{"id":28439,"date":"2022-11-04T10:30:30","date_gmt":"2022-11-04T10:30:30","guid":{"rendered":"https:\/\/news.cancerresearchuk.org\/?p=24826"},"modified":"2024-11-03T15:13:13","modified_gmt":"2024-11-03T15:13:13","slug":"changes-to-chromosomes-impact-how-childrens-brain-tumours-respond-to-treatment","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/changes-to-chromosomes-impact-how-childrens-brain-tumours-respond-to-treatment\/","title":{"rendered":"Changes to chromosomes impact how children\u2019s brain tumours respond to treatment"},"content":{"rendered":"<div class=\"image hero-image\" readability=\"8\"> <img decoding=\"async\" width=\"620\" height=\"348\" src=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma.jpg\" class=\"attachment-featuredImage size-featuredImage\" alt=\"Tissue stain of medulloblastoma - which is densely cellular and discrete from other tissue\" loading=\"lazy\" srcset=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma.jpg 620w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma-300x168.jpg 300w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma-220x123.jpg 220w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma-150x84.jpg 150w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" data-attachment-id=\"24830\" data-permalink=\"https:\/\/news.cancerresearchuk.org\/2022\/11\/04\/changes-to-chromosomes-impact-how-childrens-brain-tumours-respond-to-treatment\/medulloblastoma-2\/\" data-orig-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma.jpg\" data-orig-size=\"620,348\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Medulloblastoma\" data-image-description data-image-caption data-medium-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma-300x168.jpg\" data-large-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Medulloblastoma.jpg\"><\/p>\n<p> <span class=\"image-credit\">The Armed Forces Institute of Pathology, US <\/span><\/p>\n<\/div>\n<p><span data-contrast=\"auto\">\u201cBrain tumours are amongst the most difficult-to-treat cancers,\u201d explains Professor Steve Clifford, Chair of Molecular Paediatric Oncology at the University of Newcastle. \u201cIt\u2019s especially heartbreaking when they affect children.\u201d<\/span><span data-ccp-props=\"{}\"> <\/span><\/p>\n<p><a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/childrens-cancer\/brain-tumours\/types\/medulloblastoma\"><span data-contrast=\"none\">Medulloblastoma<\/span><\/a><span data-contrast=\"auto\"> is a children\u2019s brain cancer that develops in the back of the brain, in an area called the cerebellum. <\/span><span data-ccp-props=\"{}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">This type of brain cancer can grow quickly and spread to other parts of the brain and spine. <\/span><span data-ccp-props=\"{}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Every year in the UK, around 55 children are diagnosed with medulloblastoma, and there is a pressing need for new treatments. <\/span><span data-ccp-props=\"{}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">Now, led by Professor Clifford, Cancer Research UK scientists based at Newcastle University Centre for Cancer have identified changes in chromosomes that explain why some of these childhood tumours respond better to treatment. <\/span><span data-ccp-props=\"{&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">The researchers hope that this new knowledge will help doctors to better understand the chances of survival when a child is diagnosed with medulloblastoma. The results could also help scientists design more precise and effective treatments for the condition. <\/span><span data-ccp-props=\"{}\"> <\/span><\/p>\n<blockquote class=\"center\" readability=\"8.5\">\n<div class=\"quotation-marks\" readability=\"10\">\n<p><span data-contrast=\"auto\">Knowing when, how and why these chromosome changes occur will allow us to better treat medulloblastoma, especially those types of medulloblastoma which can be less responsive to existing treatments.<\/span><\/p>\n<\/div>\n<p><cite class=\"quote-credit-no-background\"><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"> <\/span><span data-contrast=\"auto\">Professor Steve Clifford, Chair of Molecular Paediatric Oncology at the University of Newcastle<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"> <\/span><\/cite><\/p>\n<\/blockquote>\n<h2><span data-contrast=\"none\">No two tumours look the same<\/span><span data-ccp-props=\"{}\"> <\/span><\/h2>\n<div id=\"attachment_24829\" class=\"wp-caption alignright\"><img data-attachment-id=\"24829\" data-permalink=\"https:\/\/news.cancerresearchuk.org\/2022\/11\/04\/changes-to-chromosomes-impact-how-childrens-brain-tumours-respond-to-treatment\/steve-clifford\/\" data-orig-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Steve-Clifford.jpg\" data-orig-size=\"200,200\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Steve-Clifford\" data-image-description data-image-caption=\"\n\n<p>Professor Steve Clifford<\/p>\n<p> &#8221; data-medium-file=&#8221;https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Steve-Clifford.jpg&#8221; data-large-file=&#8221;https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Steve-Clifford.jpg&#8221; class=&#8221;wp-image-24829 size-full&#8221; src=&#8221;https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Steve-Clifford.jpg&#8221; alt=&#8221;Professor Steve Clifford, Chair of Molecular Paediatric Oncology at the University of Newcastle&nbsp;&#8221; width=&#8221;200&#8243; height=&#8221;200&#8243; srcset=&#8221;https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Steve-Clifford.jpg 200w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Steve-Clifford-150&#215;150.jpg 150w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/11\/Steve-Clifford-96&#215;96.jpg 96w&#8221; sizes=&#8221;(max-width: 200px) 100vw, 200px&#8221;><\/p>\n<p class=\"wp-caption-text\">Professor Steve Clifford<\/p>\n<\/div>\n<p><span data-contrast=\"auto\">Every cell in our body has more than 2 metres of DNA tightly wrapped up into little packages called chromosomes. DNA is made up of genes which contain all the instructions that tell a cell what to do.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"> <\/span><\/p>\n<p>Children\u2019s cancer often sees changes, or mutations, to DNA, including <a href=\"https:\/\/news.cancerresearchuk.org\/2021\/03\/18\/meet-the-teams-tackling-5-challenges-in-childrens-and-young-peoples-cancers\/\">whole chromosomal changes, such as aneuploidy<\/a>.<\/p>\n<p><span data-contrast=\"auto\">This is one of the biggest challenges with treating medulloblastoma. Because of the complexity of the tumour\u2019s genetic makeup, no two tumours are the same. <\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cEven within a medulloblastoma tumour, cells can have big differences in the quantity and structure of chromosomes, which affects which parts of the tumour we can target for treatment,\u201d says Clifford. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cKnowing when, how and why these chromosome changes occur will allow us to better treat medulloblastoma, especially those types of medulloblastoma which can be less responsive to existing treatments.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"> <\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">Decoding the tumours<\/span><\/h2>\n<p aria-level=\"2\"><span data-contrast=\"none\">Medulloblastoma is currently classified into different subtypes depending on how a tumour looks down a microscope, based on its molecular features. There are 4 broad groups of medulloblastoma tumour:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Wingless medulloblastoma (MB<\/span><span data-contrast=\"none\">WNT<\/span><span data-contrast=\"none\">)<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Sonic hedgehog medulloblastoma (MB<\/span><span data-contrast=\"none\">SHH<\/span><span data-contrast=\"none\">)<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Group 3 medulloblastoma (MB<\/span><span data-contrast=\"none\">Grp3<\/span><span data-contrast=\"none\">) <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Group 4 medulloblastoma (MB<\/span><span data-contrast=\"none\">Grp4<\/span><span data-contrast=\"none\">). <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">MB<\/span><span data-contrast=\"none\">WNT<\/span><span data-contrast=\"none\"> tumours are more likely to respond to treatment compared to the other subtypes, but the exact reasons why there is a such a variation in treatment response is not yet well understood.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">So Clifford and his team analysed 14 tumours across the 4 subtypes of medulloblastoma. \u201cThe sequencing tools available to us now allow us to see, in much greater detail, the driving forces behind the different types of medulloblastoma at the single-cell level,\u201d says Clifford.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">They isolated large <\/span><span data-contrast=\"none\">numbers <\/span><span data-contrast=\"none\">of cell nuclei from the tumour, where the genetic code (chromosomes) of each individual cell are stored, and decoded them one by one to find out how cells within the tumour differed.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">The team discovered that subtypes of medulloblastoma with the highest survival rates typically had tumours with genetically identical cancer cells. On the other hand, tumours with 3 or 4 genetically different types of cancer cell were only found in subtypes of medulloblastoma with the lowest survival rates. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<h2 aria-level=\"2\"><span data-contrast=\"none\">Digging into the details<\/span><span data-ccp-props=\"{&quot;134245418&quot;:true,&quot;335559738&quot;:40,&quot;335559739&quot;:0}\"> <\/span><\/h2>\n<p aria-level=\"2\"><span data-contrast=\"none\">When the team examined the tumours with 3 or 4 variations of cancer cells in them, they found that the cells had gained and lost chromosomes over time, giving them different sets of genes, which could help tumours evade treatment.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">The scientists made another remarkable discovery when they investigated the unique mutations that are currently used to diagnose subtypes of medulloblastoma. No matter how many other chromosomal changes had taken place, every cell they looked at within individual tumours had kept identical copies of these identifying mutations. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><span data-contrast=\"auto\">This finding suggests that these \u2018driver\u2019 mutations are required for medulloblastoma tumours to start and keep growing, and could reduce the need for multiple biopsies to assess the tumour\u2019s composition. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<blockquote class=\"center\" readability=\"8.5\">\n<div class=\"quotation-marks\" readability=\"10\">\n<p><span data-contrast=\"none\">The more we learn about how these tumours grow, the better we can detect and treat them. This new knowledge about the evolutionary paths of different types of medulloblastoma will pave the way for further research and could ultimately lead to new treatments.<\/span><\/p>\n<\/div>\n<p><cite class=\"quote-credit-no-background\"><span data-contrast=\"none\">Dr Laura Danielson, Children and Young People\u2019s Research Lead at Cancer Research UK<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/cite><\/p>\n<\/blockquote>\n<p><span data-contrast=\"none\">While this study is a great step in the right direction, further research is required to find out exactly which genes are duplicated or lost when these genetically different types of cell emerge. But scientists hope that this important information will enable them to better understand the patient\u2019s chances of survival when they are diagnosed with medulloblastoma. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">\u201cWe are now at the stage where we can clearly see what changes cause medulloblastoma to emerge in the first place, and the paths it can go down that determine how aggressive it is likely to be,\u201d says Clifford. \u201cWe hope that these findings will give doctors and scientists the information they need to develop more precise and effective treatments for the different types of medulloblastoma.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\"> <\/span><\/p>\n<p><em>Lilly<\/em><\/p>\n<p><h3 class=\"panel-title\">More on this topic<\/h3>\n<\/p>\n<p><a href=\"https:\/\/news.cancerresearchuk.org\/2022\/11\/04\/changes-to-chromosomes-impact-how-childrens-brain-tumours-respond-to-treatment\/\">Source<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Armed Forces Institute of Pathology, US \u201cBrain tumours are amongst the most difficult-to-treat cancers,\u201d explains Professor Steve Clifford, Chair of Molecular Paediatric Oncology at the University of Newcastle. \u201cIt\u2019s especially heartbreaking when they affect children.\u201d Medulloblastoma is a children\u2019s brain cancer that develops in the back of the brain, in an area called the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-28439","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/28439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=28439"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/28439\/revisions"}],"predecessor-version":[{"id":44813,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/28439\/revisions\/44813"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=28439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=28439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=28439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}