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Dana-Farber Cancer Institute

44 Binney Street
Boston, MA 2115
United States

Most childhood cancers contain tumor cells that are diverse in nature. In an individual patient's tumor, some cells divide to produce two more dividing tumor cells (symmetric proliferation), resulting in faster tumor growth, while other tumor cells divide and produce one daughter that will divide and one daughter that will not (asymmetric proliferation), resulting in slower tumor growth. We have found that a protein called Eya1 is usually present at high levels in a common brain tumor of children called medulloblastoma, and that Eya1 pushes cells to divide symmetrically.

Collaborator

Michelle Monje, MD/PhD, Stanford University

Project Summary

Children and young adults with inherited mutations in the GATA2 gene have an increased risk of developing blood cancers. These cancers arise from abnormal blood stem cells. The mutant stem cell clone multiplies and expands, acquiring additional mutations that promote leukemia formation. The process is poorly understood, especially in the context of predisposition syndromes to myeloid cancers.

Background

Acute myeloid leukemia (AML) is one of the deadliest pediatric cancers, responsible for 10% of total cancer mortality in children. AML is caused by mutations in normal bone marrow stem cells that make them grow out of control (i.e. become malignant). There are many AML-causing mutations and they result in many different subtypes of AML with very different responsiveness to treatment and outcomes. We need a better mechanistic understanding of both common and divergent (i.e. subtype-specific) pathways leading to AML.

Background

Diffuse intrinsic pontine gliomas (DIPG) are devastating childhood brain tumors. There are no known curative treatments for DIPG. DIPGs arise in a delicate part of the brain known as the brainstem, rendering them un-resectable. Even biopsy of the tumors has been historically avoided due to the critical function of the brainstem. The lack of biopsy samples has greatly hampered understanding of the biology of the tumors.

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