Determinants of Implantation Success in Pancreatic Cancer Patient-Derived Xenografts: Role of Matrigel Application, Histological Subtype, and Time Management.

Pancreatic cancer (PC) is a growing global health concern, highlighting the need for improved preclinical models. Patient-derived xenografts (PDXs) closely replicate tumour biology and serve as a link between preclinical and clinical research. This study investigated the key factors influencing the success of PDX implantation in PC. We compared Matrigel-assisted versus Matrigel-free implantation. We also evaluated the impact of histological subtype on implantation success, analysing pancreatic ductal adenocarcinoma (PDAC), adenosquamous carcinoma (ASPC) and acinar cell carcinoma (ACC). Additionally, we assessed whether the tumour specimen culture-to-implantation period affected the take rate or tumour growth rate. A significance threshold of P < 0.05 was applied (95% confidence interval), and multivariable regression analysis was conducted to identify independent predictors of implantation success. In both NOD/SCID and NU/NU (nude) strains, Matrigel-assisted PDAC implantations achieved significantly higher take rates (75 % vs 90 %) compared to direct implantations (25 % vs 0 %) in the second generation (P = 0.02). The ASPC subtype was a significant predictor of success in the NOD/SCID strain (P = 0.04). The culture-to-implantation period did not affect the take rates. The nude strain significantly prolonged ACC engraftment (P = 0.02). In direct ACC implantations, earlier generations (F1-F5) required shorter engraftment growth duration (P < 0.0001). For ASPC, later generations demonstrated longer growth duration (P < 0.04). These findings emphasize critical variables in optimizing PC PDX protocols, particularly Matrigel use, mouse strain selection, and consideration of histological and generation-specific effects. Such refinements can optimize PDX efficiency and translational relevance.