RT Journal Article SR Electronic T1 Preclinical platform for long-term evaluation of immuno-oncology drugs using hCD34+ humanized mouse model JF Journal for ImmunoTherapy of Cancer JO J Immunother Cancer FD BMJ Publishing Group Ltd SP e001513 DO 10.1136/jitc-2020-001513 VO 8 IS 2 A1 Nahee Park A1 Kamal Pandey A1 Sei Kyung Chang A1 Ah-Young Kwon A1 Young Bin Cho A1 Jin Hur A1 Nar Bahadur Katwal A1 Seung Ki Kim A1 Seung Ah Lee A1 Gun Woo Son A1 Jong Min Jo A1 Hee Jung Ahn A1 Yong Wha Moon YR 2020 UL http://jitc.bmj.com/content/8/2/e001513.abstract AB Background Well-characterized preclinical models are essential for immune-oncology research. We investigated the feasibility of our humanized mouse model for evaluating the long-term efficacy of immunotherapy and biomarkers.Methods Humanized mice were generated by injecting human fetal cord blood-derived CD34+ hematopoietic stem cells to NOD-scid IL2rγnull (NSG) mice myeloablated with irradiation or busulfan. The humanization success was defined as a 25% or higher ratio of human CD45+ cells to mice peripheral blood mononuclear cells.Results Busulfan was ultimately selected as the appropriate myeloablative method because it provided a higher success rate of humanization (approximately 80%) and longer survival time (45 weeks). We proved the development of functional T cells by demonstrating the anticancer effect of the programmed cell death-1 (PD-1) inhibitor in our humanized mice but not in non-humanized NSG mice. After confirming the long-lasting humanization state (45 weeks), we further investigated the response durability of the PD-1 inhibitor and biomarkers in our humanized mice. Early increase in serum tumor necrosis factor α levels, late increase in serum interleukin 6 levels and increase in tumor-infiltrating CD8+ T lymphocytes correlated more with a durable response over 60 days than with a non-durable response.Conclusions Our CD34+ humanized mouse model is the first in vivo platform for testing the long-term efficacy of anticancer immunotherapies and biomarkers, given that none of the preclinical models has ever been evaluated for such a long duration.