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捕获大 B 细胞淋巴瘤临床和分子异质性的患者来源异种移植资源库

英文原题:A Patient-Derived Xenograft Repository Capturing Clinical and Molecular Heterogeneity of Large B-cell Lymphoma.

PubMed 2026/09/03(内容时间) Blood Cancer Discov Q1 · IF 12.2(JCR 2025)

研究概要

未标注:大B细胞淋巴瘤(LBCL)是一组在临床和分子层面具有高度异质性的恶性肿瘤,其治疗格局正在迅速演变,由此带来了新的临床需求领域,例如CD19CAR-T 细胞(CART19)治疗后进展。

中文摘要

大B细胞淋巴瘤(LBCL)在临床和分子层面具有高度异质性,治疗格局也在迅速演变,由此产生了新的临床需求,例如CD19CAR-T 细胞(CART19)治疗后疾病进展。患者来源异种移植(PDX)模型是开展机制研究和新疗法临床前评估的重要工具,可从多种临床情境中建立,以捕捉肿瘤内在的耐药机制。因此,我们开展了系统性工作,建立覆盖LBCL分子图谱、并纳入新药研发重要临床情境的PDX模型。本文介绍这一公开资源库中的首批48个模型,涵盖LBCL的转录组和遗传学亚型。其中23个模型取自CART19治疗后疾病进展患者的活检样本;这些模型重现了由CD19突变或表达丢失所驱动的进展模式,也重现了肿瘤细胞内在的CART19耐药,而后者已通过体内实验得到验证。 意义:本文介绍X-LYMPH(淋巴瘤异种移植模型)这一公开的、带有分子注释的PDX资源库,能够反映LBCL的异质性。X-LYMPH纳入了CAR-T细胞耐药模型,可为淋巴瘤机制研究和治疗开发提供共享基础。另见Evgin和Steidl的相关评论,第655页。

展开英文摘要原文

UNLABELLED: Large B-cell lymphomas (LBCL) are a clinically and molecularly diverse group of malignancies with a rapidly evolving therapeutic landscape that has introduced new areas of clinical need, such as post-CD19 chimeric antigen receptor T (CART19) progression. Patient-derived xenograft (PDX) models are an important tool for mechanistic studies and preclinical evaluation of new therapies and can be generated from a variety of clinical contexts that capture tumor-intrinsic resistance mechanisms. We therefore undertook a comprehensive effort to generate PDX models that encompass the molecular landscape of LBCLs and include important clinical scenarios for new drug development. Here, we describe the first 48 models within this publicly available repository, capturing the transcriptional and genetic subsets of LBCL. These models also include 23 generated from post-CART19 progression patient biopsies, which reproduce patterns of progression driven by CD19 mutation or expression loss, as well as tumor cell-intrinsic CART19 resistance that we validated in vivo. SIGNIFICANCE: Here, we describe X-LYMPH (Xenografts of Lymphoma), a publicly available and molecularly annotated PDX repository that captures the heterogeneity of LBCL. X-LYMPH includes models of CAR T-cell resistance, providing a shared foundation for mechanistic research and therapeutic development for lymphomas. See related commentary by Evgin and Steidl, p. 655.

论文信息

作者
Yang H、Arita K、Bowman K、Chihara D、Henderson J、Rost G、Rojas E、Parsons S
单位
Department of Lymphoma and Myeloma, University of Texas MD Anderson Cancer Center, Houston, Texas.United States
期刊
Blood cancer discovery2026 Sep 3
原文标识
PubMed 42341086 · DOI 10.1158/2643-3230.BCD-26-0005