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A mouse model of chordoma Brian Harfe, Ph.D. Assistant Professor Molecular Genetics and Microbiology University of Florida
Introduction Chordoma is a very rare type of primary, malignant bone tumor that affects 1 in 1,000,000 people. The treatment for this disease has traditionally been surgery. Recently, radiation therapy has been reported to be successful for the local control of the disease (Sciubba et al., 2008). However, these treatments are not optimal, as the median survival rate is still only about 7 years (McMaster et al, 2001).
Why create a mouse model? Research, and in particular the development of new drugs, is very expensive. It is extremely difficult for researchers to convince drug companies and funding agencies to devote the millions of dollars required to bring a novel drug therapy to the clinic for such a rare disease. As a result, chordoma patients have usually been enrolled in clinical trials geared towards treating other types of cancers (e.g., see the Chordoma Foundation's Clinical Trial webpage). While clinical trials designed for other cancers may have benefits for chordoma patients, it is possible that there are chordoma-specific drug treatments that remain undiscovered.
As outlined by Dr. Rubin in a recent ESUN Op Ed article (Of mice and men – why we need to embrace mouse models of human sarcomas), development of a mouse model for a given disease has the potential to greatly speed up the development of new therapies. Below I list some of the reasons why we use mice as the model system of choice in my laboratory and why this model system is ideal for screening new drugs.
1. Mice are relatively inexpensive to maintain (feed and house). The key word here is “relatively.” At the University of Florida, we are charged $304 a year per mouse cage (this number varies at different universities, with the University of Florida being close to “average” for a major research university). In each cage up to five mice can be housed. My laboratory currently has about 300 mouse cages, which leads to the not-so-inexpensive price tag of about $91,000/year in animal costs. However, compared to using large primates, mice are plentiful and cheap.
2. Using mouse embryonic stem (ES) cells allows genes to be altered. We can make “designer mice.” This is the major reason we use mice in our laboratory. The ability to selectively introduce any genetic change into the mouse genome has allowed scientists to uncover the function of many genes and to successfully model some human diseases. The 2007 Nobel Prize in Medicine was awarded to for the discovery of the power of mouse ES cells.
3. Mice reach reproductive age quickly and often have large litters, This allows us to create animals containing different combinations of genetic mutations. This means that research with mice can proceed faster than it often can with other research animals.
How will we create a mouse model for chordoma? Recent data has suggested that in humans, chordomas form from “benign notochordal cell tumors” (Yamaguchi et al, 2004; Yamaguchi et al, 2005). These benign tumors are thought to form from “notochordal remnants” that are left over from the embryonic notochord. The notochord is a rod of cells running along the entire vertebral column of the developing embryo (including humans). It has long been known to make proteins required for spinal column formation (Cleaver and Krieg, 2001; Hunter et al, 2003), but what happens to the notochord cells during later life has been debated for more than 50 years (Walmsley, 1953).
In my laboratory, we recently performed a “fate map” of notochord cells using the mouse model system. In fate-mapping experiments, specific populations of cells are marked in the developing embryo. In our case, we marked cells within the notochord. The power of fate mapping is that once cells are marked during embryogenesis, these cells stay marked and can be identified during any stage of life. Our fate mapping of the notochord revealed that notochord cells form the middle part of the intervertebral disks, called the nucleus pulposus (Fig. 1).
Figure 1. Diagram of the vertebral column. View of the mature vertebral column showing the location of the intervertebral disks between each vertebra. Our data suggest that the nucleus pulposus and notochordal remnants both arise from the notochord. Notochordal remnants are found scattered throughout the vertebral column. (Figure not drawn to scale.)
We were excited to discover that notochord cells produce the nucleus pulposus since this structure is frequently damaged in people that have recurrent back pain. In our laboratory we are currently investigating what genes are required to form the notochord using mouse models. In addition, we are culturing notochord cells to see if they can aid in healing damaged intervertebral disks.
During the course of performing the fate mapping experiments, we noticed that not all notochord cells ended up in the nucleus pulposus. It appeared that even in adult mice, a small number of notochord cells remained within each vertebra (see Fig. 1). Initially, we ignored these cells since we were focusing our efforts on disk formation. Eventually, we realized that we really should investigate these “notochordal remnants” since they were appearing in every animal we analyzed. A search of the literature revealed that notochordal remnants had been described in humans (Hunter et al, 2003; Yamaguchi et al, 2004; Yamaguchi et al, 2005) and were thought to form chordomas but had never been previously observed in mice.
In our fate-mapping experiments, we activated a reporter gene (a “marker” gene) in the mouse notochord, which allowed us to see notochordal remnants. In humans, notochordal remnants are believed to undergo a very rare and still unidentified event leading to chordoma. In our laboratory, we are currently activating genes known to cause cancer in other tissues in the notochord in an attempt to create a mouse model of chordoma. Our hypothesis is that by forcing notochord cells, and as a result notochordal remnants, to express cancer-causing genes, we will create mice that develop chordomas. Since no other type of cancer has been reported to form from notochordal remnants, it is unlikely that forced expression of cancer-causing genes will generate other types of sarcomas.
The pitfalls and drawbacks of using mice to model chordoma. Mice are not humans #1. While at face value we may share 99% of our genes (Waterston et al, 2002), it is the other 1% that makes mice mice and humans human. It is possible that drugs that are designed to treat chordomas in mice will not work as well (or at all) in people. This is true of all treatments that are developed using the mouse model system. But we still need to test treatments in animals before they can be applied to people.
Mice are not humans #2. Humans walk on two legs while mice use all four. It has been suggested that mice are not a good model system for studying intervertebral disk development because we use such different mechanisms to move around (Alini et al, 2008) and put different stresses on our vertebrae. Since chordomas have been proposed to form from cells that normally make the intervertebral disks (Yamaguchi et al, 2005), it is possible that chordomas will not occur in mice by the same mechanisms as in humans. While this may be true, I believe that the formation of chordomas in mice, even if they occur by a pathway not normally occurring in humans, would greatly aid the search for new drugs to treat this deadly disease. Generation of a mouse that contains chordomas that look like and express markers associated with human chordomas will be extremely useful for screening novel drugs, even if mice and humans produce chordomas through mutation of different sets of genes.
What’s next? Dr. Rubin in his Op Ed article envisions a research environment in which large numbers of drugs can be quickly and cheaply screened against a bank of sarcoma mouse models to identify the most promising drug for future investigation. Our goal is to successfully create a chordoma mouse model to be used in these types of studies.
References Alini, M., Eisenstein, S. M., Ito, K., Little, C., Kettler, A. A., Masuda, K., Melrose, J., Ralphs, J., Stokes, I. and Wilke, H. J. (2008). Are animal models useful for studying human disc disorders/degeneration? Eur Spine J 17, 2-19.
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McMaster, M. L., Goldstein, A. M., Bromley, C. M., Ishibe, N. and Parry, D. M. (2001). Chordoma: incidence and survival patterns in the United States, 1973-1995. Cancer Causes Control 12, 1-11.
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Walmsley, R. (1953). The development and growth of the intervertebral disc. Edinburgh Med J 60, 341-64.
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Yamaguchi, T., Suzuki, S., Ishiiwa, H. and Ueda, Y. (2004). Intraosseous benign notochordal cell tumours: overlooked precursors of classic chordomas? Histopathology 44, 597-602.
Yamaguchi, T., Watanabe-Ishiiwa, H., Suzuki, S., Igarashi, Y. and Ueda, Y. (2005). Incipient chordoma: a report of two cases of early-stage chordoma arising from benign notochordal cell tumors. Mod Pathol 18, 1005-10.
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