The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung

Introduction: Because small-cell lung carcinomas (SCLC) are seldom resected, human materials for study are limited. Thus, genetically engineered mouse models (GEMMs) for SCLC and other high-grade lung neuroendocrine (NE) carcinomas are crucial for translational research. Methods: The pathologies of...

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Main Authors: Gazdar, Adi F., Savage, Trisha K., Johnson, Jane E., Berns, Anton, Sage, Julien, Linnoila, R. Ilona, MacPherson, David, Travis, William D., Brambilla, Elisabeth, McFadden, David Glenn, Farago, Anna F., Jacks, Tyler E.
Other Authors: Koch Institute for Integrative Cancer Research at MIT
Format: Article
Published: Elsevier BV 2018
Online Access:http://hdl.handle.net/1721.1/116570
https://orcid.org/0000-0001-5785-8911
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author Gazdar, Adi F.
Savage, Trisha K.
Johnson, Jane E.
Berns, Anton
Sage, Julien
Linnoila, R. Ilona
MacPherson, David
Travis, William D.
Brambilla, Elisabeth
McFadden, David Glenn
Farago, Anna F.
Jacks, Tyler E.
author2 Koch Institute for Integrative Cancer Research at MIT
author_facet Koch Institute for Integrative Cancer Research at MIT
Gazdar, Adi F.
Savage, Trisha K.
Johnson, Jane E.
Berns, Anton
Sage, Julien
Linnoila, R. Ilona
MacPherson, David
Travis, William D.
Brambilla, Elisabeth
McFadden, David Glenn
Farago, Anna F.
Jacks, Tyler E.
author_sort Gazdar, Adi F.
collection MIT
description Introduction: Because small-cell lung carcinomas (SCLC) are seldom resected, human materials for study are limited. Thus, genetically engineered mouse models (GEMMs) for SCLC and other high-grade lung neuroendocrine (NE) carcinomas are crucial for translational research. Methods: The pathologies of five GEMMs were studied in detail and consensus diagnoses reached by four lung cancer pathology experts. Hematoxylin and Eosin and immunostained slides of over 100 mice were obtained from the originating and other laboratories and digitalized. The GEMMs included the original Rb/p53 double knockout (Berns Laboratory) and triple knockouts from the Sage, MacPherson, and Jacks laboratories (double knockout model plus loss of p130 [Sage laboratory] or loss of Pten [MacPherson and Jacks laboratories]). In addition, a GEMM with constitutive co-expression of SV40 large T antigen and Ascl1 under the Scgb1a1 promoter from the Linnoila laboratory were included. Results: The lung tumors in all of the models had common as well as distinct pathological features. All three conditional knockout models resulted in multiple pulmonary tumors arising mainly from the central compartment (large bronchi) with foci of in situ carcinoma and NE cell hyperplasia. They consisted of inter- and intra-tumor mixtures of SCLC and large-cell NE cell carcinoma in varying proportions. Occasional adeno- or large-cell carcinomas were also seen. Extensive vascular and lymphatic invasion and metastases to the mediastinum and liver were noted, mainly of SCLC histology. In the Rb/p53/Pten triple knockout model from the MacPherson and Jacks laboratories and in the constitutive SV40/T antigen model many peripherally arising non-small-cell lung carcinoma tumors having varying degrees of NE marker expression were present (non-small-cell lung carcinoma-NE tumors). The resultant histological phenotypes were influenced by the introduction of specific genetic alterations, by inactivation of one or both alleles of specific genes, by time from Cre activation and by targeting of lung cells or NE cell subpopulations. Conclusion: The five GEMM models studied are representative for the entire spectrum of human high-grade NE carcinomas and are also useful for the study of multistage pathogenesis and the metastatic properties of these tumors. They represent one of the most advanced forms of currently available GEMM models for the study of human cancer. Key Words: Neuroendocrine carcinomas; Small-cell lung carcinoma; Lung carcinoma; Non–small-cell lung cancer; Genetically engineered mouse models; Pathology
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spelling mit-1721.1/1165702022-09-27T17:52:30Z The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung Gazdar, Adi F. Savage, Trisha K. Johnson, Jane E. Berns, Anton Sage, Julien Linnoila, R. Ilona MacPherson, David Travis, William D. Brambilla, Elisabeth McFadden, David Glenn Farago, Anna F. Jacks, Tyler E. Koch Institute for Integrative Cancer Research at MIT McFadden, David Glenn Farago, Anna F. Jacks, Tyler E. Introduction: Because small-cell lung carcinomas (SCLC) are seldom resected, human materials for study are limited. Thus, genetically engineered mouse models (GEMMs) for SCLC and other high-grade lung neuroendocrine (NE) carcinomas are crucial for translational research. Methods: The pathologies of five GEMMs were studied in detail and consensus diagnoses reached by four lung cancer pathology experts. Hematoxylin and Eosin and immunostained slides of over 100 mice were obtained from the originating and other laboratories and digitalized. The GEMMs included the original Rb/p53 double knockout (Berns Laboratory) and triple knockouts from the Sage, MacPherson, and Jacks laboratories (double knockout model plus loss of p130 [Sage laboratory] or loss of Pten [MacPherson and Jacks laboratories]). In addition, a GEMM with constitutive co-expression of SV40 large T antigen and Ascl1 under the Scgb1a1 promoter from the Linnoila laboratory were included. Results: The lung tumors in all of the models had common as well as distinct pathological features. All three conditional knockout models resulted in multiple pulmonary tumors arising mainly from the central compartment (large bronchi) with foci of in situ carcinoma and NE cell hyperplasia. They consisted of inter- and intra-tumor mixtures of SCLC and large-cell NE cell carcinoma in varying proportions. Occasional adeno- or large-cell carcinomas were also seen. Extensive vascular and lymphatic invasion and metastases to the mediastinum and liver were noted, mainly of SCLC histology. In the Rb/p53/Pten triple knockout model from the MacPherson and Jacks laboratories and in the constitutive SV40/T antigen model many peripherally arising non-small-cell lung carcinoma tumors having varying degrees of NE marker expression were present (non-small-cell lung carcinoma-NE tumors). The resultant histological phenotypes were influenced by the introduction of specific genetic alterations, by inactivation of one or both alleles of specific genes, by time from Cre activation and by targeting of lung cells or NE cell subpopulations. Conclusion: The five GEMM models studied are representative for the entire spectrum of human high-grade NE carcinomas and are also useful for the study of multistage pathogenesis and the metastatic properties of these tumors. They represent one of the most advanced forms of currently available GEMM models for the study of human cancer. Key Words: Neuroendocrine carcinomas; Small-cell lung carcinoma; Lung carcinoma; Non–small-cell lung cancer; Genetically engineered mouse models; Pathology 2018-06-25T18:03:45Z 2018-06-25T18:03:45Z 2015-11 2018-06-25T16:37:40Z Article http://purl.org/eprint/type/JournalArticle 1556-0864 http://hdl.handle.net/1721.1/116570 Gazdar, Adi F. et al. “The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung.” Journal of Thoracic Oncology 10, 4 (April 2015): 553–564 © 2015 International Association for the Study of Lung Cancer https://orcid.org/0000-0001-5785-8911 http://dx.doi.org/10.1097/JTO.0000000000000459 Journal of Thoracic Oncology Creative Commons Attribution-NonCommercial-NoDerivs License http://creativecommons.org/licenses/by-nc-nd/4.0/ application/pdf Elsevier BV PMC
spellingShingle Gazdar, Adi F.
Savage, Trisha K.
Johnson, Jane E.
Berns, Anton
Sage, Julien
Linnoila, R. Ilona
MacPherson, David
Travis, William D.
Brambilla, Elisabeth
McFadden, David Glenn
Farago, Anna F.
Jacks, Tyler E.
The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung
title The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung
title_full The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung
title_fullStr The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung
title_full_unstemmed The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung
title_short The Comparative Pathology of Genetically Engineered Mouse Models for Neuroendocrine Carcinomas of the Lung
title_sort comparative pathology of genetically engineered mouse models for neuroendocrine carcinomas of the lung
url http://hdl.handle.net/1721.1/116570
https://orcid.org/0000-0001-5785-8911
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