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@ARTICLE{Jones:144388,
author = {D. Jones$^*$ and A. Banito$^*$ and T. G. P. Grünewald and
M. Haber and N. Jäger$^*$ and M. Kool$^*$ and T. Milde$^*$
and J. J. Molenaar and A. Nabbi and T. J. Pugh and G.
Schleiermacher and M. A. Smith and F. Westermann$^*$ and S.
Pfister$^*$},
title = {{M}olecular characteristics and therapeutic vulnerabilities
across paediatric solid tumours.},
journal = {Nature reviews / Cancer Cancer [...]},
volume = {19},
number = {8},
issn = {1474-1768},
address = {London [u.a.]},
publisher = {Nature Publ. Group},
reportid = {DKFZ-2019-01841},
pages = {420 - 438},
year = {2019},
abstract = {The spectrum of tumours arising in childhood is
fundamentally different from that seen in adults, and they
are known to be divergent from adult malignancies in terms
of cellular origins, epidemiology, genetic complexity,
driver mutations and underlying mutational processes.
Despite the immense knowledge generated through sequencing
efforts and functional characterization of identified
(epi-)genetic alterations over the past decade, the clinical
implications of this knowledge have so far been limited.
Novel preclinical platforms such as the European Innovative
Therapies for Children with Cancer-Paediatric Preclinical
Proof-of-Concept Platform and the US-based Pediatric
Preclinical Testing Consortium are being developed to try to
change this by aiming to recapitulate the extensive
heterogeneity of paediatric tumours and thereby, hopefully,
improve the ability to predict clinical benefit. Numerous
studies have also been established worldwide to provide
patients with access to real-time molecular profiling and
the possibility of more precise mechanism-of-action-based
treatments. In addition to tumour-intrinsic findings and
mechanisms, ongoing studies are investigating features such
as the immune microenvironment of paediatric tumours in
comparison with adult cancers - currently of very timely
clinical relevance. However, there is an ongoing need for
rigorous preclinical biomarker and target validation to feed
into the next generation of molecularly stratified clinical
trials. This Review aims to provide a comprehensive
state-of-the-art overview of the molecular landscape of
paediatric solid tumours, including their underlying genomic
alterations and interactions with the microenvironment,
complemented with our current understanding of potential
therapeutic vulnerabilities and how these can be
preclinically tested using more accurate predictive methods.
Finally, we provide an outlook on the challenges and
opportunities associated with translating this overwhelming
scientific progress into real clinical benefit.},
subtyp = {Review Article},
cin = {B360 / B380 / B062 / B310 / B087},
ddc = {610},
cid = {I:(DE-He78)B360-20160331 / I:(DE-He78)B380-20160331 /
I:(DE-He78)B062-20160331 / I:(DE-He78)B310-20160331 /
I:(DE-He78)B087-20160331},
pnm = {312 - Functional and structural genomics (POF3-312)},
pid = {G:(DE-HGF)POF3-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31300807},
doi = {10.1038/s41568-019-0169-x},
url = {https://inrepo02.dkfz.de/record/144388},
}