Consideration should be given to the known biology of the tumor and the judicious choice of end points for tumor growth taking into account predictable indications of pain, distress or significant deviation from normal behavior. The method and the site for implantation of transplantable or induced solid tumors** requires considerable care to minimize trauma to the host animal.
Attention should be given to avoid sites where tumor growth would cause obvious pain or distress, or where it might limit mobility. Subcutaneous or intradermal growth on the back or in the flank are considered to cause the least distress. Distension of musculature is generally painful and should be considered with intramuscular implants. Implantation of tumors in the footpad, tail, brain and eye are discouraged and will require special justification (note: metastatic tumor cells may be administered by IV injection into the tail).
For spontaneous and transplanted tumors, important features will include growth rate, invasion, distension, ulceration, metastases, and production of cachectic factors. The technical staff must be aware of the parameters of the study, such as tumor growth potential and whether a tumor is likely to become ulcerated. The Investigator must clearly define study parameters and endpoints in their Animal Use Protocol (AUP).
In the case of leukemias, internal, disseminated, metastatic or other occult tumors, determination of the tumor burden may be difficult. The development and/or use of appropriate biochemical and pathological laboratory methods to determine the onset of these tumors may be required.
The IACUC emphasizes the need for frequent monitoring during tumor development to allow for appropriate intervention before significant deterioration of animal health or death occurs. Effective monitoring systems and endpoints should include limits on the tumor burden and severity of tumor-associated disease. The use of altered physiological, biochemical, and other biomarkers are suggested as potentially more objective and reproducible endpoints than clinical signs.
All tumor-bearing animals must be observed at least twice weekly to assess their physical condition, tumor growth and/or metastasis. Records must be kept with all pertinent information: protocol number, time and frequency of monitoring, the name of the person monitoring the animal, identification of the animal, animal weight, type of clinical signs, and any treatments given to the animal. Records maintained by the laboratory personnel should be available to the veterinary staff and/or the IACUC upon request.
Clinical signs which may be associated with tumor progression:
Measurement of body weight changes (both positive and negative changes compared to controls) can be used to assess tumor burden. Baseline body weights must be recorded for each animal at the start of the study and periodically through completion of the study. The period should be stated in the protocol. Considering both weight loss and weight gain from growth, tumor burden should not exceed 10% of the animal's normal body weight. Weight loss should not exceed 20% of the animal’s body weight at the start of the experiment. For younger animals, failure to maintain weight gain to within 15% of untreated control animals should be considered as an indication of significant health deterioration.
All animal experiments must provide for a humane endpoint. As a general guideline, animals used in experimental procedures involving tumor development will be considered for euthanasia if the following conditions occur:
* For information regarding monoclonal studies and ascites production, refer to the IACUC Procedural Policies for Ascites Fluid Collection.
**Contamination of tumor cell lines with human and/or rodent viruses and other microorganisms may compromise experimental results, as well as cause an outbreak of disease among laboratory animals. Screening of cell lines for rodent viruses and mycoplasmas is required at most institutions. Studies involving the use of primary human tumors or tissues with uncharacterized blood-borne pathogens must first be reviewed and approved by the Institutional Biosafety Committee (IBC).
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