,成本高,培养依赖的基质胶存在批次差异 CTC衍生类器官模型 体液中的循环肿瘤细胞 非侵入性获取,反映转移性肿瘤特性 CTC数量少、扩增难度大 -
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