Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of Medicine

The survival rate of pediatric acute myeloid leukemia (pAML) is currently around 60%. While survival has slowly increased over the past few decades, the development of novel agents likely to further improve survival for this heterogeneous patient population has been limited by gaps in the pAML pre-c...

Full description

Bibliographic Details
Main Authors: Alexandra M. Stevens, Maci Terrell, Raushan Rashid, Kevin E. Fisher, Andrea N. Marcogliese, Amos Gaikwad, Pulivarthi Rao, Chelsea Vrana, Michael Krueger, Michael Loken, Andrew J. Menssen, Jacqueline A. Cook, Noah Keogh, Michelle Alozie, Hailey Oviedo, Alan K. Gonzalez, Tamilini Ilangovan, Julia Kim, Sohani Sandhu, Michele S. Redell
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/12/2/394
_version_ 1797298849172160512
author Alexandra M. Stevens
Maci Terrell
Raushan Rashid
Kevin E. Fisher
Andrea N. Marcogliese
Amos Gaikwad
Pulivarthi Rao
Chelsea Vrana
Michael Krueger
Michael Loken
Andrew J. Menssen
Jacqueline A. Cook
Noah Keogh
Michelle Alozie
Hailey Oviedo
Alan K. Gonzalez
Tamilini Ilangovan
Julia Kim
Sohani Sandhu
Michele S. Redell
author_facet Alexandra M. Stevens
Maci Terrell
Raushan Rashid
Kevin E. Fisher
Andrea N. Marcogliese
Amos Gaikwad
Pulivarthi Rao
Chelsea Vrana
Michael Krueger
Michael Loken
Andrew J. Menssen
Jacqueline A. Cook
Noah Keogh
Michelle Alozie
Hailey Oviedo
Alan K. Gonzalez
Tamilini Ilangovan
Julia Kim
Sohani Sandhu
Michele S. Redell
author_sort Alexandra M. Stevens
collection DOAJ
description The survival rate of pediatric acute myeloid leukemia (pAML) is currently around 60%. While survival has slowly increased over the past few decades, the development of novel agents likely to further improve survival for this heterogeneous patient population has been limited by gaps in the pAML pre-clinical pipeline. One of the major hurdles in evaluating new agents for pAML is the lack of pAML patient-derived xenograft (PDX) models. Unlike solid tumors and other types of leukemias, AML is notoriously hard to establish in mouse models, likely due in part to the need for specific human microenvironment elements. Our laboratory at TCH/BCM addressed this gap by establishing a systematic PDX workflow, leveraging advanced immunodeficient hosts and capitalizing on our high volume of pAML patients and close coordination between labs and clinical sections. Patients treated at TCH are offered the chance to participate in specimen banking protocols that allow blood and bone marrow collection as well as the collection of relevant clinical data. All patients who consent and have samples available are trialed for PDX development. In addition, samples from the Children’s Oncology Group (COG) are also trialed for PDX generation. Serially transplanting PDX models are validated using short tandem repeat (STR) and characterized using both targeted DNA/RNA next generation sequencing and RNAseq. As of March 2023, this systematic approach has resulted in 26 serially transplanting models. Models have been shared with requesting labs to facilitate external pAML pre-clinical studies. Available PDX models can be located through the BCM PDX Portal. We expect our growing PDX resource to make a significant contribution to expediting the testing of promising novel therapeutics for pAML.
first_indexed 2024-03-07T22:41:00Z
format Article
id doaj.art-c34eed7c9c8f4304a88a69783ef87c50
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-07T22:41:00Z
publishDate 2024-02-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-c34eed7c9c8f4304a88a69783ef87c502024-02-23T15:08:42ZengMDPI AGBiomedicines2227-90592024-02-0112239410.3390/biomedicines12020394Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of MedicineAlexandra M. Stevens0Maci Terrell1Raushan Rashid2Kevin E. Fisher3Andrea N. Marcogliese4Amos Gaikwad5Pulivarthi Rao6Chelsea Vrana7Michael Krueger8Michael Loken9Andrew J. Menssen10Jacqueline A. Cook11Noah Keogh12Michelle Alozie13Hailey Oviedo14Alan K. Gonzalez15Tamilini Ilangovan16Julia Kim17Sohani Sandhu18Michele S. Redell19Section of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USADepartment of Pathology & Immunology, Baylor College of Medicine, Genomic Medicine Division, Texas Children’s Hospital, Houston, TX 77030, USADepartment of Pathology & Immunology, Baylor College of Medicine, Laboratory Medicine Division, Texas Children’s Hospital, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USAHematologics, Seattle, WA 98121, USAHematologics, Seattle, WA 98121, USAHematologics, Seattle, WA 98121, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USASection of Hematology/Oncology, Department of Pediatrics, Texas Children’s Cancer and Hematology Center, Baylor College of Medicine, 1102 Bates St, Suite 750, Houston, TX 77030, USAThe survival rate of pediatric acute myeloid leukemia (pAML) is currently around 60%. While survival has slowly increased over the past few decades, the development of novel agents likely to further improve survival for this heterogeneous patient population has been limited by gaps in the pAML pre-clinical pipeline. One of the major hurdles in evaluating new agents for pAML is the lack of pAML patient-derived xenograft (PDX) models. Unlike solid tumors and other types of leukemias, AML is notoriously hard to establish in mouse models, likely due in part to the need for specific human microenvironment elements. Our laboratory at TCH/BCM addressed this gap by establishing a systematic PDX workflow, leveraging advanced immunodeficient hosts and capitalizing on our high volume of pAML patients and close coordination between labs and clinical sections. Patients treated at TCH are offered the chance to participate in specimen banking protocols that allow blood and bone marrow collection as well as the collection of relevant clinical data. All patients who consent and have samples available are trialed for PDX development. In addition, samples from the Children’s Oncology Group (COG) are also trialed for PDX generation. Serially transplanting PDX models are validated using short tandem repeat (STR) and characterized using both targeted DNA/RNA next generation sequencing and RNAseq. As of March 2023, this systematic approach has resulted in 26 serially transplanting models. Models have been shared with requesting labs to facilitate external pAML pre-clinical studies. Available PDX models can be located through the BCM PDX Portal. We expect our growing PDX resource to make a significant contribution to expediting the testing of promising novel therapeutics for pAML.https://www.mdpi.com/2227-9059/12/2/394PDX developmentChildren’s Oncology Group (COG)serial transplantingBCM PDX portalfuture developmentNSGS
spellingShingle Alexandra M. Stevens
Maci Terrell
Raushan Rashid
Kevin E. Fisher
Andrea N. Marcogliese
Amos Gaikwad
Pulivarthi Rao
Chelsea Vrana
Michael Krueger
Michael Loken
Andrew J. Menssen
Jacqueline A. Cook
Noah Keogh
Michelle Alozie
Hailey Oviedo
Alan K. Gonzalez
Tamilini Ilangovan
Julia Kim
Sohani Sandhu
Michele S. Redell
Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of Medicine
Biomedicines
PDX development
Children’s Oncology Group (COG)
serial transplanting
BCM PDX portal
future development
NSGS
title Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of Medicine
title_full Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of Medicine
title_fullStr Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of Medicine
title_full_unstemmed Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of Medicine
title_short Addressing a Pre-Clinical Pipeline Gap: Development of the Pediatric Acute Myeloid Leukemia Patient-Derived Xenograft Program at Texas Children’s Hospital at Baylor College of Medicine
title_sort addressing a pre clinical pipeline gap development of the pediatric acute myeloid leukemia patient derived xenograft program at texas children s hospital at baylor college of medicine
topic PDX development
Children’s Oncology Group (COG)
serial transplanting
BCM PDX portal
future development
NSGS
url https://www.mdpi.com/2227-9059/12/2/394
work_keys_str_mv AT alexandramstevens addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT maciterrell addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT raushanrashid addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT kevinefisher addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT andreanmarcogliese addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT amosgaikwad addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT pulivarthirao addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT chelseavrana addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT michaelkrueger addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT michaelloken addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT andrewjmenssen addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT jacquelineacook addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT noahkeogh addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT michellealozie addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT haileyoviedo addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT alankgonzalez addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT tamiliniilangovan addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT juliakim addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT sohanisandhu addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine
AT michelesredell addressingapreclinicalpipelinegapdevelopmentofthepediatricacutemyeloidleukemiapatientderivedxenograftprogramattexaschildrenshospitalatbaylorcollegeofmedicine