Abstract

BackgroundDespite advances in therapeutics, outcomes for hepatocellular carcinoma (HCC) remain poor and there is an urgent need for efficacious systemic therapy. Unfortunately, drugs that are successful in preclinical studies often fail in the clinical setting, and we hypothesize that this is due to functional differences between primary tumors and commonly used preclinical models. In this study, we attempt to answer this question by comparing tumor morphology and gene expression profiles between primary tumors, xenografts and HCC cell lines.MethodsHep G2 cell lines and tumor cells from patient tumor explants were subcutaneously (ectopically) injected into the flank and orthotopically into liver parenchyma of Mus Musculus SCID mice. The mice were euthanized after two weeks. RNA was extracted from the tumors, and gene expression profiling was performed using the Gene Chip Human Genome U133 Plus 2.0. Principal component analyses (PCA) and construction of dendrograms were conducted using Partek genomics suite.ResultsPCA showed that the commonly used HepG2 cell line model and its xenograft counterparts were vastly different from all fresh primary tumors. Expression profiles of primary tumors were also significantly divergent from their counterpart patient-derived xenograft (PDX) models, regardless of the site of implantation. Xenografts from the same primary tumors were more likely to cluster together regardless of site of implantation, although heat maps showed distinct differences in gene expression profiles between orthotopic and ectopic models.ConclusionsThe data presented here challenges the utility of routinely used preclinical models. Models using HepG2 were vastly different from primary tumors and PDXs, suggesting that this is not clinically representative. Surprisingly, site of implantation (orthotopic versus ectopic) resulted in limited impact on gene expression profiles, and in both scenarios xenografts differed significantly from the original primary tumors, challenging the long-held notion that orthotopic PDX model is the gold standard preclinical model for HCC.Electronic supplementary materialThe online version of this article (doi:10.1186/s12885-015-1814-8) contains supplementary material, which is available to authorized users.

Highlights

  • IntroductionOutcomes for hepatocellular carcinoma (HCC) remain poor and there is an urgent need for efficacious systemic therapy

  • Despite advances in therapeutics, outcomes for hepatocellular carcinoma (HCC) remain poor and there is an urgent need for efficacious systemic therapy

  • Heat maps were generated from the RNA microarray data. Both the Principal component analyses (PCA) map (Fig. 1) and the dendrogram (Fig. 2) showed the fresh, primary tumors segregating into distinctly separate clusters from all other models, suggesting that primary tumors were genetically distinct from both the immortalised cell line and xenograft models, whether orthotopically or ectopically implanted

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Summary

Introduction

Outcomes for hepatocellular carcinoma (HCC) remain poor and there is an urgent need for efficacious systemic therapy. Three quarters of all HCC occurs in Asian countries due to high local prevalence of chronic HBV infection [13,14,15]. High incidence regions include sub-Saharan Africa, East Asia and Southeast Asia (Singapore, China, Hong Kong, Taiwan, Korea and Japan) [16,17,18]. 1-year survival rates after surgical resection are 80-90 %, falling to 41-74 % at 5 years [12, 25, 26]. Less than 20 % of patients are surgical candidates because of advanced disease stage at presentation. Up to 80 % of patients develop recurrence within five years of resection [24, 27,28,29]

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