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Bibliografia
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Keywords
MEDULLOBLASTOMA, MOLECULAR PATHWAYS, SONIC HEDGEHOG, WNT, B-CATENIN, NEOPLASTIC STEM CELLS, ANIMAL MODELS, THERAPY

Medilloblastoma: molecular pathways of neoplastic development and progression to identify novel therapeutic approaches

Università degli Studi di Roma "La Sapienza"
Abstract
Several genetic and epigenetic changes are described in MB, which affect signaling pathways involved in specific developmental steps and may be responsible for tumorigenesis. A major deregulated pathway in MB is the Sonic hedgehog (SHH) pathway. The SHH pathway promotes the proliferation of cerebellar granule progenitors. The WNT pathway is also involved and mutations of WNT proteins have been reported in MB. ). In the intercalation of WNT and EGFR networks activates several pathways that are thought to contribute to radiation resistance and enhanced proliferation. Less is known about the role of Notch. Insights for MB tumorigenesis arise also from animal models. The gene expression profiles of murine tumors from mutations in different pathways shared a common gene expression patterns presumed to be tumor specific. Complex interconnections between the different pathways are emerging and suggest that dysregulation of different pathways may cooperate in the pathogenesis of MB. A important result of these studies is that such pathways may represent potential therapeutic targets for novel treatments for MB. There is evidence that the molecular mechanisms promoting tumour growth and those regulating tumor angiogenesis are correlated. A variety of angiogenic factors have been implicated, individually and together, in the neo-angiogenesis of MB. The VEGF has an autocrine activity on the neoplastic cells and is not only a relevant factor for tumour cell proliferation, but it is also >>>

Principal Investigator
Felice Giangaspero Università degli Studi di ROMA "La Sapienza"
Research Objectives
The present research program is composed of four Research Units (RU) whose single projects will focus on different biologic aspects involved in the tumorigenesis of medulloblastoma (MB) in the effort to open new therapeutic roads to improve further the outcome for children affected by this tumor. Un important goal of the whole program is to create a network which will help the investigators to collect a relative high number of new cases of MB and to shear research tools as cell lines, murine models and, when obtained, cancer stem cells.
The principal objectives are the following:
•To evaluate the molecular pathways of SHH and NOTCH involved in MB tumorigenesis. Complex interconnections between the different pathways involved in MB tumorigenesis are emerging and all togheter suggest that dysregulation of different pathways may cooperate in the pathogenesis of MB.
•To evaluate the role of WNT pathway in ionizing radiation response and the molecular cross-talk between beta-catenin, p53 and signal transduction pathways turned on by EGFR in human MB cell lines.
•To understand the possible relationship between b-catenin (generally the WNT pathway) and the outocrine effect of VEGF in MB cell line. Assuming that the success of an oncologic therapeutic approach will depend upon a multiple and concurrent attacks to all those mechanisms promoting and sustaining tumour cell growth, it can hypothesized that those agents regulating the neoplastic >>>

Timescale
24 months
National and international background
Medulloblastoma (MB) is the most common malignant brain tumor of childhood. Current treatment includes maximal surgical resection, whole neuroaxis irradiation, and chemotherapy. Cure rate is approximately 40% in children with metastatic/unresectable MB, and 65% in patients with average risk disease. In addition, treatment-related morbidity can be devastating in children, who may suffer severe long-term physical and cognitive deficits (1). Although the survival has improved considerably within the past two decades, however, patients with similar neoplasms and receiving identical therapies, can have widely disparate clinical outcome (1). It would be advantageous to tailor specific therapies to individual lesions so that patients are not over or under treated. Clinical, histological, and molecular factors have been proposed for such MB stratification (2) . Moreover the basic mechanisms of tumor progression which can explain the variable biologic behavior of such neoplasm is only beginning to emerge.
Most MB are thought to originates from transformed granule cell precursor (GCP) of the cerebellum (although some may arise from neuronal precursors cells in the subventricular zone). Several genetic and epigenetic changes are described in MB, which affect signaling pathways involved in specific developmental steps and may be responsible for tumorigenesis (3,4,5,6). A major deregulated pathway in MB is represented by the Sonic hedgehog (SHH) signaling pathway. Germline >>>