Objective: To establish a tumor tissue xenograft (PDX) model derived from liver cancer patients and explore the factors affecting tumorigenicity of liver cancer in the PDX model. Methods: The hepatocellular carcinoma tissues were inoculated subcutaneously in the axilla of NPG mice using the tissue block method to establish a PDX model. The demographic characteristics and related clinical examination data of 60 hepatocellular carcinoma patients were collected using the electronic medical record system and comprehensive medical information system of Beijing You'an Hospital, affiliated to Capital Medical University. The hepatocellular carcinoma samples of 24 cases were sequenced using the Oak Wing TM-808 gene detection reagent and high-throughput sequencing technology. SPSS 17.0 statistical software was used for statistical analysis, and the count data were analyzed using the χ2 test. Results: The tumorigenicity rate of PDX samples from 60 patients with liver cancer was 35% (21/60). The average tumorigenic duration in the PDX-P0 generation was 110.71±50.45 days. There were statistically significant differences (P<0.05) corresponding to Edmondson grade (χ2=5.910, P=0.015) and Ki67 expression (χ2=4.615, P=0.032) among PDX with tumorigenicity and without tumorigenicity between the liver cancer samples. There was no statistically significant difference in gene mutation (TOP25) among PDX with tumorigenicity and without tumorigenicity between liver cancer samples. Conclusion: The factors affecting the tumorigenicity of liver cancer in PDX models are complex. The high pathological grade and strong Ki67 expression may be the key factors for the completion of liver cancer in PDX models.
目的: 建立肝癌患者来源的肿瘤组织异种移植(PDX)模型,探讨肝癌PDX模型成瘤性的影响因素。 方法: 采用组织块法将获取的肝癌组织接种于NPG小鼠腋部皮下,建立PDX模型;应用首都医科大学附属北京佑安医院电子病历系统和综合医疗信息系统,采集60例肝癌患者人口学特征数据及其相关临床检查数据;采用橡翼TM-808基因检测试剂,利用高通量测序技术对24例患者肝癌样本进行测序;采用SPSS 17.0统计软件进行统计学分析,计数资料采用χ2检验进行分析。 结果: 60例肝癌患者样本PDX成瘤率为35%(21/60);PDX-P0代成瘤时间为(110.71±50.45)d;比较PDX未成瘤和PDX成瘤对应的患者肝癌样本Edmondson分级(χ2=5.910,P=0.015)和Ki67表达(χ2=4.615,P=0.032),差异有统计学意义(P<0.05)。PDX成瘤与PDX不成瘤患者肝癌样本基因变异(TOP25)比较,差异无统计学意义。 结论: 肝癌PDX模型成瘤性的影响因素复杂,患者肝癌的高病理分级和高Ki67表达可能是肝癌PDX模型成功的关键因素。.