Additional Program Highlights*Research•• Regulation of B cell fate commitment and immunoglobulinheavy-chain gene rearrangements by Ikaros. Harinder Singh, PhDand colleagues have provided novel insights into B cell developmentby identifying the critical role of the transcription factor Ikaros.Drs. John Cunningham (Molecular Genetics andHematopoiesis Program) and Susan Cohn(Clinical and Experimental Therapuetics Program)These investigators demonstrated that the transcription factor EBF restored the regeneration of CD19+ pro-B cells fromIkaros-deficient hematopoietic progenitors. These pro-B cells, despite having normal expression of key transcription factors,EBF and Pax 5, were not committed to the B-cell fate and failed to recombine variable gene segments at the immunoblobulinheavy-chain locus. Expression of Ikaros promoted heavy-chain gene rearrangements by inducing expression of therecombination-activating genes as well as by controlling accessibility of the variable gene segments compaction of theimmunoglobulin heavy-chain locus. Thus, Ikaros is a key regulatory component of the network that regulates B cell fatecommitment and immunoglobulin heavy-chain gene recombination (Reynaud et al. Nat Immunol 9:927-936, 2008).••••••••MDM2 SMP309 and TP53 Arg72Pro Interact to Alter Therapy-Related Acute Myeloid Leukemia Susceptibility(Intra- and Interprogrammatic). Kenan Onel, MD and colleagues, including Program 2 members Drs. Richard Larsonand Michelle Le Beau and Dr. Nathan Ellis (Cancer Risk and Prevention Program), have determined that polymorphismsin two DNA repair genes, MDM2 and TP53, interact to increase susceptibility to the development of therapy-related AML.This effect was observed in patients treated with chemotherapy who had loss of chromosomes 5 and/or 7, and acquiredabnormalities associated with prior exposure to alkylator chemotherapy, but not in patients treated with radiotherapy. Thesedata suggest that MDM2 and TP53 variants interact to modulate responses to genotoxic therapy and are determinants of riskfor t-AML (Ellis et al. Blood 112:741-749, 2008).Pretreatment C-Reactive Protein is a Predictor for Outcomes After Reduced-Intensity Allogeneic HematopoieticCell Transplantation (Intraprogrammatic). Andrew Artz, MD and co-investigators, Amittha Wickrema, PhD, LucyGodley, MD, PhD, Toyosi Odenike, MD, Elizabeth Rich, MD, PhD, Wendy Stock, MD, Richard Larson, MD and Koen vanBesien, MD described the independent prognostic impact of two commonly used biomarkers – C-reactive protein (CRP) andinterleukin(IL)-6 – on outcome following allogeneic stem cell transplantation. Using samples from patients who underwenta uniform reduced-intensity conditioning (RIC) regimen, they found that elevated CRP levels prior to allogeneic stem celltransplant were highly predictive of greater non-relapse mortality. Their results are of interest since they suggest that asimple pre-transplant blood test may be useful for predicting transplant tolerance (Artz et al, Biol Blood Marrow Transplant14:1209-1216, 2008).Genome-wide association study to identify novel loci associated with therapy-related myeloid leukemia susceptibility(Interprogrammatic). Kenan Onel, MD and colleagues, including Program 2 members Drs. Michelle Le Beau and RichardLarson and Dr. Nancy Cox (Cancer Risk and Prevention Program), examined whether the effect sizes of variants associatedwith t-AML would be greater than in sporadic cancer and whether these variants could be detected even in a modest-sizedcohort. In an association study using Affymetrix Mapping 10K arrays, they found a significant excess of associations overchance. The investigators genotyped the 10 most significantly associated single nucleotide polymorphisms (SNPs) in anindependent t-AML cohort and obtained evidence of association with t-AML for 3 SNPs in the subset of patients with loss ofchromosomes 5 or 7 or both, acquired abnormalities associated with prior exposure to alkylator chemotherapy. Their resultsdemonstrate that the effect of genetic factors contributing to cancer risk is potentiated and more readily discernable int-AML compared with sporadic cancer (Knight et al, Blood 113(22):5575-5582, 2009).Determination of outcomes for adolescents and young adults with acute lymphoblastic leukemia treated on cooperativegroup protocols (Intraprogrammatic). James Nachman, MD and co-investigators including Drs. Wendy Stock, JamesVardiman, and Richard Larson, performed a retrospective comparison of presenting features, planned treatment, complete36UCCRC SCIENTIFIC REPORT 2009* Due to space constraints, only a small representative sample of Program highlights is presented here.
emission rate, and outcome of greater than 300 adolescents and young adults with newly diagnosed acute lymphoblasticleukemia (ALL) who were treated on consecutive trials in either the Children’s Cancer Group (CCG) or the Cancer andLeukemia Group B (CALGB). While complete remission rates were identical, patients in the CCG group had significantlyhigher 7-year event-free and overall survival rates compared to those in the CALGB group. Comparison of the regimensshowed that CCG patients received earlier and more intensive central nervous system prophylaxis and higher cumulativedoses of nonmyelosuppressive agents. As a result of these findings, a prospective study for adolescents and young adultswith ALL using the more successful approach of the CCG has been initiated (Stock et al, Blood 112(5):1646-54, 2008).Selected New Funding•• The National Cancer Institute awarded Lucy Godley, MD, PhD and her colleagues R01 funding to understand themechanisms by which epigenetic alterations originate within cancer cells. Investigators are studying how expression ofthe DNMT3B gene, which encodes one of three methyltransferases, affects mouse development, methylation patterns andphenotypes of cancer cells, and DNA methylation. Results will likely provide a basis for novel diagnostic and therapeuticstrategies applicable to virtually all forms of cancer.Molecular Genetics& Hematopoiesis••••Michelle Le Beau, PhD is the primary investigator in a program project (P01), funded by the National Cancer Institute, tostudy the molecular mechanisms and genetic susceptibilities leading to therapy-related acute myeloid leukemia (t-AML)and myelodysplastic syndrome (t-MDS) that develop after cytotoxic treatment with drugs targeting topoisomerase II.The project aims to identify genetic variants that may be genetic risk factors or biomarkers for t-AML, somatic alterationsassociated with t-AML, and myeloid leukemia tumor suppressor gene(s) (TSG). These studies may lead, ultimately, to thedevelopment of individualized cancer prevention and early detection strategies, such as altered primary therapy. Coinvestigatorsinclude Drs. Richard Larson, Kenan Onel, and Theodore Karrison (Clinical and Experimental TherapeuticsProgram).Jianjun Chen, PhD has been awarded an R01 grant from the National Cancer Institute to determine the role andfunctional mechanisms of an miRNA cluster in leukemogenesis. MicroRNAs (miRNAs, miRs) are an abundant classof small non-coding RNAs that regulate diverse biological processes. Recent studies suggest that a cluster of miRNAs,the miR-17-92 polycistron located at 13q31, functions as an oncogene in various cancers. The project aims to determinewhether the miR-17-92 cluster plays an essential role in leukemogenesis and in proliferation and differentiation ofhematopoietic progenitor cells. These studies are likely to identify the critical leukemia-related targets of the miRNAsand their roles and relevant pathways in leukemogenesis.New Faculty Recruitments and UCCRC MembersJianjun Chen, PhD’s research is focused on the integrated analyses of protein-coding and non-coding genes involved in thedevelopment of leukemia and lymphoma. Dr. Chen aims to gain an improved understanding of the genetic and epigeneticalterations that occur during cancer development and in leukemia stem cells in order to identify new markers and targetsfor cancer diagnosis and treatment. An additional goal of Dr. Chen’s research is to develop a reproducible method for thederivation of transplantable hematopoietic stem cells from embryonic stem cells or induced pluripotent stem cells.Kenneth Cohen, MD research aims to understand how non-malignant host cells within cancers contribute to tumor cellgrowth, metastasis, and protection from anti-cancer therapies. Dr. Cohen’s current research seeks to identify molecularmechanisms governing interactions between pro-angiogenic bone marrow-derived cells and tumor vascular development.Sandeep Gurbuxani, MBBS, PhD is interested in the mechanisms of resistance to chemotherapy-induced cell death incancer. The focus of his current research is the mechanism of glucocorticoid induced cell death (and resistance to this celldeath) in acute lymphoblastic leukemia.UCCRC SCIENTIFIC REPORT 200937
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investigators and engineers from co
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Theme: Image-Guided TherapyCharles
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Program 6Cancer Risk and Prevention
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to prostate cancer. The work has ma
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Daniel McGehee, PhDAssociate Profes
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Sarah Gehlert, PhDProfessor of the
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Selected New Funding•• Lisa San
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Gehlert, Sarah PhD* Gehlert S, Sohm
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Olopade, Olufunmilayo MBBS* Bradbur
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Clinical Trials ActivityDr. Alessan
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The clinical trials activity of the
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Shared ResourcesDr. Vytas Bindokas
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Biostatistics Core FacilityScientif
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Other Resources and Centers
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Cancer Resource CenterThe UCCRC off
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CECOS has successfully developed an
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HighlightsThe Gwen and Jules Knapp
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Leukemia and Lymphoma Society Speci
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Institute for Genomics and Systems
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Systems Biology Approach for the St
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www.uccrc.uchicago.eduEditor: Hoyee