Oncogenic hijacking of a developmental transcription factor evokes vulnerability toward oxidative stress in Ewing sarcoma.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
15 05 2020
Historique:
received: 21 03 2019
accepted: 23 04 2020
entrez: 17 5 2020
pubmed: 18 5 2020
medline: 25 8 2020
Statut: epublish

Résumé

Ewing sarcoma (EwS) is an aggressive childhood cancer likely originating from mesenchymal stem cells or osteo-chondrogenic progenitors. It is characterized by fusion oncoproteins involving EWSR1 and variable members of the ETS-family of transcription factors (in 85% FLI1). EWSR1-FLI1 can induce target genes by using GGAA-microsatellites as enhancers.Here, we show that EWSR1-FLI1 hijacks the developmental transcription factor SOX6 - a physiological driver of proliferation of osteo-chondrogenic progenitors - by binding to an intronic GGAA-microsatellite, which promotes EwS growth in vitro and in vivo. Through integration of transcriptome-profiling, published drug-screening data, and functional in vitro and in vivo experiments including 3D and PDX models, we discover that constitutively high SOX6 expression promotes elevated levels of oxidative stress that create a therapeutic vulnerability toward the oxidative stress-inducing drug Elesclomol.Collectively, our results exemplify how aberrant activation of a developmental transcription factor by a dominant oncogene can promote malignancy, but provide opportunities for targeted therapy.

Identifiants

pubmed: 32415069
doi: 10.1038/s41467-020-16244-2
pii: 10.1038/s41467-020-16244-2
pmc: PMC7228971
doi:

Substances chimiques

EWSR1-FLI1 fusion protein, human 0
Hydrazines 0
Oncogene Proteins, Fusion 0
SOX6 protein, human 0
SOXD Transcription Factors 0
elesclomol 6UK191M53P

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

2423

Subventions

Organisme : NCI NIH HHS
ID : F31 CA236410
Pays : United States

Commentaires et corrections

Type : ErratumIn

Références

Grünewald, T. G. P. et al. Ewing sarcoma. Nat. Rev. Dis. Prim. 4, 5 (2018).
pubmed: 29977059 doi: 10.1038/s41572-018-0003-x
Tirode, F. et al. Mesenchymal stem cell features of Ewing tumors. Cancer Cell 11, 421–429 (2007).
pubmed: 17482132 doi: 10.1016/j.ccr.2007.02.027
Tanaka, M. et al. Ewing’s sarcoma precursors are highly enriched in embryonic osteochondrogenic progenitors. J. Clin. Invest 124, 3061–3074 (2014).
pubmed: 24911143 pmcid: 4071408 doi: 10.1172/JCI72399
Anderson, N. D. et al. Rearrangement bursts generate canonical gene fusions in bone and soft tissue tumors. Science 361, eaam8419 (2018).
Delattre, O. et al. Gene fusion with an ETS DNA-binding domain caused by chromosome translocation in human tumours. Nature 359, 162–165 (1992).
pubmed: 1522903 doi: 10.1038/359162a0
Hancock, J. D. & Lessnick, S. L. A transcriptional profiling meta-analysis reveals a core EWS-FLI gene expression signature. Cell Cycle 7, 250–256 (2008).
pubmed: 18256529 doi: 10.4161/cc.7.2.5229
Riggi, N. et al. EWS-FLI1 utilizes divergent chromatin remodeling mechanisms to directly activate or repress enhancer elements in Ewing sarcoma. Cancer Cell 26, 668–681 (2014).
pubmed: 25453903 pmcid: 4492343 doi: 10.1016/j.ccell.2014.10.004
Leacock, S. W. et al. A zebrafish transgenic model of Ewing’s sarcoma reveals conserved mediators of EWS-FLI1 tumorigenesis. Dis. Model Mech. 5, 95–106 (2012).
pubmed: 21979944 doi: 10.1242/dmm.007401
Patel, M. et al. Tumor-specific retargeting of an oncogenic transcription factor chimera results in dysregulation of chromatin and transcription. Genome Res. 22, 259–270 (2012).
pubmed: 22086061 pmcid: 3266033 doi: 10.1101/gr.125666.111
Gangwal, K. et al. Microsatellites as EWS/FLI response elements in Ewing’s sarcoma. Proc. Natl Acad. Sci. USA 105, 10149–10154 (2008).
pubmed: 18626011 pmcid: 2481306 doi: 10.1073/pnas.0801073105
Guillon, N. et al. The oncogenic EWS-FLI1 protein binds in vivo GGAA microsatellite sequences with potential transcriptional activation function. PLoS ONE 4, e4932 (2009).
pubmed: 19305498 pmcid: 2654724 doi: 10.1371/journal.pone.0004932
Tomazou, E. M. et al. Epigenome mapping reveals distinct modes of gene regulation and widespread enhancer reprogramming by the oncogenic fusion protein EWS-FLI1. Cell Rep. 10, 1082–1095 (2015).
pubmed: 25704812 pmcid: 4542316 doi: 10.1016/j.celrep.2015.01.042
May, W. A. et al. Ewing sarcoma 11;22 translocation produces a chimeric transcription factor that requires the DNA-binding domain encoded by FLI1 for transformation. Proc. Natl Acad. Sci. USA 90, 5752–5756 (1993).
pubmed: 8516324 pmcid: 46800 doi: 10.1073/pnas.90.12.5752
May, W. A. et al. The Ewing’s sarcoma EWS/FLI-1 fusion gene encodes a more potent transcriptional activator and is a more powerful transforming gene than FLI-1. Mol. Cell Biol. 13, 7393–7398 (1993).
pubmed: 8246959 pmcid: 364810
Evans, C. H. et al. EWS-FLI-1-targeted cytotoxic T-cell killing of multiple tumor types belonging to the Ewing sarcoma family of tumors. Clin. Cancer Res. 18, 5341–5351 (2012).
pubmed: 22879388 pmcid: 3463738 doi: 10.1158/1078-0432.CCR-12-1985
Smits, P. et al. The transcription factors L-Sox5 and Sox6 are essential for cartilage formation. Dev. Cell 1, 277–290 (2001).
pubmed: 11702786 doi: 10.1016/S1534-5807(01)00003-X
Akiyama, H., Chaboissier, M. C., Martin, J. F., Schedl, A. & de Crombrugghe, B. The transcription factor Sox9 has essential roles in successive steps of the chondrocyte differentiation pathway and is required for expression of Sox5 and Sox6. Genes Dev. 16, 2813–2828 (2002).
pubmed: 12414734 pmcid: 187468 doi: 10.1101/gad.1017802
Lefebvre, V., Li, P. & de Crombrugghe, B. A new long form of Sox5 (L-Sox5), Sox6 and Sox9 are coexpressed in chondrogenesis and cooperatively activate the type II collagen gene. EMBO J. 17, 5718–5733 (1998).
pubmed: 9755172 pmcid: 1170900 doi: 10.1093/emboj/17.19.5718
Smits, P., Dy, P., Mitra, S. & Lefebvre, V. Sox5 and Sox6 are needed to develop and maintain source, columnar, and hypertrophic chondrocytes in the cartilage growth plate. J. Cell Biol. 164, 747–758 (2004).
pubmed: 14993235 pmcid: 2172159 doi: 10.1083/jcb.200312045
Baldauf, M. C. et al. Systematic identification of cancer-specific MHC-binding peptides with RAVEN. Oncoimmunology 7, e1481558 (2018).
pubmed: 30228952 pmcid: 6140548 doi: 10.1080/2162402X.2018.1481558
Grünewald, T. G. et al. Chimeric EWSR1-FLI1 regulates the Ewing sarcoma susceptibility gene EGR2 via a GGAA microsatellite. Nat. Genet. 47, 1073–1078 (2015).
pubmed: 26214589 pmcid: 4591073 doi: 10.1038/ng.3363
Musa, J. et al. Cooperation of cancer drivers with regulatory germline variants shapes clinical outcomes. Nat. Commun. 10, 4128 (2019).
pubmed: 31511524 pmcid: 6739408 doi: 10.1038/s41467-019-12071-2
Ohe, K., Lalli, E. & Sassone-Corsi, P. A direct role of SRY and SOX proteins in pre-mRNA splicing. Proc. Natl Acad. Sci. USA 99, 1146–1151 (2002).
pubmed: 11818535 pmcid: 122158 doi: 10.1073/pnas.022645899
Ohe, K., Tamai, K. T., Parvinen, M. & Sassone-Corsi, P. DAX-1 and SOX6 molecular interplay results in an antagonistic effect in pre-mRNA splicing. Dev. Dyn. 238, 1595–1604 (2009).
pubmed: 19384854 doi: 10.1002/dvdy.21957
Hannus, M. et al. siPools: highly complex but accurately defined siRNA pools eliminate off-target effects. Nucleic Acids Res. 42, 8049–8061 (2014).
pubmed: 24875475 pmcid: 4081087 doi: 10.1093/nar/gku480
Bersini, S. et al. Human in vitro 3D co-culture model to engineer vascularized bone-mimicking tissues combining computational tools and statistical experimental approach. Biomaterials 76, 157–172 (2016).
pubmed: 26524536 doi: 10.1016/j.biomaterials.2015.10.057
Bongio, M., Lopa, S., Gilardi, M., Bersini, S. & Moretti, M. A 3D vascularized bone remodeling model combining osteoblasts and osteoclasts in a CaP nanoparticle-enriched matrix. Nanomedicine 11, 1073–1091 (2016).
pubmed: 27078586 doi: 10.2217/nnm-2015-0021
Ayad, N. G. et al. Tome-1, a trigger of mitotic entry, is degraded during G1 via the APC. Cell 113, 101–113 (2003).
pubmed: 12679038 doi: 10.1016/S0092-8674(03)00232-0
Christensen, J. et al. Characterization of E2F8, a novel E2F-like cell-cycle regulated repressor of E2F-activated transcription. Nucleic Acids Res. 33, 5458–5470 (2005).
pubmed: 16179649 pmcid: 1236722 doi: 10.1093/nar/gki855
Feng, X. et al. DEPDC1 is required for cell cycle progression and motility in nasopharyngeal carcinoma. Oncotarget 8, 63605–63619 (2017).
pubmed: 28969015 pmcid: 5609947 doi: 10.18632/oncotarget.18868
Iorio, F. et al. A landscape of pharmacogenomic interactions in cancer. Cell 166, 740–754 (2016).
pubmed: 27397505 pmcid: 4967469 doi: 10.1016/j.cell.2016.06.017
Nagai, M. et al. The oncology drug Elesclomol selectively transports copper to the mitochondria to induce oxidative stress in cancer cells. Free Radic. Biol. Med. 52, 2142–2150 (2012).
pubmed: 22542443 doi: 10.1016/j.freeradbiomed.2012.03.017
Yadav, A. A., Patel, D., Wu, X. & Hasinoff, B. B. Molecular mechanisms of the biological activity of the anticancer drug Elesclomol and its complexes with Cu(II), Ni(II) and Pt(II). J. Inorg. Biochem 126, 1–6 (2013).
pubmed: 23707906 doi: 10.1016/j.jinorgbio.2013.04.013
Kirshner, J. R. et al. Elesclomol induces cancer cell apoptosis through oxidative stress. Mol. Cancer Ther. 7, 2319–2327 (2008).
pubmed: 18723479 doi: 10.1158/1535-7163.MCT-08-0298
De Biasi, S. et al. Quantification of mitochondrial reactive oxygen species in living cells by using multi-laser polychromatic flow cytometry. Cytom. Part A 89, 1106–1110 (2016).
doi: 10.1002/cyto.a.22936
Ezeriņa, D., Takano, Y., Hanaoka, K., Urano, Y. & Dick, T. P. N-acetyl cysteine functions as a fast-acting antioxidant by triggering intracellular H2S and sulfane sulfur production. Cell Chem. Biol. 25, 447–459.e4 (2018).
pubmed: 29429900 pmcid: 6455997 doi: 10.1016/j.chembiol.2018.01.011
Krishna, C. M. et al. The catecholic metal sequestering agent 1,2-dihydroxybenzene-3, 5-disulfonate confers protection against oxidative cell damage. Arch. Biochem. Biophysics 294, 98–106 (1992).
doi: 10.1016/0003-9861(92)90142-J
Alhawiti, N. M., Al Mahri, S., Aziz, M. A., Malik, S. S. & Mohammad, S. TXNIP in metabolic regulation: physiological role and therapeutic outlook. Curr. Drug Targets 18, 1095–1103 (2017).
Zhou, J. & Chng, W.-J. Roles of thioredoxin binding protein (TXNIP) in oxidative stress, apoptosis and cancer. Mitochondrion 13, 163–169 (2013).
pubmed: 22750447 doi: 10.1016/j.mito.2012.06.004
Hagiwara, N. Sox6, jack of all trades: a versatile regulatory protein in vertebrate development. Dev. Dyn. 240, 1311–1321 (2011).
pubmed: 21495113 pmcid: 3092843 doi: 10.1002/dvdy.22639
Monument, M. J. et al. Clinical and biochemical function of polymorphic NR0B1 GGAA-microsatellites in Ewing sarcoma: a report from the Children’s Oncology Group. PLoS ONE 9, e104378 (2014).
pubmed: 25093581 pmcid: 4122435 doi: 10.1371/journal.pone.0104378
Guo, X., Yang, M., Gu, H., Zhao, J. & Zou, L. Decreased expression of SOX6 confers a poor prognosis in hepatocellular carcinoma. Cancer Epidemiol. 37, 732–736 (2013).
pubmed: 23731550 doi: 10.1016/j.canep.2013.05.002
Qin, Y. R. et al. Characterization of tumor-suppressive function of SOX6 in human esophageal squamous cell carcinoma. Clin. Cancer Res. 17, 46–55 (2011).
pubmed: 21084391 doi: 10.1158/1078-0432.CCR-10-1155
Kinsey, M., Smith, R. & Lessnick, S. L. NR0B1 is required for the oncogenic phenotype mediated by EWS/FLI in Ewing’s sarcoma. Mol. Cancer Res. 4, 851–859 (2006).
pubmed: 17114343 doi: 10.1158/1541-7786.MCR-06-0090
Alli, E. & Ford, J. M. Breast cancers with compromised DNA repair exhibit selective sensitivity to Elesclomol. DNA Repair (Amst.) 11, 522–524 (2012).
doi: 10.1016/j.dnarep.2012.02.003
Qu, Y. et al. Elesclomol, counteracted by Akt survival signaling, enhances the apoptotic effect of chemotherapy drugs in breast cancer cells. Breast Cancer Res. Treat. 121, 311–321 (2010).
pubmed: 19609669 doi: 10.1007/s10549-009-0470-6
O’Day, S. et al. Phase II, randomized, controlled, double-blinded trial of weekly Elesclomol plus paclitaxel versus paclitaxel alone for stage IV metastatic melanoma. J. Clin. Oncol. 27, 5452–5458 (2009).
pubmed: 19826135 doi: 10.1200/JCO.2008.17.1579
O’Day, S. J. et al. Final results of phase III SYMMETRY study: randomized, double-blind trial of Elesclomol plus paclitaxel versus paclitaxel alone as treatment for chemotherapy-naive patients with advanced melanoma. J. Clin. Oncol. 31, 1211–1218 (2013).
pubmed: 23401447 doi: 10.1200/JCO.2012.44.5585
Benz, C. C. & Yau, C. Ageing, oxidative stress and cancer: paradigms in parallax. Nat. Rev. Cancer 8, 875–879 (2008).
pubmed: 18948997 pmcid: 2603471 doi: 10.1038/nrc2522
Grünewald, T. G. et al. STEAP1 is associated with the invasive and oxidative stress phenotype of Ewing tumors. Mol. Cancer Res. 10, 52–65 (2012).
pubmed: 22080479 doi: 10.1158/1541-7786.MCR-11-0524
Schumacker, P. T. Reactive oxygen species in cancer cells: Live by the sword, die by the sword. Cancer Cell 10, 175–176 (2006).
pubmed: 16959608 doi: 10.1016/j.ccr.2006.08.015
Gibellini, L. et al. Interfering with ROS metabolism in cancer cells: the potential role of quercetin. Cancers (Basel) 2, 1288–1311 (2010).
doi: 10.3390/cancers2021288
Burke-Gaffney, A., Callister, M. E. J. & Nakamura, H. Thioredoxin: friend or foe in human disease? Trends Pharmacol. Sci. 26, 398–404 (2005).
pubmed: 15990177 doi: 10.1016/j.tips.2005.06.005
Hwang, J. et al. The structural basis for the negative regulation of thioredoxin by thioredoxin-interacting protein. Nat. Commun. 5, 2958 (2014).
pubmed: 24389582 doi: 10.1038/ncomms3958
Carrillo, J. et al. Cholecystokinin down-regulation by RNA interference impairs Ewing tumor growth. Clin. Cancer Res. 13, 2429–2440 (2007).
pubmed: 17438102 doi: 10.1158/1078-0432.CCR-06-1762
Livak, K. J. & Schmittgen, T. D. Analysis of relative gene expression data using real-time quantitative PCR and the 2−ΔΔCT method. Methods 25, 402–408 (2001).
doi: 10.1006/meth.2001.1262 pubmed: 11846609
Tirode, F. et al. Genomic landscape of Ewing sarcoma defines an aggressive subtype with co-association of STAG2 and TP53 mutations. Cancer Discov. 4, 1342–1353 (2014).
pubmed: 25223734 pmcid: 4264969 doi: 10.1158/2159-8290.CD-14-0622
Sheffield, N. C. et al. DNA methylation heterogeneity defines a disease spectrum in Ewing sarcoma. Nat. Med. 23, 386–395 (2017).
pubmed: 28134926 pmcid: 5951283 doi: 10.1038/nm.4273
Gordon, D. J., Motwani, M. & Pellman, D. Modeling the initiation of Ewing sarcoma tumorigenesis in differentiating human embryonic stem cells. Oncogene 35, 3092–3102 (2016).
pubmed: 26455317 doi: 10.1038/onc.2015.368
Irizarry, R. A. et al. Exploration, normalization, and summaries of high density oligonucleotide array probe level data. Biostatistics 4, 249–264 (2003).
pubmed: 12925520 doi: 10.1093/biostatistics/4.2.249
Dai, M. et al. Evolving gene/transcript definitions significantly alter the interpretation of GeneChip data. Nucleic Acids Res. 33, e175 (2005).
pubmed: 16284200 pmcid: 1283542 doi: 10.1093/nar/gni179
Crompton, B. D. et al. The genomic landscape of pediatric Ewing sarcoma. Cancer Discov. 4, 1326–1341 (2014).
pubmed: 25186949 doi: 10.1158/2159-8290.CD-13-1037
Storey, J., Bass, A., Dabney, A. & Robinson, D. qvalue: Q-value estimation for false discovery rate control. R package version 2.16.0. https://doi.org/10.18129/B9.bioc.qvalue (2019).
Subramanian, A. et al. Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles. Proc. Natl Acad. Sci. USA 102, 15545–15550 (2005).
pubmed: 16199517 pmcid: 1239896 doi: 10.1073/pnas.0506580102
Wiederschain, D. et al. Single-vector inducible lentiviral RNAi system for oncology target validation. Cell Cycle 8, 498–504 (2009).
pubmed: 19177017 doi: 10.4161/cc.8.3.7701
Mullick, A. et al. The cumate gene-switch: a system for regulated expression in mammalian cells. BMC Biotechnol. 6, 43 (2006).
pubmed: 17083727 pmcid: 1654148 doi: 10.1186/1472-6750-6-43
Bauernfeind, F. et al. NLRP3 inflammasome activity is negatively controlled by miR-223. J. Immunol. 189, 4175–4181 (2012).
pubmed: 22984082 doi: 10.4049/jimmunol.1201516
Cossarizza, A. et al. Guidelines for the use of flow cytometry and cell sorting in immunological studies (second edition). Eur. J. Immunol. 49, 1457–1973 (2019).
pubmed: 31633216 pmcid: 7350392 doi: 10.1002/eji.201970107
Hauer, K. et al. DKK2 mediates osteolysis, invasiveness, and metastatic spread in Ewing sarcoma. Cancer Res. 73, 967–977 (2013).
pubmed: 23204234 doi: 10.1158/0008-5472.CAN-12-1492
Stewart, E. et al. Targeting the DNA repair pathway in Ewing sarcoma. Cell Rep. 9, 829–840 (2014).
pubmed: 25437539 pmcid: 4386669 doi: 10.1016/j.celrep.2014.09.028

Auteurs

Aruna Marchetto (A)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Shunya Ohmura (S)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Martin F Orth (MF)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Maximilian M L Knott (MML)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.
Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Maria V Colombo (MV)

Regenerative Medicine Technologies Laboratory, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.

Chiara Arrigoni (C)

Regenerative Medicine Technologies Laboratory, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.

Victor Bardinet (V)

Department of Pediatrics, Division of Oncology and Hematology, Charité Berlin, Berlin, Germany.

David Saucier (D)

Department of Pediatrics and Molecular Biology, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, TX, USA.

Fabienne S Wehweck (FS)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.
Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Jing Li (J)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Stefanie Stein (S)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Julia S Gerke (JS)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Michaela C Baldauf (MC)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Julian Musa (J)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.
Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.

Marlene Dallmayer (M)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Laura Romero-Pérez (L)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.
Hopp-Children's Cancer Center (KiTZ), Heidelberg, Germany.
Division of Translational Pediatric Sarcoma Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Tilman L B Hölting (TLB)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

James F Amatruda (JF)

Department of Pediatrics and Molecular Biology, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, TX, USA.
Children's Hospital of Los Angeles, Los Angeles, CA, USA.

Andrea Cossarizza (A)

Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia School of Medicine, Modena, Italy.

Anton G Henssen (AG)

Department of Pediatrics, Division of Oncology and Hematology, Charité Berlin, Berlin, Germany.
Berlin Institute of Health, Berlin, Germany.
Experimental and Clinical Research Center (ECRC) of the MDC and Charité Berlin, Berlin, Germany.
German Cancer Consortium (DKTK), partner site, Berlin, Germany.
German Cancer Research Center (DKFZ), Heidelberg, Germany.

Thomas Kirchner (T)

Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.
German Cancer Research Center (DKFZ), Heidelberg, Germany.
German Cancer Consortium (DKTK), partner site, Munich, Germany.

Matteo Moretti (M)

Regenerative Medicine Technologies Laboratory, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.

Florencia Cidre-Aranaz (F)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.
Hopp-Children's Cancer Center (KiTZ), Heidelberg, Germany.
Division of Translational Pediatric Sarcoma Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Giuseppina Sannino (G)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany.

Thomas G P Grünewald (TGP)

Max-Eder Research Group for Pediatric Sarcoma Biology, Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany. t.gruenewald@dkfz-heidelberg.de.
Institute of Pathology, Faculty of Medicine, LMU Munich, Munich, Germany. t.gruenewald@dkfz-heidelberg.de.
Hopp-Children's Cancer Center (KiTZ), Heidelberg, Germany. t.gruenewald@dkfz-heidelberg.de.
Division of Translational Pediatric Sarcoma Research, German Cancer Research Center (DKFZ), Heidelberg, Germany. t.gruenewald@dkfz-heidelberg.de.
German Cancer Consortium (DKTK), partner site, Munich, Germany. t.gruenewald@dkfz-heidelberg.de.
Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany. t.gruenewald@dkfz-heidelberg.de.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH