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Neuro-Oncology

 
 

Molecular Neuro-Oncology Laboratory

 

 
 
Cory Adamson, MD
Lab Director
Division of Neurosurgery
DUMC Box 2624
10 Research Drive 
Durham, NC 27710
 
Office: MSRB 1, Room 421b,
Lab: MSRB 1, Room 443
Office phone: 919-684-8440
Fax: 919-684-5483
 
 
From the bench of Chunhui Di:
 
 
 
Our Molecular Neuro-Oncology Laboratory, part of The Preston Robert Tisch Brain Tumor Center at Duke,  aims to identify and explore the role of critical genetic alterations in high grade brain tumorigenesis.  High grade brain tumors, such as glioblastoma multiforme (GBM), are the most common primary brain tumors encountered by neurosurgeons and typically have dismal outcomes despite aggressive surgical, radiation, and chemotherapy treatments. 
 
In the case of GBM, patients who successfully undergo standard of care therapies have a median survival of only about 1 year.  In our laboratory, we use state-of-the-art genome-wide screening techniques such as digital karyotyping, large-scale gene microarrays, and on-line genomic tools to identify novel genetic alterations.  These techniques often identify oncogene or tumor suppressor gene candidates that need further study.  These genetic alterations and associated intracellular signaling pathways are then explored in a myriad of brain tumor in vitro and in vivo models to better characterize important pathways that can be genetically or pharmacologically targeted in order to design therapeutic approaches.  

Current Projects:
Ongoing studies involve the genetic and pharmacologic interruption of the oncogene OTX2 in various tumor types. 
 
In genome-wide screens of multiple samples of glioblastoma multiforme we have identified multiple novel genetic changes in this genetically heterogeneous disease. Ongoing studies are exploring their role in GBM tumorigenesis in multiple cell culture and animal model systems.
 
Combination targeted chemotherapies are showing promise in recent clinical trails.  We are currently investigating combination targeted therapy for multiple pathways with glioma xenograft animal models.
 
Homeobox transcription factors play a critical role in multiple aspects of early neurodevelopment and dysregulated expression may lead to significant neurologic disorders as well as tumorigenesis. We are currently exploring studies in this area as well.

 
 
 
 
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