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Leukaemia Translational Research

The main aim of our Leukaemia Translational Research Team is to test innovative therapeutic approaches, with a focus on clinical translation of this knowledge, to improve the outcomes of children suffering from leukaemia.

Leukaemia is the most common form of cancer in children.

Remarkable therapeutic advances have been made over the past sixty years and 5-year survival now exceeds 90% for certain subgroups. However, despite this progress, leukaemia is the second most frequent cause of death from cancer in children. This is predominantly due to disease relapse, with many children also suffering from treatment-related toxicity and a poor initial response to conventional chemotherapy.

Our overarching goal focuses on developing innovative therapeutic strategies and identifying novel drugs that can be readily translated into clinical practice to improve the outcomes for children suffering from leukaemia.

To realise this goal, the research focus of the Leukaemia Translational Research team is divided into four main streams:

  1. Phenotypic drug discovery using established and novel disease models to identify efficacious new drugs and drug combinations that can be readily translated into clinical practice for children with leukaemia
  2. Studying the development of leukaemia within the bone marrow and the interaction of leukaemia cells with the surrounding cells within the bone marrow to identify novel therapeutic targets and new treatment strategies
  3. Modelling the long-term complications resulting from leukaemia therapy to evaluate treatments aimed at preventing such complications
  4. Conducting clinical studies which investigate avenues to prevent infectious complications in children with cancer

These streams are facilitated by direct access to primary patient samples and the development of new preclinical disease models for childhood leukaemia. These resources are utilised to characterise the genetic and molecular mechanisms that underpin specific leukaemia subtypes, conduct preclinical assessment of drug efficacy and establish mechanisms of drug action and response. Together, with existing clinical collaborations with the Children’s Oncology Group,  International BFM Study Group and Interfant Study Group, the team aims to facilitate rapid clinical translation of their research, to ultimately improve the outcome, care and overall well-being of children suffering from leukaemia.

Team leader

Professor Rishi S. Kotecha
Professor Rishi S. Kotecha

MB ChB (Hons) MRCPCH FRACP PhD

Co-Head, Leukaemia Translational Research

Co-Head, Leukaemia Translational Research

Team members (7)

Dr Vincent Kuek
Dr Vincent Kuek

BSc(Hons), PhD

Senior Research Officer

Dr Sung Chiu
Dr Sung Chiu

MBBS FRACP FRCPA PhD

Postdoctoral Research Fellow

Joyce Oommen

Joyce Oommen

Research Assistant

Emanuela Ferrari

Emanuela Ferrari

Research Assistant

Stephen Dymock

Stephen Dymock

PhD Student

Taylor Ferguson

Taylor Ferguson

PhD Student

Abigail Lim

Abigail Lim

PhD Student

Leukaemia Translational Research projects

Featured projects

Therapeutic opportunities from dissecting the pre-B leukaemia bone marrow microenvironment

Novel therapeutics approaches for infants with high-risk infant acute lymphoblastic leukaemia

Publications

Reports and Findings

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Mesothelioma location influences the tumour microenvironment and immune checkpoint therapy response in preclinical models

Mesothelioma is a cancer derived from mesothelial cells, most commonly arising from the pleura or the peritoneum. Immune checkpoint therapy (ICT) has shown survival benefit for pleural mesothelioma, but little is known about the response in peritoneal mesothelioma. Most preclinical mesothelioma models involve subcutaneous cancer cell implantation, which lacks the relevant tumour microenvironment of peritoneal mesothelioma and does not resemble the clinical presentation.

Clinical and germline risk factors for multiple treatment related toxicities in pediatric acute lymphoblastic leukemia

Blinatumomab limits humoral antibody response despite boosting the influenza vaccine schedule in children with B-ALL

Pharmacological inhibition of sclerostin protects bone from B-cell acute lymphoblastic leukemia-mediated destruction

B-cell acute lymphoblastic leukemia (B-ALL) is the most common pediatric cancer. Current therapeutic regimens have improved 5-year event-free survival rates to 90%, however clinical outcomes for high-risk subgroups, such as BCR-ABL1+ B-ALL and relapsed ALL, remain poor. In addition, 16% of newly diagnosed children with ALL present with vertebral compression fractures. Moreover, 16% of children with ALL undergoing glucocorticoid therapy also experience a high incidence of vertebral fractures, indicating that bone health may be compromised by both leukemia progression and osteotoxicity of chemotherapy.

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