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 Optimal human engraftment (Sirpa allele) scid mutation prevents development of mature T and B cells gamma chain (Il2rg knockout) Eliminates signaling from 6 distinct and blocks NK cell development

JAX® Mice | 6 NSG A Highly Immunodeficient Mouse

JAX® Mice | 7 Gamma Chain Knockout (Il2rgtm1Wjl)

Complete deficiency of the 2 receptor, gamma chain

Common subunit found in multiple 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 Mouse blood cells (anti-HLA) (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 Orthotopic model (subcutaneous)

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 …and Improve Survival Tumor Growth…

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 MiceM 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 & )

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 Human Human Tail vein injection B cells T cells appear appear

Mouse Age 3 weeks 12 weeks 15 weeks

CD34+ cells engrafted in 3 week old female mice

In Vivo Pharmacology Services | 30 Successful Engraftment in Peripheral Blood Human Mouse Engrafted NSG

Mostly neutrophils, monocytes Human CD45 Mouse CD45

Human white blood cells abundant in circulation

Mature human T (CD3+) and B (CD20+) cells differentiated in the NSG mouse Human CD3 Human CD20

In Vivo Pharmacology Services | 31 Multi-lineage Differentiation in Bone Marrow Human vs Mouse Human HSC 86.1% 88.6% 0.13% 11.2% SSC hCD34 hCD45 FSC mCD45 hCD38 Human Erythroid Human B cells Human APCs DTH Response in Humanized NSG is Evidence for Intact 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 PBMCs Transplanted with human islets, +/- STZ mice: NSGtreatedwithDiabetic Diabetes Transplant RejectionStudies:

JAX King M etal. 2008. ® Mice 32 days post-engraft. | No PBMC Clin Immunol 126(3):303-14. PMID: + PBMC 18096436 34

Insulin hCD45 H&E 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 Human Human Tail vein injection of B cells T cells human CD34+ HSCs appear appear and tumors

Mouse Age: 3 weeks 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

CD34+ HSC NSG

Solid tumor fragment or tumor cell line Humanized NSG

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 STEM CELLS / REGENERATIVE MEDICINE Hematopoiesis and stem cell engraftment DIABETES T cell function / B cell function / Myeloerythroid lineages SOLID TUMORS NSG as a superior host for human immune system Breast cancer components Brain cancer NSG strains expressing human cytokine transgenes Cancer stem cells NSG strains expressing HLA transgenes Colon cancer Reviews and protocols Esophageal cancer Transplantation research / graft-versus-host disease (GVHD) / PBMC engraftment Head and neck cancer Vaccines Hepatoblastoma Autoimmunity Hepatocellular carcinoma INFECTIOUS DISEASE Lung cancer Malaria Immunotherapy Cytomegalovirus Melanoma / metastasis Dengue virus Ovarian cancer Epstein-Barr Prostate cancer HIV modeling & therapeutics Sarcoma Measles HEMATOLOGICAL CANCERS Sepsis AML Lymphoma Typhoid fever ALL Mastocytoma Varicella-zoster virus CML Multiple myeloma CLL Chronic lymphocytic leukemia

www.jax.org/jaxmice./research/immunology/005557

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