? Project 1 Each year, tens of thousands of people in the United States are diagnosed, and die, as a result of acute myeloid leukemia (AML) and glioblastoma multiforma (GBM). Despite intensive therapies, the five-year survival rate for both tumors is abysmal and has remained unchanged for the last fifty years. Both of these malignancies are characterized by rapid cell division and genetic instability. The goal of Project 1 is to identify clonal and subclonal mutations, present in these malignancies prior to therapy, that may promote proliferation, treatment resistance, and relapse. We have developed a highly accurate and sensitive sequencing protocol, Duplex Sequencing, which takes advantage of the double- stranded nature of DNA to detect mutations, even when present at a frequency of less than one in 10 million. Using our established Duplex Sequencing platform, we have detected subclonal mutations in both AML and GBM that cannot be accurately identified by routine next-generation DNA sequencing. We will pursue the following Aims in Project 1: 1) determine the types of subclonal mutations in AML and GBM; 2) determine how the overall mutation load or presence of specific subclonal mutations correlate with prognosis, response to therapy, and likelihood of relapse (in the case of GBM, we will also determine the geographical heterogeneity of mutations within tumors); and 3) identify potent drugs that prevent the accumulation of these mutations by screening libraries of small molecules. In coordination with other the Projects and Cores, we will analyze how these mutations alter the functions of the encoded genes in these malignancies.

Public Health Relevance

- Project 1 Our objective is to establish new therapeutic approaches for the treatment of acute myeloid leukemia and glioblastoma, two common lethal cancers. We will determine if mutation load and the types of mutations in cells from these tumors correlate with response to therapy, and are an early indication of impending relapse. We also aim to identify new nucleoside analogues that retard tumor progression.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
2P01CA077852-16A1
Application #
8853656
Study Section
Special Emphasis Panel (ZCA1-RPRB-0 (J1))
Project Start
2000-03-07
Project End
2020-06-30
Budget Start
2015-07-08
Budget End
2016-06-30
Support Year
16
Fiscal Year
2015
Total Cost
$285,546
Indirect Cost
$100,727
Name
University of Washington
Department
Type
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
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