998 results match your criteria: "Texas Children's Cancer Center[Affiliation]"

DNA damage response (DNADR) recognition and repair (DDR) pathways affect carcinogenesis and therapy responsiveness in cancers, including leukemia. We measured protein expression levels of 16 DNADR and DDR proteins using the Reverse Phase Protein Array methodology in acute myeloid (AML) ( = 1310), T-cell acute lymphoblastic leukemia (T-ALL) ( = 361) and chronic lymphocytic leukemia (CLL) ( = 795) cases. Clustering analysis identified five protein expression clusters; three were unique compared to normal CD34+ cells.

View Article and Find Full Text PDF

Background: To determine outcomes of children with rhabdomyosarcoma (RMS) with isolated lung metastases.

Methods: Data were analyzed for 428 patients with metastatic RMS treated on COG protocols. Categorical variables were compared using Chi-square or Fisher's exact tests.

View Article and Find Full Text PDF

Background: Gangliogliomas (GGs) are rare tumors of the central nervous system composed of neoplastic neural and glial cells and are typically low-grade. Intramedullary spinal anaplastic GGs (AGG) are rare, poorly understood, and often aggressive tumors that can result in widespread progression along the craniospinal axis. Due to the rarity of these tumors, data are lacking to guide clinical and pathologic diagnosis and standard of care treatment.

View Article and Find Full Text PDF

Background & Aims: Hepatocytic cells found during prenatal development have unique features compared to their adult counterparts, and are believed to be the precursors of pediatric hepatoblastoma. The cell-surface phenotype of hepatoblasts and hepatoblastoma cell lines was evaluated to discover new markers of these cells and gain insight into the development of hepatocytic cells and the phenotypes and origins of hepatoblastoma.

Methods: Human midgestation livers and four pediatric hepatoblastoma cell lines were screened using flow cytometry.

View Article and Find Full Text PDF

Survival of pediatric AML remains poor despite maximized myelosuppressive therapy. The (PJP)-treating medication atovaquone (AQ) suppresses oxidative phosphorylation (OXPHOS) and reduces AML burden in patient-derived xenograft (PDX) mouse models, making it an ideal concomitant AML therapy. Poor palatability and limited product formulations have historically limited routine use of AQ in pediatric AML patients.

View Article and Find Full Text PDF
Article Synopsis
  • This study examines the management of pediatric craniopharyngioma by comparing outcomes of gross-total resection (GTR) and partial resection followed by radiotherapy (PR+RT).
  • Researchers evaluated intellectual functioning, adaptive behavior, and quality-of-life (QOL) in 43 patients over a 10-year period after treatment.
  • Results showed that while both treatment groups had similar QOL and intellectual scores, GTR patients demonstrated significant improvements in adaptive behavior and conceptual skills compared to those receiving PR+RT.
View Article and Find Full Text PDF

Background And Objectives: The impact upon wound healing of targeted molecular therapies, when incorporated into neoadjuvant therapy of soft tissue sarcoma, is largely unknown. Here, we describe wound complications following addition of pazopanib, a tyrosine kinase inhibitor (TKI), to neoadjuvant radiotherapy (RT) +/- chemotherapy for soft tissue sarcoma.

Methods: Wound complications were evaluated on dose-finding and randomized arms of ARST1321, a phase II/III study incorporating neoadjuvant RT, +/- pazopanib, +/- ifosfamide/doxorubicin (ID) for sarcoma therapy.

View Article and Find Full Text PDF

Telomere length maintenance is crucial to cancer cell immortality. Up to 15% of cancers utilize a telomerase-independent, recombination-based mechanism termed alternative lengthening of telomeres (ALT). The primary ALT biomarker is the C-circle, a type of circular DNA with extrachromosomal telomere repeats (cECTRs).

View Article and Find Full Text PDF

Children with Down syndrome (DS) are at a significantly higher risk of developing acute myeloid leukemia, also termed myeloid leukemia associated with DS (ML-DS). In contrast to the highly favorable prognosis of primary ML-DS, the limited data that are available for children who relapse or who have refractory ML-DS (r/r ML-DS) suggest a dismal prognosis. There are few clinical trials and no standardized treatment approach for this population.

View Article and Find Full Text PDF

Purpose: Novel biomarkers are needed to differentiate outcomes in intermediate-risk rhabdomyosarcoma (IR RMS). We sought to evaluate strategies for identifying circulating tumor DNA (ctDNA) in IR RMS and to determine whether ctDNA detection before therapy is associated with outcome.

Patients And Methods: Pretreatment serum and tumor samples were available from 124 patients with newly diagnosed IR RMS from the Children's Oncology Group biorepository, including 75 patients with fusion-negative rhabdomyosarcoma (FN-RMS) and 49 with fusion-positive rhabdomyosarcoma (FP-RMS) disease.

View Article and Find Full Text PDF

Accurate assessment of treatment response and residual disease is indispensable for the evaluation of cancer treatment efficacy. However, performing tissue biopsies for longitudinal follow-up poses a major challenge in the management of solid tumours like neuroblastoma. In the present study, we evaluated whether circulating miRNAs are suitable to monitor neuroblastoma tumour burden and whether treatment-induced changes of miRNA abundance in the tumour are detectable in serum.

View Article and Find Full Text PDF

Advances in the clinical management of high-risk Wilms tumors.

Pediatr Blood Cancer

March 2023

Pediatric Oncology Unit, Department of Medical Oncology and Hematology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Article Synopsis
  • The majority of patients with Wilms tumors (WT) have excellent outcomes, but certain high-risk subgroups have survival rates of around 50% or lower.
  • The classification of high-risk WT has evolved due to improvements in treatment, now including various types of metastatic tumors and those with multiple relapses.
  • There is an urgent need for research into new active treatments for high-risk WT patients, especially in low-resource settings where socio-economic factors can further impact survival rates.
View Article and Find Full Text PDF

Overexpression of Lin28 is detected in various cancers with involvement in the self-renewal process and cancer stem cell generation. In the present study, we evaluated how the Lin28 axis plays an immune-protective role for tumor-initiating cancer cells in hepatocellular carcinoma (HCC). Our result using HCC patient samples showed a positive correlation between indoleamine 2,3-dioxygenase-1 (IDO1), a kynurenine-producing enzyme with effects on tumor immune escape, and Lin28B.

View Article and Find Full Text PDF

With increased use of genomic testing in cancer research and clinical care, it is important to understand the perspectives and decision-making preferences of adolescents and young adults (AYAs) with cancer and their treating oncologists. We conducted an interview substudy of the BASIC3 Study, which enrolled newly diagnosed cancer patients <18 years of age with assent. Of 32 young adults (YAs) with cancer who reached the age of majority (AOM; 18 years) while on study, 12 were successfully approached and all consented to study continuation at AOM.

View Article and Find Full Text PDF
Article Synopsis
  • Pediatric genomic sequencing (GS) can impact the health of both children and families, highlighting the need for an understanding of caregivers' perspectives on its utility.
  • This study involved semi-structured interviews with 41 caregivers to identify factors influencing their decisions to pursue GS for their pediatric patients, focusing on family-level issues.
  • The analysis revealed four key domains affecting caregivers' decision-making: underlying values, perceived benefits, perceived risks, and practical considerations, which can enhance future assessments of pediatric GS's value to families.
View Article and Find Full Text PDF
Article Synopsis
  • - CIViC is a public, crowd-sourced database that compiles peer-reviewed research on the clinical significance of cancer variants to aid in cancer management.
  • - It offers structured data in real-time to facilitate global access and is designed to keep up with evolving variant interpretation guidelines and enhance collaboration with other resources.
  • - The platform has successfully expanded to include new Evidence Types related to cancer variants and now features contributions from over 300 experts, covering more than 3200 variants across 470 genes from over 3100 published studies.
View Article and Find Full Text PDF
Article Synopsis
  • Rhabdomyosarcoma (RMS) is a serious type of cancer affecting primarily kids and young adults, and predicting its mutations at diagnosis is challenging, leading researchers to explore convolutional neural networks (CNN) for better classification and outcome prediction.
  • Data from 321 RMS patients were used to train CNNs on histologic images, revealing that the models successfully classified high-risk RMS subtypes and identified mutations linked to survival rates.
  • The study found that CNNs outperformed traditional methods for predicting event-free and overall survival in RMS patients, suggesting their potential for improving diagnostic and prognostic strategies in future clinical trials.
View Article and Find Full Text PDF

Epigenetic Alterations of Repeated Relapses in Patient-matched Childhood Ependymomas.

Nat Commun

November 2022

Pre-clinical Neuro-oncology Research Program, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, 77030, USA.

Article Synopsis
  • Pediatric ependymoma (EPN) frequently recurs, with a study tracking 30 patients showing they experienced an average of 3.67 relapses over 13 years.
  • The research identified stable molecular subtypes and significant patterns in DNA methylation that change during relapses, highlighting specific genes that are differentially expressed and might play a role in the disease's progression.
  • Findings include potential biomarkers for predicting relapses found in primary tumors, along with a detailed epigenetic profile to support future studies on EPN biology and treatment approaches.
View Article and Find Full Text PDF