Background. Overall prognosis in human lung cancer is still poor. A highly
reproducible, easy to perform in vivo model, which closely resembles the cl
inical features of advanced human lung cancer, is required for the evaluati
on of novel therapies.
Methods. Tumor cells, originated from a human adenocarcinoma, a squamous ce
ll carcinoma, and an undifferentiated large cell carcinoma, were xenotransp
lanted heterotopically by subcutaneous and intravenous injection acid compa
red with orthotopic intrapleural and intrapulmonary xenotransplantation by
a facilitated engraftment procedure into SCID bg mice.
Results. Subcutaneous injection of tumor cells resulted in a 100% engraftme
nt rate with establishment of solid tumors without clinically relevant meta
stases. Intravenous injection had poor engraftment rates by hematogenous sp
read. Depending on the cell line, a 80% to 100% engraftment rate in orthoto
pic xenotransplantation was achieved, resulting in a consistent pattern of
mediastinal and bilateral pulmonary metastases.
Conclusions. The facilitated orthotopic xenotransplantation of human lung c
ancer is easy to perform and results in a reproducible in vivo model that c
losely resembles the clinical features of advanced human lung cancer. Conse
quently, this model appears suitable for in vivo evaluation of novel cancer
therapies in preclinical tests. (C) 2000 by The Society of Thoracic Surgeo
ns.