You have accessJournal of UrologyKidney Cancer: Basic Research (II)1 Apr 2013304 A PATIENT-DERIVED TUMORGRAFT MODEL FOR RENAL CELL CARCINOMA Alan Thong, Alexandre Ingels, Maija Valta, Matthias Saar, Rosie Nolley, Jennifer Santos, Sarah Young, Hongjuan Zhao, and Donna Peehl Alan ThongAlan Thong Stanford, CA More articles by this author , Alexandre IngelsAlexandre Ingels Paris, France More articles by this author , Maija ValtaMaija Valta Stanford, CA More articles by this author , Matthias SaarMatthias Saar Homburg, Germany More articles by this author , Rosie NolleyRosie Nolley Stanford, CA More articles by this author , Jennifer SantosJennifer Santos Stanford, CA More articles by this author , Sarah YoungSarah Young Stanford, CA More articles by this author , Hongjuan ZhaoHongjuan Zhao Stanford, CA More articles by this author , and Donna PeehlDonna Peehl Stanford, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1688AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Current models of renal cell carcinoma (RCC) are limited to cell lines that offer poor genetic and histologic fidelity. A primary human tissue based model using orthotopic tissue slice grafts (TSG) may offer advantages by preserving tissue architecture, cellular interactions, and genetic fidelity. This pilot study aims to demonstrate the feasibility of a RCC TSG model, verify its fidelity, and assess responsiveness to a targeted therapeutic. METHODS Fresh RCC tissue was harvested from 13 nephrectomies. 8mm diameter tissue cores were obtained and precision sliced to 300um thickness for implantation under the renal capsule of immunodeficient mice. Histological, immunohistochemical, and Von Hippel-Lindau (VHL) gene sequencing analyses were performed at a minimum of 8 weeks post-implantation. A sub-cohort of 28 mice grafted from a single parental tumor was randomized to 4 weeks of treatment with sunitinib or control diluent, followed by sacrifice for assessment of histology, graft weight, and mean vessel density (MVD). RESULTS Primarily xenografted mice demonstrated an 88% engraftment rate in 191 mice, however variable tumor growth rates were observed between cases, depending on patient pathology. Histology, immunophenotype, and VHL status were preserved at 8 weeks post-implantation. Serial passaging into subsequent generations of mice enabled establishment of a stable patient-derived model. This primary cancer model retains the ability to develop characteristic bone, liver, and lung metastases. Treatment with sunitinib resulted in significantly lower mean final graft weights and decreased graft MVD. CONCLUSIONS Using a TSG model for RCC, large cohorts that maintain histologic, immunophenotypic, and genetic fidelity can be generated from a single parental tumor. Response to sunitinib in this model appears to be mediated by decreased MVD. This novel model has potential applications in examining pathways of response to current targeted therapies and as a platform for pre-clinical testing of new therapeutics. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e123-e124 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alan Thong Stanford, CA More articles by this author Alexandre Ingels Paris, France More articles by this author Maija Valta Stanford, CA More articles by this author Matthias Saar Homburg, Germany More articles by this author Rosie Nolley Stanford, CA More articles by this author Jennifer Santos Stanford, CA More articles by this author Sarah Young Stanford, CA More articles by this author Hongjuan Zhao Stanford, CA More articles by this author Donna Peehl Stanford, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...