Cancer Genome and Epigenetics Program Archives - Sanford Burnham Prebys
Institute News

Theo Tzaridis named 2024 recipient of Eric Dudl Endowed Scholarship

AuthorGreg Calhoun
Date

February 6, 2025

Tzaridis, a postdoctoral fellow at Sanford Burnham Prebys, received the honor in recognition of his achievements in research on pediatric brain cancer

Theo Tzaridis, MD, was named the 2024 recipient of The Eric Dudl Endowed Scholarship at Sanford Burnham Prebys.

The scholarship fund was established at the institute to remember Eric Dudl, a postdoctoral researcher whose life was tragically cut short by cancer at the age of 33. Since 2007, 17 postdoctoral scientists have received support for their research from the endowed scholarship fund.

Tzaridis is a postdoctoral fellow in the lab of Peter Adams, PhD, director of the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys. He studies ways to enhance immunotherapy for diffuse intrinsic pontine glioma (DIPG), the deadliest brain tumor in children.

Tzaridis found that targeting a checkpoint molecule called CD155 leads to an enhanced immune response and tumor control. He presented the work at the annual American Association for Cancer Research conference. There he established a collaboration with a company that produces the only available antibody against CD155, enabling Tzaridis to continue his research by testing the antibody’s potential efficacy for treating DIPG in order to pave the way for a clinical trial to improve survival for patients.

David Brenner, Kevin Yip, Theo Tzaridis, the Dudls and Peter Adams

David Brenner, MD, Kevin Yip, PhD, and Peter Adams, PhD, with Robert James and Barbara Dudl and scholarship recipient Theo Tzaridis, MD.

Eric Dudl

The Eric Dudl Endowed Scholarship at Sanford Burnham Prebys was established at the institute to remember Eric, a postdoctoral researcher whose life was tragically cut short by cancer at the age of 33.

Tzaridis has garnered recognition and extramural funding throughout his career as a physician-scientist, including the 2023 Lenka Finci and Erna Viterbi Fishman Fund Award from Sanford Burnham Prebys and the best oral presentation from the American Association of Immunologists during the 2024 La Jolla Immunology Conference. His career goal is to advance research findings into clinical trials that benefit patients, including trials regarding the effective use of immunotherapy as a treatment for brain cancer.

“I’m truly grateful for the support of The Eric Dudl Endowed Scholarship,” said Tzaridis. “Eric’s inspiring legacy as an immensely dedicated postdoctoral cancer researcher lives on through the important work the scholarship helps fund.”

“Theo is an outstanding physician and a superb scientist,” said Adams. “I have no doubt that he will advance the science of brain cancer while also contributing to meaningful improvements for patients and their families.” 

For more information on setting up a scholarship or to learn more about our philanthropy program, please contact giving@sbpdiscovery.org.

Institute News

A monster, MASH

AuthorGreg Calhoun
Date

January 28, 2025

Scientists show how the advanced form of fatty liver disease has monstrous effects on liver cancer risk

Liver cancer has proven to be a tough beast to tame. Experts expected rates of the cancer to decrease following the development of the hepatitis B vaccine in the 1980s, which reduced one of the major risk factors for the disease.

Research in Taiwan showed that its universal infant hepatitis B vaccination program led to young adults experiencing a 35.9% reduction in cases of hepatocellular carcinoma (HCC), the most common liver cancer.

Despite innovation leading to the world’s first cancer-preventing vaccine, incidence of HCC has been on the rise due to a spike in fatty liver disease over recent decades. Lifestyle factors such as high-calorie diets, excessive alcohol consumption and minimal exercise — along with genetic predispositions — can lead to problematic changes in the liver, heart and kidneys.

Specifically in the liver, growing deposits of fat in the tissue can lead over time to an advanced form of fatty liver disease marked by chronic inflammation and the accumulation of thickened scar tissue, a condition known as metabolic-associated steatohepatitis (MASH). MASH significantly increases a patient’s risk of developing HCC.

Debanjan Dhar, PhD, headshot outside

Debanjan Dhar, PhD, is an associate professor in the Cancer Genome and Epigenetics Program.

In a paper published January 1, 2025, in Nature, scientists at Sanford Burnham Prebys, the University of California San Diego, Curtin University, the University of Pennsylvania and The Liver Cancer Collaborative, demonstrated that MASH damages the DNA of liver cells. The study also linked these changes to the development of liver cancer.

Peter Adams profile photo in lab

Peter Adams, PhD, is the director of the Cancer Genome and Epigenetics Program.

“DNA damage from MASH causes liver cells to stop dividing and enter a zombie-like state called senescence,” said Debanjan Dhar, PhD, associate professor in the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys and coauthor on the study. “This study’s results demonstrate that some of these cells later exit senescence and are likely to become cancerous due to their accumulation of damage and mutations.”

“In the future, we can apply what we’ve learned to study potential opportunities to prevent or repair DNA damage from MASH to reduce patients’ risk of developing liver cancer,” said Peter Adams, PhD, director of the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys and coauthor on the study.


Michael Karin, PhD, Distinguished Professor in the Department of Pharmacology at the University of California San Diego School of Medicine, is the senior and corresponding author on the study.   

Li Gu, PhD, a former postdoctoral fellow in the Karin lab, shares first authorship of the study with visiting scientist Yahui Zhu. 

Additional authors include:

  • Marcos Teneche and Souradipta Ganguly from Sanford Burnham Prebys
  • Shuvro Nandi, Maiya Lee, Kosuke Watari, Breanna Bareng, Masafumi Ohira, Yuxiao Liu, Sadatsugu Sakane, Mojgan Hosseini, Tatiana Kisseleva, Ludmil Alexandrov, Consuelo Sauceda and David Gonzalez from the University of California San Diego
  • Rodrigo Carlessi and Janina Tirnitz-Parker from Curtin Universit
  • The Liver Cancer Collaborative
  • M. Celeste Simon from the University of Pennsylvania
Institute News

Bile may be key to immunotherapy effectiveness in liver cancer

AuthorGreg Calhoun
Date

January 17, 2025

Understanding the crucial ingredient in bile may unlock the potential of treatments that help patients’ immune systems eliminate cancer

Hepatocellular carcinoma (HCC) is the most common liver cancer and a growing threat to public health across the globe due to the rising rate of fatty liver disease.

Liver cancer is difficult to treat as it often causes few if any symptoms early on, so it tends to be diagnosed at later, more aggressive stages. While immunotherapies that supercharge patients’ immune systems have proven effective in some cancers, this approach has had limited success in patients suffering from HCC or other forms of the disease.

Scientists are investigating the unique qualities of different tissues that may explain why the effectiveness of immunotherapy varies depending on the location of a tumor. The liver is known to have a flexible immune system capable of defending itself when necessary while not overreacting to a constant flood of foreign materials from digesting food, including metabolic byproducts from bacteria residing in the gut microbiome.

Transplant surgeons see the unique properties of the liver’s immune system firsthand when transplanted livers are typically integrated by recipients with only a low dose of immunosuppressive drugs. This ability to maintain immune tolerance, however, may reduce the ability of the liver’s immune system to find and destroy cancer cells, even when that capability is enhanced by immunotherapy.

In a paper published January 9, 2025, in Science, scientists at Sanford Burnham Prebys, the Salk Institute, the University of California San Diego, Columbia University Irving Medical Center, Memorial Sloan Kettering Cancer Center and the Geisel School of Medicine at Dartmouth, found that a critical ingredient in bile hinders the liver’s immune response against cancer.

Bile is a fluid made by the liver that assists in breaking down fats during digestion. This function is made possible by steroidal acids known as bile acids. The scientists found an increased amount of bile acids in tumor samples from patients with HCC. The team also found that genes involved in creating bile acids were being transcribed to make proteins and enzymes at an abnormally high rate in human samples and in mice genetically modified to develop liver cancer.

The authors went on to remove genes related to bile acid construction to demonstrate that mice without these blueprints developed fewer, smaller tumors. In addition, the liver’s T cells — the primary anti-tumor immune cells — were able to dig deeper into tumors and persist for longer without the immunosuppressive effects of certain bile acids.

“These findings underscore a new appreciation for the influence of bile acids on the liver’s immune system,” said Debanjan Dhar, PhD, associate professor in the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys and coauthor on the study. More research is needed to test the potential use of drugs to directly inhibit certain bile acids or bile acid receptors as a therapeutic strategy to reduce liver cancer growth.

Debanjan Dhar, PhD, headshot outside

Debanjan Dhar, PhD, is an associate professor in the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys.

Peter Adams profile photo in lab

Peter Adams, PhD, is the director of the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys.

It may also be possible to achieve this effect through dietary changes that alter the microbiome and result in modified bile acid production. Based on their findings, the research team suggests that this could be done by using ursodeoxycholic acid, a bile acid that currently is used to treat an autoimmune condition called primary biliary cholangitis. The acid is found at high levels in bear bile, which has served for thousands of years as a treatment in traditional Chinese medicine.

“Given the safety profile of ursodeoxycholic acid and the limited effectiveness of immunotherapy on liver cancer, this study shows significant potential for testing this bile acid as a combination treatment for patients with HCC,” said Peter Adams, PhD, director of the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys and coauthor on the study.


Susan Kaech, PhD, NOMIS Chair, professor and director of the NOMIS Center for Immunobiology and Microbial Pathogenesis at the Salk Institute is the senior and corresponding author on the study.   

Siva Karthik Varanasi, PhD, assistant professor at the UMass Chan Medical School and a former postdoctoral fellow in the Kaech lab at the Salk Institute, is first author on the manuscript. 

Additional authors include:

  • Souradipta Ganguly, Marcos G. Teneche and Aaron Havas, from Sanford Burnham Prebys
  • Dan Chen, Melissa A. Johnson, Kathryn Lande, Michael A. LaPorta, Filipe Araujo Hoffmann, Thomas H. Mann, Eduardo Casillas, Kailash C. Mangalhara, Varsha Mathew, Ming Sun, Yagmur Farsakoglu, Timothy Chen, Bianca Parisi, Shaunak Deota, H. Kay Chung, Satchidananda Panda, April E. Williams and Gerald S. Shadel, from the Salk Institute
  • Yingluo Liu, Cayla M. Miller, Jin Lee and Gen-Sheng Feng, from the University of California San Diego
  • Isaac J. Jensen and Donna L. Farber, from Columbia University Irving Medical Center
  • Andrea Schietinger from Memorial Sloan Kettering Cancer Center
  • Mark S. Sundrud from the Geisel School of Medicine at Dartmouth

Wolfram Goessling, MD, PhD, the Robert H. Ebert Associate Professor of Medicine and associate professor of Health Sciences and Technology at Harvard Medical School, authored a Perspective article on the new study in Science called, “Ena-bile-ing liver cancer growth.”

Institute News

A Conversation About Aging and Cancer at Sanford Burnham Prebys 

AuthorGreg Calhoun
Date

October 24, 2024

Event recording now available for panel discussion with scientists held on October 9, 2024

David A. Brenner, MD, president and CEO of Sanford Burnham Prebys, welcomed attendees to the launch of a new community engagement program called “A Conversation About” in the institute’s Victor E. LaFave III Memorial Auditorium on October 9, 2024.

The initial panel discussion in the A Conversation About series focused on the connection between aging and cancer and included information about a current breast cancer research collaboration. A recording of the event is available online.

Reena Horowitz, the founder of Group of 12 and Friends at Sanford Burnham Prebys, provided introductory remarks. Brooke Emerling, PhD, director of the Cancer Metabolism and Microenvironment Program, moderated the discussion among three featured panelists:

  • Peter Adams, PhD, director of the Cancer Genome and Epigenetics Program, Sanford Burnham Prebys
  • Xiao Tian, PhD, assistant professor in the Degenerative Diseases Program, Sanford Burnham Prebys
  • Kay Yeung, MD, PhD, associate clinical professor in the Division of Hematology-Oncology, University of California San Diego Health

By bringing together community collaborators and clinicians with Sanford Burnham Prebys researchers, A Conversation About offers a unique perspective on how clinical research and practice can be used to inform fundamental and translational science.

Watch Event Recording

Institute News

Mammalian Genome Engineering Group holds 2024 symposium in San Diego

AuthorGreg Calhoun
Date

September 25, 2024

The four-day event included talks from experts from across North America and opportunities to discuss improving experimental methods and approaches to analyzing the resulting data.

Researchers convened at Sanford Burnham Prebys in La Jolla from September 12-15 to hear presentations from their peers and confer about the latest developments in modifying the genomes of mammalian animal models to advance biomedical research.

Anindya Bagchi, PhD, associate professor in the Institute’s Cancer Genome and Epigenetics Program, planned the 4th Mammalian Genome Engineering Symposium, which included 26 presentations from experts across the United States and Canada. Attendees asked many questions throughout, and numerous speakers commented on how valuable the conversation at the meeting was for refining planned experiments and considering new ideas and approaches.

“It was a truly enjoyable and thought-provoking meeting,” said Angela Liou, MD, an instructor in the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys and pediatric oncologist and hematologist at Rady Children’s Hospital-San Diego. “It also was incredibly helpful in informing the next steps of my research project.”

“I’m so grateful for the invitation to attend this symposium,” said Praveen Raju, MD, PhD, the Nathan Gordon Chair in Neuro-Oncology and medical director of the Pediatric Neuro-Oncology Program at Rady Children’s Hospital-San Diego and director of the Pediatric Neuro-Oncology Program at the University of California San Diego School of Medicine.

Anindya Bagchi, PhD, headshot

Anindya Bagchi, PhD, is an associate professor in the Cancer Genome and Epigenetics Program.

“The presenters and attendees were welcoming and collaborative, and I certainly learned a lot.”

The symposium brings together the Mammalian Genome Engineering Group, which was formed by a small group of genome engineering enthusiasts including Bagchi, Nada Jabado, MD, PhD, professor of Pediatrics and Human Genetics at McGill University and a hematologist and oncologist at Montreal Children’s Hospital; David Largaespada, PhD, a professor of Pediatrics, Genetics, Cell Biology and Development at the University of Minnesota Medical School and the associate director for Basic Research in the Masonic Cancer Center; and Michael Taylor, MD, PhD, The Cyvia and Melvyn Wolff Chair of Pediatric Neuro-Oncology at Texas Children’s Cancer and Hematology Center and professor of Pediatrics (Hematology-Oncology) at Baylor College of Medicine.

The group is interested in developing functional models of genomic and epigenetic mutations associated with human diseases—especially cancers—that are difficult to recreate in animal models. The group’s first symposium was coordinated by Taylor in Napa, Calif., in 2014, followed by the 2nd symposium that was organized by Jabado in Montreal in 2015. After a hiatus, the group was revived in 2023 with the 3rd symposium hosted again by Taylor in Houston.

“We believe this symposium will, in the coming years, become a leading forum for discussing cutting-edge genomic and epigenomic approaches to tackle challenging genetic and epigenetic mutations,” said Bagchi. “These approaches are likely to become standard practice in the near future.”

The Sanford Burnham Prebys scientists that presented at the 4th Mammalian Genome Engineering Symposium were:

  • Bagchi, “Why are MYC-driven cancers so lethal?” 
  • Liou, “Investigating the deposition of H3.3K27M oncohistone and its effect on retrotransposon reactivation in H3K27M pediatric diffuse midline glioma” 
  • Ani Deshpande, PhD, associate professor in the Cancer Genome and Epigenetics Program and associate director of Diversity, Equity and Inclusion in the NCI-Designated Cancer Center, “Functional genomic approaches to identify selective dependencies in synovial sarcoma” 
  • Peter D. Adams, PhD, the director of the Cancer Genome and Epigenetics Program, “The role of aging in cancer” 
  • Lukas Chavez, PhD, associate professor in the Cancer Genome and Epigenetics Program, “Circular extrachromosomal DNA promotes tumor heterogeneity and enhancer rewiring” 
  • Jerold Chun, MD, PhD, professor in the Degenerative Diseases Program, “Genetic mosaicism and somatic gene recombination in the brain” 
  • Adarsh Rajesh, graduate student, Sanford Burnham Prebys, “CCND1-CDK6 complex inhibits DNA damage repair and promotes inflammation in senescence and the aged liver”

Additional speakers included:

  • Taylor, “Why does medulloblastoma love to be tetraploid and other nonsense”
  • Jabado, “Co-opting 3D structures to fuel tumorigenesis”
  • Tannishtha Reya, PhD, Herbert and Florence Irving Professor of Basic Science Research in Physiology and Cellular Biophysics, Columbia University, “New genetically engineered models to understand cancer heterogeneity and therapy resistance in pancreatic cancer”
  • Simona Dalin, PhD, postdoctoral fellow, Broad Institute of the Massachusetts Institute of Technology and Harvard University, “Contributions of perfect and imperfect homology to rearrangement formation in human and cancer genomes”
  • Alison M. Taylor, PhD, assistant professor of Pathology and Cell Biology, Columbia University, “Functional and computational approaches to uncover the consequences of chromosome arm aneuploidy in cancer”
  • Sean Eagan, PhD, senior scientist in the Cell Biology program at The Hospital for Sick Children, professor of Molecular Genetics, University of Toronto, “An update on Genetic analysis of 16q-syntenic block deletion in the mouse mammary gland – a tumor suppressor arm”
  • Claudia Kleinman, PhD, associate professor of Human Genetics, McGill University, investigator at the Lady Davis Institute for Medical Research, Jewish General Hospital, “Lineage programs and the 3D genome in pediatric brain tumors”
  • Branden Moriarity, PhD, associate professor of Pediatrics (Hematology and Oncology), University of Minnesota Medical School, “Next generation engineered immune effector cells for immunotherapy”
  • Beau Webber, PhD, associate professor of Pediatrics (Hematology and Oncology), University of Minnesota Medical School, “Building cancer in a dish: Sarcoma modeling using human pluripotent stem cells”
  • Sameer Agnihotri, PhD, associate professor of Neurological Surgery and director of the Brain Tumor Biology and Therapy Lab, University of Pittsburgh Medical Center Children’s Hospital of Pittsburgh, “Identifying genetic vulnerabilities by modeling Chromosome 9p loss”
  • Largaespada, “Loss of the polycomb repressor complex 2 (PRC2) alters the super-enhancer landscape, genome/epigenome stability, and therapeutic sensitivities of malignant peripheral nerve sheath tumors”
  • Teresa Davoli, PhD, assistant professor of Biochemistry and Molecular Pharmacology, New York University Langone Health, “Engineering chromosome specific aneuploidy by targeting human centromeres”
  • Rameen Beroukhim, MD, PhD, associate professor of Medicine, Dana-Farber Cancer Institute and Harvard Medical School, associate member of the Broad Institute of MIT and Harvard, “Detecting rearrangement signatures—naturally”
  • Quang Trinh, PhD, scientist, Ontario Institute for Cancer Research, “Perspectives and Challenges in PFA Integrative Analysis”
  • Taylor Gatesman, graduate student, University of Pittsburgh, “Genome Engineering: DREaming of and vCREating new models”
  • Joseph Skeate, PhD, postdoctoral fellow, University of Minnesota Medical School, “Targeted CAR integration and multiplex base editing in a single-step manufacturing process for enhanced cancer immunotherapies”
Institute News

Michael Alcaraz awarded Melvin and Phyllis McCardle Clause Scholarship

AuthorGreg Calhoun
Date

September 18, 2024

The scholarship program for graduate students was created by the Clause family’s generous donation to Sanford Burnham Prebys.

Michael Alcaraz, a fourth-year graduate student in the Sanford Burnham Prebys Graduate School of Biomedical Sciences, was selected as the 2024 recipient of the Melvin and Phyllis McCardle Clause Scholarship.

“I am very excited about being chosen for this scholarship,” said Alcaraz. “I’ll be gaining mentorship opportunities from researchers in neuroscience that complement my lab’s focus on aging.

“This funding will make a big difference as my research moves forward. The scholarship also provides support for professional development, which will allow me to attend conferences to share what I’m studying and grow my network.”

The McCardle Clause Scholarship was established in honor of Phyllis McCardle Clause after her long struggle with Alzheimer’s disease (AD). The award supports graduate student education in age-related neurodegeneration within the Institute’s graduate school.

Alcaraz conducts research in the laboratory of Peter D. Adams, PhD, the director of the Cancer Genome and Epigenetics Program, with a focus on the mechanisms of aging.

With support from the scholarship, Alcaraz will be investigating the fundamental connections between aging and the increased risk of AD, the most common cause of dementia. His project is focused on the role of nicotinamide adenine dinucleotide (NAD+), an essential metabolite and building block for enzymes.

NAD+ levels decrease with age in several tissues, including in the brains of humans and mouse models of AD. The decline of this important metabolite is associated with insufficient energy metabolism that is a major hallmark of AD.

“In collaboration with the Conrad Prebys Center for Chemical Genomics, we will test a potential drug to promote production of NAD+ in the brain by activating a key enzyme involved in NAD+ biosynthesis,” said Alcaraz.  The compound was developed by the Conrad Prebys Center for Chemical Genomics led by Michael Jackson, PhD, senior vice president of Drug Discovery and Development.

“The goal of my project is to raise the levels of NAD+ in mice suffering from an analogous condition to AD and test its effects on improving brain metabolism, function and behavior,” added Alcaraz.

“The objective is to build the preclinical foundation for one day achieving benefits for patients. We all know how devastating AD is for patients and families, and the need for new treatments grows greater every single day.

“This project will require a lot of collaboration between experts in aging, drug discovery, neuroscience and behavioral analysis. We have all this expertise available across the Institute, and I’m looking forward to working with an interdisciplinary team on this effort thanks to the generosity of the Clause family.”

Institute News

Coding clinic

AuthorGreg Calhoun
Date

August 6, 2024

Rapidly evolving computational tools may unlock vast archives of untapped clinical information—and help solve complex challenges confronting healthcare providers

The wealth of data stored in electronic medical records has long been considered a veritable treasure trove for scientists able to properly plumb its depths.  

Emerging computational techniques and data management technologies are making this more possible, while also addressing complicated clinical research challenges, such as optimizing the design of clinical trials and quickly matching eligible patients most likely to benefit.  

Scientists are also using new methods to find meaning in previously published studies and creating even larger, more accessible datasets.  

“While we are deep in the hype cycle of artificial intelligence [AI] right now, the more important topic is data,” says Sanju Sinha, PhD, an assistant professor in the Cancer Molecular Therapeutics Program at Sanford Burnham Prebys. “Integrating data together in a clear, structured format and making it accessible to everyone is crucial to new discoveries in basic and clinical biomedical research.” 

Sinha is referring to resources such as the  St. Jude-Washington University Pediatric Cancer Genome Project, which makes available to scientists whole genome sequencing data from cancerous and normal cells for more than 800 patients.

Medulloblastoma tumor cells with hundreds of circular DNA pieces

The Chavez lab uses fluorescent markers to observe circular extra-chromosomal DNA elements floating in cancer cells. Research has shown that these fragments of DNA are abundant in solid pediatric tumors and associated with poor clinical outcomes. Image courtesy of Lukas Chavez.

The Children’s Brain Tumor Network is another important repository for researchers studying pediatric brain cancer, such as Lukas Chavez, PhD, an assistant professor in the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys. 

“We have analyzed thousands of whole genome sequencing datasets that we were able to access in these invaluable collections and have identified all kinds of structural rearrangements and mutations,” says Chavez. “Our focus is on a very specific type of structural rearrangement called circular extra-chromosomal DNA elements.” 

Circular extra-chromosomal DNA elements (ecDNA) are pieces of DNA that have broken off normal chromosomes and then been stitched together by DNA repair mechanisms. This phenomenon leads to circular DNA elements floating around in a cancer cell.  

Sanju Sinha, PhD

Sanju Sinha, PhD, is an assistant professor in the Cancer Molecular
Therapeutics Program at  Sanford Burnham Prebys.

“We have shown that they are much more abundant in solid pediatric tumors than we previously thought,” adds Chavez. “And we have also shown that they are associated with very poor outcomes.” 

To help translate this discovery for clinicians and their patients, Chavez is testing the use of deep learning AI algorithms to identify tumors with ecDNA by analyzing the biopsy slides that are routinely created by pathologists to diagnose brain cancer. 

“We have already done the genomic analysis, and we are now turning our attention to the histopathological images to see how much of the genomic information can be predicted from these images,” says Chavez. “Our hope is that we can identify tumors that have ecDNA by evaluating the images without having to go through the genomic sequencing process.”  

Currently, this approach serves only as a clinical biomarker of a challenging prognosis, but Chavez believes it can also be a diagnostic tool—and a game changer for patients.  

“I’m optimistic that in the future we will have drugs that target these DNA circles and improve the therapeutic outcome of patients,” says Chavez.  

“Once medicine catches up, we need to be able to find the patients and match them to the right medicine,” says Chavez. “We’re not there yet, but that’s the goal.” 

Chavez is also advancing his work as scientific director of the Pediatric Neuro-Oncology Molecular Tumor Board at Rady Children’s Hospital in San Diego.  

“Recently, it has been shown that new sequencing technologies coupled with machine learning tools make it possible to compress the time it takes to sequence and classify types of tumors from days or weeks to about 70 minutes,” says Chavez. “This is quick enough to take that technology into the operating room and use a surgical biopsy to classify a tumor.  

“Then we could get feedback to the surgeon in real time so that more or less tissue can be removed depending on if it is a high- or low-grade tumor—and this could dramatically affect patient outcomes.  

“When I talk to neurosurgeons, they are always in a pickle between trying to be aggressive to reduce recurrence risk or being conservative to preserve as much cognitive function and memory as possible for these patients.  

“If the surgeon knows during surgery that it’s a tumor type that’s resistant to treatment versus one that responds very favorably to chemotherapy, radiation or other therapies, that will help in determining how to strike that surgical balance.” 

Lukas Chavez, PhD

Lukas Chavez, PhD, is an assistant professor in the Cancer Genome and Epigenetics Program at Sanford Burnham Prebys.

Artist’s rendering X-shaped chromosomes floating in a cell

Artist’s rendering of X-shaped chromosomes floating in a cell alongside circular extra-chromosomal DNA elements.

Rady Children’s Hospital has also contributed to the future of genomic and computational medicine through BeginNGS, a pilot project to complement traditional newborn health screening with genomic sequencing that screens for approximately 400 genetic conditions. 

“The idea is that if there is a newborn baby with a rare disease, their family often faces a very long odyssey before ever reaching a diagnosis,” says Chavez. “By sequencing newborns, this program has generated success stories, such as identifying genetic variants that have allowed the placement of a child on a specific diet to treat a metabolic disorder, and a child to receive a gene therapy to restore a functional immune system.”


Programming in a Petri Dish, an 8-part series

How artificial intelligence, machine learning and emerging computational technologies are changing biomedical research and the future of health care

  • Part 1 – Using machines to personalize patient care. Artificial intelligence and other computational techniques are aiding scientists and physicians in their quest to prescribe or create treatments for individuals rather than populations.
  • Part 2 – Objective omics. Although the hypothesis is a core concept in science, unbiased omics methods may reduce attachments to incorrect hypotheses that can reduce impartiality and slow progress.
  • Part 3 – Coding clinic. Rapidly evolving computational tools may unlock vast archives of untapped clinical information—and help solve complex challenges confronting health care providers.
  • Part 4 – Scripting their own futures. At Sanford Burnham Prebys Graduate School of Biomedical Sciences, students embrace computational methods to enhance their research careers.
  • Part 5 – Dodging AI and computational biology dangers. Sanford Burnham Prebys scientists say that understanding the potential pitfalls of using AI and other computational tools to guide biomedical research helps maximize benefits while minimizing concerns.
  • Part 6 – Mapping the human body to better treat disease. Scientists synthesize supersized sets of biological and clinical data to make discoveries and find promising treatments.
  • Part 7 – Simulating science or science fiction? By harnessing artificial intelligence and modern computing, scientists are simulating more complex biological, clinical and public health phenomena to accelerate discovery.
  • Part 8 – Acceleration by automation. Increases in the scale and pace of research and drug discovery are being made possible by robotic automation of time-consuming tasks that must be repeated with exhaustive exactness.
Institute News

Is cloud computing a game changer in cancer research? Three big questions for Lukas Chavez

AuthorMiles Martin
Date

February 22, 2023

As an assistant professor at Sanford Burnham Prebys and director of the Neuro-Oncology Molecular Tumor Board at Rady Children’s Hospital, Lukas Chavez, PhD, leverages modern technology for precision diagnostics and for uncovering new treatment options for the most aggressive childhood brain cancers.

We spoke to Chavez about his work and asked him how modern technology—particularly cloud computing—is shifting the approach to cancer research.

How are you using new technologies to advance your research?

New technologies are helping us generate a huge amount of data as well as many new types of data. All this new information at our disposal has created a pressing need for tools to make sense of it and maximize their benefits. That’s where computational biology and bioinformatics come into play. The childhood brain cancers I work on are very rare, which has historically made it difficult to study large numbers of cases and identify patterns.

Now, data for thousands of cases can be stored in the cloud. By creating data analysis tools, we can reveal insights that we would never have seen otherwise. For example, we’ve developed tools that can use patient data in the cloud to categorize brain cancers into subtypes we’ve never identified before, and we’re learning that there are many more types of brain tumors than we’ve previously understood. We’re basically transforming the classic histo-pathological approach that people have studied for decades by looking at tumor tissues under the microscope and turning that into data science.

How is cloud computing improving cancer research in general?

Assembling big datasets delays everything, so I believe the main idea of cloud computing is really to store data in the cloud, then bring the computational tools to the data, not the other way around.

My team did one study where we assembled publicly available data, and basically downloaded everything locally. The data assembly process alone took at least two to three years because of all the data access agreements and legal offices that were involved.

And that is the burden that cloud computing infrastructures remove. All of this personalized cancer data can be centrally stored in the cloud, which makes it available to more researchers while keeping it secure to protect patient privacy. Researchers can get access without downloading the data, so they are not responsible for data protection anymore. It’s both faster and more secure to just bring your tools to the data.

Are there any risks we need to be aware of?

Like any new technology, we need to be clear about how we use it. The technology is another tool in the toolbox of patient care. It will never entirely replace physicians and researchers, but it can complement and assist them.

Also, because we use costly and sophisticated tools that are being built and trained on very specific patient groups, we need to be careful that these tools are not only helping wealthier segments of society. Ideally, these tools will be expanded worldwide to help everybody affected by cancer.

Institute News

How community collaboration shapes leukemia research at Sanford Burnham Prebys

AuthorMiles Martin
Date

October 4, 2022

Since 2020, Todd and Rena Johnson, co-founders of the Luke Tatsu Johnson Foundation (LTJF), have helped fund the research of Associate Professor Ani Deshpande, PhD

But it all started with their son Luke. He had a very rare subtype of acute myeloid leukemia, one of the most difficult-to-treat cancers, and, sadly, he passed away from the disease in 2016. This inspired the Johnsons to become involved with fundraising and advocacy for cancer research.

“Our foundation started with a fundraising golf tournament to honor Luke, and that was about taking something so horrific and so horrible and finding a way to turn it into something positive,” says Rena. “If you can take that tragedy and put a positive spin on it, then everything around Luke and his name and his memory becomes positive.”

How “the stars and planets aligned” to bring the Johnsons to the Institute

In a remarkable coincidence, the Johnsons discovered on their first visit to the Institute that Deshpande’s research focuses on AF10 fusion AML, an extremely rare subtype of the disease that accounts for about 5 percent of cases. It’s also the subtype of AML that Luke had.

“It was a goosebumps-raising moment,” says Todd. “Once we visited Ani and saw his lab, we realized there was a lot more in common with our story and his research than we had realized before.”

“The stars and planets aligned and brought us to Ani,” adds Rena. 

Luke Tatsu Johnson

Luke Tatsu Johnson

As well as helping fund Deshpande’s research through LTJF and their partnership with the Rally! Foundation, the Johnsons are also on the Community Advisory Board (CAB) for the Institute’s Cancer Center, which advocates for cancer research by engaging the community. 

“The CAB does such a wonderful job of connecting the community with the scientists, and we’re so excited to be involved in that,” says Todd. “That’s fundamentally what we do as a foundation—we support the folks doing this work so that children and families down the road can have a different outcome from Luke’s.”
 

AML research “needs more support and needs more funding”

The Johnsons’ support helped the AML research team discover a new potential treatment for AML, which is currently in preclinical studies, after which they hope it will advance to clinical trials. The research team maintains that it would have been impossible to secure the NIH grants necessary to do these studies without the jump start given by the LTJF and the Rally! Foundation.

“We couldn’t do what we do without the Johnsons’ support,” says Deshpande. “We are so grateful to have them in our corner, and we’re confident that our work will help improve outcomes for kids like Luke down the line.”

Despite this progress, more research into AML and other leukemias is still needed. Leukemia is the most common cancer in children and teens. About 4,000 children are diagnosed with leukemia each year, and AML accounts for about a third of these cases.
 

Studying AML from all angles

To tackle this pressing problem, the Institute has established an AML disease team composed of researchers across labs and clinician partners. The team’s research falls into several large categories, including studying the genetics of AML, studying how the disease works in animal models and working to develop drugs that can target specific mutations associated with the disease, which are numerous. 

“AML has many different subtypes, so it’s been difficult for researchers to make major advances to treat all cases of AML,” says Deshpande, who co-leads the AML team with Professor Peter D. Adams, PhD “Most patients with AML are given the same treatments that have been used since the ’70s, which is why we want to look at AML from as many angles as possible.”

In addition to being difficult to treat, it is also challenging to get funding for AML research, particularly for the rarer subtypes. This makes the support of foundations such as LTJF even more vital to researchers like Deshpande. 

“This is exactly why AML research needs more support and needs more funding, because this is a much more difficult disease than other forms of leukemia,” says Todd. “Many patients don’t have positive outcomes, and the only way to turn that pendulum is to intensify our efforts and increase the amount of research being done.”

Institute News

Heating up cold brain tumors: An emerging approach to medulloblastoma

AuthorMiles Martin
Date

July 6, 2022

Immunotherapy has revolutionized cancer treatment, but it doesn’t work on many childhood brain tumors. Researchers from Sanford Burnham Prebys are working to change that.

Brain tumors account for about a quarter of all cancer cases in children. Medulloblastoma, a particularly aggressive form of childhood brain cancer, often develops resistance to radiation and chemotherapy. Researchers from Sanford Burnham Prebys are working to solve this problem by harnessing the power of the immune system.

They describe the potential of this approach in their recently published paper in Genes & Development

“The brain’s location makes it very difficult to target medulloblastoma tumors with current therapies,” says first author Tanja Eisemann, PhD, a postdoctoral associate in the lab of Robert Wechsler-Reya, PhD “They’re also immunologically cold, which means they’re good at evading the immune system.” 

The researchers hypothesize that it may be possible to enhance the body’s immune response to medulloblastoma and help the body’s immune cells enter the brain, making treatment with immunotherapy possible.

“Immunotherapy has so much potential as a  cancer treatment, but its scope is limited right now,” says Eisemann. “We want to bring the benefits of this therapy to medulloblastoma patients and their families.”

Eisemann has been studying this approach in mice, and although the research is still at an early stage, she and her colleagues are highly optimistic about its potential.

“The brain has long been considered immune privileged, hidden from immune-system surveillance and immune responses. But we’re starting to see that this isn’t the case,” says Eisemann. “This is a rapidly evolving field, and I’m excited to be working in a lab on the forefront of that research.”