Abstract

Pancreatic cancer is the fourth most common cause of cancer-related deaths in both men and women. The 5-year survival rate for metastatic pancreatic cancer is only 8%. There remains a need for improved early diagnosis and therapy for pancreatic cancer. Murine models are the current standard for preclinical study of pancreatic cancer. However, mice may not accurately reflect human biology because of a variety of differences between the two species. Remarkably, only 5–8% of anti-cancer drugs that have emerged from preclinical studies and entered clinical studies have ultimately been approved for clinical use. The cause of this poor approval rate is multi-factorial, but may in part be due to use of murine models that have limited accuracy with respect to human disease. Murine models also have limited utility in the development of diagnostic or interventional technology that require a human-sized model. So, at present, there remains a need for improved animal models of pancreatic cancer. The rationale for a porcine model of pancreatic cancer is (i) to enable development of diagnostic/therapeutic devices for which murine models have limited utility; and (ii) to have a highly predictive preclinical model in which anti-cancer therapies can be tested and optimized prior to a clinical trial. Recently, pancreatic tumors were induced in transgenic Oncopigs and porcine pancreatic ductal cells were transformed that contain oncogenic KRAS and p53-null mutations. Both techniques to induce pancreatic tumors in pigs are undergoing further refinement and expansion. The Oncopig currently is commercially available, and it is conceivable that other porcine models of pancreatic cancer may be available for general use in the near future.

Highlights

  • PANCREATIC CANCERPancreatic cancer (PC) is the twelfth most common cancer worldwide, with 460,000 new cases reported in 2018 [1]

  • Current murine models of PANCREATIC CANCERPancreatic cancer (PC) have been tremendously helpful in the progression of understanding and treatment for this disease, but there is an ongoing issue of the relative predictive ability of these murine models

  • The issue of modeling accuracy likely has contributed in part to an unacceptably high failure rate of experimental therapeutics in clinical trials

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Summary

BACKGROUND

Pancreatic cancer (PC) is the twelfth most common cancer worldwide, with 460,000 new cases reported in 2018 [1]. The rationale for utilizing a large animal model to study PC is to (i) have a platform for research and development of diagnostic/ therapeutic technologies that would not be feasible in murine models, and (ii) to have a highly-predictive preclinical model in which emerging anti-cancer therapies could be vetted and optimized prior to clinical trial. Secondary to their relatively long life expectancy as companions, dogs have had some utility in the study of treatments for natural/inherent (i.e., age associated) tumors, including mammary carcinoma, prostate carcinoma, lymphoma, and various sarcomas [54] Due to their size similarity with humans, various strains of pig have been used for years in biomedical research to develop and refine surgical equipment, instrumentation, and techniques [55]. Secondary to these and/or other issues, it may not be practical or desirable for some research laboratories to utilize porcine models

A TRANSGENIC APPROACH TO PORCINE PC MODELING
Findings
CONCLUSION AND FUTURE DIRECTIONS
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