Our immune cells help us fight injections, for example, the flu. Our immune cells also help our bodies fight cancer cells. Famous studies by Drs. Allison and Honjo, where they did experiments by injecting cancer cells into mice to study how the immune system fights cancer discovered “ways” cancer cells use to hide from immune cells. Those discoveries were then used to make drugs that “wake-up” the immune system; those drugs are known as immunotherapies. But these drugs don’t work for all patients. This means there are other “ways” cancer cells hide from our immune system. Our goal is to discover these other ways, but not by using cancer cells. Instead, we are doing experiments using unique and special cells that are not cancer yet, but on their way to becoming cancer. We call them “pre-malignant” cells (pre-malignant = pre-cancer). By using these unusual and novel cells, we want to discover new ways that cancer cells use to escape from the immune system and to make drugs that reverse this, so we can develop the next generation of immunotherapies.
Funded by the Dick Vitale Pediatric Cancer Research Fund
Patients with Li-Fraumeni Syndrome (LFS) are almost guaranteed to develop cancer in their lifetime. This includes a diagnosis of cancer in up to one in five children with LFS. Cancer screening can detect cancers when they are smaller and may respond better to treatment. This screening includes scans and physical exams. We know that screening people with LFS for cancer means that they, on average, live longer. However, screening is also stressful and difficult for children and their parents. Screening can also lead to things like biopsies that were not needed.
Blood tests to detect cancer earlier, called liquid biopsies, can find cancer early, before someone is showing symptoms. This blood test could let us find cancer earlier in LFS. This blood test may also be better than a scan alone in finding a new cancer. This is especially important in children with LFS, who have a lot of stress and anxiety with cancer screening. We will study this blood test in a large national trial to understand if it can pick up cancer earlier in people with LFS. It is important that children are included in this study because they have very high cancer risk. Before this trial can occur, we will conduct a smaller study of this blood test in children. This will make sure that we can do a larger study without a lot of stress or cost to people participating.
Funded by the Dick Vitale Pediatric Cancer Research Fund and the Stuart Scott Memorial Cancer Research Fund
Our overarching goal is to develop new therapies for T-cell acute lymphoblastic leukemia (T-ALL). T-ALL is a particularly aggressive pediatric blood cancer. In the past, researchers tried to target T-ALL with immunotherapies known as CAR T-cells, or CARTs. However, these approaches were usually unsuccessful. This is because surface markers used to label cancer cells are also found on CAR T cells themselves. This causes CARTs to commit “fratricide”. Thus, there is an urgent need to find targets that are unique to cancerous T-cells. Our research has identified one such target called P2RX5. P2RX5 is often thought to be inactive in humans because of widespread inherited mutations. However, we determined that the active version of this gene is still common in people of African and, to a lesser extent, Hispanic origins. What makes it particularly attractive is that CARTs don’t make P2RX5, but high-risk T-ALL cells do. Encouraged by these findings, we created an antibody that can latch onto P2RX5-making cells. We then converted this antibody into CARTs, dubbing them “CART-X5”. Early results showed that CART-X5s can kill cancer cells without harming themselves. Our current plan is to test this approach in mice with leukemia. We see this work as a first step towards clinical trials in humans. While CART-X5 could work only in patients of certain ancestries, the very same patients have far less access to immunotherapy. Bringing CART-X5 to the clinic would reduce these disparities.
Basal-like breast cancer is one of the most dangerous types of breast cancer. It is hard to treat because many cancer drugs do not work well against it. This cancer is common in people who inherit certain harmful gene changes, but it can also affect people with no family history of the disease. Today, treatment often includes chemotherapy or surgery to remove breast tissue. These options can be difficult for patients and do not always stop the cancer. Better ways to prevent and treat this disease are needed.Our research looks at the early changes that happen before this cancer forms. We created special mouse models to study how the disease begins. Using these models, we found an early change called chromatin priming. During this step, normal breast cells start to act differently and become more likely to turn into cancer cells. Changes in the way DNA is packed inside cells make it easier for genes linked to cancer to switch on. We also found that the same genes are active in both inherited and non-inherited forms of basal-like breast cancer. This means the two forms of the disease may start in similar ways.Our next goal is to learn what causes these early changes and how they lead to cancer. If we can block these changes, we may be able to stop tumors from growing. This work could lead to better treatments and better outcomes for patients.
Melanoma is the deadliest type of skin cancer, and cases continue to rise. New treatments, especially drugs that turn on the immune system, have helped many patients. Still, nearly half of patients do not respond. Even when treatment works at first, the tumors often come back.Our research focuses on melanoma with mutations in the NRAS gene, which is found in about one-third of patients. Until recently, there were few treatments for these tumors. New drugs that target this faulty gene work, but a small number of cancer cells survive. We are studying why these cells survive and how to eradicate them.We have found an “Achilles’ heel” in the surviving cells. We also noticed that these cells change in ways that make them more visible to the immune system. To study them, we use laboratory models that mimic patient tumors. In these models, we follow the cells that escape treatment and study how they stay alive. We then test combinations of drugs already used in patients to see how well they can kill the resistant cells and stop the tumors from coming back.Our goal is to make targeted therapy and immunotherapy work better. We also want to make treatments either fully remove tumors or keep them away for as long as possible. By going after the cells that survive treatment, we hope to improve outcomes for people with melanoma. Although we focus on melanoma, some of our findings could also help improve treatment for other types of cancer.
Cancer treatments that use the power of the human immune system have greatly improved survival for many cancer patients around the world. However, these treatments have not helped most people with breast cancer. One reason is that the environment inside breast tumors is very harsh. Because of this, the body’s normal white blood cells have trouble surviving and working properly in these tumors. As a result, the immune system cannot fight the cancer as well as it should. There is a critical need to find treatments that can change these conditions and allow the immune system to do its job. Our research has found a new way to do this. Our approach slows the growth of breast cancer, increases the activity of helpful immune cells, and reduces the activity of harmful immune cells. In this project, we will study how this process works in more detail. We will also test whether our approach works even better when combined with newer breast cancer treatments. Our goal is to learn how to use this strategy to improve treatment for patients. We believe our findings could quickly help guide new ways to treat breast cancer and, in the long run, improve the survival of breast cancer patients, including those with metastatic disease.
Funded with support from Calhoun Associates
Abeloff V Scholar * (Tie for Top Rank)
Acute myeloid leukemia is an aggressive blood cancer. It affects thousands of people every year and often returns even after the newest targeted drugs. We have learned that, instead of dying, some cancer cells can “change their identity” to become a new blood cell type. These cells are called monocytes and they are able to escape therapy. This switch is like a costume change in a play: when the spotlight of treatment is on them, cancer cells put on a monocyte costume to hide. Later, when treatment eases, they can take off the disguise and return as cancer cells. We will test if these monocytes can turn back into cancer cells and cause disease to come back. We want to know how these cell changes happen and what helps them survive therapy. To answer these questions, we use new models that mimic patients’ cancer. We track how cancer cells looking at cell identity and genetic mutations. We also test new ways to block survival strategies, such as stopping the cells from becoming monocytes, in hopes of making current treatments work better and longer. By understanding and blocking the ways cancer escapes treatment, our goal is to develop strategies that keep patients in remission and improve survival.
Melanoma is the deadliest type of skin cancer because it can spread from the skin to organs like the lungs and liver. This spreading, called metastasis, can cause organ failure and is the main reason people die from melanoma. Some melanoma cells can hide in these organs in a quiet or dormant state for decades. While dormant, the cancer is not growing and cannot be found or treated. Later, these hidden cells can wake up, grow quickly, and form deadly tumors. Current treatments, including immunotherapy (which helps the body’s immune system fight cancer), often fail once melanoma returns.Most research uses young mice to study how melanoma spreads and to test treatments. But melanoma mostly affects older adults. The average age of diagnosis is 65 years-old. This mismatch means many treatments may not reflect how melanoma acts in older patients, which makes up most of the melanoma cases.Our research shows that age plays a key role in melanoma spreading. In young mice, melanoma cells that reach the lungs and liver often stay dormant. In older mice, the same cells wake up and form aggressive tumors. We show that this happens because the immune system gets weaker with age. We found that aging raises certain proteins that block the immune system from stopping cancer. Increasing these proteins in young mice causes cells to wake up and promotes aggressive cancer.This project will test if blocking these proteins can stop melanoma from coming back, spreading, and help current treatments work better.
Funded by the Dick Vitale Pediatric Cancer Research Fund
Pediatric cancer patients have greatly benefited from CAR-T cell therapy, which is a treatment that uses a child’s own T cells – a type of immune cell – to find and kill cancer. This approach has helped many children with blood cancers, but fewer than half stay cancer-free after one year. One reason for this is that sometimes CAR-T cells don’t survive long enough in the body to stop the cancer from returning. To fix this issue, we are trying to develop ways to make CAR-T cells act more like marathon runners that stay in the fight instead of sprinters that slow down too soon.My research focuses on the bone marrow, which is the part of the body where some blood cancers hide and where CAR-T cells go to fight them. We’ve found that the bone marrow sends out special signals that affect how well CAR-T cells survive. In this project, we will study those signals and use what we learn to create longer-lasting CAR-T cells. This work could ultimately make CAR-T therapies work better for kids and adults and inform other approaches to help these powerful immune cells stay active longer.
Funded in partnership with WWE in honor of Connor’s Cure
Supratentorial ependymoma is a rare but serious brain tumor that mostly affects children. Right now, the main treatments are surgery and radiation, but these are not always enough. Our research team is working to understand this cancer better by creating models of the tumor using samples from patients and mice. These models help us find what makes this tumor different from healthy brain cells. We’ve discovered that ST-EPN tumor cells have special dependency for their survival and growth, and we’re testing new avenue to stop the tumor from growing without harming normal cells. We also found that these tumor cells can steal more nutrients than healthy brain cells, which helps them grow faster. By using approved drugs to block this process, we hope to cut off the tumor’s energy supply. By studying real patient tumors and using mouse models, our goal is to find new and better treatments. In the future, this research could help doctors treat children with ST-EPN more safely and effectively.
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