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PET DOGS POISED TO ADVANCE CANCER PREVENTION RESEARCH<br />

“Lassie,” “Toto,” and Fellow Pet Dogs: Poised to Lead the<br />

Way for Advances in Cancer Prevention<br />

Deborah W. Knapp, DVM, Deepika Dhawan, PhD, and Elaine Ostrander, PhD<br />

OVERVIEW<br />

Cancer causes substantial morbidity and takes the lives of over 8 million people worldwide each year. Advances in cancer prevention<br />

research are crucial, and animal models are key to this. There are many valuable experimentally induced cancer models, but these do<br />

not fully meet the needs for cancer prevention studies. Pet dogs with risks for naturally occurring cancer can fill important gaps in<br />

cancer prevention research. Using invasive urothelial carcinoma (iUC) as an example, the advantages of utilizing pet dogs include: (1)<br />

close similarities between dogs and humans in carcinogenesis, molecular and cellular features, invasive and metastatic behavior, and<br />

response to treatment, thus providing high relevance for comparative studies, (2) shared environment between dogs and humans to<br />

help identify not-yet-known environmental iUC risks, (3) strong breed-associated risk (5- to 21-fold increased risk compared with mixed<br />

breeds) that facilitates investigation of gene-environment interactions, screening, and early intervention, (4) large size of dogs (versus<br />

rodents) that allows collection of fluids and tissues via cystoscopy, and detailed imaging at multiple time points, and (5) acceptance<br />

for studies in which each participating dog can benefit while enjoying life in their family environment, and in which findings will help<br />

other dogs and humans. An ongoing 3-year study in Scottish Terriers (comparable to a 15- to 20-year study in humans) is aimed at<br />

defining genetic and environmental risk factors for iUC, effective methods for screening/early detection, and a successful secondary<br />

cancer prevention approach with very promising results to date. Pet dogs can indeed propel cancer prevention research.<br />

There is a need for improved cancer prevention research.<br />

More than 580,000 people in the United States and over<br />

8 million people worldwide are expected to die from cancer,<br />

including all cancer types, yearly. 1,2 Although it is accepted<br />

that cancer prevention should offer the most cost-effective<br />

and appealing long-term strategy to control cancer, cancer<br />

prevention research has not kept up with the need, especially<br />

for an aging population. 3 One of the challenges in cancer prevention<br />

research is the identifıcation and use of relevant animal<br />

models in which fındings in the model will actually<br />

translate into improved prevention and treatment strategies<br />

for humans. Unfortunately, many preclinical models fail to<br />

reflect the disease in humans. 4-7 Other published concerns<br />

with experimentally induced models include: (1) the induction<br />

of cancer in animals that are young and otherwise<br />

healthy, whereas humans with cancer are often older with comorbid<br />

conditions, (2) the assessment of response in animals<br />

with homogeneous tumors versus that in humans<br />

with heterogeneous cancer, (3) timing of an intervention<br />

in animals that is unrealistic in humans, and (4) the use of<br />

toxic doses of treatment agents to achieve a desired outcome<br />

in animals when these doses would not be tolerated<br />

by humans. 6<br />

CANCER PREVENTION RESEARCH AND THE VALUE<br />

OF PET DOGS<br />

Strong Potential Value for Pet Dogs in Cancer<br />

Research<br />

There is growing evidence that pet dogs with specifıc forms of<br />

naturally occurring cancer can serve as highly relevant models<br />

for those cancers in humans. 8-12 There are an estimated 83<br />

million pet dogs in the United States, 13 and a quarter of older<br />

pet dogs are expected to die from cancer. 8-12 For specifıc types<br />

of naturally occurring cancer, including, but not limited to,<br />

invasive urinary bladder cancer, 8 osteosarcoma, 14 subsets of<br />

squamous cell carcinoma, 9 and lymphoma, 15,16 considerable<br />

similarities have been noted between the cancer in dogs and<br />

humans in regards to histopathology, molecular features,<br />

and biologic behavior. Importantly, these cancers develop in<br />

the context of an intact immune system, and are characterized<br />

by considerable heterogeneity within and between individuals,<br />

similar to human cancer. 10 Studies to date indicate<br />

that the genes and pathways involved in cancer development<br />

in dogs are similar to those in humans. 17,18 Dogs develop cancer<br />

in an environment shared with their owners, and this has<br />

enabled dogs to serve as sentinels for specifıc carcinogens<br />

such as asbestos exposure and mesothelioma risk. 19 Studies<br />

From the Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, IN; Purdue University Center for Cancer Research, Purdue University, West Lafayette, IN; National Human<br />

Genome Research Institute, National Institutes of Health, Bethesda, MD.<br />

Disclosures of potential conflicts of interest are found at the end of this article.<br />

Corresponding author: Deborah W. Knapp, DVM, Purdue University, Department of Veterinary Clinical Sciences, 625 Harrison St., West Lafayette, IN 47907-2026; email: knappd@purdue.edu.<br />

© 2015 by American Society of Clinical Oncology.<br />

asco.org/edbook | 2015 ASCO EDUCATIONAL BOOK<br />

e667

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