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Boston Children’s Hospital

300 Longwood Avenue
Boston, MA 02115
United States

Background

The LIN28 family of RNA binding proteins are known drivers of many pediatric cancers. These proteins function by blocking the function of the let-7 family of microRNAs, which exert tumor suppressive effects. To date, despite the panoply of childhood tumors driven by LIN28, efforts to target this protein in pediatric cancer are lacking.

Background

Background

Juvenile myelomonocytic leukemia (JMML) is an aggressive blood cancer of young children, typically affecting those less than 4 years of age. The only current curative treatment is bone marrow transplantation. Yet, despite this very aggressive therapy about 50% of children still ultimately die from their disease. Thus, more effective and less toxic treatments are urgently needed.

Background

Allogeneic hematopoietic stem cell transplantation (HSCT), or bone marrow transplantation, is the most aggressive treatment available for children with high-risk or relapsed leukemia. Despite this aggressive treatment, half of the children who receive HSCT will ultimately die of their disease or the side effects of transplantation. Consequently it is important for us to identify new ways to improve the safety and efficacy of HSCT.

Neuroblastoma is the most frequent extra-cranial solid tumor in children, accounting for almost 10% of all childhood cancers and close to 15% of childhood cancer deaths. Amplification of the MYCN gene occurs in up to 40% of neuroblastomas, which results in very high levels of MYCN protein and is a marker of very poor prognosis. Current treatment strategies for MYCN amplified tumors are ineffective and in desperate need of new therapeutic avenues. Successful disruption of MYCN function in neuroblastoma would be an exciting therapeutic breakthrough and would save lives.

Germ cell tumors arise from the tissues that make up the reproductive tract, and although rare, cause significant morbidity and mortality in the pediatric age group. This proposal will investigate the role of a gene called Lin28 in germ cell tumors. Recently, we have discovered that Lin28 blocks the production of an important class of regulators in the cell called Let-7 microRNAs, which are "tumor-suppressors" that protect against cancers of the breast, lung, and colon.

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