A biobank of pediatric patient-derived-xenograft models in cancer precision medicine trial MAPPYACTS for relapsed and refractory tumors

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Marques da Costa, Maria Eugénia | Zaidi, Sakina | Scoazec, Jean-Yves | Droit, Robin | Lim, Wan Ching | Marchais, Antonin | Salmon, Jerome | Cherkaoui, Sarah | Morscher, Raphael | Laurent, Anouchka | Malinge, Sébastien | Mercher, Thomas | Tabone-Eglinger, Séverine | Goddard, Isabelle | Pflumio, Francoise | Calvo, Julien | Redini, Francoise | Entz-Werlé, Natacha | Soriano, Aroa | Villanueva, Alberto | Cairo, Stefano | Chastagner, Pascal | Moro, Massimo | Owens, Cormac | Casanova, Michela | Hladun-Alvaro, Raquel | Berlanga, Pablo | Daudigeos-Dubus, Estelle | Dessen, Philippe | Zitvogel, Laurence | Lacroix, Ludovic | Pierron, Gaelle | Delattre, Olivier | Schleiermacher, Gudrun | Surdez, Didier | Geoerger, Birgit

Edité par CCSD ; Nature Publishing Group -

International audience. Pediatric patients with recurrent and refractory cancers are in most need for new treatments. This study developed patient-derived-xenograft (PDX) models within the European MAPPYACTS cancer precision medicine trial (NCT02613962). To date, 131 PDX models were established following heterotopical and/or orthotopical implantation in immunocompromised mice: 76 sarcomas, 25 other solid tumors, 12 central nervous system tumors, 15 acute leukemias, and 3 lymphomas. PDX establishment rate was 43%. Histology, whole exome and RNA sequencing revealed a high concordance with the primary patient’s tumor profile, human leukocyte-antigen characteristics and specific metabolic pathway signatures. A detailed patient molecular characterization, including specific mutations prioritized in the clinical molecular tumor boards are provided. Ninety models were shared with the IMI2 ITCC Pediatric Preclinical Proof-of-concept Platform (IMI2 ITCC-P4) for further exploitation. This PDX biobank of unique recurrent childhood cancers provides an essential support for basic and translational research and treatments development in advanced pediatric malignancies.

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