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Table 2 Comparison of several types of patient-derived xenograft models

From: Patient-derived xenografts as compatible models for precision oncology

PDX model

Advantage

Challenges

Subcutaneous model

• Easy procedure

• Minimized tissue damage of mice

• Easy evaluation of tumor growth

• Maintaining tumor architecture and clonality

• Lack of proper tumor microenvironment

• Lack of metastasis

Orthotopic model

• Preservation of microenvironment of primary tumor

• Spontaneous metastasis

• Requirement of microsurgical skills

• Imaging equipment required for longitudinal study

Subrenal model

• Increased blood supply for tumor growth

• Requirement of microsurgical skills

• Imaging equipment required for longitudinal study

Humanized model

• Reconstitution of human immune cells

• Evaluation of cancer immunotherapy

• Requirement of long time for humanization and PDX generation

• Limited reconstitution of human immune system

Stromal cell co-implantation model

• Supply of human stromal cells in tumor microenvironment

• Change of tumor characteristics by stomal cells

Circulating tumor cell (CTC)-derived model

• Minimally invasive in patient

• Easy to obtain samples

• Applicable for otherwise unavailable tumor specimens

• Preservation of intra-tumoral heterogeneity

• Requirement of technique for the enrichment of CTCs

• Variable concentration of CTCs in blood