Patient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research

Abstract Patient-derived xenografts (PDXs) provide biologically relevant models and potential platforms for the development of treatment strategies for precision medicine in pancreatic cancer. Furthermore, circulating epithelial tumor cells (CETCs/CTCs) are released into the bloodstream by solid tum...

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Main Authors: Benedikt J. Wagner, Andreas Ettner-Sitter, Nicolas A. Ihlo, Merle Behr, Sebastian Koelbl, Stefan M. Brunner, Florian Weber, Bettina M. Rau, Hans J. Schlitt, Christoph Brochhausen, Rebecca Schoenmehl, Annalena Artinger, Dorothea Schott, Monika Pizon, Katharina Pachmann, Thiha Aung, Silke Haerteis, Christina Hackl
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Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87054-z
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author Benedikt J. Wagner
Andreas Ettner-Sitter
Nicolas A. Ihlo
Merle Behr
Sebastian Koelbl
Stefan M. Brunner
Florian Weber
Bettina M. Rau
Hans J. Schlitt
Christoph Brochhausen
Rebecca Schoenmehl
Annalena Artinger
Dorothea Schott
Monika Pizon
Katharina Pachmann
Thiha Aung
Silke Haerteis
Christina Hackl
author_facet Benedikt J. Wagner
Andreas Ettner-Sitter
Nicolas A. Ihlo
Merle Behr
Sebastian Koelbl
Stefan M. Brunner
Florian Weber
Bettina M. Rau
Hans J. Schlitt
Christoph Brochhausen
Rebecca Schoenmehl
Annalena Artinger
Dorothea Schott
Monika Pizon
Katharina Pachmann
Thiha Aung
Silke Haerteis
Christina Hackl
author_sort Benedikt J. Wagner
collection DOAJ
description Abstract Patient-derived xenografts (PDXs) provide biologically relevant models and potential platforms for the development of treatment strategies for precision medicine in pancreatic cancer. Furthermore, circulating epithelial tumor cells (CETCs/CTCs) are released into the bloodstream by solid tumors and a rare subpopulation—circulating cancer stem cells (cCSCs) – is considered to be responsible for recurrence and plays a key role in metastasis. For the identification of cCSCs, an innovative in vitro assay to generate tumorspheres was established in this study. The number of tumorspheres and CETCs/CTCs was analyzed perioperatively in 25 pancreatic cancer patients. Additionally, an individual in vivo chorioallantoic membrane (CAM) culture system was used to generate PDXs from these tumorspheres. While overall correlations of CETCs/CTCs with clinicopathological parameters did not reach statistical significance, a significant difference in the number of tumorspheres was observed between patient subgroups with lower and higher UICC stages. This finding underscores their potential as biomarkers, providing valuable insights into clinical decision-making and tumor progression. The application of tumorspheres on the CAM successfully established PDXs within 7 days. These xenografts closely resembled the histological features of the primary tumor. Hence, this model represents a novel and fast option for individualized testing of new therapies for PDAC.
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spelling doaj-art-9a5b6bf00130474098d201bbe1a9c3c92025-01-26T12:26:48ZengNature PortfolioScientific Reports2045-23222025-01-0115111310.1038/s41598-025-87054-zPatient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer researchBenedikt J. Wagner0Andreas Ettner-Sitter1Nicolas A. Ihlo2Merle Behr3Sebastian Koelbl4Stefan M. Brunner5Florian Weber6Bettina M. Rau7Hans J. Schlitt8Christoph Brochhausen9Rebecca Schoenmehl10Annalena Artinger11Dorothea Schott12Monika Pizon13Katharina Pachmann14Thiha Aung15Silke Haerteis16Christina Hackl17Department of Surgery, University Hospital RegensburgInstitute for Molecular and Cellular Anatomy, University of RegensburgFaculty of Informatics and Data Science, University of RegensburgFaculty of Informatics and Data Science, University of RegensburgTechnology Campus Hutthurm, Deggendorf Institute of TechnologyDepartment of Surgery, University Hospital RegensburgInstitute of Pathology, University of RegensburgDepartment of General, Visceral and Thoracic Surgery, Academic Teaching Hospital NeumarktDepartment of Surgery, University Hospital RegensburgInstitute of Pathology, Medical Faculty Mannheim, Heidelberg UniversityInstitute of Pathology, Medical Faculty Mannheim, Heidelberg UniversityInstitute of Pathology, Medical Faculty Mannheim, Heidelberg UniversitySimfo GmbHSimfo GmbHSimfo GmbHInstitute for Molecular and Cellular Anatomy, University of RegensburgInstitute for Molecular and Cellular Anatomy, University of RegensburgDepartment of Surgery, University Hospital RegensburgAbstract Patient-derived xenografts (PDXs) provide biologically relevant models and potential platforms for the development of treatment strategies for precision medicine in pancreatic cancer. Furthermore, circulating epithelial tumor cells (CETCs/CTCs) are released into the bloodstream by solid tumors and a rare subpopulation—circulating cancer stem cells (cCSCs) – is considered to be responsible for recurrence and plays a key role in metastasis. For the identification of cCSCs, an innovative in vitro assay to generate tumorspheres was established in this study. The number of tumorspheres and CETCs/CTCs was analyzed perioperatively in 25 pancreatic cancer patients. Additionally, an individual in vivo chorioallantoic membrane (CAM) culture system was used to generate PDXs from these tumorspheres. While overall correlations of CETCs/CTCs with clinicopathological parameters did not reach statistical significance, a significant difference in the number of tumorspheres was observed between patient subgroups with lower and higher UICC stages. This finding underscores their potential as biomarkers, providing valuable insights into clinical decision-making and tumor progression. The application of tumorspheres on the CAM successfully established PDXs within 7 days. These xenografts closely resembled the histological features of the primary tumor. Hence, this model represents a novel and fast option for individualized testing of new therapies for PDAC.https://doi.org/10.1038/s41598-025-87054-zPancreatic cancerCancer stem cellChorioallantoic membranePatient-derived xenograftPersonalized medicineLiquid biopsy
spellingShingle Benedikt J. Wagner
Andreas Ettner-Sitter
Nicolas A. Ihlo
Merle Behr
Sebastian Koelbl
Stefan M. Brunner
Florian Weber
Bettina M. Rau
Hans J. Schlitt
Christoph Brochhausen
Rebecca Schoenmehl
Annalena Artinger
Dorothea Schott
Monika Pizon
Katharina Pachmann
Thiha Aung
Silke Haerteis
Christina Hackl
Patient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research
Scientific Reports
Pancreatic cancer
Cancer stem cell
Chorioallantoic membrane
Patient-derived xenograft
Personalized medicine
Liquid biopsy
title Patient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research
title_full Patient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research
title_fullStr Patient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research
title_full_unstemmed Patient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research
title_short Patient-derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research
title_sort patient derived xenografts from circulating cancer stem cells as a preclinical model for personalized pancreatic cancer research
topic Pancreatic cancer
Cancer stem cell
Chorioallantoic membrane
Patient-derived xenograft
Personalized medicine
Liquid biopsy
url https://doi.org/10.1038/s41598-025-87054-z
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