Abstract While significant progress has been made in treating many pediatric malignancies, cancer remains the leading cause of death from disease in children. A number of childhood cancer subtypes remain particularly recalcitrant to dose-intensified cytotoxic treatment suggesting that new approaches are needed. Initial optimism that massively parallel sequencing efforts would reveal imminently targetable lesions has been tempered by a major finding that pediatric cancers often have simple genomes. While a signature mutation is frequently present, the product is often considered a difficult drug target, such as an aberrant transcription factor. Thus, the hope that cancer can be treated with combinations of drugs targeting specific gene mutations is unlikely to be imminently viable for most pediatric cancers. We hypothesized that while there is a notable paucity of events in easily druggable enzymes, a small number of sentinel lesions in an otherwise quiet genome may enable the discovery of synthetic lethal relationships with these key genetic events. Thus, we are applying unbiased approaches to identify key dependencies in pediatric cancers using functional genomic screening (shRNA and CRISPR) and chemical genomic screening. The primary goal is to connect key genetic lesions or disease lineages to new gene targets or small-molecule perturbations in the highest risk subtypes of pediatric cancers. Illustrative examples of our early findings will be presented. Citation Format: Kimberly Stegmaier. New targeted approaches for high-risk pediatric malignancies. [abstract]. In: Proceedings of the AACR Special Conference on Advances in Pediatric Cancer Research: From Mechanisms and Models to Treatment and Survivorship; 2015 Nov 9-12; Fort Lauderdale, FL. Philadelphia (PA): AACR; Cancer Res 2016;76(5 Suppl):Abstract nr IA28.
Read full abstract