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zAvatar-test—a functional precision model to personalize ovarian cancer treatments: Results from a co-clinical study

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
datacite.subject.sdg04:Educação de Qualidade
dc.contributor.authorEstrada, Marta F.
dc.contributor.authorAmorim, Filipa
dc.contributor.authorSilva, Filipa Ferreira da
dc.contributor.authorAlmeida, Cátia Rebelo de
dc.contributor.authorFontes, Márcia
dc.contributor.authorCoelho, Ricardo
dc.contributor.authorFerreira, Sónia
dc.contributor.authorCanas-Marques, Rita
dc.contributor.authorCastillo-Martin, Mireia
dc.contributor.authorCasanova, João
dc.contributor.authorBatarda, Maria de Lurdes
dc.contributor.authorYaniz-Galende, Elisa
dc.contributor.authorLeFormal, Audrey
dc.contributor.authorMarreiros, Ana
dc.contributor.authorJacob, Francis
dc.contributor.authorHeinzelmann-Schwarz, Viola
dc.contributor.authorLeary, Alexandra
dc.contributor.authorNabais, Henrique
dc.contributor.authorFior, Rita
dc.date.accessioned2026-03-05T13:01:36Z
dc.date.available2026-03-05T13:01:36Z
dc.date.issued2026-01
dc.description.abstractIn ovarian cancer, 80% of patients relapse after first-line therapy. In recurrent cases, oncologists lack reliable tests to guide chemotherapy choices, creating an unmet clinical need. Here, we develop the ovarian cancer zebrafish Avatar-test, a functional in vivo model using patient tumor cells implanted in zebrafish embryos to predict treatment responses. We present the largest observational study (32 patients), where the zAvatar-test achieves 91% accuracy in predicting patient outcomes. Patients with a zAvatar-sensitive-test correlate with longer progression-free survival (17 vs. 6 months). Tumors in zAvatars are dynamic, with human-host cell interactions, and higher metastatic potential in poor-prognosis cases. Finally, as a proof of concept, we demonstrate that venetoclax has the potential to sensitize multidrug-resistant tumors. Altogether, this clinical study demonstrates that the zAvatar-test may help clinicians personalize treatments for ovarian cancer patients. We are now conducting a multicentric randomized clinical trial to evaluate the zAvatar-test as a companion tool in clinical oncology.eng
dc.description.sponsorshipPTDC/BTM-SAL/3796/2021
dc.identifier.doi10.1016/j.xcrm.2025.102530
dc.identifier.issn2666-3791
dc.identifier.urihttp://hdl.handle.net/10400.1/28342
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.ispartofCell Reports Medicine
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titlezAvatar-test—a functional precision model to personalize ovarian cancer treatments: Results from a co-clinical studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.titleCell Reports Medicine
oaire.citation.volume7
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMarreiros
person.givenNameAna
person.identifier.ciencia-id9A12-9450-7051
person.identifier.orcid0000-0001-9410-4772
person.identifier.scopus-author-id57194785077
relation.isAuthorOfPublicationc0a8e5da-26ae-42a8-ab04-fa4df4356375
relation.isAuthorOfPublication.latestForDiscoveryc0a8e5da-26ae-42a8-ab04-fa4df4356375

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