Cutting Edge Human Disease Modeling Using The NSG Mouse Dominique Kagele, Ph.D. Technical Information Services Cutting Edge Human Disease Modeling The NSG Mouse NSG Basics Enhanced disease modeling o Solid and hematological cancers o Human immunity and inflammation Advanced and future disease modeling Additional information and resources JAX® Mice | 2 Cutting Edge Human Disease Modeling The NSG Mouse NSG Basics Enhanced disease modeling o Solid and hematological cancers o Human immunity and inflammation Advanced and future disease modeling Additional information and resources JAX® Mice | 3 The Immune System in Mice JAX® Mice | 4 NOD scid gamma (NSG) Strain nomenclature: NOD.Cg-Prkdcscid Il2rgtm1Wjl/SzJ Stock Number: 005557 Additional resources: NSG Web Resources www.jax.org/jaxmice/research/immunology/005557.html JAX® Mice | 5 NSG A Highly Immunodeficient Mouse NOD background Absence of hemolytic complement Reduced dendritic and NK cell function Defective macrophages Optimal human hematopoietic stem cell engraftment (Sirpa allele) scid mutation prevents development of mature T and B cells gamma chain (Il2rg knockout) Eliminates signaling from 6 distinct interleukins and blocks NK cell development JAX® Mice | 6 NSG A Highly Immunodeficient Mouse JAX® Mice | 7 Gamma Chain Knockout (Il2rgtm1Wjl) Complete deficiency of the interleukin 2 receptor, gamma chain Common subunit found in multiple cytokine cell signaling receptors IL-2, IL-4, IL-7, IL-9, IL-15, and IL-21 are key signaling molecules in function and maturation of T, B, NK, neutrophils and dendritic cells Rochman Y et al. 2009. Nat Rev Immunol 9(7):480-90. PMID:19543225 JAX® Mice | 8 NSG A Highly Immunodeficient Mouse Longer lifespan (> 16 months) than NOD-scid (~ 9 months) scid side effects: Radiation sensitivity; genotoxic drugs can have higher toxicity A platform for developing refined models (transgenic and knockout) JAX® Mice | 9 The Most Useful and Versatile Immunodeficient Mouse Research applications: Primary tumor engraftment Cancer stem cells Human hematopoiesis Humanized mice Infectious disease Transplantation research JAX® Mice | 10 Cutting Edge Human Disease Modeling The NSG Mouse NSG Basics Enhanced disease modeling o Solid and hematological cancers o Human immunity and inflammation Advanced and future disease modeling Additional information and resources JAX® Mice | 11 Classical Cancer Xenograft Modeling Nude Mice Before treatment After treatment Gulliya et al. 1994. Cancer 74:1725-1732. PMID:8082074 JAX® Mice | 12 Patient Tumor Characteristics NSG vs scid Cancer Patient’s Lung Tumor Fragment NSG H&E C.B-17 scid H&E Human cells (anti-HLA) Mouse blood cells (anti-mCD45) Simpson-Abelson MR et al. 2008.J Immunol 180(10):7009-18. PMID:18453623 JAX® Mice | 13 JAX® Patient-Derived Xenograft (PDX) Program Patient-derived tumor bank in NSG mice Clinical information o Tumor type, grade and markers (if known) o Treatment history Histology Gene expression and CNV analysis In Vivo Pharmacology Services | 14 JAX® Patient-Derived Xenograft (PDX) Program In Vivo Pharmacology Services | 15 JAX® PDX Tumor Model Bank (>350) Tumor type Number of models Appendiceal 1 Bladder 15 Brain 33 Breast 16 Colorectal 32 Endometrial 4 Gastric/GIST 2 Hematology 4 Hepatocellular 1 Kidney 9 Lung 49 Ovary 10 Pancreas 18 Prostate 2 Sarcoma 14 Skin 8 To see all of our PDX models, visit www.tumor.informatics.jax.org In Vivo Pharmacology Services | 16 PDX modeling in NSG Estrogen Receptor-Positive Breast Carcinoma TM00386 (ER+/PR+/Her2-) TM00386-PT TM00386-P0 TM00386-P1 PT= Patient Tumor; P0 = first patient derived xenograft (PDX) generation in mouse; P1 = 2nd generation • NSG supports growth of ER+ breast tumors • Tumors retain “organoid” growth pattern In Vivo Pharmacology Services | 17 Orthotopic PDX Modeling in NSG Bladder Cancer Fidelity during tumor passaging (subcutaneous) Orthotopic model Lin TY et al. 2012. Nanomedicine (Lond).[Epub ahead of print] PMID:23199207 In Vivo Pharmacology Services | 18 PDX Modeling in NSG mice Bladder Cancer Tumor-Targeting Micelles Prevent Tumor Growth… …and Improve Survival Lin TY et al. 2012. Nanomedicine (Lond).[Epub ahead of print] PMID:23199207 In Vivo Pharmacology Services | 19 NSG Improved Melanoma Metastasis Modeling Cell line: A375 (RhoC, Luciferase) injected I.V. *NSG also better platform for cell line engraftment (data not shown) Carreno et al. 2008. Clin Cancer Res 15(10):3277-86. PMID:19447870 In Vivo Pharmacology Services | 20 NEW PDX Live™ NSG Mice M Readily Available from Inventory and Pre-Engrafted with Patient-Derived Tumors Fast-track PDX Studies of 12 Human Tumor Types Triple negative breast carcinoma (2), acute myeloid leukemia (4), non-small cell lung cancer, B-cell lymphomas, metastatic colon adenocarcinoma, metastatic rectal carcinoma, serous adenocarcinoma, squamous cell carcinoma Save 6-12 Weeks of Valuable Research Time Eliminate the need to cryo-recover & passage tumors between donor and study mice Make Decisions Earlier during Drug Development JAX® PDX Mice are available at lower passages than any other patient-derived xenograft model provider. Low passage tumors… o Preserve the heterogeneity of the original human cancers and the closest possible response to primary human tumors o Improve accuracy in assessing clinical efficacy of novel therapeutics PDX Live™ 21 Cutting Edge Human Disease Modeling The NSG Mouse NSG Basics Enhanced disease modeling o Solid and hematological cancers o Human immunity and inflammation Advanced and future disease modeling Additional information and resources JAX® Mice | 22 Effective Modeling of Patient-Derived ALL (T & B Cell) Cells: Unsorted patient-derived T or B cell ALL Route: Tail vein Age of mice: 6-8 weeks *Patient samples engrafted at lower doses and with faster kinetics in NSG Diamanti P et al. 2011. Leukemia Feb;26(2):376-80. PMID:21860430 JAX® Mice | 23 NSG Efficiently Models Patient AML Samples from different patients showed improved engraftment versus other models (NSB) Sanchez PV et al. 2009. Leukemia 23(11):2109-2117. PMID:19626050 JAX® Mice | 24 Cutting Edge Human Disease Modeling The NSG Mouse NSG Basics Enhanced disease modeling o Solid and hematological cancers o Human immunity and inflammation Advanced and future disease modeling Additional information and resources JAX® Mice | 25 NSG Supports a Human Immune System Most efficient engraftment of human HSCs to date Permits differentiation of all major cell types: o Myeloid lineage Erythrocytes, megakaryocytes, platelets Monocytes, macrophages, dendritic cells, granulocytes o Lymphoid lineage B cells T cells (CD4+ and CD8+) NK cells Some mucosal and adaptive immune function JAX® Mice | 26 NSG Supports a Human Immune System NSG is a superior host for human immune cells when compared to other strains: 1. Any strain expressing the scid mutation alone (NOD-scid, B6-scid, C.B17-scid) 2. “scid beige” 3. The same mutations—scid (or a Rag1 or Rag2 knockout) and “gamma”—on other backgrounds (for example, BALB/c) Shultz LD et al. 2005. J Immunol 174(10):6477-89. PMID:15879151 Lepus CM et al. 2009. Hum Immunol Oct;70(10):790-802. PMID:19524633 Brehm MA et al. 2010. Clin Immunol 135(1):84-98. PMID:20096637 JAX® Mice | 27 Improved Engraftment of CD34+ HSCs and PBMCs *NSG also steadily engrafts human immune cell populations over time (data not shown) King M et al. 2008. Clin Immunol 126(3):303-14. PMID:18096436 Brehm MA et al. 2010. Clin Immunol 135(1):84-98 PMID:20096637 In Vivo Pharmacology Services | 28 NSG The Most Efficient Humanized Model Engraftment Efficiency of Bone Marrow Strain Exp 1 Exp 2 Combined Percentage NOD/Lt-scid 9/11 5/7 14/18 77.8 NOD/Shi-scid 12/12 3/11 15/23 65.2 NSG 12/12 11/11 23/23 100 NOG 10/12 9/10 19/22 86.4 *NSG also had the greatest efficiency in spleen & thymus Adapted from McDermott SP et al. 2010. Blood. Jul 15;116(2):193-200. PMID:20404133 JAX® Mice | 29 Experimental Timeline for JAX® Hu-NSG Whole body irradiation Tail vein injection Mouse Age 3 weeks Human B cells appear Human T cells appear 12 weeks 15 weeks CD34+ cells engrafted in 3 week old female mice In Vivo Pharmacology Services | 30 Successful Engraftment in Peripheral Blood Human Engrafted NSG Mouse Human CD45 Mostly neutrophils, monocytes Mouse CD45 Mature human T (CD3+) and B (CD20+) cells differentiated in the NSG mouse Human CD3 Human white blood cells abundant in circulation Human CD20 In Vivo Pharmacology Services | 31 Multi-lineage Differentiation in Bone Marrow Human vs Mouse Human HSC Human Erythroid 11.2% hCD34 hCD45 SSC FSC 0.13% 88.6% 86.1% mCD45 Human B cells hCD38 Human APCs DTH Response in Humanized NSG is Evidence for Intact T Cell Functions Sensitization Sensitization Challenge +/- treatment Day -1 Day 1 Day 2 Day 7 Day 8 Day 9 Day 14 Ear thickness Ear thickness Ear thickness Ear thickness Ear thickness Ear thickness Naive Sensitized with DNFB Sensitized with Olive Oil DNFB + Hydrocortisone In Vivo Pharmacology Services | 33 Transplant Rejection Studies: Diabetes Insulin hCD45 H&E Diabetic mice: NSG treated with STZ Transplanted with human islets, +/PBMCs 32 days post-engraft. No PBMC + PBMC King M et al. 2008. Clin Immunol 126(3):303-14. PMID:18096436 JAX® Mice | 34 NSG is Superior to NOD scid for Humanized HIV Models Infectivity correlates with infiltration of human T cells into vaginal mucosa Stoddart CA et al. 2011. Virology Aug 15;417(1):154-60. PMID:21684569 35 Research Ready Humanized NSG Routinely engraft NSG mice with human CD34+ hematopoietic stem cells BLT & PBMC engrafted mice available Mice are delivered 12 weeks after engraftment with at least 25% hCD45+ cells in the peripheral blood In Vivo Pharmacology Services | 36 Cutting Edge Human Disease Modeling The NSG Mouse NSG Basics Enhanced disease modeling o Solid and hematological cancers o Human immunity and inflammation Advanced and future disease modeling Additional information and resources JAX® Mice | 37 Humanized tumor-bearing NSG mice The next step in cancer modeling Whole body irradiation Tail vein injection of human CD34+ HSCs and tumors Mouse Age: 3 weeks Human B cells appear Human T cells appear 12 weeks 15 weeks In Vivo Pharmacology Services | 38 Humanized tumor-bearing NSG mice Proof-of-concept validation Study design: o Human CD34+ HSCs were co-transplanted with human breast cancer cell lines (BT474 or SK-BR-3) o Tumor growth and metastasis were measured o Human immune cell engraftment and function were assessed Goal: o Validate a preclinical model that supports both human tumors and immune cells for the development of novel cancer immunotherapies Wege et.al., mAbs. 2014. PMID: 24870377 In Vivo Pharmacology Services | 39 Humanized NSG mice Engraftment of human tumors Injected tumor cells grew, metastasized (data not shown), and retained Her2- positivity Wege et.al., mAbs. 2014. PMID: 24870377 In Vivo Pharmacology Services | 40 Humanized tumor-bearing NSG mice Human immune cell engraftment and tumor infiltration T cells T cells Macrophages B cells Wege et.al., mAbs. 2014. PMID: 24870377 In Vivo Pharmacology Services | 41 Humanized tumor-bearing NSG mice Irradiation NSG CD34+ HSC Humanized NSG Solid tumor fragment or tumor cell line Humanized tumor-bearing NSG mice In Vivo Pharmacology Services | 42 NOD Rag1 Gamma (NRG) A Radiation Resistant Alternative to NSG Nomenclature: NOD.Cg-Rag1tm1Mom Il2rgtm1Wjl/SzJ Stock Number: (007799) Webpage: www.jax.org/jaxmice/strain/007799 Severe defects in both innate and adaptive immunity Hematopoietic stem cell engraftment comparable to NSG Radiation resistant Emerging model Pearson T et al. 2008. Clin Exp Immunol 154(2): 270-84. PMID:18785974 JAX® Mice | 43 New NSG Model Innovations HLA Class I Transgenic NOD.Cg-Prkdcscid Il2rgtm1Wjl Tg(HLA/H2-D/B2M)1Dvs/SzJ (014570) o HLA Class I heavy and light chains (A2.1 haplotype) NOD.Cg-Prkdcscid Il2rgtm1Wjl Tg(HLA-A2.1)1Enge/SzJ (009617) o Expresses HLA Class I transgene (A2.1 haplotype) HLA Class II Transgenic NOD.Cg-Prkdcscid Il2rgtm1Wjl H2-Ab1tm1Gru Tg(HLA-DRB1)31Dmz/SzJ (017637) o Lacks mouse MHC class II, expresses chimeric HLA class II DR4 transgene NOD.Cg-Prkdcscid Il2rgtm1Wjl Tg(HLA-DRA*0101,HLA DRB1*0101)1Dmz/GckRoly (012479) o NSG strain expresses HLA class II transgene (DR1 haplotype) NOD.Cg-Rag1tm1Mom Il2rgtm1Wjl Tg(HLA-DRA,HLA-DRB1*0401)39-2Kito/ScasJ (017914) o “DRAG” strain with HLA class II transgene (DR4; HLA-DRA/HLA-DRB1*0401) For all of our NSG-derived strains, please visit our NSG mouse model portfolio. JAX® Mice | 44 New NSG Model Innovations PBMC Engraftment NOD.Cg-Prkdcscid B2mtm1Unc Il2rgtm1Wjl/SzJ (010636) o MHC class I deficient NSG strain with enhanced PBMC engraftment Cytokine Transgenic NOD.Cg-Prkdcscid Il2rgtm1Wjl Tg(PGK1-KITLG*220)441Daw/SzJ (017830) o Kit ligand (SCF) transgenic that does not require preconditioning irradiation NOD.Cg-Prkdcscid Il2rgtm1Wjl Tg(CMV-IL3,CSF2,KITLG)1Eav/MloySzJ (013062) o Expresses human IL-3, CSF2, Kit ligand o Supports human myeloid cells (CD34-humanized immune system; acute myeloid leukemia) Cancer Research NOD.Cg-Prkdcscid Il2rgtm1Wjl Hprtb-m3/EshJ (012480) o Hprt-null NSG mouse o Addition of HAT medium depletes mouse cells to enable isolation of human cells JAX® Mice | 45 Cutting Edge Human Disease Modeling The NSG Mouse NSG Basics Enhanced disease modeling o Solid and hematological cancers o Human immunity and inflammation Advanced and future disease modeling Additional information and resources JAX® Mice | 46 Online NSG Resources www.jax.org/jaxmice/research/immunology/005557 JAX® Mice | 47 Categorized & Annotated NSG References List IMMUNOLOGY Hematopoiesis and stem cell engraftment T cell function / B cell function / Myeloerythroid lineages STEM CELLS / REGENERATIVE MEDICINE DIABETES SOLID TUMORS NSG as a superior host for human immune system components NSG strains expressing human cytokine transgenes NSG strains expressing HLA transgenes Reviews and protocols Transplantation research / graft-versus-host disease (GVHD) / PBMC engraftment Breast cancer Brain cancer Cancer stem cells Colon cancer Esophageal cancer Head and neck cancer Hepatoblastoma Vaccines Autoimmunity INFECTIOUS DISEASE Malaria Cytomegalovirus Dengue virus Epstein-Barr HIV modeling & therapeutics Measles Sepsis Typhoid fever Varicella-zoster virus Hepatocellular carcinoma Lung cancer Immunotherapy Melanoma / metastasis Ovarian cancer Prostate cancer Sarcoma HEMATOLOGICAL CANCERS AML Lymphoma ALL Mastocytoma CML Multiple myeloma CLL Chronic lymphocytic leukemia www.jax.org/jaxmice./research/immunology/005557 Thank you! In need of mouse breeding and colony management expertise to advance your research? Contact your regional representative today www.jax.org/jaxmice/support/regionalcontacts Contact technical supportwww.jax.org/jaxmice/support/techsupportindex.html JAX® Mice, Clinical & Research Services jaxservices@jax.org • www.jax.org/jaxmice 1-207-288-5845 • 1-800-422-6423