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See Translational
Brain Tumor Immunology Laboratory
My research
focuses on the development and evaluation of novel therapies for
brain tumors. Malignant brain tumors are often associated with a
dismal prognosis, and despite advances in surgical technique, radiation,
and chemotherapy, few patients with glioblastoma remain alive three
years after diagnosis. My principal efforts involve the conduct
of translational research in immunotherapy for malignant brain tumors
and in developing clinical trials involving immunotherapeutic and
other biologic and cellular approaches. I am working closely with
Glenn Dranoff, MD at the Cancer Vaccine Center at the Dana Farber
Cancer Institute implementing a protocol for cytokine-based immunotherapy
for brain tumors that combines autologous tumor cell vaccination
with bystander cells expressing granulocyte-macrophage colony stimulating
factor (GM-CSF) as a stimulator of cellular and humoral anti-tumor
immunity. We are using treated patient serum to screen tumor cDNA
libraries for antigenic targets and combining this with assays to
detect helper and cytotoxic T-lymphocyte activity in patients with
brain tumors.
In
addition, I am collaborating with Robert
Martuza, MD and Samuel
Rabkin, PhD of the Molecular Neurosurgery Laboratory at Massachusetts General
Hospital in studying the antitumor immunity that is generated in mice by infection
of brain tumors with oncolytic herpes simplex virus -1. We are conducting studies
combining HSV-1 (G207) treatment of brain tumors with intratumoral injection of
dendritic cells, as well as other adjuvants known to participate in bridging innate
and adaptive immunity. Closely
associated with the above work is the conduct of a clinical trial hoping to exploit
the antitumor synergy between G207 (oncolytic HSV-1) and Temozolomide (an oral
alkylating agent which has efficacy against malignant gliomas), the basis of which
is chemotherapy-related cellular upregulation of DNA repair proteins that enhance
viral replication. I
am also continually engaged in research involving assessment of patient outcomes,
particularly those with brain tumors. Our current focus is on achieving representative
ethnic diversity in cancer clinical trials and understanding ethnic variations
in biological responses to therapies.
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