Diffuse intrinsic pontine gliomas (DIPG) are a highly aggressive pediatric brain tumor of the ventral pons
(brain stem), with a five-year survival rate of less than 1% and a median survival of only 9 months [1,2]. While
significant improvement in survival has been achieved in treating other forms of pediatric cancer, survival rate
for DIPG has not changed in over three decades [1]. While the brain tumor niche itself is a 3D, multi-factorial
environment, previous attempts have relied on standard 2D monolayer culture or animal models to mimic the
disease phenotype. However, increasing evidence has shown that cancer cell behavior in 2D differs substantially
from the in vivo phenotype [3]; whereas animal models are costly, lengthy to produce, and often cumbersome
for mechanistic studies. Furthermore, previous studies were done almost exclusively with adult brain tumor cells,
whereas adult and pediatric brain tumors have been shown to demonstrate distinct phenotypes in their sites of
origin, clinical presentations and molecular mechanisms [4].
Through working at the interface of bioengineering, materials science, cancer biology, neurosurgery, and
animal models, the goals of this proposal are to develop hydrogels with optimized niche cues to support DIPG
proliferation and invasion in 3D, and to harness such in vitro model for elucidating the role of integrin receptors
and cell-cell interactions in driving DIPG progression. The efficacy of blocking specific integrin receptors for
inhibiting DIPG progression will be further validated in vivo using our established mouse models. I hypothesize
that blocking DIPG adhesion through specific integrin receptors would inhibit DIPG proliferation and invasion in
3D. Furthermore, there is a need to find and advance combinational therapeutic strategies since DIPG has been
shown to ultimately develop resistance even to promising single targeting regimes like HDAC inhibition [7,8]. I
hypothesize that blocking integrin receptor would synergize with HDAC inhibition to further improve treatment
outcome of DIPG by disrupting two distinct oncogenic pathways. I further hypothesize that 3D co-culture of
DIPG with neural progenitor cells (NPCs) in 3D would enhance DIPG invasion, a phenotype that mimics the in
vivo response. To test these hypotheses, I propose to: (1) Develop 3D hydrogels with brain-mimicking stiffness
and optimized adhesive ligands that support DIPG proliferation, invasion and drug responses in 3D; (2) Evaluate
the effects of blocking specific integrin receptors required for DIPG adhesion in inhibiting DIPG invasion using
our 3D hydrogels models, and validate the efficacy using a mouse DIPG model; and (3) Develop a 3D co-culture
model to recapitulate NPC-induced DIPG invasion, and identify key signals impacted by NPC/DIPG interactions
using RNA microarray. The outcomes of the proposed work would lead to the development of a bioengineered
3D in vitro model for DIPG with controlled cell-matrix and cell-cell interactions that mimics in vivo phenotype.
Under the mentorship of a team of basic and physician scientists, with complimentary expertise, I will gain
valuable interdisciplinary trainings and be uniquely positioned to carry out the proposed work.