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Training by Year

First-Year PHO Fellows

Goals are primarily aimed at gaining experience in the diagnosis of hematologic and oncologic disorders and daily management and comprehensive care of children with known hematologic or oncologic disorders. In general the expectations of a first year fellow involve demonstration of medical knowledge, comprehension of pathophysiology, development of differential diagnoses, formulation of management plans, dissemination of plans by presentations at tumor boards and other clinical conferences, and management of hematology and oncology patients in inpatient and outpatient settings. During the latter half of his/her first year, the fellow will identify a mentor(s) and a research project for the second and third years of fellowship. The fellow will also begin preparing a quality improvement project. The fellow will present as scheduled throughout the year in Journal Club, Morbidity and Mortality Conference, and Tumor Board.

Second- & Third-Year PHO Fellows

In addition to the goals for the 1st year fellows, 2nd and 3rd years are expected to develop a research project, get appropriate IRB approval and animal research approval as necessary, apply for grant funding as necessary, carry out necessary experiments or clinical studies, and prepare the results for presentation and publication.

Each trainee has a mentor in the laboratory to instruct him/her with the research projects. The mentors are established researchers in their field and the trainee can choose among all different programs available on campus. The Program Director advises the trainees throughout the selection of their mentors and projects. Special attention is placed in ensuring the selected mentor has the time and is committed to the trainee’s development. Alternatively, if funding is available, instead of laboratory research, the trainee may enroll in the Master of Science in Clinical Research Program.

The objective of the research training is to provide the trainee with the research capability to carry on as an independent investigator in the future. 2nd and 3rd year fellows are expected to develop increased independence in the formulation of management plans for patients. The only clinical duties during the second and third years are a one day/week continuity clinic and two months each year on in-patient service. The fellow will continue to develop and complete a quality improvement project. The fellow will continue to present as scheduled throughout the year in Journal Club, Morbidity and Mortality Conference, and Tumor Board. Additionally, the 2nd and 3rd year fellows will prepare and deliver lectures for the pediatric noon conference lecture series.

Scholarly Activities

Introduction to Research

Structured training in scholarly activity:

Fellows' research projects typical fall into one of the three following themes:

  • Clinical/translational/basic science research.
  • Quality improvement.
  • Medical education.

Mentorship is provided to identify institutional resources, training courses and associated national conference meetings so that each trainee receives the necessary resources to meet their career goals.

The second and third years of fellowship are spent in research time are spent executing the project, presenting the results at a national meeting, and writing/publishing the manuscript. Many opportunities exist to perform more than one project if the fellow chooses. In addition, those interested in a career in research have the opportunity to take graduate coursework and write/obtain grant support for future studies. Opportunity for Master's Degree is offered during 2nd and 3rd years if chosen.

Fellow Accomplishments

Due to strong mentorship and divisional involvement in multicenter research, our fellows have a strong record of academic productivity. Since 2010, current and former fellows of our program have secured a number of national honors that attest to their excellence, have published more then 100 manuscripts and more than 100 abstracts.

Research

Nancy DeMore, M.D.
Dr. DeMore's laboratory focuses on the role of secreted frizzled related protein 2 (SFRP2) in osteosarcoma and the tumor immune microenvironment. Her lab developed a humanized monoclonal antibody to SFRP2 (hSFRP2 mAb) that is effective as monotherapy in pre-clinical models of metastatic osteosarcoma and is synergistic with immunotherapy. Based on these findings, the FDA granted rare pediatric and orphan disease designation for the hSFRP2 mAb.

Nathan Dollof, Ph.D.
Dr. Dolloff's laboratory is developing a cancer vaccine strategy for the treatment of pediatric Acute Myeloid Leukemia (AML). The approach uses an innovative protein platform to target AML-associated antigens to MHC class II molecules on antigen presenting cells, which triggers an anti-AML host immune response. Overall, this work aims to identify new ways to treat AML and develop immunotherapy drug candidates that will one day have a positive impact on the lives of pediatric cancer patients.

Denis Guttridge, Ph.D.
Dr. Guttridge's laboratory is interested in understanding how rhabdomyosarcoma (RMS) tumors develop and in strategizing new therapies that can increase the current 5-year survival, which for high-risk patients hasn’t changed in the last 40 years. RMS is a soft-tissue sarcoma which histologically and molecularly resembles skeletal muscle. However, unlike normal skeletal muscle, terminal differentiation is impaired in RMS, leading to uncontrolled growth and survival. The Guttridge lab showed that the NF-kB pathway contributes to this block in differentiation and new data indicate that myogenic transcription factors contribute to the survival of these tumors. Current efforts are focused on performing pre-clinical studies to target downstream effectors of NF-kB and myogenic factors to limit tumorigenesi s in mouse models of RMS, with the goal to translate these therapies into phase I/II clinical trials.

Jacqueline Kraveka, D.O.
Dr. Kraveka's laboratory is focused on sphingolipid and retinoid mediated therapies in neuroblastoma and pediatric sarcomas, and the function and regulation of the enzyme dihydroceramide desaturase (DEGS-1) in pediatric cancer. She is also actively involved in clinical pediatric research and serves as t he Institutional Principal Investigator (PI) for the Children’s Oncology Group (COG) and Beat Childhood Cancer Research Consortium (BCC). As PI, she is responsible for the conduct of over 50 Phase I, II and III clinical trials for pediatric oncology patients at MUSC.

Casey Landgon, Ph.D.
Dr. Langdon's laboratory's mission is to elucidate the intricacies and mechanisms underlying how different oncogenic events shape cancer cell fate decisions in pediatric sarcomas. Ultimately, the laboratory desires to uncover better and more tailored pharmacological interventions for these devastating childhood cancers. We are focused on Ewing sarcoma, a devastating pediatric bone cancer. Ewing sarcoma patients face a dismal prognosis with few therapeutic advancements in decades. Ewing sarcoma is driven by a fusion oncoprotein, typically EWSR1::FLI1, that creates a new epigenetic and transcriptional landscape in transformed Ewing sarcoma cells. We use a combination of molecular biology and multi-“omic” techniques and pharmacological intervention strategies to assess the cooperativity between the driving fusion and other genetic and non-genetic alterations seen in Ewing sarcomas. We are particularly interested on two main endeavors in the laboratory. First, we seek to determine how disrupted tumor suppressor subcellular localization contributes to Ewing sarcoma development. Second, we are investigating how other transcription factors cooperate with EWSR1::FLI1 and if those factors are future therapeutic targets. Please contact Dr. Langdon for specific details about projects available in his laboratory.

John O'Bryan, Ph.D.
Dr. O'Bryan's laboratory is interested in defining the importance of the RAS family of GTPases in human tumor biology. Although NRAS was initially discovered to be mutated in neuroblastoma, the overall frequency of RAS mutations in neuroblastoma is <2%. However, several lines of evidence suggest that RAS activity, in the absence of mutational activation, may be an important driver of neuroblastoma tumorigenesis. The O’Bryan lab has developed a new approach to inhibit RAS using engineered protein binders called monobodies. His group has developed a number of RAS-inhibitory monobodies that allow for the specific inhibition of RAS within the cell. Using these unique reagents, his group is studying the importance of RAS in neuroblastoma tumorgenesis. Dr. O’Bryan’s lab has found that a subset of neuroblastomas require RAS activity even in the absence of mutational activation. Future, work will use these reagents to probe role of RAS in additional pediatric tumors.

Jezabel Rodriguez-Blanco, Ph.D.
Dr. Rodriguez-Blanco's laboratory focuses in finding better treatments for medulloblastoma, the most common pediatric brain tumor and the cause of 10% of cancer related deaths in children. Survival for this subset of patients improved around 30 years ago when chemotherapy was added to the standard of care regimen. Unfortunately, since them no improvement in the survival of these children has been observed. Tumors in 30% of the cases will recur and we have no treatment currently available for relapsed medulloblastoma. Dr. Rodriguez-Blanco’s lab has identified populations of cancer stem cells that evade therapies and allow medulloblastoma to grow back. Her lab has also uncovered the drivers of these highly aggressive cells and proved that clinically available drugs can deplete these cells from tumors and prevent tumor recurrence. On the other hand, and by using tumor models that recapitulate the mutational landscape of the relapsed disease, Dr. Rodriguez-Blanco’s lab also looks for therapies aimed at specifically targeting relapsed medulloblastoma, and that could be utilized in future clinical trials for these underserved patients.