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Kawauchi D, Ogg RJ, Liu L, Shih DJH, Finkelstein D, Murphy BL, Rehg JE, Korshunov A, Calabrese C, Zindy F, Phoenix T, Kawaguchi Y, Gronych J, Gilbertson RJ, Lichter P, Gajjar A, Kool M, Northcott PA, Pfister SM, Roussel MF. Novel MYC-driven medulloblastoma models from multiple embryonic cerebellar cells. Oncogene 2017; 36:5231-5242. [PMID: 28504719 PMCID: PMC5605674 DOI: 10.1038/onc.2017.110] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2016] [Revised: 02/22/2017] [Accepted: 03/12/2017] [Indexed: 12/17/2022]
Abstract
Group3 medulloblastoma (MBG3) that predominantly occur in young children are usually associated with MYC amplification and/or overexpression, frequent metastasis and a dismal prognosis. Physiologically relevant MBG3 models are currently lacking, making inferences related to their cellular origin thus far limited. Using in utero electroporation, we here report that MBG3 mouse models can be developed in situ from different multipotent embryonic cerebellar progenitor cells via conditional expression of Myc and loss of Trp53 function in several Cre driver mouse lines. The Blbp-Cre driver that targets embryonic neural progenitors induced tumors exhibiting a large-cell/anaplastic histopathology adjacent to the fourth ventricle, recapitulating human MBG3. Enforced co-expression of luciferase together with Myc and a dominant-negative form of Trp53 revealed that GABAergic neuronal progenitors as well as cerebellar granule cells give rise to MBG3 with their distinct growth kinetics. Cross-species gene expression analysis revealed that these novel MBG3 models shared molecular characteristics with human MBG3, irrespective of their cellular origin. We here developed MBG3 mouse models in their physiological environment and we show that oncogenic insults drive this MB subgroup in different cerebellar lineages rather than in a specific cell of origin.
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Affiliation(s)
- D Kawauchi
- Department of Tumor Cell Biology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
- Division of Pediatric Neuro-Oncology, German Cancer Research Centre (DKFZ), Heidelberg, Germany
| | - R J Ogg
- Department of Radiological Sciences, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - L Liu
- Department of Tumor Cell Biology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - D J H Shih
- The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, ON, Canada
| | - D Finkelstein
- Department of Computational Biology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - B L Murphy
- Department of Tumor Cell Biology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - J E Rehg
- Department of Veterinary Pathology Core, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - A Korshunov
- Clinical Cooperation Unit Neuropathology, German Cancer Research Centre (DKFZ), Department of Neuropathology, University of Heidelberg, Heidelberg, Germany
| | - C Calabrese
- Department of Small Animal Imaging Core, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - F Zindy
- Department of Tumor Cell Biology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - T Phoenix
- Department of Developmental Neurobiology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - Y Kawaguchi
- Department of Clinical Application, Center for iPS Cell Research and Application, Kyoto University, Kyoto, Japan
| | - J Gronych
- Department of Molecular Genetics, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - R J Gilbertson
- Department of Developmental Neurobiology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - P Lichter
- Department of Molecular Genetics, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - A Gajjar
- Department of Oncology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - M Kool
- Division of Pediatric Neuro-Oncology, German Cancer Research Centre (DKFZ), Heidelberg, Germany
| | - P A Northcott
- Department of Developmental Neurobiology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
| | - S M Pfister
- Division of Pediatric Neuro-Oncology, German Cancer Research Centre (DKFZ), Heidelberg, Germany
- Department of Pediatric Hematology and Oncology, Heidelberg University Hospital, Heidelberg, Germany
| | - M F Roussel
- Department of Tumor Cell Biology, St Jude Children’s Research Hospital (SJCRH), Memphis, TN, USA
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Daryani VM, Patel YT, Tagen M, Turner DC, Carcaboso AM, Atkinson JM, Gajjar A, Gilbertson RJ, Wright KD, Stewart CF. Translational Pharmacokinetic-Pharmacodynamic Modeling and Simulation: Optimizing 5-Fluorouracil Dosing in Children With Pediatric Ependymoma. CPT Pharmacometrics Syst Pharmacol 2016; 5:211-221. [PMID: 27104090 PMCID: PMC4834132 DOI: 10.1002/psp4.12075] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 03/03/2016] [Indexed: 12/11/2022]
Abstract
We previously investigated novel therapies for pediatric ependymoma and found 5‐fluorouracil (5‐FU) i.v. bolus increased survival in a representative mouse model. However, without a quantitative framework to derive clinical dosing recommendations, we devised a translational pharmacokinetic‐pharmacodynamic (PK‐PD) modeling and simulation approach. Results from our preclinical PK‐PD model suggested tumor concentrations exceeded the 1‐hour target exposure (in vitro IC90), leading to tumor growth delay and increased survival. Using an adult population PK model, we scaled our preclinical PK‐PD model to children. To select a 5‐FU dosage for our clinical trial in children with ependymoma, we simulated various 5‐FU dosages for tumor exposures and tumor growth inhibition, as well as considering tolerability to bolus 5‐FU administration. We developed a pediatric population PK model of bolus 5‐FU and simulated tumor exposures for our patients. Simulations for tumor concentrations indicated that all patients would be above the 1‐hour target exposure for antitumor effect.
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Affiliation(s)
- V M Daryani
- Department of Pharmaceutical Sciences St. Jude Children's Research Hospital Memphis Tennessee USA
| | - Y T Patel
- Department of Pharmaceutical Sciences St. Jude Children's Research Hospital Memphis Tennessee USA
| | - M Tagen
- Genentech South San Francisco California USA
| | - D C Turner
- Quantitative Pharmacology and Pharmacometrics Merck Research Laboratories Rahway New Jersey USA
| | - A M Carcaboso
- Preclinical Therapeutics and Drug Delivery Research Program Hospital Sant Joan de Déu Barcelona Barcelona Spain
| | - J M Atkinson
- Department of Pediatrics Pennsylvania State College of Medicine Hershey Pennsylvania USA
| | - A Gajjar
- Department of Oncology St. Jude Children's Research Hospital Memphis Tennessee USA
| | | | - K D Wright
- Department of Oncology St. Jude Children's Research Hospital Memphis Tennessee USA
| | - C F Stewart
- Department of Pharmaceutical Sciences St. Jude Children's Research Hospital Memphis Tennessee USA
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Eden CJ, Ju B, Murugesan M, Phoenix TN, Nimmervoll B, Tong Y, Ellison DW, Finkelstein D, Wright K, Boulos N, Dapper J, Thiruvenkatam R, Lessman CA, Taylor MR, Gilbertson RJ. Orthotopic models of pediatric brain tumors in zebrafish. Oncogene 2015; 34:1736-42. [PMID: 24747973 PMCID: PMC4205223 DOI: 10.1038/onc.2014.107] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2014] [Revised: 03/10/2014] [Accepted: 03/12/2014] [Indexed: 02/08/2023]
Abstract
High-throughput screens (HTS) of compound toxicity against cancer cells can identify thousands of potential new drug-leads. But only limited numbers of these compounds can progress to expensive and labor-intensive efficacy studies in mice, creating a 'bottle neck' in the drug development pipeline. Approaches that triage drug-leads for further study are greatly needed. Here we provide an intermediary platform between HTS and mice by adapting mouse models of pediatric brain tumors to grow as orthotopic xenografts in the brains of zebrafish. Freshly isolated mouse ependymoma, glioma and choroid plexus carcinoma cells expressing red fluorescence protein were conditioned to grow at 34 °C. Conditioned tumor cells were then transplanted orthotopically into the brains of zebrafish acclimatized to ambient temperatures of 34 °C. Live in vivo fluorescence imaging identified robust, quantifiable and reproducible brain tumor growth as well as spinal metastasis in zebrafish. All tumor xenografts in zebrafish retained the histological characteristics of the corresponding parent mouse tumor and efficiently recruited fish endothelial cells to form a tumor vasculature. Finally, by treating zebrafish harboring ERBB2-driven gliomas with an appropriate cytotoxic chemotherapy (5-fluorouracil) or tyrosine kinase inhibitor (erlotinib), we show that these models can effectively assess drug efficacy. Our data demonstrate, for the first time, that mouse brain tumors can grow orthotopically in fish and serve as a platform to study drug efficacy. As large cohorts of brain tumor-bearing zebrafish can be generated rapidly and inexpensively, these models may serve as a powerful tool to triage drug-leads from HTS for formal efficacy testing in mice.
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Affiliation(s)
- C J Eden
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - B Ju
- Department of Chemical Biology and Therapeutics, St Jude Children's Research Hospital, Memphis, TN, USA
| | - M Murugesan
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - T N Phoenix
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - B Nimmervoll
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - Y Tong
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - D W Ellison
- Department of Pathology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - D Finkelstein
- Department of Computational Biology and Bioinformatics, St Jude Children's Research Hospital, Memphis, TN, USA
| | - K Wright
- Department of Oncology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - N Boulos
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - J Dapper
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - R Thiruvenkatam
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
| | - C A Lessman
- Department of Biological Sciences, University of Memphis, Memphis, TN, USA
| | - M R Taylor
- Department of Chemical Biology and Therapeutics, St Jude Children's Research Hospital, Memphis, TN, USA
| | - R J Gilbertson
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN, USA
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Wani K, Armstrong TS, Jones DT, Vera-Bolanos E, Witt H, Capper D, Pfister SM, Gilbertson RJ, Gilbert MR, Aldape K. BI-30 * CHARACTERIZATION OF L1CAM AS A CLINICAL MARKER FOR THE C11orf95-RELA FUSION IN SUPRATENTORIAL EPENDYMOMAS. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou239.30] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Gilbertson R, Parker M, Mohankumar KM, Punchihewa C, Weinlich R, Dalton JD, Li Y, Lee R, Tatevossian RG, Phoenix TN, Thiruvenkatam R, White E, Tang B, Orisme W, Gupta K, Rusch M, Chen X, Li Y, Nagahawhatta P, Hedlund E, Finkelstein D, Wu G, Shurtleff S, Easton J, Boggs K, Yergeau D, Vadodaria B, Mulder HL, Becksford J, Gupta P, Huether R, Ma J, Song G, Gajjar A, Merchant T, Boop F, Smith AA, Ding L, Lu C, Ochoa K, Zhao D, Fulton RS, Fulton LL, Mardis ER, Wilson RK, Downing JR, Green DR, Zhang J, Ellison DW, Gilbertson RJ. C11ORF95-RELA FUSIONS DRIVE ONCOGENIC NF-KB SIGNALING IN EPENDYMOMA. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou206.57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Panosyan E, Gotesman M, Kallay T, Martinez S, Bolaris M, Lasky J, Fouyssac F, Gentet JC, Frappaz D, Piguet C, Gorde-Grosjean S, Grill J, Schmitt E, Pall-Kondolff S, Chastagner P, Dudley R, Torok M, Gallegos D, Liu A, Handler M, Hankinson T, Dudley R, Torok M, Gallegos D, Liu A, Handler M, Hankinson T, Fukuoka K, Yanagisawa T, Suzuki T, Shirahata M, Adachi JI, Mishima K, Fujimaki T, Matsutani M, Sasaki A, Wada S, Nishikawa R, Suzuki M, Kondo A, Miyajima M, Arai H, Morin S, Uro-Coste E, Munzer C, Gambart M, Puget S, Miquel C, Maurage CA, Dufour C, Leblond P, Andre N, Kanold J, Icher C, Bertozzi AAI, Diez B, Muggeri A, Cerrato S, Calabrese B, Arakaki N, Marron A, Sevlever G, Fisher MJ, Widemann BC, Dombi E, Wolters P, Cantor A, Vinks A, Parentesis J, Ullrich N, Gutmann D, Viskochil D, Tonsgard J, Korf B, Packer R, Weiss B, Fisher MJ, Marcus L, Weiss B, Kim A, Dombi E, Baldwin A, Whitcomb P, Martin S, Gillespie A, Doyle A, Widemann BC, Bulwer C, Gan HW, Ederies A, Korbonits M, Powell M, Jeelani O, Jacques T, Stern E, Spoudeas H, Kimpo M, Tang J, Tan CL, Yeo TT, Chong QT, Ruland V, Hartung S, Kordes U, Wolff JE, Paulus W, Hasselblatt M, Patil S, Zaky W, Khatua S, Lassen-Ramshad Y, Christensen L, Clausen N, Bendel A, Dobyns W, Bennett J, Reyes-Mugica M, Petronio J, Nikiforova M, Mueller H, Kirches E, Korshunov A, Pfister S, Mawrin C, Hemenway M, Foreman N, Kumar A, Kalra S, Acharya R, Radhakrishnan N, Sachdeva A, Nimmervoll B, Hadjadj D, Tong Y, Shelat AA, Low J, Miller G, Stewart CF, Guy RK, Gilbertson RJ, Miwa T, Nonaka Y, Oi S, Sasaki H, Yoshida K, Northup R, Klesse L, McNall-Knapp R, Blagia M, Romeo F, Toscano S, D'Agostino A, Lafay-Cousin L, Lindzon G, Bouffet E, Taylor M, Hader W, Nordal R, Hawkins C, Laperriere N, Laughlin S, Shash H, McDonald P, Wrogemann J, Ahsanuddin A, Matsuda K, Soni R, Vanan MI, Cohen K, Taylor I, Rodriguez F, Burger P, Yeh J, Rao S, Iskandar B, Kienitz BA, Bruce R, Keller L, Salamat S, Puccetti D, Patel N, Hana A, Gunness VRN, Berthold C, Hana A, Bofferding L, Neuhaeuser C, Scalais E, Kieffer I, Feiden W, Graf N, Boecher-Schwarz H, Hertel F, Cruz O, Morales A, de Torres C, Vicente A, Gonzalez MA, Sunol M, Mora J, Garcia G, Guillen A, Muchart J, Yankelevich M, Sood S, Diver J, Savasan S, Poulik J, Bhambhani K, Hochart A, Gaillard V, Bonne NX, Baroncini M, Andre N, Vannier JP, Dubrulle F, Lejeune JP, Vincent C, Leblond P, Japp A, Gessi M, Muehlen AZ, Klein-Hitpass L, Pietsch T, Sharma M, Yadav R, Malgulwar PB, Pathak P, Sigamani E, Suri V, Sarkar C, Jagdevan A, Singh M, Sharma BS, Garg A, Bakhshi S, Faruq M, Doromal D, Villafuerte CJ, Tezcanli E, Yilmaz M, Sengoz M, Peker S, Dhall G, Robison N, Margol A, Evans A, Krieger M, Finlay J, Rosser T, Khakoo Y, Pratilas C, Marghoob A, Berger M, Hollmann T, Rosenblum M, Mrugala M, Giglio P, Keene C, Ferreira M, Garcia D, Weil A, Khatib Z, Diaz A, Niazi T, Bhatia S, Ragheb J, Robison N, Rangan K, Margol A, Rosser T, Finlay J, Dhall G, Gilles F, Morris C, Chen Y, Shetty V, Elbabaa S, Guzman M, Abdel-Baki MS, Abdel-Baki MS, Waguespack S, Jones J, Stapleton S, Baskin D, M, Okcu F. RARE TUMOURS. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Abstract
The recent convergence of pathology, cancer research and basic neurobiology disciplines is providing unprecedented insights to the origins of brain tumours. This new knowledge holds great promise for patients, transforming the way we view and develop new treatments for these devastating diseases.
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Affiliation(s)
- T N Phoenix
- Departments of Developmental Neurobiology and Oncology, St Jude Children's Research Hospital, Memphis, TN, USA
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Zaghloul M, Elbeltagy M, Mousa A, Eldebawy E, Amin A, Pavelka Z, Vranova V, Valaskova I, Tomasikova L, Oltova A, Ventruba J, Mackerle Z, Kren L, Skotakova J, Zitterbart K, Sterba J, Milde T, Kleber S, Korshunov A, Witt H, Hielscher T, Koch P, Koch HG, Jugold M, Deubzer HE, Oehme I, Lodrini M, Grone HJ, Benner A, Brustle O, Gilbertson RJ, von Deimling A, Kulozik AE, Pfister SM, Ana MV, Witt O, Milde T, Hielscher T, Witt H, Kool M, Mack SC, Deubzer HE, Oehme I, Lodrini M, Benner A, Taylor MD, von Deimling A, Kulozik AE, Pfister SM, Witt O, Korshunov A, Fouyssac F, Schmitt E, Mansuy L, Marchal JC, Coffinet L, Bernier V, Chastagner P, Sperl D, Zacharoulis S, Massimino M, Schiavello E, Pizer B, Piette C, Kitanovski L, von Hoff K, Quehenberger F, Rutkowski S, Benesch M, Tzaridis TD, Witt H, Milde T, Bender S, Pfaff E, Barbus S, Bageritz J, Jones DTW, Kulozik A, Lichter P, Korshunov A, Witt O, Pfister SM, Song SH, Kang CW, Kim SH, Bandopadhayay P, Ullrich N, Goumnerova L, Scott RM, Silvera VM, Ligon KL, Marcus KJ, Robison N, Manley PE, Chi S, Kieran MW, Schiavello E, Biassoni V, Pierani P, Cesaro S, Maura M, Witt H, Mack S, Jager N, Jones DTW, Bender S, Stutz A, Milde T, Northcott PA, Fults DW, Gupta N, Karajannis M, Kulozik AE, von Deimling A, Witt O, Rutka JT, Lichter P, Korbel J, Korshunov A, Taylor MD, Pfister SM, de Rezende ACP, Chen MJ, da Silva NS, Cappellano A, Cavalheiro S, Weltman E, Currle S, Thiruvenkatam R, Murugesan M, Kranenburg T, Phoenix T, Gupta K, Gilbertson R, Rogers H, Kilday JP, Mayne C, Ward J, Adamowicz-Brice M, Schwalbe E, Clifford S, Coyle B, Grundy R, Rogers H, Mayne C, Kilday JP, Coyle B, Grundy R, Kilday JP, Mitra B, Domerg C, Ward J, Andreiuolo F, Osteso-Ibanez T, Mauguen A, Varlet P, Le Deley MC, Lowe J, Ellison DW, Gilbertson RJ, Coyle B, Grill J, Grundy RG, Fleischhack G, Pajtler K, Zimmermann M, Rutkowski S, Warmuth-Metz M, Kortmann RD, Pietsch T, Faldum A, Bode U, Gandola L, Pecori E, Scarzello G, Barra S, Mascarin M, Scoccianti S, Mussano A, Garre ML, Jacopo S, Pierani P, Viscardi E, Balter R, Bertin D, Giangaspero F, Massimino M, Pearlman M, Khatua S, Van Meter T, Koul D, Yung A, Paulino A, Su J, Dauser R, Whitehead W, Teh B, Chintagumpala M, Perek D, Drogosiewicz M, Filipek I, Polnik MP, Baginska BD, Wachowiak J, Kazmierczak B, Sobol G, Musiol K, Kowalczyk J, Slusarz HW, Peregud-Pogorzelski J, Grajkowska W, Roszkowski M, Teo WY, Chintagumpala M, Okcu F, Dauser R, Mahajan A, Adesina A, Whitehead W, Jea A, Bollo R, Paulino AC, Velez-Char N, Doerner E, Muehlen AZ, Vladimirova V, Warmuth-Metz M, Kortmann R, von Hoff K, Friedrich C, Rutkowski S, von Bueren AO, Pietsch T, Barszczyk M, Buczkowicz P, Morrison A, Tabori U, Hawkins C, Krajewski K, von Hoff K, Kammler G, Friedrich C, von Bueren A, Kortmann RD, Krauss J, Warmuth-Metz M, Rutkowski S, Ferreira C, Dieffenbach G, Barbosa C, Cuny P, Grill J, Piccinin E, Massimino M, Giangaspero F, Brenca M, Lorenzetto E, Sardi I, Genitori L, Pollo B, Bertin D, Maestro R, Modena P, MacDonald S, Ebb D, Lavally B, Yeap B, Marcus K, Tarbell N, Yock T, Schittone S, Donson A, Birks D, Amani V, Griesinger A, Handler M, Madey M, Merchant T, Foreman N, Hukin J, Ailon T, Dunham C, Carret AS, Tabori U, McNeely PD, Zelcer S, Wilson B, Lafay-Cousin L, Johnston D, Eisenstat D, Silva M, Jabado N, Yip S, Goddard K, Fryer C, Hendson G, Hawkins C, Dunn S, Singhal A, Lassen-Ramshad Y, Vestergaard A, Seiersen K, Schultz HP, Hoeyer M, Petersen JB, Moreno L, Popov S, Jury A, Al Sarraj S, Jones C, Zacharoulis S, Bowers D, Gargan L, Horton CJ, Rakheja D, Margraf L, Yeung J, Hamilton R, Okada H, Jakacki R, Pollack I, Fleming A, Jabado N, Saint-Martin C, Freeman C, Albrecht S, Montes JL. EPENDYMOMA. Neuro Oncol 2012; 14:i33-i42. [PMCID: PMC3483345 DOI: 10.1093/neuonc/nos099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023] Open
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Hummel TR, Wagner LM, Ahern CH, McGovern RM, Ames MM, Gilbertson RJ, Horton TM, Ingle AM, Weigel B, Blaney S. A pediatric phase I trial of vorinostat and temozolomide in relapsed or refractory primary brain or spinal cord tumors: A Children’s Oncology Group Phase I Consortium Study. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.9579] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Wrede B, Peters O, Kordes U, Kutluk T, Hasselblatt M, Rytting M, Rutkowski S, Mahajan A, Pietsch T, Thall P, Wolff JE, Wolff JE, Thall P, Pfister S, Rytting M, Bingham R, Vats T, Rokes C, Mahajan A, Brown R, Creach KM, Rubin JB, Leonard JR, Limbrick DD, Smyth MD, Dacey RG, Rich KM, Dowling JL, Linette GP, King AA, Michalski JM, Simpson JR, Park TS, Perry A, Mansur DB, Gururangan S, Panandikar AP, Broniscer A, Huang A, Kellie S, Ellison D, Gajjar A, Aguilera D, Goldman S, Tomita T, Fangusaro J, Gururangan S, Fangusaro J, Poussaint TY, Onar A, Gilbertson R, Packer R, McClendon R, Friedman H, Boyett J, Broniscer A, Baker JN, Tagen M, Onar-Thomas A, Gilbertson RJ, Davidoff AM, Pai-Panandiker A, Leung W, Chin TK, Stewart CF, Kocak M, Rowland C, Merchant TE, Kaste S, Gajjar A, Allen J, Donahue B, Mathew J, Kretschmar C, Pollack I, Jakacki R, Massimino M, Biassoni V, Gandola L, Ferroli P, Bongarzone I, Spreafico F, Pecori E, Schiavello E, Modena P, Bach F, Potepan P, Slavc I, Peyrl A, Czech T, Haberler C, Dieckmann K, Brown RJ, Dhall G, Marachelian A, Gozali A, Butturini A, Gilles F, Thompson SJ, Gardner S, Finlay JL, Brown RJ, Dhall G, Goldman S, Eisenstat DD, Gilles F, Evans A, Finlay JL. Pediatrics Clinical Research. Neuro Oncol 2010. [DOI: 10.1093/neuonc/noq116.s11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Gajjar AJ, Stewart CF, Ellison DW, Curran T, Phillips P, Goldman S, Packer R, Kun LE, Boyett JM, Gilbertson RJ. A phase I pharmacokinetic trial of sonic hedgehog (SHH) antagonist GDC-0449 in pediatric patients with recurrent or refractory medulloblastoma: A Pediatric Brain Tumor Consortium study (PBTC 25). J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.18_suppl.cra9501] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
CRA9501 Background:Aberrant signaling in SHH pathway is implicated in causing medulloblastoma in approximately 20% of children with this disease. GDC-0449 is an orally active agent that binds to the SMO receptor and prevents downstream signaling through GLI. Preclinical murine models predict efficacy of an SMO antagonist to treat tumors dependent on the SHH pathway. Adult studies have documented the efficacy of this compound against recurrent medulloblastoma and basal cell carcinoma. A phase I pharmacokinetic trial of GDC 0449 was conducted in children with recurrent or refractory medulloblastoma to select, based on safety and pharmacokinetics, one of two dosages to recommend for a pediatric phase II trial. We also used immunonistochemistry (IHC) and in situ hybridization (ISH) on paraffin-embedded tissue to determine which tumors belonged to the SHH subtype. Methods: GDC 0449 was administered once daily for 28 days dose levels of (1) 85 mg/m2/dose and (2) 170 mg/m2/dose. A course was defined as 28 days in duration. PK analysis was performed during the first course and steady-state concentrations were obtained prior to each subsequent course (day 21). MRI scans of the knees were obtained at baseline and 3 mos to assess abnormalities in bone development. Results: To date 11 eligible patients have been enrolled on the trial (10 males, median age 11.6 years (range 4.4–20.9). All patients were fully evaluable for toxicity. 1 DLT, grade 3 gamma-Glutamyl transpeptidase, occurred in a patient enrolled at 170 mg/m2/dose. There were no grade 4 toxicities. The median (range) steady-state day 21 concentration at 85 mg/m2 (n=5) is 10.15 μ M (9.10–18.99 μ M) and at 170 mg/m2 (n=2) is 14.50 μ M (14.43–14.57 μ M). The steady-state GDC-0449 clearance (n=7) is 0.86 (0.44 – 1.17 L/h/m2). At steady state (day 21), the ratio of GDC-0449 CSF to plasma is 1.3%, which is an estimate of the CSF penetration of GDC-0449. Conclusions: GDC 0449 is well-tolerated in children with recurrent or refractory medulloblastoma. The phase I study estimating the recommended phase II dose of GDC 0449 is ongoing; final results including medulloblastoma subgroup data will be presented. [Table: see text]
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Affiliation(s)
- A. J. Gajjar
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - C. F. Stewart
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - D. W. Ellison
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - T. Curran
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - P. Phillips
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - S. Goldman
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - R. Packer
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - L. E. Kun
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - J. M. Boyett
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
| | - R. J. Gilbertson
- St. Jude Children's Research Hospital, Memphis, TN; Children's Hospital, Philadelphia, PA; Children's Memorial Hospital, Chicago, IL; Children's National Medical Center, Washington, DC
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12
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Fouladi M, Olson J, Stewart CF, Kocak M, Gajjar AJ, Demuth T, Goldman S, Kun LE, Boyett JM, Gilbertson RJ. A phase I trial of MK-0752 in children with recurrent or refractory CNS malignancies: A Pediatric Brain Tumor Consortium study. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.9502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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13
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Wright KD, Rand V, Leary SE, Mack S, Coyle B, Gillespie Y, Allen J, Taylor MD, Grundy R, Gilbertson RJ. A comprehensive view of the structure and expression of the ependymoma genome at presentation and relapse. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.2073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
2073 Background: Although pediatric and adult ependymomas are associated with significant mortality and morbidity, little is known about the biology of these tumors. To identify underlying genetic alterations and cellular pathways that drive this disease, we conducted a genomic study of 200 adult and pediatric ependymomas. Methods: Using 500k single nucleotide polymorphism arrays, U133 Affymetrix gene and microRNA (miRNA) expression microarrays, and appropriate bioinformatics, we characterized 56 supratentorial (ST), 104 posterior fossa (PF), and 40 spinal (SP) ependymomas. Real-Time polymerase chain reaction and fluorescence in situ hybridization validated observed genetic events. Results: Gene expression profiles segregated tumors by site and identified disease subgroups within each anatomical region (4 ST, 4 PF, 1 SP). miRNA expression profiles identified these same subgroups, indicating that they are biologically distinct. Subgroup-specific gene expression profiles were dictated partly by developmental regulatory genes and partly by large chromosomal gains (eg. 1q, 5p, 16p) and losses (eg. 9p, 22q). Integrated genetic and expression mapping revealed key candidate tumor suppressor (TSG) and onco- genes, likely drivers of these large alterations. While large chromosomal changes occurred more frequently in SP tumors (p < 0.0001), ST tumors averaged more focal changes (n = 13.2) than PF (n = 6.2) or SP tumors (n = 3.0) (p < 0.0001). A total of 29 and 33 non-random focal amplifications and deletions, respectively, encompassing 402 known genes and miRNA clusters, were validated, of which 80 displayed copy number driven expression. These genetic alterations targeted specific cellular functions (e.g., cell adhesion, cell-cycle, neuronal development) and pathways (e.g., NOTCH, EPHRIN, TP53). Our cohort also included five sample sets consisting of primary tumor and at least two corresponding relapses. Genomic analysis of these tumors identified large chromosomal alterations as well as focal gains and losses associated with disease relapse. Conclusions: We present a highly comprehensive view of the ependymoma genome, including 80 previously unrecognized candidate TSG and oncogenes that may afford diagnostic and therapeutic targets. No significant financial relationships to disclose.
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Affiliation(s)
- K. D. Wright
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - V. Rand
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - S. E. Leary
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - S. Mack
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - B. Coyle
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - Y. Gillespie
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - J. Allen
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - M. D. Taylor
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - R. Grundy
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
| | - R. J. Gilbertson
- St. Jude Children's Research Hospital, Memphis, TN; Newcastle University, Newcastle, United Kingdom; Children's National Medical Center, Washington, DC; University of Toronto, Toronto, ON, Canada; The University of Nottingham, Nottingham, United Kingdom; University of Alabama at Birmingham, Birmingham, AL; NYU Medical Center, New York, NY; Hospital for Sick Children, Toronto, ON, Canada; Queens Medical Center, Nottingham, United Kingdom
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14
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Broniscer A, Merchant TE, Hillenbrand C, Patay Z, Chin TK, Onar A, Kaste SC, Gilbertson RJ, Gajjar A. Phase I study of vandetanib (ZD6474) administered during and after irradiation (RT) in children with diffuse intrinsic pontine glioma (DIPG). J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.10020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
10020 Background: Children with DIPG have a dismal prognosis despite use of RT, which is the mainstay of therapy. All chemotherapy regimens used so far demonstrated no benefit. EGFR and VEGFR pathways are considered important in tumorigenesis of DIPG. Methods: We conducted a traditional phase I study combining oral vandetanib (VEGFR-2 and EGFR inhibitor) during and after local RT in children with DIPG. Five dosage levels were tested (50, 65, 85, 110, and 145mg/m2 per day). Vandetanib and RT started on the same day. The first 6 weeks of therapy constituted the dose-limiting toxicity (DLT)-evaluation period. Correlative studies consisted of pharmacokinetic analysis (PK), pharmacodynamic studies in blood, and standard and investigational imaging (before and 1, 3, and 6 weeks after start of therapy). Results: Twenty-one patients were enrolled on study (50 [n = 3], 65 [n = 3], 85 [n = 3], 110 [n = 6], and 145mg/m2 [n = 6]). Two patients experienced DLT consisting of rash/mucositis (level 4) and diarrhea (level 5). The maximum-tolerated dose (MTD) of vandetanib was not reached. Other significant toxicities included lymphopenia grade 3/4 (n = 10), grade 3 neutropenia and hypophosphatemia (one each), grade 2 proteinuria (n = 2), grade 2 hypertension (n = 4), and mild QTc prolongation (n = 7) .Once the phase I component was completed, two extra patients were enrolled at dosage level 5; one of them developed grade 4 seizure secondary to posterior reversible encephalopathy syndrome. PK (n = 21) showed similar drug clearance and volume of distribution compared to adults. However, drug exposure at steady state normalized by dose seemed higher in children. Increased tumor perfusion during the first 6 weeks of therapy was observed in the first 12 patients analyzed. Conclusions: Although MTD was not reached, we recommend administration of vandetanib at a dose of 110mg/m2 per day during and after local RT in children. Further combination studies of vandetanib in children with DIPG are planned. No significant financial relationships to disclose.
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Affiliation(s)
- A. Broniscer
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - T. E. Merchant
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - C. Hillenbrand
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - Z. Patay
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - T. K. Chin
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - A. Onar
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - S. C. Kaste
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - R. J. Gilbertson
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
| | - A. Gajjar
- St. Jude Children's Research Hospital, Memphis, TN; University of Tennessee, Memphis, TN
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15
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Fouladi M, Park J, Sun J, Fraga C, Ames MM, Stewart CF, Gilbertson RJ, Zweibel J, Adamson PC, Blaney SM. A phase I trial of vorinostat in children with refractory solid tumors: A Children's Oncology Group Study. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.9569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
9569 Background: Vorinostat, an orally administered histone deacetylase inhibitor, has potent antitumor activity against human cell lines in vitro (IC50 0.5 to 5 μM) and in xenograft models. A phase I trial of vorinostat was conducted in children with recurrent or refractory solid tumors to determine the maximum tolerated dose (MTD), dose limiting toxicity (DLT), pharmacokinetics (PK) of vorinostat, and to assess accumulation of histone acetylation in peripheral blood mononuclear cells (PBMCs). Methods: Vorinostat was administered once daily at dose levels of 180, 230, and 300 mg/m2/d. Courses were 28 days in duration, without interruption. PK analysis was performed during the 1st course. Vorinostat's ability to induce acetyl-histone (H3) accumulation in vivo was studied by western blot analysis. Results: 30 patients, 17 males, median age 15 years (range 4–21), were enrolled; 24 patients were fully evaluable for toxicity. At 180 mg/m2/d, 1/6 pts developed DLT (deep vein thrombosis) and at 230 mg/m2/d 1/6 pts developed DLT (hypokalemia). At 300 mg/m2/d, DLTs consisted of reversible hypokalemia (n=1), neutropenia (n=1) and thrombocytopenia (n=2), defining the MTD as 230 mg/m2/d. Other non-dose limiting grade 3 or 4 toxicities included elevated ALT/AST, hyperbilirubinemia, leucopenia, and lymphopenia. Western blot analysis of PBMC protein isolates found clear evidence of dose- dependent accumulation of acetylated H3 histones. 1 patient with a spindle cell sarcoma received 8 courses and 1 patient with a low-grade astrocytoma had an unconfirmed minor response. Conclusions: Vorinostat is well tolerated in children with recurrent or refractory solid tumors and inhibits histone deacetylase activity in PBMC. The recommended phase II dose for children with solid tumors is 230 mg/m2/d. No significant financial relationships to disclose.
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Affiliation(s)
- M. Fouladi
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - J. Park
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - J. Sun
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - C. Fraga
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - M. M. Ames
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - C. F. Stewart
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - R. J. Gilbertson
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - J. Zweibel
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - P. C. Adamson
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
| | - S. M. Blaney
- St Jude Children's Rsrch Hosp, Memphis, TN; Children's Hospital and Regional Medical Center, Seattle, WA; University of Nebraska Medical Center, Omaha, NE; Mayo Clinic College of Medicine, Rochester, MN; St Jude Children's Research Hosp, Memphis, TN; Cancer Therapy Evaluation Program, Bethesda, MD; Children's Hospital of Philadelphia, Philadelphia, PA; Baylor College of Medicine, Houston, TX
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16
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Lindsey JC, Lusher ME, Anderton JA, Gilbertson RJ, Ellison DW, Clifford SC. Epigenetic deregulation of multiple S100 gene family members by differential hypomethylation and hypermethylation events in medulloblastoma. Br J Cancer 2007; 97:267-74. [PMID: 17579622 PMCID: PMC2360310 DOI: 10.1038/sj.bjc.6603852] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Deregulated expression of genes encoding members of the S100 family of calcium-binding proteins has been associated with the malignant progression of multiple tumour types. Using a pharmacological expression reactivation approach, we screened 16 S100 genes for evidence of epigenetic regulation in medulloblastoma, the most common malignant brain tumour of childhood. Four family members (S100A2, S100A4, S100A6 and S100A10) demonstrated evidence of upregulated expression in multiple medulloblastoma cell lines, following treatment with the DNA methyltransferase inhibitor, 5′-aza-2′-deoxycytidine. Subsequent analysis revealed methylation of critical CpG sites located within these four genes in an extended cell line panel. Assessment of these genes in the non-neoplastic cerebellum (from which medulloblastomas develop) revealed strong somatic methylation affecting S100A2 and S100A4, whereas S100A6 and S100A10 were unmethylated. Assessed against these normal tissue-specific methylation states, S100A6 and S100A10 demonstrated tumour-specific hypermethylation in medulloblastoma primary tumours (5 out of 40 and 4 out of 35, respectively, both 12%) and cell lines (both 7 out of 9, 78%), which was associated with their transcriptional silencing. Moreover, S100A6 hypermethylation was significantly associated with the aggressive large cell/anaplastic morphophenotype (P=0.026). In contrast, pro-metastatic S100A4 displayed evidence of hypomethylation relative to the normal cerebellum in a significant proportion primary tumours (7 out of 41, 17%) and cell lines (3 out of 9, 33%), which was associated with its elevated expression. In summary, these data characterise complex patterns of somatic methylation affecting S100 genes in the normal cerebellum and demonstrate their disruption causing epigenetic deregulation of multiple S100 family members in medulloblastoma development. Epigenetic events affecting S100 genes have potential clinical utility and merit further investigation as molecular biomarkers for this disease.
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Affiliation(s)
- J C Lindsey
- Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK
| | - M E Lusher
- Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK
| | - J A Anderton
- Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK
| | - R J Gilbertson
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, Memphis, TN 38105, USA
| | - D W Ellison
- Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK
| | - S C Clifford
- Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK
- Northern Institute for Cancer Research, Paul O'Gorman Building, The Medical School, Framlington Place, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. E-mail:
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Abstract
Ependymomas are tumours that arise throughout the central nervous system. Little is known regarding the aberrant cellular and molecular processes that generate these tumours. This lack of knowledge has hampered efforts to reduce the significant mortality and morbidity that are associated with ependymoma. Here, we review recent data that suggest that radial glia are cells of origin of ependymoma, and discuss the processes that might transform these neural progenitors into ependymoma cancer stem cells.
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Affiliation(s)
- H Poppleton
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, 332 N Lauderdale Street, Memphis, TN 38105, USA
| | - R J Gilbertson
- Department of Developmental Neurobiology, St Jude Children's Research Hospital, 332 N Lauderdale Street, Memphis, TN 38105, USA
- Department of Oncology, St Jude Children's Research Hospital, 332 N Lauderdale Street, Memphis, TN 38105, USA
- Department of Developmental Neurobiology and Oncology, St Jude Children's Research Hospital, 332 N Lauderdale Street, Memphis, TN 38105, USA. E-mail:
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18
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Gilbertson RJ, Clifford SC, MacMeekin W, Meekin W, Wright C, Perry RH, Kelly P, Pearson AD, Lunec J. Expression of the ErbB-neuregulin signaling network during human cerebellar development: implications for the biology of medulloblastoma. Cancer Res 1998; 58:3932-41. [PMID: 9731505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The four receptor tyrosine kinase I receptors, ErbB-1, ErbB-2, ErbB-3, and ErbB-4, which have been implicated in the development of a variety of normal and malignant tissues, are activated through ligand mediated homo- and heterodimerization. We have previously reported the frequent coexpression, heterodimerzation, and prognostic significance of ErbB-2 and ErbB-4 in childhood medulloblastoma, an embryonal tumor of the cerebellar external granule cell layer (EGL). In the present study, we have used immunohistochemistry and Western blotting analysis to analyze the expression of the ErbB receptors and neuregulin (NRG) 1-alpha and NRG1-beta ligands during normal human cerebellar development. We demonstrate that ErbB-1, ErbB-3, ErbB-4, and NRG1-beta display specific temporal and topographical distribution in the cerebellum during intrauterine and postnatal life, and that normal ErbB-NRG signaling in the EGL multiplying zone is likely to be mediated by ErbB-4 and NRG1-beta. In contrast, ErbB-2, which is expressed in 86% of medulloblastomas, could not be detected at any stage of cerebellar development. Therefore, we propose that positive deregulation of ErbB-2 expression in the cerebellar EGL, leading to the formation of a NRG41-beta-driven ErbB-2/ErbB-4 autocrine loop, is an important factor in medulloblastoma tumorigenesis. In further support of this hypothesis, we provide evidence using reverse transcription-PCR analysis that expression of the ErbB-2 and ErbB-4 receptors, but not ErbB-1 or ErbB-3, is deregulated in medulloblastoma compared with normal developing cerebellum. We also demonstrate NRG1-beta expression in 87% (n = 46 of 48) of medulloblastoma primary tumors, with the greatest expression levels occurring in tumors with high ErbB-2 and ErbB-4 receptor coexpression. Furthermore, the expression of all three components of the proposed autocrine loop (ie., ErbB-2, ErbB-4, and NRG1-beta) was significantly related to the presence of metastases at diagnosis (P < 0.05).
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Affiliation(s)
- R J Gilbertson
- Cancer Research Unit, The Medical School, University of Newcastle upon Tyne, England.
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19
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Gilbertson RJ, Perry RH, Kelly PJ, Pearson AD, Lunec J. Prognostic significance of HER2 and HER4 coexpression in childhood medulloblastoma. Cancer Res 1997; 57:3272-80. [PMID: 9242460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Recent in vitro studies of the epidermal growth factor receptor (EGFR) family have revealed complex signaling interactions involving the production of ligand-mediated heterodimers synergistic for the transformation of cells in vitro. In a series of 70 patients with childhood medulloblastoma, we have used immunohistochemistry and Western blotting analysis to investigate the expression patterns of all four EGFR family members (EGFR, HER2, HER3, and HER4) and heregulin-alpha, a ligand for the HER3 and HER4 receptors. The majority of cases expressed two or more receptor proteins; coexpression of the HER2 and HER4 receptors occurred in 54%. Expression of the ligand heregulin-alpha was detected in 31% of tumors. To investigate whether coexpression results in receptor heterodimerization, we have also performed immunoprecipitation analysis of protein extracts from primary tumors, and we demonstrate various patterns of receptor interaction including between HER2 and HER4. In multivariate 25-year survival analysis with clinicopathological disease features, no individual receptor or heregulin-alpha achieved significance. In contrast, when considered together in the multivariate model, coexpression of HER2 and HER4 demonstrated independent prognostic significance (P = 0.006). These data suggest the hypothesis that HER2-HER4 receptor heterodimerization is of particular biological significance in this disease, and this report is the first to demonstrate potential clinical significance of EGFR family heterodimerization in human cancer. Finally, we have also analyzed expression of the AP-2 transcription factor implicated in the positive regulation of HER2 and HER3 gene transcription in malignant cells and reveal an association between AP-2 expression and not only HER2 and HER3, but also HER4 levels in medulloblastoma primary tumors.
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Affiliation(s)
- R J Gilbertson
- Cancer Research Unit, The Medical School, University of Newcastle upon Tyne, United Kingdom
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Abstract
We investigated the prognostic significance of a new method of mitotic figure quantitation, 'mitotic percentage index' (MPI), tumour S phase fraction (SPF) and DNA ploidy measured by flow cytometry, and various clinical prognostic factors including age, sex, tumour stage, degree of surgical resection, radiotherapy dose and adjuvant chemotherapy in 70 cases of childhood medulloblastoma diagnosed between 1968 and 1996. In univariate analysis, MPI (P < 0.0001), posterior fossa radiotherapy dose (P = 0.003), tumour stage (P = 0.014), craniospinal radiotherapy dose (P = 0.019), year of diagnosis (P = 0.024) and SPF (P = 0.048) were significantly related to survival. In multivariate analysis, including tumour c-erbB-2 oncogene product expression, only MPI (P < 0.0001), craniospinal radiotherapy dose (P = 0.003) and tumour stage (P = 0.035) retained independent prognostic significance, while age achieved significance (P = 0.039). A close relationship was observed between MPI and SPF (coeff = 0.8, P < 0.0001) and MPI and the percentage of tumour cells expressing the c-erbB-2 oncogene product (coeff = 0.416, P < 0.0001). This study has identified MPI as a new independent prognostic factor for childhood medulloblastoma. Its close relationship with tumour SPF confirms it as an accurate measure of tumour proliferation and its close relationship to expression of the c-erbB-2 oncogene supports a role for this growth factor receptor in the deregulation of normal mitogenic signal transduction in this malignancy.
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Affiliation(s)
- R J Gilbertson
- Cancer Research Unit, Medical School, University of Newcastle upon Tyne, U.K
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21
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Abstract
Paracetamol is the commonest agent employed in self poisoning, however it is not clear whether adolescents possess insight into the serious complications associated with its misuse. Using a one page questionnaire, the availability, usage, and knowledge of toxicity of paracetamol among 1147 American and British adolescents was assessed. Although 90% of all students recognised that paracetamol could kill, the great majority of students overestimated the lethal dose. In addition, while knowledge regarding side effects of paracetamol was poor the drug was widely available to, and used by, the study population. It is proposed that gross overestimation of the number of tablets required to kill, poor understanding of paracetamol side effects, and wide availability of the drug contribute to its frequent use in adolescent suicidal behaviour. The inclusion of some over-the-counter medications in school drug education programs in addition to tighter control of the availability of paracetamol may help reduce the problem of adolescent self poisoning.
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Affiliation(s)
- R J Gilbertson
- Department of Community Paediatrics, Stanley Health Centre, County Durham
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22
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Abstract
The expression and prognostic significance of the c-erbB-2 oncogene product was studied in 55 cases of childhood medulloblastoma. Forty-six of the 55 tumours (83.6%) expressed the c-erbB-2 product. The percentage of tumour cells expressing the c-erbB-2 product proved to be a significant indicator of patient outcome when analysed as both a categorical and a continuous variable. As a categorical variable, patients with more than 50% positive tumour cells had a significantly worse survival, with only 10% alive at 10 years vs 48% for those with less than 50% positive tumour cells (log rank P = 0.0049). To demonstrate that this observed prognostic significance was both independent and not a result of 'data-driven' categorisation, it was also entered into the Cox model as a continuous variable. Prognostic significance was retained in P = 0.038.
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Affiliation(s)
- R J Gilbertson
- Department of Child Health, University of Newcastle Upon Tyne Medical School, UK
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23
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