An in vivo avian model of human melanoma to perform rapid and robust preclinical studies

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Jarrosson, Loraine | Dalle, Stéphane | Costechareyre, Clélia | Tang, Yaqi | Grimont, Maxime | Plaschka, Maud | Lacourrège, Marjorie | Teinturier, Romain | Le Bouar, Myrtille | Maucort-Boulch, Delphine | Eberhardt, Anaïs | Castellani, Valérie | Caramel, Julie | Delloye-Bourgeois, Céline

Edité par CCSD ; Wiley Open Access -

International audience. Metastatic melanoma patients carrying a BRAFV600 mutation can be treated with a combination of BRAF and MEK inhibitors (BRAFi/MEKi), but innate and acquired resistance invariably occurs. Predicting patient response to targeted therapies is crucial to guide clinical decision. We describe here the development of a highly efficient patient-derived xenograft model adapted to patient melanoma biopsies, using the avian embryo as a host (AVI-PDXTM ). In this in vivo paradigm, we depict a fast and reproducible tumor engraftment of patient samples within the embryonic skin, preserving key molecular and phenotypic features. We show that sensitivity and resistance to BRAFi/MEKi can be reliably modeled in these AVI-PDXTM , as well as synergies with other drugs. We further provide proof-of-concept that the AVI-PDXTM models the diversity of responses of melanoma patients to BRAFi/MEKi, within days, hence positioning it as a valuable tool for the design of personalized medicine assays and for the evaluation of novel combination strategies.

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