학술논문

Current state of pediatric sarcoma biology and opportunities for future discovery: A report from the sarcoma translational research workshop
Document Type
article
Source
Cancer Genetics. 209(5)
Subject
Orphan Drug
Rare Diseases
Pediatric Cancer
Pediatric
Pediatric Research Initiative
Cancer
Animals
Clinical Protocols
Drug Evaluation
Preclinical
Epigenomics
Genomics
Germ-Line Mutation
Humans
Precision Medicine
Recurrence
Sarcoma
Translational Research
Biomedical
Xenograft Model Antitumor Assays
Pediatric sarcoma
genomics
molecular profiling
patient derived xenografts
precision medicine
sarcoma biology
Oncology and Carcinogenesis
Oncology & Carcinogenesis
Language
Abstract
Sarcomas are a rare subgroup of pediatric cancers comprised of a variety of bone and soft-tissue tumors. While significant advances have been made in improving outcomes of patients with localized pediatric sarcomas since the addition of systemic chemotherapy to local control many decades ago, outcomes for patients with metastatic and relapsed sarcoma remain poor with few novel therapeutics identified to date. With the advent of new technologies to study cancer genomes, transcriptomes and epigenomes, our understanding of sarcoma biology has improved tremendously in a relatively short period of time. However, much remains to be accomplished in this arena especially with regard to translating all of this new knowledge to the bedside. To this end, a meeting was convened in Philadelphia, PA, on April 18, 2015 sponsored by the QuadW foundation, Children's Oncology Group and CureSearch for Children's Cancer that brought together sarcoma clinicians and scientists from North America to review the current state of pediatric sarcoma biology and ongoing/planned genomics based clinical trials in an effort to identify and bridge knowledge gaps that continue to exist at present. At the conclusion of the workshop, three key objectives that would significantly further our understanding of sarcoma were identified and a proposal was put forward to develop an all-encompassing pediatric sarcoma biology protocol that would address these specific needs. This review summarizes the proceedings of the workshop.