Models | Advantages | Limitations | Recommendations |
---|---|---|---|
PDX model in immunodeficient mice | (1) Highly recapitulate tumor microenvironment (2) High fidelity (3) High predictive value (4) Can be used in metastasis models | (1) Unsatisfactory take rate (2) High cost (3) Technically challenging | (1) Developing new immunodeficient mice (2) Determining the most appropriate conditions and methods to improve the take rate |
PDX model in humanized immunodeficient mice | (1) Can be evaluated for immunotherapy (2) Partly recapitulate tumor microenvironment | Therapeutic effect is affected by immunity | Developing more comprehensive and functional immune system humanized mice |
PDX model in zebrafish | (1)Â Transparent embryos facilitate the visualization of tumor processes and the tracking of fluorescently labeled cells (2)Â Easy to culture, low cost (3)Â Allow large-scale and high-throughput screening | (1)Â Not a mammal (2)Â The rate of proliferation or the manner in which the transplanted human cells formed tumor masses differed from those of immunodeficient mice or human patients | Standardization of zebrafish xenograft techniques and application modalities |
Cell line-derived xenograft model | (1) Low cost, easy establishment and high take rate (2) Slightly recapitulate tumor microenvironment | (1) Can’t reproduce heterogeneity (2) Can’t maintain the original cell properties (3) Low predictive value | Large numbers of mice were used at relatively early stages of drug development to reflect heterogeneity among tumors |
Circulating tumor cell-derived xenograft model | (1) High heterogeneity in the metastatic environment (2) High tumorigenicity (3) Partly recapitulate tumor microenvironment | (1) Difficulty in the isolation and counting of CTCs (2) Organ metastasis is affected by the injection site of CTCs | (1) Capturing the heterogeneity of CTCs by drug sensitivity assay (2) In vitro culture of CTCs |
Patient-derived organoid model | (1)Â No ethical issues (2)Â Time saving, suitable for high-throughput drug screening (3)Â Maintenance of the gene expression profile of the initial tumor over an extended period of time (4)Â Available for low malignant tumors | (1)Â Lack of uniform standards (2) Tumor free microenvironment (3) Limited tissue availability (4) Labour intensive | (1)Â Develop high-throughput systems (2)Â Development of uniform modeling standards (3)Â Evolution of co-culture models (4)Â Increased access to biobanks (5)Â Use of circulating tumor cells |
Genetically engineered mouse model | (1) Recapitulate tumor initiation and early development process (2) Specific genes can be studied in detail (3) Can be increased easily after establishment | (1) Can’t reproduce heterogeneity of human tumor (2) Take a long time to be established (3) Low predictive value | Investigating how a specific gene of interest could contribute to tumor initiation and relapse |