Defining the Mechanism of Genome Rearrangements in Ph-Like ALL to Determine Predictive Markers in High-Risk Hispanic Populations
定义 Ph 样 ALL 基因组重排机制以确定高危西班牙裔人群的预测标记
基本信息
- 批准号:10347835
- 负责人:
- 金额:$ 42.11万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-02-14 至 2027-01-31
- 项目状态:未结题
- 来源:
- 关键词:Acute Lymphocytic LeukemiaAddressAdolescent and Young AdultAdvocateAffectAutomobile DrivingB lymphoid malignancyB-Cell Acute Lymphoblastic LeukemiaB-LymphocytesBiological AssayCRISPR/Cas technologyCaliforniaCatchment AreaCellsChromosomal translocationClinicalCommunitiesComparative StudyComprehensive Cancer CenterCytokine ReceptorsCytosineDNA Double Strand BreakDNA MethylationDNA RepairDataDeaminationDiagnosisDiagnosticDiseaseDisease remissionDoxycyclineEarly DiagnosisEarly InterventionEnzyme ActivationEpigenetic ProcessEtiologyFosteringGene ExpressionGeneral PopulationGenesGeneticGenomeGenomic InstabilityGenomicsGoalsHealthHeavy-Chain ImmunoglobulinsHispanicHispanic PopulationsHumanIGH@ gene clusterIncidenceKnowledgeLatino PopulationLinkMapsMethodsMethylationMissionModificationMolecularMutationNot Hispanic or LatinoOncogenesPatientsPatternPhiladelphia ChromosomePopulationPredisposing FactorPrevalencePreventionPrevention strategyPreventive MedicineProcessPublic HealthRecurrent diseaseRegulationResearchRiskRoleSampling StudiesSiteSurvival RateTechniquesTestingTimeUnited States National Institutes of HealthWhole BloodWorkactivation-induced cytidine deaminasebasebcr-abl Fusion Proteinsbisulfite sequencingcancer health disparitycancer riskcommunity livingdigitaleffective therapyexperimental studygenome-widehealth disparityhigh riskhispanic communityhuman diseaseimprintimprovedimproved outcomeindividualized preventioninnovationlecturesmeetingsmethylation patternmortalitynovelnovel diagnosticsoverexpressionpersonalized medicinepersonalized predictionspredictive markerrelapse riskrepairedstemtreatment comparisontreatment response
项目摘要
PROJECT SUMMARY/ABSTRACT
Philadelphia chromosome-like B cell acute lymphoblastic leukemia (Ph-like ALL) is an ALL subtype that
disproportionately affects the Hispanic community and is characterized as having a poor response to therapy,
a high risk of relapse, and a peak onset in adolescents and young adults. While lacking a BCR-ABL fusion,
nearly 65% of Ph-like ALL cases carry a rearrangement in the cytokine receptor-like factor 2 (CRLF2) gene,
the most common being a chromosomal translocation with the immunoglobulin heavy chain locus (CRLF2-IgH)
resulting in overexpression of CRLF2 and low survival. One comparative study found that Ph-like ALL occurred
in 68% of Hispanics versus 23% of Whites and of those, 78% of Hispanics had disease associated with CRLF2
rearrangements compared to 22% of Whites, indicating a clear cancer disparity. The long-term goal is to
develop predictive diagnostics based upon a patient’s genetic background to address cancer disparities. The
overall objectives for this proposal are to leverage genetic and molecular expertise on the etiology of B cell
malignancies to determine the mechanism underlying CRLF2-IgH formation and determine how changing
levels of B cell-specific factors and epigenetic imprinting predispose Hispanics to this translocation and thus
Ph-like ALL. The central hypothesis is that DNA double-strand breaks (DSBs) leading to CRLF2-IgH
translocations result from a mechanism involving activation-induced cytidine deaminase (AID) and DNA
methylation and that differential regulation of these processes in Hispanics is driving the cancer disparity. The
rationale for this project stems from results showing that CRLF2 DSBs resulting in CRLF2-IgH translocations
are highly enriched in a 311 bp cluster region. DSBs within this cluster occur at motifs recognized by AID and
these motifs contain CpG sequences that are also sites of DNA methylation. Evidence shows that meCT
deamination is more detrimental that CU deamination and more likely to result in DSBs. Determining if
aberrant AID expression and changing DNA methylation patterns account for increased CRLF2-IgH formation
in Hispanics is critical in addressing the Ph-like ALL disparity and will be tested through three specific aims: 1)
Define the molecular mechanism of CRLF2-IgH formation; 2) Determine genetic and epigenetic factors
underlying Ph-like ALL disparities in Hispanics; and 3) Develop a molecular assay to detect CRLF2-IgH
translocations and compare treatment response in Hispanics and non-Hispanics. The innovative aspects of
this work are identification of a 311 bp DSB cluster associated with CRLF2 instability, application of new
molecular and genomic techniques in human cells to address the etiology of Ph-like ALL, and the use of
patient material from the UCI comprehensive cancer center that serves a large Hispanic population. This work
is significant as it will address a major cancer health disparity in the Hispanic community and develops a novel
diagnostic for early detection of new or relapsed disease while at the same time unravelling a molecular
mechanism that is not only relevant to Ph-like ALL, but also to several additional B cell malignancies.
项目总结/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Nicholas Pannunzio其他文献
Nicholas Pannunzio的其他文献
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{{ truncateString('Nicholas Pannunzio', 18)}}的其他基金
Effect of dietary, pharmacological, and genetic topoisomerase ablation on Ph-like ALL risk in Hispanics
饮食、药物和遗传拓扑异构酶消融对西班牙裔 Ph 样 ALL 风险的影响
- 批准号:
10598405 - 财政年份:2022
- 资助金额:
$ 42.11万 - 项目类别:
Defining the Mechanism of Genome Rearrangements in Ph-Like ALL to Determine Predictive Markers in High-Risk Hispanic Populations
定义 Ph 样 ALL 基因组重排机制以确定高危西班牙裔人群的预测标记
- 批准号:
10737875 - 财政年份:2022
- 资助金额:
$ 42.11万 - 项目类别:
Rapid detection of CRLF2 rearrangements in Hispanic Ph-like ALL patients to access diagnosis and relapse
快速检测西班牙裔 Ph 样 ALL 患者中的 CRLF2 重排以进行诊断和复发
- 批准号:
10598411 - 财政年份:2022
- 资助金额:
$ 42.11万 - 项目类别:
Defining the Mechanism of Genome Rearrangements in Ph-Like ALL to Determine Predictive Markers in High-Risk Hispanic Populations
定义 Ph 样 ALL 基因组重排机制以确定高危西班牙裔人群的预测标记
- 批准号:
10570932 - 财政年份:2022
- 资助金额:
$ 42.11万 - 项目类别:
Defining the Mechanism of Genome Rearrangements in Ph-Like ALL to Determine Predictive Markers in High-Risk Hispanic Populations
定义 Ph 样 ALL 基因组重排机制以确定高危西班牙裔人群的预测标记
- 批准号:
10737876 - 财政年份:2022
- 资助金额:
$ 42.11万 - 项目类别:
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