25 June 2014 Annual Scientific Meeting Pavilions of Harrogate
Transcription
25 June 2014 Annual Scientific Meeting Pavilions of Harrogate
th 25 June 2014 Annual Scientific Meeting Pavilions of Harrogate PROGRAMME PROGRAMME 2014 YCR ANNUAL SCIENTIFIC MEETING PAVILIONS OF HARROGATE Wednesday 25th JUNE 8.45 am Registration and Coffee 9.30 am Welcome – Professor Tony Robards 9.35 am YCR Update – Charles Rowett 10.00 am Open Papers - Scientific Session 1 11.15 am Coffee, Poster Session and Scientific Exhibition 11.45 am Open Papers – Scientific Session 2 12.45 pm Buffet Lunch and Scientific Exhibition 1.00 pm Poster viewing 2.15 pm Open Papers – Scientific Session 3 3.30 pm Tea, Poster Session & Scientific Exhibition 4.00 pm Host: Professor Laurence Patterson Guest Lecturer - Professor V Craig Jordan, Scientific Director Lombardi Comprehensive Cancer Center, Georgetown University Medical Center Title of talk "Why It Is The Right Thing To Do: Invest In Young Cancer Research Scientists!" 5.00 pm Announcement of Poster Awards 5.05 pm Closing address – Professor Tony Robards 5.30 pm Drinks and canapés The Open Papers and Guest Lecture will be held in the Aire Room, Scientific presentations are 15 minutes duration and the Guest Lecture is 1 hour including questions. The Poster presentations, refreshments and Scientific Exhibition will be held in the Wharfe Room. Please stand by your Posters from 1pm to 2.15pm and remove them from the stands at the end of the afternoon Poster Session. 2|Page Exhibitors YCR would like to thank the support given from Exhibitors who are listed below! 3|Page OPEN PAPERS – SCIENTIFIC SESSION 1 Chair: Professor Mohammad Ilyas 10.00 am Genomic Copy Number Data from Next-generation Sequencing Predicts Bone Metastasis in Breast Cancer Henry M Wood1 , R E Coleman 2, W Gregory1, J Westbrook1, P Rabbitts1, and JE Brown2 10.15 am 1 University of Leeds 2 University of Sheffield Deciphering a Molecular Signature of Glioma Progression using microRNA Expression Data Josie Hayes, Alastair Droop, Helene Thygesen, Marjorie Boissinot, David Westhead, Susan Short and Sean Lawler Leeds Institute of Molecular medicine, University of Leeds. 10.30 am Identifying Modifiers of MCPH1 induced Premature Chromosome Condensation using an siRNA Screen Victoria J. Cookson1, A Awaji1, M Adams2, J Higgins2, D Tomlinson2, J Bond1, EE Morrison1 and SM Bell1 1 Leeds Institute of Biomedical and Clinical Sciences and 2The Bioscreening Technology Group (BSTG), Wellcome Trust Brenner Building, St James’s University Hospital, Leeds LS9 7TF. 10.45 am Functional assembly of recombinant human MCM complex in isolated nuclei Emma L.Hesketh1, D. Coverley1 and J.P. J. Chong1 1 11.00 am Department of Biology, University of York, York, YO10 5DD. The Role of the Tumour Microenvironment in HPV Positive and Negative Oropharyngeal Carcinoma Robert Bolt1, Bernadette Foran1, Daniel W Lambert1 and Keith D Hunter1 University of Sheffield, Sheffield Teaching Hospitals NHS Trust and Weston Park Hospital, Sheffield. 11.15 AM – COFFEE 4|Page OPEN PAPERS – SCIENTIFIC SESSION 2 Chair: Professor John Saxton 11.45 am The YCR Centre for Early Phase Clinical Trials Julia Brown, S Brown, C Twelves, F Collinson, D Sebag Montefiore, R Coleman, P Woll, S Danson, M Lind and N Maitland University of Leeds, University of Sheffield, University of Hull, University of York. 12.00 pm A feasibility study testing four hypotheses with phase II outcomes in advanced colorectal cancer (MRC FOCUS 3): A paradigm for randomised controlled trials in the era of personalised medicine? Susan D Richman, Gemma Hemmings, Phil Chambers, Morag Taylor, Matthew Seymour and Phil Quirke on behalf of the FOCUS3 TMG. Leeds Institute of Cancer and Pathology, St James’s University Hospital, Leeds LS9 7TF 12.15 pm MRI and Ultrasound: A Synergistic Approach to the Localisation and Treatment of Malignancy Nina Louise Purvis, Dr Peter Gibbs, Dr Martin Pickles and Professor Lindsay Turnbull. Centre for MR Investigations (HYMS at University of Hull), Hull Royal Infirmary, Anlaby Road, Hull, HU3 2JZ 12.30 pm A Systematic Review of the Literature Examining Inequalities in Access to Specialist Palliative Care for People with Cancer Donald J Nicolson, Hong Chen, Victoria Allgar, Una Macleod and Miriam Johnson. University of Hull, Cottingham Road, Hull, HU6 7RX. 12.45 pm LUNCH 1.00 – 2.15 POSTERS 5|Page OPEN PAPERS – SCIENTIFIC SESSION 3 Chair: Dr David Gilham 2.15 pm The Biological Effects of FGFR3 Fusion Proteins Sarah V Williams, L Wang, CD Hurst and MA Knowles. Section of Experimental Oncology, Leeds Institute of Cancer and Pathology, St James’s University Hospital, Leeds, LS9 7TF. 2.30 pm Oncolytic virotherapy for Paediatric High Grade Glioma; Evaluation of the Effects of Oncolytic Virus on Cell Viability, Migration and Invasion Julia V Cockle1, Elizabeth Ilett1, Karen J Scott1, Anke Brüning-Richardson1, Susan Picton2, Susan Short1 and Alan Melcher1 1 Leeds Institute of Cancer Studies and Pathology, St. James’s Hospital, Leeds University LS9 7TF. 2.45 pm Reovirus activation of NK Cells Increases the Efficacy of Rituximab for the Treatment of CLL Fiona Errington-Mais1, L. Ilett1, C. Parrish1, P. Hillmen1, and A. Melcher1 1 Leeds Institute of Cancer Studies and Pathology, St. James’s Hospital, Leeds University LS9 7TF. 3.00 pm New Strategies for the Development of Integrin Antagonists as Improved Anticancer Therapeutics Adam Throup, Mark Sutherland, Andrew Gordon, Fatemah Al-Shammari, Hanadi Ahmedah, Manar Zraikat, Steven D Shnyder, Laurence H Patterson and Helen M Sheldrake. Institute of Cancer Therapeutics, University of Bradford, Bradford, BD7 1DP. 6|Page 3.15 pm FANCD2 Expression correlates with Glioma Grade and Chemical Inhibition of the Fanconi Anaemia Pathway Sensitises Gliomas to Chemotherapeutic Agents Abhijit A Patil1, Parag Sayal2, Marie-Lise Depondt1, Ryan D. D. Beveridge1, Anthony Roylance2, Deepti H. Kriplani1, Katie N. Myers1, Angela Cox1, David Jellinek2, Malee Fernando3, Thomas A. Carroll2 and Spencer J. Collis1*. 1 Sheffield Cancer Research Centre, Academic Unit of Molecular Oncology, Department of Oncology, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX. 2 Neuro-Oncology Group, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Sheffield S10 2JF. 3 Department of Histopathology, Sheffield Teaching Hospitals, Royal Hallamshire Hospital, Sheffield S10 2JF. 3.30 – Coffee 4.00 – GUEST SPEAKER’S TALK Professor V. Craig Jordan 5.00 – 5.05 – Poster Awards 5.05 – 5.30 – Closing speeches 5.30 – Canapés & Drinks 7|Page ORAL PRESENTATIONS 8|Page Open Papers - Scientific Session 1 10.00am Talk – Henry Wood Genomic copy number data from next-generation sequencing predicts bone metastasis in breast cancer. 1 2 1 1 1 2 Wood HM , Coleman RE , Gregory W , Westbrook J , Rabbitts P , Brown JE . 1 University of Leeds 2 University of Sheffield Being able to predict risk and likely site of metastasis would have huge implications for the clinical management of patients. In breast cancer, bone metastasis is particularly common and is characterised by a relatively long period prior to relapse. We have looked for genomic differences in the primary tumours of three groups of patients: patients who did not metastasise; patients who developed a bone metastasis; and other metastatic patients. We used low coverage next-generation sequencing to generate genomic copy number data for 181 patients. We analysed the differences between the groups in three ways. Inspection of common regions of gain and loss showed no differences between the groups. However, a previously published algorithm measuring local regions of genomic disruption did separate the groups, as did a novel logistic regression algorithm that produces a genomic signature of prediction. Using a combination of these algorithms, we able to make good predictions about the chance of metastasis, and the likely site, simply by analysing tissue from the primary tumour. 9|Page 10.15 am Talk – Josie Hayes Deciphering a molecular signature of glioma progression using microRNA expression data JOSIE HAYES, Alastair Droop, Helene Thygesen, Marjorie Boissinot, David Westhead, Susan Short, Sean Lawler Leeds Institute of Molecular medicine, University of Leeds Involvement of microRNAs in glioblastoma biology (GBM) has been well documented but less is known about microRNAs involved in lower grade glioma. This study used microRNA expression data from The Cancer Genome Atlas to identify microRNAs associated with survival in grade III (anaplastic astrocytoma) and grade IV (GBM) tumours. Using penalized regression, nine microRNAs were identified as predictors of survival in GBM. In the anaplastic astrocytoma group, comparison of microRNA sequencing data from patient groups (n=482) representing the extremes of survival identified 35 differentially expressed microRNAs. Five microRNAs; miR-34a, miR-148a, miR-222, miR-9 and miR-182, were negatively associated with prognosis in both GBM and anaplastic astrocytoma. Four microRNAs were associated with survival in GBM but not astrocytoma; miR-145, miR-370, miR-10b and miR-124a. Of these four, miR-10b and miR124a have previously been reported to be involved in proliferation, migration and invasion in GBM and also showed altered expression patterns in GBM (n=482) versus normal brain (n=10). In conclusion, miR-34a, miR-148a, miR-222, miR-9 and miR-182, are associated with prognosis in both grade III and IV gliomas. These microRNAs may represent a ‘signature’ for prognosis and their levels may be exploited for predicting whether progression is imminent. 10 | P a g e 10.30am Talk – Victoria Cookson Identifying Modifiers of MCPH1 induced Premature Chromosome Condensation using an siRNA Screen 1 1 2 2 2 1 1 VJ COOKSON , A Awaji , M Adams , J Higgins , D Tomlinson , J Bond , EE Morrison and SM 1 Bell 1 2 Leeds Institute of Biomedical and Clinical Sciences and The Bioscreening Technology Group (BSTG), Wellcome Trust Brenner Building, St James’s University Hospital, Leeds LS9 7TF, United Kingdom Reduced levels of MCPH1 in breast (29%) and ovarian (19%) cancer are associated with increasing tumour grade and poor survival. Loss of MCPH1 also causes premature chromosome condensation (PCC). We have performed a human druggable genome siRNA screen to identify modifiers of PCC and synthetic lethality in MCPH1 deficient cells. This should allow new drugs to be developed for women with breast and ovarian cancers resistant to current chemotherapies. MCPH1 siRNA knockdown was performed in U-2 OS cells to induce PCC. The siRNA screen was carried out using Dharmacon siGENOME® SMARTpool® siRNA Libraries. Images were captured using the Operetta high content imaging system and analysis carried out using Columbus TM (Perkin Elmer). Hits were determined by z score calculations using a cut off value of +/- 2 SD and validation was performed using deconvoluted siRNAs and Western blotting. From the human Protein Kinase sub-library, we have identified 3 novel modifiers of MCPH1 function; PIK3R4, PACE-1 and MYT1. Interestingly, we have shown that MCPH1 regulates the expression of the threonine/tyrosine kinases, MYT1 and WEE1, which control mitotic entry via inhibitory phosphorylation on CDK1. The WEE1 inhibitor, MK1775, is currently undergoing Phase II clinical trials and may prove as an effective therapy for women with aggressive cancers expressing low levels of MCPH1. 11 | P a g e 10.45am Talk – Emma Hesketh Functional assembly of recombinant human MCM complex in isolated nuclei. 1 1 1 E. L. HESKETH , D. Coverley and J.P. J. Chong . 1 Department of Biology, University of York, York, YO10 5DD, UK. DNA replication is a tightly regulated process ensuring chromosomal DNA is only replicated once per cell cycle. In eukaryotes, six mini-chromosome maintenance (MCM) proteins form a complex that provides DNA unwinding activity that is essential for replication fork progression. Using recombinant hMCM that we have purified and verified using a set of biochemical assays, and a cell free system derived from mammalian cells we are unravelling the steps required for the functional assembly of the hMCM complex inside nuclei. Our focus is on how hMCM complex assembly and activity is controlled by sequential phosphorylation by cellular kinases that are commonly mis-expressed in cancer cells. We have recapitulated time-dependent assembly of recombinant hMCM in mid-G1 phase nuclei and find that recombinant hMCM preferentially binds to chromatin in the presence of cyclin E/cdk2, which in turn affects the activity of hMCM. Once the functional assembly of hMCM is understood we hope to identify how this process is corrupted in some cancer cells, generating information that can be used to design novel cancer therapies. 12 | P a g e 11.00am Talk – Robert Bolt The Role of the Tumour Microenvironment in HPV Positive and Negative Oropharyngeal Carcinoma ROBERT BOLT, Bernadette Foran, Daniel W Lambert, Keith D Hunter University of Sheffield, Sheffield Teaching Hospitals NHS Trust and Weston Park Hospital, Sheffield UK We present in-vitro evidence that altered tumour-stromal interplay offers a route through which survival benefit may be imparted to HPV-positive disease. Conditioned media were collected from HPV-positive and HPV-negative cell lines, and incubated with normal oral fibroblasts. Further conditioned media were then collected from the stimulated fibroblasts and used in the experiments. Contemporary “scratch” assays were undertaken using a “silicone stopper” technique to assess the influence of conditioned media on cell migration. Proliferation was assessed through the MTS assay. HPV-negative cell lines demonstrated a marked increase in void closure over 48hrs in response to conditioned media when compared to control (P<0.01). Conversely, HPV-positive cell lines demonstrated no significant change in void closure when compared to control. No significant difference in proliferation was observed when comparing the effect of conditioned media on HPVpositive versus HPV-negative cell lines (P>0.05). Our data supports a marked difference in tumourstromal interaction between HPV-positive and -negative HNSCC; we further discuss the mechanisms behind the differences observed. 13 | P a g e Open Papers - Scientific Session 2 11.45am Talk – Julia Brown The YCR Centre for Early Phase Clinical Trials J BROWN, S Brown, C Twelves, F Collinson, D Sebag Montefiore, R Coleman, P Woll, S Danson, M Lind, N Maitland University of Leeds, University of Sheffield, University of Hull, University of York The YCR ECTN has been funded to deliver a portfolio of early clinical trials across Yorkshire to bridge the gap between basic laboratory research and the clinic. A multidisciplinary network of Leeds/Bradford, Sheffield, and Hull/York cancer centre researchers and methodological/clinical trial expertise from the Leeds Clinical Trials Research Unit will provide a framework for the delivery of early clinical trials, with expedited trial proposal development, set-up and delivery to time/target. The Network will support researchers to develop their ideas, facilitating high quality grant applications, and providing ongoing mentorship. Key areas for research include: immunological approaches, including viral therapy; combining targeted systemic therapies; new technical advances in surgical practice; novel approaches to drug delivery; studies tailored to specific under-represented and/or rare populations; novel radiation techniques to reduce toxicity or improve efficacy. The YCR ECTN will provide the opportunity for more Yorkshire-based patients to participate in innovative early clinical trials, enabling earlier access to novel therapies and more targeted treatments. 14 | P a g e 12.00pm Talk – Susan Richman A feasibility study testing four hypotheses with phase II outcomes in advanced colorectal cancer (MRC FOCUS 3): A paradigm for randomised controlled trials in the era of personalised medicine? SUSAN D RICHMAN, Gemma Hemmings, Phil Chambers, Morag Taylor, Matthew Seymour and Phil Quirke on behalf of the FOCUS3 TMG. All authors from Leeds Institute of Cancer and Pathology. Purpose: Molecular characteristics of cancer vary between individuals. In the future, most trials will require assessment of biomarkers to allocate patients into enriched populations in which targeted therapies are more likely to be effective. The MRC FOCUS 3 trial is a feasibility study to assess key elements in the planning of such studies in a multicentre setting in the UK. Patients and Methods: Patients with advanced colorectal cancer were registered from 24 centres between February 2010 and April 2011. Following patient consent, formalin-fixed, paraffin embedded (FFPE) tumour samples were sent to laboratories in Cardiff or Leeds for analysis of KRAS/BRAF mutation status and topoisomerase 1 immunohistochemistry. Patients were then classified into 1 of 4 molecular strata, which determined the set of 2 hypothesis-driven experimental therapies they could be randomised to, all being compared to control chemotherapy (irinotecan, 5FU and folinic acid [LV5FU]). Patient information sheets (PIS) were used to avoid patient overload. Results: 332 patients were registered and 244 randomised. 85% of eligible patients gave consent to randomisation. Among randomised patients, biomarker results were provided within 10 working days (wd) in 71%, 15 wd in 91% and 20 wd in 99% patients. KRAS mutation was detected in 88 (36%), BRAF in 15 (6%). 77% of patients were high (2-3), 19% low (0-1) and 4% inconclusive for topo-1 expression. DNA mutation analysis was 100% concordant between two laboratories. Over 90% of participants reported that they either fully or mostly understood all aspects of the trial. In this randomised phase II setting, omission of irinotecan in the low topo-1 group was associated with increased response rate, and addition of Cetuximab in the KRAS, BRAF wildtype cohort was associated with longer progression free survival. Conclusion: Patient samples can be collected and analysed at designated reference laboratories within clinically workable timeframes and with reproducible mutation results. Complex multi-arm designs can be made acceptable to patients through good PIS, ensured by patient and carer input into their design. Randomisation within each cohort provides the basis for outcome data that can inform clinical practice. This work has led to the £5million funding by EME of the FOCUS4 trial. 15 | P a g e 12.15pm Talk – Nina Purvis MRI & Ultrasound: A synergistic approach to the localisation and treatment of malignancy 1 1 1 MISS NINA LOUISE PURVIS , Dr Peter Gibbs , Dr Martin Pickles , Professor Lindsay Turnbull 1 1 Centre for MR Investigations (HYMS at University of Hull), Hull Royal Infirmary, Anlaby Road, Hull, HU3 2JZ Positive tumour margin status remains a significant problem in breast conserving surgery often resulting in reoperation. Breast tumours are being diagnosed earlier due to improved imaging modalities and screening programs, meaning tumours may be small and occult. MRI provides excellent delineation of a breast tumour’s extent but translating this information into surgical practise is challenging. Magnetic Resonance-guided Focused Ultrasound (MRgFUS) is a non-invasive surgical technology that allows thermal ablation of tissue deep inside the body without harming surrounding tissue. By utilizing MRgFUS to create a series of thermally induced ‘lesion tattoos’ on the periphery of a tumour it is hoped the increased tissue stiffness produced, resulting in improved tumour palpation, will facilitate improved surgical outcome. In-house software has been developed to plan lesion tattoos using MR images and this software has been applied to an ex vivo turkey breast model to assess the software by comparing pre-ablation MR images, planned sonication locations, post-ablation MR images and dissected turkey breast. It was found that the software successfully allowed for the planning and implementation of thermal ablations in their required location. A change in tissue colour and stiffness was also observed. Future work concerning lesion tattooing will develop a breast tumour model using ex-vivo sheep mammary tissue in order to generate data to support proceeding to human studies. 16 | P a g e 12.30pm Talk – Donald Nicolson A systematic review of the literature examining inequalities in access to specialist palliative care for people with cancer DONALD J NICOLSON, Hong Chen, Victoria Allgar, Una Macleod and Miriam Johnson University of Hull, Cottingham Road, Hull, HU6 7RX. BACKGROUND Specialist Palliative Care (SPC) prevents and relieves the pain that people who may be dying feel. Unequal access to SPC services, for people with persistent or complex palliative needs, is a concern, and people from deprived backgrounds have poorer access than more affluent people. Studies have found SPC varies with age, sex, diagnosis, ethnicity and socio-economic status (SES). We are conducting a systematic review to examine the relationship between SES / demographic variables, access to SPC, and place of death for patients with cancer. METHODS We searched 5 databases using standard systematic literature review methods. We included studies of any design with adults diagnosed with or treated for cancer, which examined access to SES/demographic variables, SPC and place of death. Two researchers checked 7,000 references by title and abstract, and then full papers for possible inclusion. RESULTS AND CONCLUSIONS This is work in progress and we will present the results at the conference. We included 53 studies to be quality assessed and data extracted. The added value of our study is that it will provide clearer understanding of the relationship between access to specialist palliative care services and socioeconomic status, and their influence on where people with cancer die. 17 | P a g e Open Papers - Scientific Session 3 2.15pm Talk – Sarah Williams Biological Effects of FGFR3 Fusion Proteins. WILLIAMS SV, Wang L, Hurst CD, Knowles MA. Section of Experimental Oncology, Leeds Institute of Cancer and Pathology, St James’s University Hospital, Leeds, LS9 7TF. We were the first to report the discovery of fusion genes involving FGFR3 in a proportion of bladder cancers and cell lines last year. This discovery was particularly exciting in view of the observation that cells containing the fusion genes are very sensitive to FGFR inhibitor drugs including some currently involved in clinical trials. We have investigated the mechanisms through which these fusion genes may exert their effects. When expressed in NIH-3T3 cells the fusion genes show high levels of constitutive FGFR3 phosphorylation, equaling or exceeding the levels shown by FGF1 stimulated wild type FGFR3, and the cells show a transformed phenotype. Expression of the partner genes, TACC3 and BAIAP2L1, in NIH-3T3 cells does not lead to morphological transformation. We have made some artificial gene constructs to investigate this further. We show that while loss of the terminal exon of FGFR3 is universal in the fusion genes, it is not sufficient to account for the oncogenic effects. Constitutive dimerisation may be important. In addition to bladder cancer, FGFR3 fusion genes have now been reported in some other cancers including glioblastoma and squamous lung cancer. They are likely to be a useful target for personalised medicine across these cancers. 18 | P a g e 2.30pm Talk – Julia Cockle Oncolytic virotherapy for paediatric high grade glioma; Evaluation of the effects of oncolytic virus on cell viability, migration and invasion 1 1 1 1 2 JULIA V COCKLE , Elizabeth Ilett , Karen J Scott , Anke Brüning-Richardson , Susan Picton , 1 Susan Short , Alan Melcher 1 1 Leeds Institute of Cancer Studies and Pathology, St. James’s Hospital, Leeds University LS9 7TF, United Kingdom 2 Yorkshire Regional Centre for Paediatric Oncology and Haematology, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, United Kingdom Paediatric high grade gliomas (pHGGs) are devastating tumours with dismal survival outcomes. Oncolytic virotherapy uses viruses to selectively infect and destroy cancer cells, offering a novel treatment approach. Here, we evaluate the in vitro cytotoxic effects of herpes-simplex virus (HSV), measles, reovirus and vaccinia, on a panel of paediatric glioma cell lines. We describe, for the first time, the effects of oncolytic viruses (OV) on the migratory behaviour of pHGG cells. Cell viability was examined over 96hrs by MTT and FACS-based assays. Migratory behaviour was examined using 2D scratch assays and 3D spheroid invasion assays in collagen. The sensitivity of pHGG lines to OV was demonstrated by a loss of cell viability over 96 hours. The cytotoxic effect was particularly marked for cell lines treated with vaccinia, while sensitivity to other viruses was cellline dependent. Analysis of migratory and invasion assays indicated that HSV at MOI 10 resulted in a near total blockade of both migration at 24 hours, and invasion at 72 hours, in all cell lines tested. Our results demonstrate that pHGG cells are sensitive to the cytolytic effect of a range of OV and that HSV can block the migration and invasion of glioma cells in vitro. 19 | P a g e 2.45pm Talk – Fiona Errington-Mais Reovirus activation of NK cells increases the efficacy of rituximab for the treatment of CLL. 1 1 1 1 1 F. ERRINGTON-MAIS, L. Ilett, C. Parrish, P. Hillmen and A. Melcher 1 LICAP, St James’s University Hospital, Leeds. LS9 7TF Chronic Lymphocytic Leukaemia (CLL) is associated with the accumulation of malignant B lymphocytes and remains an incurable disease. Rituximab is a chimeric anti-CD20 monoclonal antibody used for the treatment of CLL and it induces its cytotoxic effects by NK cell-mediated antibody-dependent cellular cytotoxicity. Reovirus exerts its anti-cancer activity by direct oncolysis or activation of innate and/or adaptive anti-tumour immunity. Reovirus treatment of PBMCs increases NK-mediated lysis of tumour cell targets, in vitro, and NK cell activation has also been observed in vivo after systemic delivery. This study investigates the direct cytotoxic effects of reovirus against CLL and examines whether reovirus could be used to increase the efficacy of rituximab-based immunotherapy. These data show that CLL cells are susceptible to reovirus oncolysis. CLL cell lines are susceptible to NK cell-mediated lysis and reovirus activation of PBMCs, increases lysis of CLL cell line targets. Importantly, NK cells from CLL patients are activated by reovirus in the context of autologous tumour cell targets. This study demonstrates that reovirus activation of PBMC could be used to increase the efficacy of rituximab-based immunotherapy, providing a novel approach for the treatment of CLL. 20 | P a g e 3.00pm Talk – Helen Sheldrake New Strategies for the Development of Integrin Antagonists as Improved Anticancer Therapeutics Adam Throup, Mark Sutherland, Andrew Gordon, Fatemah Al-Shammari, Hanadi Ahmedah, Manar Zraikat, Steven D Shnyder, Laurence H Patterson, HELEN M SHELDRAKE Institute of Cancer Therapeutics, University of Bradford, Bradford, BD7 1DP The integrin family of cell surface receptors mediate cell-extracellular matrix interactions controlling cell adhesion and transmembrane signalling involved in cell migration, proliferation, differentiation, angiogenesis and apoptosis. Members of the RGD binding integrin subfamily are often upregulated in cancers, notably melanoma, prostate adenocarcinoma, and glioblastoma. Because of their ability to increase tumour proliferation and invasion, and control angiogenesis and metastasis, antagonism of these receptors is an interesting therapeutic target, but identifying the optimum approach remains a challenge. We have identified several new strategies for integrin antagonism affording novel targeted therapies for advanced cancers where there are currently few effective treatments available, and improved efficacy and safety compared to existing compounds. The identification and characterisation of hit compounds for further development into new medicines will be described. 21 | P a g e 3.15pm Talk – Abhijit Patil FANCD2 expression correlates with glioma grade and chemical inhibition of the Fanconi Anaemia pathway sensitises gliomas to chemotherapeutic agents. 1 2 1 1 2 ABHIJIT A. PATIL , Parag Sayal , Marie-Lise Depondt , Ryan D. D. Beveridge , Anthony Roylance , 1 1 1 2 3 Deepti H. Kriplani , Katie N. Myers , Angela Cox , David Jellinek , Malee Fernando , Thomas A. 2 1* Carroll & Spencer J. Collis . 1 Sheffield Cancer Research Centre, Academic Unit of Molecular Oncology, Department of Oncology, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX, UK. 2 Neuro-Oncology Group, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Sheffield S10 2JF, UK 3 Department of Histopathology, Sheffield Teaching Hospitals, Royal Hallamshire Hospital, Sheffield S10 2JF, UK Abstract Brain tumours kill more children and adults under 40 than any other cancer. Around half of primary brain tumours are high-grade malignant astrocytomas, also known as glioblastoma multiforme (GBMs). Treatment of GBM remains a significant challenge with a median patient survival of ~1yr. Survival rates have improved little over the last 40 years highlighting an unmet need for the development of novel targets and agents to improve GBM treatment. Previous work has suggested that up-regulation of DNA response (DDR) pathways in GBM may contribute to their inherent and/or acquired resistance to radiation and chemotherapeutic agents. Using archived and fresh glioma tissue, we show that in contrast to normal brain or benign schwannomas, high-grade gliomas exhibit elevated expression of FANCD2, a key protein of the Fanconi Anaemia (FA) DNA repair pathway. Importantly, FANCD2 expression levels correlate with tumour grade. These data reveal a potential therapeutic window to allow inhibition of the FA pathway in tumour cells, whilst sparing normal brain tissue. Using several inhibitors of the FA pathway (FAi) in combination with FA-proficient and FAdeficient glioma cell lines and primary GBM cultures; we demonstrate that inhibition of the FA pathway sensitises gliomas to the chemotherapeutic agents Temozolomide and Carmustine irrespective of MGMT status. Our findings provide a strong rationale for the development of novel/potent inhibitors of the FA pathway to improve the treatment of GBMs. 22 | P a g e POSTERS PRESENTATIONS 23 | P a g e POSTER 1 Modulation of neuroblastoma polysialic acid biosynthesis inhibits tumour cell migration and invasion Robert A. Falconer*, VIRGINIE VIPREY, Bradley R. Springett, Yousef M.J. Al-Saraireh, Matthew Northrop, Mark Sutherland, Rida Saeed, Paul M. Loadman, Steven D Shnyder and Laurence H. Patterson Institute of Cancer Therapeutics, School of Life Sciences, University of Bradford, West Yorkshire BD7 1DP, U.K. Tel: +44 (0)1274 235842; Email: [email protected] Polysialic acid (polySia) is expressed on the surface of NCAM (neuronal cell adhesion molecule) in many cancer cells where it modulates cell adhesion, migration, invasion and metastasis. It is strongly associated with poor clinical prognosis and correlates with aggressive/invasive disease in small cell lung cancer, neuroblastoma and many other tumours. SiRNA knockdown of polysialyltransferase ST8SiaII, responsible for polySia synthesis in tumours, abolishes tumour cell migration. Using CMP as a tool compound, we have validated a highly sensitive HPLC-based inhibition assay, and demonstrated competitive inhibition of ST8SiaII. CMP additionally causes a reduction in polySia expression, tumour cell migration and invasion. We have synthesised inhibitors of ST8SiaII. Using isogenic cell lines and naturally expressing human neuroblastoma cells (SH-SY5Y, IMR-32), these compounds were evaluated for their ability to reduce polySia expression and to modulate cell migration in vitro. We have identified CMP-sialic acid precursors, including compounds ICT-3172 and ICT-3176, which reduced polySia expression and tumour cell migration by up to 70%. These effects were only found in cell lines expressing ST8SiaII and polySia. In summary, we have identified a number of key modifications to polySia biosynthetic precursors which dramatically decrease cell migration in cells over-expressing ST8SiaII through modulation of polySia assembly. 24 | P a g e POSTER 2 Differentiation of neural crest derived peripheral neurons to model neurocristopathies 1 1 1 JIM HACKLAND , David Preskey , Christian Unger & Peter Andrews 1 1 Centre for Stem Cell Biology, Department of Biomedical Science, University of Sheffield The neural crest is a migratory tissue that plays a role in early development contributing to a wide range of tissues throughout the body. Neuroblastoma is one of a group of tumours that are thought to arise from the neural crest as a result of defects in the development of the tissue. Using human ES and iPS cell lines, we have developed a robust protocol for the differentiation of human pluripotent stem cells into putative neural crest progenitors. These cells express high levels of the surface antigens p75 and HNK-1 when subjected to this protocol. We have shown that expression of the neural crest stem cells markers SOX10 and AP2α segregate to the p75 High population. Following induction of neural crest we differentiated peripheral neurons, creating the cells in which neurocristopathies, such as neuroblastoma, may originate. In parallel to developing an efficient differentiation protocol, we have reprogrammed neuroblastoma cells to neuroblastoma iPS (niPS) cells that contain a complete set of cancer specific genome changes. The generation of neural crest derivatives, such as peripheral neurons, from niPS cells now provides the opportunity to study the in vitro effect of genetic and epigenetic elements of neuroblastoma during early human development. 25 | P a g e POSTER 3 Radiomics Analysis of MRI data M. LOWRY, L. Kenning and L.W. Turnbull, Centre for MR Investigations, University of Hull. Genetics and tumour micro-environment affect glioma treatment response and survival. We used radiomics to analyse multi-parametric MRI data for underlying relationships. Morphological, diffusion tensor, multi-flip-angle T1, and dynamic T1 and T2* contrastenhanced 3.0T MRI was performed in 55 patients. Registered, processed parameter volumes were combined into one 4D volume before statistical sampling. For cluster analysis, the 16 derived parameters were standardised to their median distribution. Dendrograms were constructed and formatted into a heat map. The heat map was non-random (P<0.0001). Seven parameter clusters were recognised; several parameters were correlated, showing redundancy in lesion differentiation. For patient clusters, we identified two large high-grade-lesion clusters, one closely linked to a low-grade-lesion cluster and with an intermediate parameter profile. Both high-grade clusters showed similar proportions of deaths. Multi-parametric MRI provides useful diagnostic and prognostic information; however, it can produce an overwhelming amount of data, and identification of associations requires more than simple statistical comparisons. Radiomics provides a framework for assessing associations between parameters and disease characteristics. It demonstrated some redundancy amongst our parameters but revealed ≥1 useful parameter for each MRI paradigm. As a minimum set, we suggest Q, R1, Ktrans, rCBVb, FLAIR, ADC, K2. Analysis of post-treatment parameter changes could predict survival. 26 | P a g e POSTER 4 Targeting the Formyl-peptide receptor-1 for treatment of high grade glioma 1 1 1 1 1 1 2 D. S. AHMET, M. V. Vinader, F. Bajwa, Ilona Pysz, D. Healey, S. D. Shnyder, X. W. Bian, L. 1 1 H. Patterson, K.Afarinkia * 1 Institute of Cancer Therapeutics, University of Bradford, Tumbling Hill Street, BD7 1DP 2 Southwest Hospital, TMMU, Chongqing, People’s Republic of China Glioma account for over half of all primary brain tumours and have a very poor prognosis, with a median survival of less than two years. None of the therapeutic interventions currently used for glioma are particularly successful & invariably fail to prevent recurrence. These difficulties are associated with the aggressive nature of the high grade tumours. It has been identified that FPR-1 is a key player in driving the invasiveness and rapid rate of growth. Therefore, targeting FPR-1 with small molecule antagonists could have therapeutic potential. We have identified a number of FPR-1 antagonists. We show that these small molecule antagonists reduce calcium mobilisation, proliferation and migration of the glioma cell line U87 MG. We also began an investigation into the relationship between necrosis/ hypoxia and the expression of FPR-1 on spheroid models. 27 | P a g e POSTER 5 Prediction of progression free survival in high grade gliomas using pre-operative MR 1 2 2 3 LAWRENCE KENNING , Martin Lowry , Martin Pickles , Christopher Rowland-Hill , Shailendra 3 3 Achawal , Chittoor Rajaraman , and Lindsay W Turnbull 2,3 1 2 Centre for Magnetic Resonance Investigations, University of Hull, Centre for Magnetic Resonance 3 Investigations, Hull York Medical School, Hull and East Yorkshire Hospitals NHS Trust Aim: To investigate whether pre-operative MR parameters could predict progression free survival at 210 days in high grade gliomas. Methods: Multi-parametric MR data was acquired from 45 patients with histologically proven high grade gliomas using a 3.0T scanner. Pre-operative morphological imaging was acquired along with DTI, DCE and DSC. Parametric volumes were created by registering functional maps into a single 4D volume. Tumour volumes of interest were contoured using morphological imaging. Gaussian mixture modelling (GMM) was applied to each parameter, generating a further two populations for each parametric volume (TUM0 and TUM1). Kaplan-Meier survival analysis at 210 days from preoperative MR was calculated for all groups. Log rank tests were used to test for significant differences. Results: Nine of the 39 mean values were significant discriminators of progression free survival at 210 days using P<0.05. Twenty-three of 45 cases showed progression at 6 months. Parameter Grade ADC TUM0 q TUM1 RD TUM0 TUM Ktrans TUM0 TUM1 TUM ve TUM1 K2 TUM0 Median Cutoff N Events Estimate (Days) 95% Confidence Interval Lower Bound Upper Bound >= 1.025 22 9 186 170 202 < 1.025 23 14 161 142 181 >= 0.457 22 16 159 142 176 < 0.457 23 7 189 171 207 >= 0.894 22 9 186 170 202 < 0.894 23 14 161 142 181 >= 0.069 22 14 164 145 182 < 0.069 23 9 183 165 201 >= 0.040 22 14 157 136 177 < 0.040 23 9 189 175 203 >= 0.122 22 15 156 136 176 < 0.122 23 8 190 176 204 >= 0.128 22 15 158 138 177 < 0.128 23 8 189 173 204 >= 0.189 22 14 163 145 182 < 0.189 23 9 183 165 201 >= -1.698 22 7 185 167 202 < -1.698 23 16 164 146 182 Sig. 0.041 0.002 0.041 0.040 0.012 0.005 0.007 0.034 0.016 Discussion: Functional parameters derived from pre-operative MR can predict progression free survival at 210 days. The of use dynamic imaging to derive parameters such as K trans , ve and K2 should be considered for pre-operative MR assessment in these patients. Furthermore the use of GMMs should be considered for the evaluation of heterogeneous populations. Functional MR could subsequently identify patients who would benefit from a shorter scan interval or need to be scanned earlier during treatment to identify early signs of progression. 28 | P a g e POSTER 6 Identification and characterisation of microRNAs involved in glioblastoma cell proliferation and survival 1 1 2 2 2 3 BOISSINOT M. , Hayes J. , Adams M. , Higgins J. , Tomlinson D. , Lawler S.E. , Short S. 4 1-Translational Neuro-Oncology Group, LICAP, University of Leeds, UK 2-BioScreening Technology Group, University of Leeds, UK 3-Dept of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, USA 4-St James’s Institute of Oncology and LICAP, University of Leeds, UK Introduction: There is a pressing need for new therapeutic approaches for the treatment of glioblastoma (GBM). MicroRNAs (miRs) are single-stranded non-coding RNAs that have been shown to play roles in multiple hallmark characteristics of GBM, suggesting that miRs and their associated pathways may be of therapeutic importance. Methods: The miRIDIAN mimic library (Dharmacon) that encompasses all human miRs annotated in miRBase v16.0 was used with a high-throughput imaging platform (Operetta) to identify miRs with potent effects on GBM cell proliferation and survival. Screens were performed in duplicate on U251 (adult) and KNS42 (paediatric) GBM cell lines. Cell number was assessed 72h post-transfection and expressed as z-scores of the nuclei count. Validation included RTqPCR, imaging and flow cytometry based assays. Results: For each cell line, the functional screen resulted in approximately 100 candidates, of which 70% were in both cell lines. Seven miRs were validated in a panel of 4 adult and 2 paediatric GBM cell lines. All candidates caused cell cycle arrest and one candidate caused apoptosis across all cell lines. Conclusion: We have identified seven microRNAs with potent effects on survival and proliferation of GBM cell lines. Further validation is ongoing in order to further characterise the mechanisms involved. 29 | P a g e POSTER 7 Use of Photodynamic Therapy Drugs on Primary Prostate Epithelial Cells 1 2 2 FIONA M. FRAME , Huguette Savoie , Ross Boyle and Norman J. Maitland 1 1 YCR Cancer Research Unit, Department of Biology, University of York, Heslington, YO10 5DD. Department of Chemistry, University of Hull, Cottingham Road, Hull, HU6 7RX. 2 Photodynamic therapy (PDT) is an established anti-cancer therapy that can be used on its own or in combination with other therapies. PDT functions using a combination of a photosensitizer drug and light; once activated by light the drug is cytotoxic. PDT has been successfully used for surface tumours e.g. head and neck cancers, but its potential against internal tumours such as prostate cancer has yet to be fully realized. This study explores the effect of a standard clinically used PDT drug, Foscan, on primary prostate epithelial cells cultured from patient tissue (benign and malignant). Further, we test a novel modified photosensitizer drug to which ligands can be conjugated in order to target the drug to specific surface markers on cancer cells. Viability of cells were measured using MTT assays. We found that primary cells were susceptible to the PDT drugs, however they required increased concentration of drug compared to cell lines. In addition, we observed variability between patient samples. Effect of the PDT drugs on prostate stem cells (benign and malignant) using viability and clonogenic assays will also be explored. 30 | P a g e POSTER 8 Patient-derived first generation xenografts of prostate cancers: promising tools for predicting drug responses for personalised chemotherapy 1,2 1 Rambrakash Beekharry., M-C Labarthe-Last., 2,3 2 4 1 M Simms, VM Mann, Chenglong Li, N J 1 Maitland., A T COLLINS. 1 YCR Cancer Research Unit, Department of Biology, University of York, York. YO10 5DD 2 Department of Urology, Castle Hill Hospital (Hull & East Yorkshire Hospitals NHS Trust), Cottingham, HU16 5JQ, 3 Hull York Medical School, University of York, YO10 5DD. 4 Division of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, The Ohio State University, Columbus, Ohio, 43210, USA The treatment of advanced prostate cancer remains disappointing and is hindered by the lack of relevant preclinical models to improve development of effective therapeutic strategies. Early passages of freshly generated xenografts are possibly better predictors of response and may better represent the heterogeneity seen in prostate cancer than either cell lines or murine allografts. The goal of this study was to determine if primary tumour xenografts represent the clinical heterogeneity of human prostate cancer and whether the ability to form primary tumour xenografts is predictive of clinical outcome and treatment response. Tumour fragments from patients undergoing curative surgery or channel TURP for prostate cancer were implanted into immunodeficient Rag2 C mice within 24 hours of surgery. Univariate and -/- -/- multivariate analysis Cox proportional hazards models were used to assess the associations between patient characteristics and clinical outcomes. Tumour outgrowth was observed from 38 of 121 (31%) implanted prostate cancers, with 19 stable lines generated. The ability to engraft correlated with advanced disease (r=0.22; P<0.05). Patients who had undergone androgen ablation therapy were significantly more likely to engraft compared with no-Xenograft patients (Odds ratio : 2.3, Relative Risk 58%, P< 0.003). Patient derived xenografts may serve as important preclinical models. Tumours that engraft are more aggressive and may be more representative of cancer with a higher propensity to relapse. 31 | P a g e POSTER 9 Optimising Chromatin Immunoprecipitation to Unravel the Epigenetic Regulation of Latexin and RARRES1 in Human Prostate Cancer Stem Cells 1 1 ALBERTO TAUROZZI , Davide Pellacani and Norman J. Maitland 1 1. YCR Cancer Research Unit, Department of Biology, University of York, York, YO10 5DD Latexin and RARRES1 are the products of gene duplication on chromosome 3 and have a complementary function in normal and malignant tissue homeostasis. The two genes are silenced in stem cells, and expression is induced upon differentiation. Latexin and RARRES1 are also negative regulators of self-renewal and metastasis, as demonstrated by reduced motility, invasion and colony-forming potential when either gene is ectopically expressed within the stem cell compartment. Latexin and RARRES1 are regulated by DNA methylation in prostate cancer cell lines, but not in primary disease. Our hypothesis is that in primary tissues, these genes are regulated by chromatin status. To investigate the relationship between histone modifications and gene expression in heterogeneous tumours, we have established a Chromatin Immunoprecipitation (ChIP) protocol capable of analysing low cell numbers (~500 cells). This will allow us to unravel the epigenetic regulation of Latexin and RARRES1 in rare cancer stem cell (CSC) populations (<0.1% of tumour cells) in direct comparison to their more differentiated progeny. There is also the potential to investigate regulation through transcription factors such as the retinoic acid receptor family which is known to regulate RARRES1 and has been implicated in the regulation of Latexin. 32 | P a g e POSTER 10 FOCUS4 Biomarkers: A cross-site pre-trial validation. Susan D Richman, GEMMA HEMMINGS, Phil Chambers, Morag Taylor and Phil Quirke on behalf of the FOCUS4 TMG. All authors from Leeds Institute of Cancer and Pathology Purpose: Molecular characterisation of tumours is leading to increasing personalisation of cancer therapy, tailored to an individual and their cancer. FOCUS4 is a molecularly stratified clinical trial for patients with advanced colorectal cancer. During an initial 16 week period of standard first-line chemotherapy, consented tumour tissue will be tested for a variety of molecular assays, with the results being used for randomisation. Laboratories in Leeds and Cardiff will carry out the molecular testing. Prior to the trial opening, rigorous inter-laboratory validation was deemed necessary, to ensure both laboratories could perform each molecular assay to the highest level of precision, and demonstrate consistently high levels of concordance, as would be expected from laboratories entrusted with centralised molecular testing. Patients and methods: 97 FFPE tumour blocks were retrieved from the Wales Cancer Bank. Each sample had ethical approval and consent for use in further bowel cancer research. Both laboratories processed each sample in accordance with an agreed definitive and optimised FOCUS4 laboratory protocol, and then reported the results to the MRC Trial Management Group (TMG) for independent cross-referencing of the results. Results: Pyrosequencing analysis of the mutation status at KRAS codons 12/13/61/146, NRAS codons 12/13/61, BRAF codon 600 and PIK3CA exons 9 and 20, generated highly concordant results. Only two samples gave discrepant results; in one case a PIK3CA mutation was detected only in Leeds, and in the other, a PIKCA mutation was only detected in Cardiff. Tumour heterogeneity was thought to be responsible for the pyrosequencing discrepancies. pTEN protein expression and expression of the four mismatch repair (MMR) proteins was assessed by immunohistochemistry (IHC) and resulted in 6/97 (6.2%) discordant results for pTEN and 6/388 (1.5%) for MMR IHC. Following joint review of the staining criteria by both labs, again full agreement was reached for all tumours. Factors influencing discordances in IHC scoring included the presence of signet ring cells, necrosis, mucin, edge artefact and over-counterstaining. Conclusion: Both laboratories demonstrated the ability to carry out high standard molecular testing of a large number of samples, with extremely high concordance rates (>94%), as expected from centralised testing laboratories, ensuring confidence in their abilities to carry out reproducible molecular testing throughout the course of the FOCUS4 clinical trial. 33 | P a g e POSTER 11 Determining the effects of combining the PI3K inhibitor GDC-0941 with the vascular disrupting agent combretastatin A-4-phosphate (CA4P) in colorectal carcinoma xenografts. DEBAYAN MUKHERJEE, Jack E. Hurrell, Matthew Fisher, Andy W Brown, Gillian M. Tozer, Chryso Kanthou CR-UK/YCR Sheffield Cancer Research Centre, University of Sheffield, School of Medicine, Beech Hill Road, Sheffield, S10 2RX. Email: [email protected] Vascular disrupting agents (VDAs) such as CA4P target tumours by stopping blood flow. However, the tumour rim is relatively resistant to VDA treatment and consequently tumours re-grow from within the viable rim. Previously we showed that nitric oxide production via endothelial nitric oxide synthase (eNOS) confers resistance to CA4P. Here we investigate the pro-survival PI3K-AKTeNOS pathway and test whether the PI3K inhibitor GDC-0941 can increase the overall efficacy of CA4P. SW1222 colorectal carcinoma xenograft blood vessels stained positive for eNOS. eNOS levels were significantly higher in blood vessels in the periphery than those within the central regions of the tumour. Treatment with CA4P (100 mg/kg, 24 h) induced significant central tumour necrosis and loss of eNOS vessel staining. However, eNOS positive vessels within the viable tumour rim and phosphorylation of AKT (pAKT) persisted within the rim. GDC-0941 (50 mg/kg) in combination with CA4P induced similar levels of necrosis as CA4P but attenuated AKT phosphorylation within the rim. GDC-0941 alone caused an increase in tumour apoptosis. Ongoing studies are investigating the effects of combination treatment on tumour growth delay. Our results suggest that the PI3K/-AKT-eNOS pathway may confer VDA resistance and therefore targeting this pathway may improve the efficacy of VDAs. 34 | P a g e POSTER 12 Three dimensional reconstruction of the anal sphincters to aid low rectal cancer surgery WALKLETT C, Roberts N, Hale M, Magee D, Treanor D, Quirke P, West NP All authors address: Leeds Institute of Cancer and Pathology Wellcome Trust Brenner Building, St. James's University Hospital, Leeds LS9 7TF Objective We hypothesised that three dimensional (3D) histological reconstruction could offer unique insights into the spatial anatomy of the rectum, nerves and surrounding structures leading to improved surgical techniques. Methods Two human cadaveric adult pelvic exenteration specimens were obtained and underwent standard histological analysis using whole mount serial sectioning, high resolution digital scanning and 3D reconstruction. Digital slides were viewed and quantitated using Aperio ImageScope. 3D reconstruction was performed with novel software using three consecutive blocks from one case at 1:10, 1:20 and 1:50 resolution. Results Tissue morphometry on digital slides demonstrated increasing skeletal muscle volume and decreasing smooth muscle volume towards the anal aperture (p=0.001). Following 3D reconstruction, to accurately view the structures, a minimum of 1:10 resolution was required. Minor misalignment was identified between the blocks where tissue was lost during trimming therefore further optimisation of the technique is required. Conclusion This novel study has established that 3D reconstruction of the low rectum is feasible to further define the surgical anatomy of the anal sphincters and surrounding structures including nerves. We believe that there is great potential to correlate this technique with preoperative MRI images to study in-vivo anatomy and plan surgical roadmaps for future nerve sparing surgery. 35 | P a g e POSTER 13 The Role of Metallothionein in Heavy Metal-Induced Urothelial Carcinogenesis RHIANNON MCNEILL and Jennifer Southgate Jack Birch Unit of Molecular Carcinogenesis, University of York The development of bladder cancer is being increasingly associated with occupational exposure to heavy metals such as cadmium. Heavy metals are only weakly mutagenic and thus their mechanism of carcinogenesis remains unclear. The metallothioneins are proteins which bind to and sequester heavy metals following exposure, but little is known about the specificity of induction or the consequences of elevated metallothionein expression. The aim of this work was to examine the metallothionein response in normal human urothelial (NHU) cells exposed to cadmium in vitro. Twelve hours of cadmium exposure resulted in a striking induction of five metallothionein genes in NHU cells and at 48 hours exposure, metallothionein protein expression was 5 times more abundant in exposed cells. Discrimination between cadmium and its reactive oxygen species (ROS) by-product found that only cadmium itself was capable of upregulating the metallothioneins. Ongoing work aims to establish the longevity of metallothionein protein expression as a possible biomarker of exposure and to investigate whether sequestration of cadmium within the cell provides a mechanism for chronic exposure. 36 | P a g e POSTER 14 A high-content approach to the identification of novel pro-survival protein kinases in urothelial carcinoma. HEATHER L MARTIN, Margaret Knowles and Darren C Tomlinson. Leeds Institute of Biomedical & Clinical Sciences and School of Molecular and Cellular Biology, University of Leeds, Leeds Invasive urothelial carcinoma (UC) represents a significant proportion of patients diagnosed with bladder cancer and has a poor 5-year survival rate, with resistance to frontline therapies common. Consequently there is a need to understand the molecular mechanisms underlying the evasion of cell cycle control in these cells and how this is associated with the poor prognosis seen with UC. Here we describe a novel phenotypic screening assay that can distinguish the different phases of the cell-cycle including the sub-divisions of mitosis. This assay uses the expression of phasespecific proteins and nuclear morphology to identify cells in G0, G1, S, G2 and M phases as well as apoptotic cells in asynchronous cultures. Here we show assay development and validation, by use of both siRNA and pharmacological inhibitors of specific cell-cycle checkpoints, in U2OS osteosarcoma cells. It is applicable to many cell types and we are currently using it in several UC cell lines, including 5637 and HT-1197 cell lines. The assay will be used to identify pro-survival kinases in UC including those with cytostatic effects. Furthermore we will develop novel proteinbinding reagents that block the identified kinases to validate them as drug targets and to aid the identification of small molecule therapeutics. 37 | P a g e POSTER 15 Repurposing sulfazalazine to treat cisplatin resistant bladder cancer Drayton RM, Dudziec E, Peter S, Bertz S, Hartmann A, Catto JW, BRYANT HE. Academic Unit of Molecular Oncology and Academic Urology Unit, University of Sheffield Resistance to cisplatin-based chemotherapy is a major obstacle to bladder cancer treatment. We have identified a panel of miRNAs dysregulated in cisplatin-resistant cells. miRNA-27a was found to target the cystine/glutamate exchanger SLC7A11 and to contribute to cisplatin resistance through modulation of GSH biosynthesis. In patients, SLC7A11 expression was inversely related to miRNA27a expression, and those tumors with high mRNA expression or high membrane staining for SLC7A11 experienced poorer clinical outcomes. Resistant cell lines were resensitized by restoring miRNA-27a expression or reducing SLC7A11 activity with siRNA or with sulfasalazine. Our findings indicate that miRNA-27a negatively regulates SLC7A11 in cisplatin-resistant bladder cancer, and shows promise as a marker for patients likely to benefit from cisplatin-based chemotherapy. Most excitingly SLC7A11 inhibition with sulfasalazine may be a promising therapeutic approach to the treatment of cisplatin-resistant disease. 38 | P a g e POSTER 16 Metal Induced Carcinogenesis and Epigenetic Dysregulation of Normal Cell Phenotype 1 1 2 2 3 CARL FISHWICK , Lucinda Cowling , Mark Dickman , Tom Minshull James Catto and Jennifer 1 Southgate 1 Jack Birch Unit for Molecular Carcinogenesis, Department of Biology, University of York; 2 3 Department of Chemical & Biological Engineering and Department of Urology, University of Sheffield. South Yorkshire has elevated rates of high grade bladder cancer, potentially linked to occupational exposure to heavy metal species, including cadmium. Heavy metals replace normal biologically utilized elements such as zinc and iron, resulting in disruption of enzymatic processes including histone modification. This project aims to understand which histone epigenetic mechanisms are affected in normal urothelial cells following cadmium exposure. In cultured normal human urothelial (NHU) cells, exposure to non-toxic cadmium doses (10 µM) inhibited expression of tumour-suppressor genes p16 and RASSF1A, and diminished induction of urothelium-specific differentiation markers, including UPK2. Histone deacetylase inhibitors recovered expression of some differentiation markers, but had no effect on others. Massspectrometric analysis of Histone H3 showed that cadmium exposure resulted in accumulation of dimethylation of lysine 9. These observations point to candidate epigenetic-modifying enzymes, disruption of which by cadmium could promote the observed carcinogenic events such as attenuated expression of differentiation and tumour suppressors. 39 | P a g e POSTER 17 The role of BMI-1 over-expression in urothelial carcinoma (UC) 1 2 3 1 Lia E. De Faveri , Jo-An Roulson , Marta Sanchez-Carbayo , Margaret A. Knowles , EMMA J. 1 CHAPMAN . 1 2 Leeds Institute of Cancer and Pathology , Department of Pathology and Tumor Biology , St James’ 1 University Hospital, Beckett Street Leeds, LS97TF , U.K, 3 CIC bioGUNE, Parque Technologico De Bizakaia, 48160, Derio Bizkaia, Spain. Introduction Worldwide, 380,000 new cases of UC occur annually. Expression of telomerase may be one of the earliest steps in tumorigenesis. BMI-1 is overexpressed in telomerase-immortalised-normal-humanurothelial-cells (TERT-NHUC) compared to isogenic NHUC. The phenotypic role of BMI-1 upregulation in UC has not been fully investigated and may yield novel targets for treatment or prevention of recurrence. Materials and Methods Immunohistochemistry for BMI-1 and p16 expression was performed on 75 UC and a tissue microarray (n=92). Replication-deficient retroviral vectors were used to stably down-regulate BMI-1 expression in UC cell lines or ectopically over-express BMI-1 in NHUC in vitro. Results and Discussion BMI-1 was up-regulated in most UC and did not correlate with p16 expression. The role of BMI-1 in UC is not clear although a role in mediating “stemness properties” of cancer stem cell like populations is proposed. Ectopic overexpression of BMI-1 immortalized NHUC. NHUC-BMI-1 showed telomerase activity, bypass of senescence, reduced contact inhibition and adhesion and increased packing density. Expression-array analysis of NHUC-BMI-1 identified an overlap with expression profile of TERT-NHUC indicating that the role of BMI-1 in tumorigenesis may in part be attributable to induction of telomerase activity. Knockdown of BMI-1 reduced low density colony formation in 97-7, UC cell line. Conclusion Our data provides support for the notion of targeting BMI-1 as a potential therapeutic strategy. 40 | P a g e POSTER 18 MT-MMP EXPRESSION IN HEAD AND NECK CANCER FOR PRODRUG DEVELOPMENT R. T. ANKRAH, S. D. Shnyder, R. A. Falconer and P. M. Loadman. Institute of Cancer Therapeutics, University of Bradford, BD7 1DB. Head and Neck Squamous Cell Carcinomas (HNSCC), a group of highly aggressive heterogeneous epithelial malignancies, are considered the fifth most common cancer with the seventh highest cancer mortality. MT-MMPs are overexpressed in various tumours. In contrast, expression of active MT-MMPs in normal tissues is largely absent. Differential gene expression of multiple MMPs in HNSCC has been investigated, but protein expression of MT-MMPs has not. Here, we characterise the protein expression of MT1-, MT2- and MT3-MMP in various cancers (including HNSCC) by immunohistochemistry and Western Blot and relate these with previously published RT-PCR data (Atkinson et al., 2007). Methods for protein identification by mass spectrometry are currently being developed. This, in conjunction with the aforementioned techniques will constitute a comprehensive system for characterising MT-MMP expression in tissues. A spectrum of MT-MMP expression was seen across the different tumour types, with interestingly HNSCC demonstrating high expression for the MT-MMPs. To be a valuable tool for prodrug development, proteolytic activity of the expressed proteins and therefore proteolytic capacity of tumours must be demonstrated, and this is currently being addressed. 41 | P a g e POSTER 19 The effect of soluble factors derived from the head and neck tumour microenvironment on the proliferation of isolated immune cell populations JOANNE D SMITH, Nicholas D Stafford, John Greenman, Victoria L Green. Daisy Research Laboratories, Castle Hill Hospital, School of Biological, Biomedical and Environmental Sciences, University of Hull, HU16 5JQ. Malignant epithelium and associated stromal cells secrete soluble factors which may influence tumour evasion of host immunity. The effect of these factors on the proliferation of individual immune cell populations has been investigated. The conditioned medium (CM) from HNSCC cell lines and primary tumour-derived fibroblasts (2 oropharyngeal and 2 laryngeal) was collected after 3 days of incubation in normoxic and hypoxic + + lo conditions. The CM was added to T regulatory cells (CD4 CD25 CD127 ), T effector cells + - + (CD4 CD25 ) and cytotoxic T cells (CD8 ) isolated from healthy donors (n=4), for 48 hours before using an MTS proliferation assay. A significant increase in the proliferation of T regulatory cells was seen in 1 of 4 PBMC samples after adding all CM and 1 of 4 PBMC following addition of oropharyngeal cell line CM and laryngeal fibroblast CM (hypoxic and normoxic). A significant increase in proliferation of T effector cells was only seen with a few CM: with 3 of 4 samples reacting to at least one CM. No conclusive effect was + observed on CD8 cells. In conclusion, the secretome of HNSCC epithelial cells and fibroblasts has the ability to alter the growth of individual sets of immune cells but this varies between samples. 42 | P a g e POSTER 20 Tumour activated licensed NK cells produce TNFSF14, a mediator of dendritic cell maturation and enhanced anti-tumour immunity. 1 1 1 1 2 2 Tim D. Holmes , Emma V.I. Black , Andrew V. Benest , Erica B. Wilson , Candida Vaz , Betty Tan , 2 1 Vivek M. Tanavde and GRAHAM P. COOK . 1. Leeds Institute of Cancer and Pathology, University of Leeds School of Medicine 2. Bioinformatics Institute, A*Star, Singapore. Natural killer (NK) cells have potent anti-tumour activity. As well as direct cytotoxic activity, NK cells produce cytokines that modulate cellular immunity. We show that tumour-stimulated NK cells rapidly induce the production of the TNF superfamily cytokine TNFSF14 (also known as LIGHT) and that this cytokine allows NK cells to promote dendritic cell maturation, a key step in the initiation of T cell mediated immunity. TNFSF14 production is restricted to a population of NK cells known as the licensed or educated population. The licensing mechanism is a safeguard to protect healthy tissues against the cytotoxic and inflammatory action of NK cells but can restrict NK cell activity against tumours. These results highlight the importance of recruiting the appropriate immune subsets in immunotherapy and identify key challenges for manipulating the immune system for more efficient cancer immunotherapy. 43 | P a g e POSTER 21 High risk Myelodysplastic Syndromes (MDS) patients show increased bone loss compared to those with low risk disease 1 2 2 2 O. Gallagher , D. Bowen , C. Cargo , A. Jack and I BELLANTUONO 1 1 Department of Human Metabolism, Mellanby Centre, The Medical School, University of Sheffield; 2 Institute of Oncology, St James Hospital, Leeds MDS is a preleukaemic disease typically in older people with limited curative therapeutic options. The causes of the disease are unknown. Recently alteration in the bone cellular composition has been shown to recapitulate MDS-like disease in a murine model. However, it is unknown whether MDS patients develop the same bone alterations seen in mice. In this study we aimed at assessing whether already archived human biopsy from MDS patients were of sufficient quality to assess bone structure, function and cellular composition. Patients affected by Refractory Cytopenia with Multilineage Dysplasia (low risk MDS, n=4 age range 67-77y) and Refractory Anemia with Excess Blasts 1 (high risk MDS, n=4, age range 74-82y) were selected. 3D analysis of trephine biopsy by microCT showed changes in bone microstructure with significant loss in trabecular bone volume density in high risk MDS compared to low risk (8.0±3.2% vs 20±4.2%, p=0.03), decreased trabecular number (0.9±0.3 vs 2.2±0.5 Tb N/mm p=0.03) but not thickness and increased trabecular separation. The quality of the biopsies was sufficient for histomorphometric analysis and only 1 of the 8 samples was discarded. Although it was possible to detect osteoclasts, osteoblasts and osteoid, their presence was limited and variable among samples. Power calculations suggest that a sample size approximately 100 patients per group is required to assess those parameters. 44 | P a g e POSTER 22 Ibrutinib Inhibits B Cell Receptor Signalling-Dependent Histone Phosphorylation in Chronic Lymphocytic Leukaemia 1 1,2 2 1,2 1 SARAH KREUZ , Talha Munir , Andy C. Rawstron , Peter Hillmen , Reuben M. Tooze , Pascal F. Lefevre 1 1 2 Leeds Institute of Cancer and Pathology, Section of Experimental Haematology; St. James's Institute of Oncology, University of Leeds, Leeds LS97TF Signalling via the B cell receptor (BcR) pathway plays a major role in the pathogenesis of chronic lymphocytic leukaemia (CLL) through alterations in gene expression, which are the direct consequences of signal-dependent chromatin changes. However, little is known about the impact of BcR signalling on chromatin structure. In this study, we show that cross-linking of the BcR on CLL cells results in transcriptional activation of the downstream targets EGR1 and DUSP2 and the concomitant phosphorylation of histone H3 threonine 6 and 11 at these genes. Moreover, we find that Ibrutinib, which inhibits Bruton’s tyrosine kinase downstream of the BcR and is currently trialled for CLL treatment, completely abrogates the BcR-induced changes in gene expression and histone phosphorylation. Ibrutinib also affects methylation and acetylation of histones and RNA polymerase II occupancy at target genes. Inhibitors of several BTK-downstream kinases can partially mimic these effects, making those kinases potential alternative therapeutic targets for Ibrutinib-resistant patients. 45 | P a g e POSTER 23 Texture and Regression Tree Analysis in the Characterisation of Ovarian Lesions Authors: PETER GIBBS, Martine Dujardin and Lindsay Turnbull Address: MRI Centre, HYMS at University of Hull, Hull, East Yorkshire Purpose: The presence of solid components in both benign and malignant lesions causes diagnostic difficulty in MRI of complex ovarian masses. Correct diagnosis is important since malignant lesions require hysterectomy, bilateral oophorectomy, omentectomy and possibly appendectomy. This study aims to explore the utility of texture analysis in the diagnosis of ovarian malignancy. Methods: Data from 96 women with histopathologically proven ovarian cancer (n=67), borderline ovarian tumour (n=28), cystadenoma (n=14) or cystadenofibroma (n=19) was retrospectively analysed. Texture analysis was performed on T 2 weighted images using the gray level cooccurrence matrix method. Due to the uneven group sizes, which can result in over emphasis on trying to correctly predict the largest group, repeated testing of equal sample sizes (n=14 for each group) via random sampling was employed. Results: Significant differences between the four groups were consistently noted for 8 parameters. After correlation analysis and regression tree analysis using the CART algorithm a final classification tree contained 3 parameters (f2 – contrast, f15 – cluster shade, f16 – cluster prominence). This model correctly classifies 11.4/14 (81%) of cystadenofibromas, 9.8/14 (70%) of cystadenomas, 8.7/14 (62%) of borderline ovarian tumours and 9.4/14 (67%) of ovarian cancers. Conclusions: Texture analysis has been successfully applied in the diagnosis of ovarian malignancy. After performing repeated testing a robust diagnostic model has been developed with an overall accuracy of 70%. Appropriate use of correlation analysis and tree pruning results in a model with only 3 parameters, thus avoiding over parameterisation. 46 | P a g e POSTER 24 Genetic Engineering of Ovarian Cancer Cells to Identify Resistance Mechanisms to AntiVascular Agents 1 Valluru MK, Rahman A, Lyons SK , Kanthou C, Tozer GM and ENGLISH WR. CR-UK Tumour Microcirculation Group, CR-UK/YCR Sheffield Cancer Research Centre, The 1 Medical School, University of Sheffield, S10 2RX, UK. CR-UK Cambridge Research Institute, The Li Ka Shing Building, Cambridge CB2 2RX, UK. Clinical trials of bevacizumab, a monoclonal antibody targeting VEGFA, have shown promise in patients with ovarian cancer. Biomarkers are now needed to stratify patients for treatment allowing regulatory approval to be sought. VEGFA is expressed as several isoforms and levels of VEGFA121 in particular may predict response to therapy. The aim of this pump prime project was to generate novel ovarian cancer cell lines to explore the link between VEGFA isoform expression and resistance to Bevacizumab. Zinc Finger Nucleases were used to generate COV362 lines heterozygous for the wild type and a spliced allele expressing a single VEGFA isoform (vegfa-wt/vegfa-121 and vegfa-wt/vegfa-189). Initial characterisation has shown proliferation of wt/121 cells is inhibited by bevacizumab, whereas the proliferation of wt/wt and wt/189 cells was not. Our poster will explore differences between wt/121, wt/wt and wt/189 cells in vitro and in vivo. 47 | P a g e POSTER 25 Texture analysis of 3T high resolution T2 weighted images in ovarian cystadenoma versus borderline tumour. 1 1 1 M.I. Dujardin , P. GIBBS , L.W. Turnbull . 1 Centre for MR Investigations, University of Hull in association with Hull York Medical School, HRI, Anlaby Road, Hull, UK. Purpose Preoperative diagnosis of borderline ovarian tumour (BOT) is challenging. This study investigates the ability of texture analysis applied to high resolution T2 weighted imaging (T2WI) to distinguish ovarian cystadenoma from BOT. Methods Preoperative 3T T2WI (TR=3431ms/TE=111ms/slicethickness=4mm/gap=1mm/matrix=512*416) in cystadenoma (N=14) and BOT (N=28) were retrospectively studied. Single slice ROIs were drawn and texture descriptors f1-f16 were output using in-house developed software (Gibbs et al 2003[2]). Results Figure1 illustrates T2WI. A significant difference (p=0.02) was found for f14 (maximal correlation coefficient) between both groups. Box plot results for f14 are given (Figure2). No significant difference was observed in any of the other 15 parameters. ROC-analysis for f14 results in AUC=0.7. Conclusion Texture analysis of 3T T2WI did allow discrimination between cystadenoma and BOT using f14, leading to a diagnostic accuracy of 0.7. Further research is necessary to see whether the addition of textural information to anatomical MR data improves preoperative differentiation. References [1]Morotti et al.(2012) ArchGynecolObstet 285;1103-1112 [2]Gibbs et al.(2003) MRM50:92-98 48 | P a g e POSTER 26 Nac-1, a promising target for novel ovarian cancer therapeutics MARK A. STEAD and Stephanie C. Wright School of Biology, University of Leeds, Leeds, LS2 9JT Ovarian cancer is the most lethal gynaecological malignancy. Current first-line chemotherapies often result in remission; however, nearly all patients relapse and long-term survival rates are poor. Ovarian cancers frequently exhibit increased levels of the Nac1 protein, especially in recurrent disease, and Nac1 expression in these cancers correlates with shorter disease-free survival. Artificial knockdown of Nac1 in cancer cell lines has been shown to induce apoptosis and rescue the sensitivity of these cells to paclitaxel. Thus, Nac1 shows promise as a potential therapeutic target for the treatment of these cancers. Nac1 is a BTB-transcriptional repressor and a component of the ubiquitination pathway; BTB domains mediate protein interactions that can result in oligomerisation and heteromeric interactions. We have identified an interaction between the Nac1 and Miz1 BTB domains using yeast two-hybrid assays and mammalian Co-IPs. We demonstrate that the Nac1 BTB domain is necessary for the interaction between Nac1 and Miz1 and determined the stoichiometry of this interaction. Furthermore, we have described the effect of Nac1 silencing on Miz1 target gene expression using siRNA. 49 | P a g e POSTER 27 Identification of regulatory DNA variants in apoptosis genes associated with breast cancer risk 1 1 2 SH Rigas , I.W. Brock , NJ Camp , A COX 1 1 2 Department of Oncology, University of Sheffield, Sheffield, UK, University of Utah, Salt Lake City, USA Genome-wide association studies have identified over 70 low penetrance DNA variants associated with breast cancer risk. These are mainly located in non-coding regions of the genome, and are likely to be affecting gene expression. Our aim is to identify alleles affecting the expression of breast cancer-related apoptosis genes (expression quantitative trait loci, eQTLs). Polymorphic variants in the CASP8 gene region were genotyped on blood or normal breast tissue DNA from 88 women with breast cancer attending the Huntsman Cancer Centre in Salt Lake City. Gene expression was measured in normal breast tissue for 96 apoptosis-related genes by use of a qRT-PCR Apoptosis Array (Life Technologies) and by RNA-seq. Variants associated with increased risk of breast cancer were associated with reduced expression of CASP8 mRNA (p<10-3) and variants associated with a lower risk of breast cancer were associated with reduced levels of CASP10 and CFLAR mRNA. These results suggest that variants in the CASP8 region on chromosome 2q may affect breast cancer risk through both apoptosis and autophagy pathways. Other reports suggest that autophagy inhibition might be a potential therapeutic strategy for triple negative breast cancers, which currently lack an effective targeted treatment. 50 | P a g e POSTER 28 Molecules and mechanisms central to breast cancer metastasis to bone: A quantitative proteomics approach 1 2 3 1 5 JULES A WESTBROOK , David A Cairns , Caroline A Evans , Penny Ottewell , David N Perkins , 6 3 7 7 1 Carl Smythe , Phillip C Wright , Valerie Speirs , Andrew M Hanby , Ingunn Holen , Robert E 1 1 Coleman , Janet E Brown 1 Academic Unit of Clinical Oncology, Weston Park Hospital, University of Sheffield 2 Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds 3 Department of Chemical and Biological Engineering, University of Sheffield 5 Bio21 Molecular Science & Biotechnology Institute, University of Melbourne, Australia 6 Department of Biomedical Science, University of Sheffield 7 Leeds Institute of Cancer and Pathology, University of Leeds, St James's University Hospital, Leeds Despite major progress in breast cancer management, many patients still progress to advanced, incurable disease. The majority develop bone metastases and the consequent severe bone pain and other skeletal complications which substantially limit quality of life. This project builds on a successful, SILAC proteomics-based, YCR pump-priming award which demonstrated a substantial change in protein expression profile when MDA-MB-231 human breast cancer cells developed bone-homing capacity after in vivo passages in nude mice. This has been shown to be a good model for human bone metastasis. Using stable cells from seven such passages representing different cell phenotypes as bone-homing capacity develops, we are carrying out a study of these cells using proteomic approaches (spike-in SILAC and phosphoproteomics) to further define the pathways and molecules that play a key role as breast cancer cells develop capacity to disseminate to and grow in bone, and to identify potential protein biomarkers to predict the risk of development of bone metastases in breast cancer patients. Initial validation will be performed in patient tissue and blood, using tissue banks specially collected for this purpose in the large AZURE study. We will present the initial progress in this project which commenced in January 2014. 51 | P a g e POSTER 29 Associations between survival intervals and MR imaging in breast cancer patients undergoing neoadjuvant chemotherapy: a comparison with traditional prognostic indicators 1 1 2 Dr MARTIN D PICKLES , Dr Martin Lowry , Dr David J Manton , Professor Lindsay W Turnbull 1 1 Centre for MR Investigations, HYMS at University of Hull, HRI, Anlaby Road, Hull 2 Radiation Physics Department, Hull & East Yorkshire Hospitals NHS Trust, CHH, Hull Objectives: Examine associations between dynamic contrast enhanced MR imaging (DCE-MRI) and survival intervals, in a cohort with locally advanced breast cancer treated with neoadjuvant chemotherapy (NAC), surgery and adjuvant therapies. Further, to compare the prognostic value of DCE-MRI parameters against traditional survival indicators. Methods: DCE-MRI parameters were obtained prior to treatment and post 2 nd NAC cycle. Biopsy samples and clinical examination provided traditional pre-treatment survival indicators. To demonstrate which parameters were associated with disease free (DFS) and overall survival (OS), Cox’s proportional hazards models (CPHM) were employed. Results: When considering DFS positive axillary nodal status (hazard ratio [HR] 6.79), younger age (HR 3.37), negative oestrogen receptor status (HR 3.24), pre-treatment MaxEI (HR 6.51) and percentage change in MaxEI between baseline and 2 nd cycle NAC (HR 1.02) represented the retained CPHM covariates. Similarly, positive axillary nodal status (HR 11.47), negative progesterone receptor status (HR 4.37) and percentage change in AUC90 following 2 nd cycle NAC (HR 1.01) represented the retained predictive CPHM variables for OS. Conclusion: DCE-MRI parameters obtained prior to NAC and/or post 2 nd cycle can provide independent prognostic information that can complement traditional prognostic indicators available prior to treatment. 52 | P a g e POSTER 30 Circulating cell-free plasma DNA: optimising extraction to develop a biomarker in lung cancer Authors: F TAYLOR 1+2 2 3 , P J Woll , M D Teare , A Cox 1 1) Academic Unit of Molecular Oncology, The Medical School, University of Sheffield, Sheffield, S10 2RX 2) Academic Unit of Oncology, CR-UK/YCR Sheffield Cancer Research Centre, Weston Park Hospital, Whitham Road, Sheffield, S10 2SJ 3) School of Health and Related Research (ScHARR), University of Sheffield, S10 2RX Tumour mutations are identified in circulating cell-free DNA (cfDNA) in the blood of lung cancer patients. CfDNA is therefore a source of potential biomarkers to aid early detection. However, the quantities of cfDNA in the blood are measured in ng/ml. This study aims to maximise DNA yield to enable sensitive downstream mutation analysis. DNA was extracted from healthy volunteer plasma samples spiked with tumour DNA and matched un-spiked samples and the percentage of DNA recovery was calculated. Extracted DNA was quantified by SYBR green qPCR. Whole genome amplification was followed by PCR of the BRAF V600E region. There was no significant difference in the mean percentage of DNA recovered between the QIAamp Blood Mini Kit and phenol chloroform method (6.3 % vs 8.3 % t-test p=0.37, N=3). Extracted DNA was amplified the greatest by the GenomePlex WGA2 kit compared to the Illustra GenomiPhi V2 kit (N=1). We intend to extract plasma DNA from lung cancer cases and controls in the ResoLUCENT study with the QIAamp Blood Mini Kit because it is quick and simple to use. Next generation sequencing with the Ion Torrent platform to detect lung cancer mutations will be used initially to assess cfDNA as a potential biomarker. 53 | P a g e POSTER 31 Downstream consequences of cancer-associated CIZ1 variant expression DORIAN R.A. SWARTS, Gillian Higgins, Heather Sercombe, Christopher Smith, Dawn Coverley Department of Biology, University of York, YO10 5DD CIZ1 is an oestrogen-responsive gene that promotes tumour formation in mice. Alternatively spliced variants are linked with medulloblastoma and Ewing’s Tumour, and with lung cancer where variant expression is being developed as a blood test for early stage disease. CIZ1 functions to regulate DNA replication in relation to the nuclear matrix (NM), however, the impact of alternatively spliced variants on cellular function is not understood. We show here that exposure to oestrogen promotes alternative CIZ1 splicing in breast cancer cells, to produce a signature that is evident in common solid tumours of breast, colon, lung and other tumour types. Our goal is to identify the exact variants that are responsive to oestrogen and the consequences of their expression for (cancer) cells. We have validated specific detection tools for all 17 CIZ1 exons and profiled individual changes in expression in response to oestrogen. Using quantitative RT-PCR we measured a ~2-fold (P=0.015) overrepresentation of the C-terminal NM-attachment domain but not the N-terminal replication domain, in response to oestrogen in MCF-7 breast cancer cells. At 1 hour after induction, this response preceded the main expression spike of common oestrogen-responsive genes (MYC and STC2), consistent with a role in reprogramming gene expression. 54 | P a g e POSTER 32 Development of an analytical assay to assess polysialyltransferase inhibition SMI ElKASHEF , M SUTHERLAND, SD SHNYDER, LH PATTERSON, PM LOADMAN and RA FALCONER Institute of Cancer Therapeutics, School of Life Sciences, University of Bradford, Bradford BD7 1DP, U.K. Polysialic acid is a homopolymer of α-2,8-linked sialic acid residues which is added to specific Nglycans on NCAM. Polysialylation is a unique posttranslational modification of NCAM and is regulated by two polysialyltransferase enzymes. Polysialic acid is over-expressed during the progression of a number of malignant human tumours. In these tumours, polysialylation of NCAM correlates with increased metastatic potential and poor prognosis. Our hypothesis is that inhibition of polysialyltransferase enzymes will inhibit tumour metastasis and consequently improve prognosis. Here we describe the development of an analytical technique to assay small molecule polysialyltransferase inhibitors, using a fluorescent acceptor (DMB-DP3). DMB-DP3 was synthesised and purified in a single step from commercially available starting materials. Two purification strategies were then developed using RP-HPLC and anion exchange-HPLC. The polysialylation reaction was then studied using CMP as a prototype inhibitor. A concentrationdependent reduction in DMB-DP4-Sia (the product of the polysialylation of DMB-DP3-Sia) was observed and quantified, thereby validating the assay. HPLC separation coupled with fluorescence detection of reaction products enabled precise and quantitative detection of polysialyltransferase activity. To-date this is the only analytical technique that provides a simple and high throughput, analysis of human polysialyltransferase inhibitors. 55 | P a g e POSTER 33 CDK18, A novel human Cyclin-Dependent Kinase required for efficient DNA replication and genome stability. Giancarlo Barone1, Christopher S. Staples1, Katie N. Myers1, Karl W. Paterson1, Edward E. McKenzie2, Claire E. Eyers3, Patrick A. Eyers3 & Spencer J. Collis1 1Accademic Unit of Molecular Oncology, CR-UK/YCR Sheffield Cancer Research Centre, Department of Oncology, University of Sheffield. 2Protein expression facility, Manchester Institute of Biotechnology, University of Manchester. 3Department of Biochemistry, Institute of Integrative Biology, University of Liverpool, Liverpool, UK Genetic instability is a hallmark of cancer, and the DNA Damage Response (DDR) in coordination with cell cycle checkpoints monitors DNA damaging events to supress genome instability. As such, genetic disruption of these pathways can lead to cancer predisposing disorders; however, targeting these factors in cancer cells can be exploited to improve therapeutic responses to both radiotherapy and chemotherapeutic regimes. From a human genome-wide RNAi screen for novel DDR factors, we have identified the previously uncharacterised Cyclin-Dependent Kinase 18 (CDK18) as a novel regulator of genomic maintenance. Cells deficient in this kinase exhibit chromosomal alignment defects and increased genomic instability as measured by elevated levels of DNA damage. In addition, CDK18 depletion leads to temporal effects on S-phase progression and inefficient DNA replication. These cells are further characterised by an increased number of Cajal Bodies, which are associated with defective early DNA replication events. Taken together, we have identified a novel CDK, which upon depletion causes increased genome instability brought about by dysregulated DNA replication events leading to chromosomal aberrations. 56 | P a g e POSTER 34 The microRNA biogenesis machinery is inherently connected with endothelial cell survival and tumour-associated angiogenesis Matthew Warner Dimitris Lagos 1,2,3 1,3 1,3 1,2 , Bailey Massa , Maria Chatzifrangeskou , Jessica Haslam , 1,2,3 1. Centre for Immunology and Infection, University of York, York, U.K. 2. Department of Biology, University of York, York, U.K. 3. Hull York Medical School, University of York, York, U.K. The ANG/TIE-2 system is essential for embryonic vasculature development, and postnatal angiogenesis and deregulation of this signaling axis is invariably associated with tumour-associated angiogenesis and lymphangiogenesis. Despite microRNAs (miRNAs) being shown to play a critical role in the regulation of the vasculature, it remains unclear how the ANG-TIE2 axis regulates miRNA expression in human endothelial cells. Intriguingly, our studies reveal that the ANG/TIE-2 axis regulates human dermal lymphatic endothelial cell (HDLEC) miRNA biogenesis by regulating the phosphorylation and expression of TRBP, a critical component of the cytoplasmic miRNAprocessing protein assembly. Overall, our findings reveal an inherent connection between the TIE2 receptor tyrosine kinase, critical signaling pathways and control of miRNA cellular outputs, thus having significant implications for the development of anti-angiogenic cancer therapies. 57 | P a g e POSTER 35 Small molecule tetraazamacrocyclic CXCR4 chemokine receptor antagonists: applications in imaging and therapy B.P.BURKE, R.Smith, K.L.Nicholson, C.Cawthorne and S.J.Archibald* Department of Chemistry and Positron Emission Tomography Research Centre, University of Hull, Cottingham Road, Hull, HU6 7RX. The chemokine receptor CXCR4 plays a key role in both normal and pathological physiology and has been shown to be overexpressed on over 23 cancer types. Recently, many groups including ourselves have been developing small molecule antagonists to investigate their therapeutic potential in cancer treatment. In the main, these molecules are either arginine and lysine rich peptides or bis-tetraazamacrocycles which target aspartate residues on the extracellular protein surface. Here, we present the development of our novel bis-tetraazamacrocyclic CXCR4 antagonists in which configurational restriction and metal complex formation effects a dramatic increase in both binding affinity and receptor residence time. We are also investigating the advantages of this approach in Positron Emission Tomography (PET) and Single-Photon Emission Computed Tomography (SPECT) imaging for improved cancer diagnosis, patient stratification and monitoring of treatment progression. 58 | P a g e POSTER 36 Potential of novel chemokine antagonists for the treatment of cancer M.V. Vinader, M. S. Ahmed, H. A. D. Basheer, D. Ahmet, S. D. Shnyder, L. H. Patterson, K. Afarinkia Institute of Cancer Therapeutics, University of Bradford, BD7 1DP, United Kingdom Chemokines, particularly CXCL12, acting on CXCR4 receptor, and CCL19 and CCL21, acting on CCR7 receptor, have a multifaceted involvement in the regulation of various tumour cell functions, including growth, angiogenesis, survival, migration and immune evasion, and in particular, play a critical role in the homing of tumour cells into metastatic target organs. Chemokines CCL19 and CCL21 are abundant in the lymph nodes and control the growth and lymph node metastasis in cancers that express CCR7, including breast, oral squamous cell and colon. CXCR4 is the most widely expressed chemokine receptor in tumours and promotes organ specific metastasis in many types of cancer. We describe the discovery and present preclinical data for ICT5122, a novel CXCR4 antagonist and ICT5888, a novel CCR7 antagonist. 59 | P a g e POSTER 37 Development of Novel Dual/Multi-Integrin Antagonists as Improved Anticancer Agents ADAM THROUP, Andrew Gordon, Fatemah Al-Shammari Hanadi Ahmedah, Laurence Patterson, Steven D Shnyder, Mark Sutherland, Helen M Sheldrake Institute of Cancer Therapeutics, University of Bradford Introduction: Integrins are a family of cell surface receptors that mediate cell-ECM and cell-cell adhesion along with transmembrane signalling. They are involved in cell migration, proliferation, differentiation, angiogenesis and apoptosis. The RGD binding integrins are often upregulated in cancers notably melanoma, prostate cancer and glioblastoma. Their ability to increase survival, proliferation, metastasis, invasion and angiogenisis, makes antagonism of these receptors an interesting therapeutic target. Methods and Results: A library of >100 RGD mimetics have been designed and synthesised, based upon molecular modelling of known integrin ligands and integrin X-ray crystal structures. Appropriate cell lines and assays for testing have been identified and the compounds were screened for αvβ3 antagonism in adhesion, migration and invasion assays and αIIbβ3 antagonism in a platelet aggregation assay showing a range of activities. Conclusion: We have identified a number of novel highly active β3 integrin antagonists for further development. The RGD-mimetic skeleton has shown potential for modification into a multi-integrin antagonist. 60 | P a g e POSTER 38 Novel Pt based photodynamic chemotherapeutics Luke McKenzie, Rachel E. Doherty, Igor Savanovic, Sarah Bottomley, Julia Weinstein and Helen E. Bryant We have previously reported a platinum-based compound which absorbs strongly at 405 nm light and which is readily taken up by cells, predominantly residing in the nuclear compartment. The present study demonstrates this compound has high cytotoxicity in the nM dosage range following exposure to 405 nm light whilst remaining non-toxic to cells in the absence of light. Furthermore, light-activated PtNCNMe-induced cell death in cisplatin-resistant cancer cells was observed, highlighting it as a potential therapeutic alternative to conventional Pt based chemotherapies. We provide evidence that the mechanism of action of light-activated PtNCNMe-induced cell death is likely due to irreversible DNA damage through PtNCNMe intercalation with DNA and subsequent generation of ROS which in turn induces SSBs in DNA. Progression of this work will involve activation of PtNCNMe at a longer wavelength of light, near IR light, in order to penetrate deeper into tissue and take advantage of its PDT effect in a wide range of tissues. 61 | P a g e POSTER 39 Novel Sydnone-Based Vascular Disrupting Agents for Use in Cancer Therapy a,b b b a ANDREW W. BROWN , Gillian M. Tozer , Chryso Kanthou and Joseph P. A. Harrity a Department of Chemistry, Dainton Building, Brook Hill, University of Sheffield, S3 7HF b The Medical School, University of Sheffield, Beech Hill Road, S10 2RX Combretastatin-A4-phosphate (CA-4-P) is a tubulin-binding agent that causes rapid collapse of the vascular network of tumours. CA-4-P is currently undergoing clinical trials as a potential anticancer therapeutic, but suffers from solubility and stability issues. The aim of this study was to synthesise more stable combretastatin analogues containing a sydnone motif as the scaffold and screen activity using endothelial cell models. A variety of sydnones were synthesised from the corresponding amino acid via N-nitrosation, followed by cyclodehydration with trifluoroacetic anhydride. Novel, palladium-mediated direct arylation of sydnones with aryl chlorides generated analogues in good to excellent yields. Analogues were used to treat cultured human umbilical vein endothelial cells and their effects on the endothelial cytoskeleton were studied by immunofluroescence. Effects on proliferation were studied by culturing the cells for 3 days in the presence of the drugs followed by staining with crystal violet. 25 analogues have been successfully synthesised. The most active compound inhibited endothelial proliferation with an IC50 of 24 nM. This analogue also caused microtubule disruption and actin stress fibre formation at doses of ≥0.5 µM. Sydnone analogues displayed activity comparable to CA-4-P against endothelial cells. Structure activity relationships (SARs) are being utilised to design more effective drugs. 62 | P a g e POSTER 40 Exploiting cancer cell metabolism to potentiate DNA-damaging anti-cancer agents selectively in cancer cells 1 2 SIMON J ALLISON , Filippo Minutolo and Roger M Phillips 1 1 Institute of Cancer Therapeutics, University of Bradford, UK 2 Dipartimento di Farmacia, Università di Pisa, Italy Metabolic differences between cancer and non-cancer cells present opportunities for more selective anti-cancer therapeutic targeting. Many cancer cells rely upon aerobic glycolysis (the Warburg + effect) to fuel their growth. The enzyme LDH-A is key to regenerating the co-factor NAD that is required for aerobic glycolysis. We show that suppressing LDH-A, either by RNAi or a small molecule inhibitor, is able to potentiate the activity of DNA-damaging anti-cancer drugs selectively in cancer cells. LDH-A suppression reduced the IC50 of the topoisomerase I inhibitor camptothecin by ~2-fold in HCT116 cancer cells, correlating with elevated levels of double-strand DNA breaks and significantly increased cancer cell death. Similar potentiation was observed for the topoisomerase II inhibitor etoposide and LDH-A suppression significantly increased γH2AX phosphorylation induced by the pro-drug EO9 and the methylating agent temozolomide. As the DNA repair enzyme PARP + requires NAD for its activity, we are investigating whether cancer-selective potentiation of DNA+ damaging anti-cancer agents by LDH-A suppression is due to effects on PARP activity via NAD . 63 | P a g e POSTER 41 Targeting protein ubiquitination pathways in cancer therapy Mark A. Stead, Laura K. van Geersdaele, and Stephanie C. Wright School of Biology, University of Leeds, Leeds, LS2 9JT Ubiquitination is a post-translational modification that targets proteins for degradation by the 26S proteasome. The regulated ubiquitination of specific proteins is critical for fundamental biological processes, and alterations in ubiquitination pathways are implicated in many human cancers. The E3 ubiquitin-protein ligases interact with substrates to carry out the final stage of the ubiquitination reaction, and various adaptor proteins act to recruit specific substrates for ubiquitination. SPOP is an adaptor protein of the cullin3 E3 ligase complexes; it has been implicated both as an oncogene and as a tumour suppressor in human cancer. We have shown that SPOP forms high-order oligomers in mammalian cells, and have used X-ray crystallography to determine the detailed structure of these complexes. We propose that the overexpression of SPOP in tumours leads to an increase in its oligomerisation, leading to the enhanced ubiquitination and degradation of a subset of its substrates. The crystal structures will enable us to develop inhibitors of SPOP that selectively block its high-order oligomerisation as a therapeutic strategy. 64 | P a g e POSTER 42 METHOTREXATE INHIBITS JAK/STAT SIGNALLING. 1 2 3 2 1,4 SALLY THOMAS , Katherine Fisher , Steve Brown , Kirsty Johnstone , Sarah Danson , John 1,5 1,2 Snowden , Martin Zeidler . 1. Sheffield Cancer Research Centre. 2. Department of Biomedical Sciences, University of Sheffield. 3. Sheffield RNAi Screening Facility, University of Sheffield. 4. Weston Park Hospital, Sheffield. 5. Royal Hallamshire Hospital, Sheffield. The JAK/STAT signalling pathway transduces signals from cytokines controlling proliferation, differentiation and apoptosis. JAK/STAT activation occurs in many cancers, including myeloproliferative neoplasms which are frequently caused by a mutation (V617F) in JAK2. Inhibiting JAK/STAT activation is an attractive therapeutic approach for these disorders. We performed a screen of 2000 small molecules in Drosophila and identified methotrexate as a strong inhibitor of JAK/STAT activation. In human cells methotrexate reduced phosphorylation of specific STATs without affecting phosphorylated proteins in other signalling pathways. Methotrexate significantly reduced STAT5 phosphorylation in cells expressing JAK2 V617F. This effect was not reversed by folinic acid. Furthermore, methotrexate-treated cells retained the capacity to activate the pathway when stimulated with erythropoietin. These effects occurred at drug concentrations equivalent to those seen in patients. Our results identify a novel mechanism of action for methotrexate and suggest that low dose oral methotrexate may be an alternative treatment for patients with myeloproliferative neoplasms. 65 | P a g e POSTER 43 Control of blood vessel lumen morphogenesis by DOCK4 1,2 1 3 1 1 Sabu Abraham , Margherita Scarcia , Rick Bagshaw , Kathryn McMahon , Gary Grant , 1 1 1 1 1 Tracey Harvey , Maggie Yeo , Helene H. Thygesen , Filomena Esteeves , Pam Jones , Valerie 1 1 1 1 4 3 Speirs , Andrew M. Hanby , Peter Selby , Mihaela Lorger , Neil Dear , Tony Pawson , 2 Christopher J. Marshall and GEORGIA MAVRIA. 1 4 Leeds Institute of Cancer and Pathology, Leeds Institute of Molecular Medicine, Wellcome Trust Brenner Building, St James’ University Hospital, Leeds LS9 7T. 2 Institute of Cancer Research, Division of Cancer Biology, 237 Fulham Road, London SW3 6JB, UK. 3 Samuel Lunenfeld Research Institute, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, Canada. Signalling to the actin cytoskeleton is central to growth factor signalling during angiogenesis. The actin cytoskeleton is regulated through the activity of Rho GTPases that cycle between active GTP and inactive GDP-bound states. During angiogenesis Rho GTPases are known to influence endothelial cell migration and cell-cell adhesion, however it is not known whether they control formation of blood vessel lumens which are essential for blood flow. In an organotypic system that recapitulates distinct stages of VEGF-dependent angiogenesis we show that lumen formation requires lateral cell-cell adhesions mediated through cytoskeletal remodeling and generation of tubule lateral filopodia. Inhibition of lateral filopodia through knockdown of the guanine nucleotide exchange factor DOCK4 or DOCK4 heterozygous genetic deletion, compromises blood vessel lumen size in the organotypic tissue culture system and in brain tumours in vivo, while lengthening and anastomosis proceed uninterrupted. This results in thinner blood vessels that do not sprout. We report a novel signaling cascade downstream of VEGF comprising Rho GTPases arranged in tandem and Rho regulators that control lateral filopodia formation necessary for subsequent stages of lumen morphogenesis. These findings could be used to develop new strategies to prevent angiogenesis, and the process of metastasis through reducing tumour blood vessel size. 66 | P a g e POSTER 44 Trojan horse delivery of an Oncolytic Virus for Treatment of Multiple Myeloma Simon Tazzyman, JACK HARRISON, Claire Lewis, Munitta Muthana and Andrew Chantry University of Sheffield, Medical School, Beech Hill road, Sheffield, S10 2RX Multiple myeloma remains an essentially incurable malignancy. In the vast majority of cases, tumour bulk may be substantially reduced by conventional and novel chemotherapies. However, almost invariably, disease re-accumulates and patients eventually succumb. Novel strategies to eliminate residual plasma cells are urgently needed. Recently, a novel macrophage-based, viral therapy designed to augment conventional anti-cancer therapies has shown therapeutic efficacy in murine models of prostate cancer. We have adapted a similar strategy in models of myeloma. We have developed a virus whose replication is restricted to myeloma. Additionally we are testing a herpes simplex virus for use with our myeloma cells in an effort to have a second virus for use in the Trojan horse system. Both these viruses induce tumour cell death when compared to uninfected cells or control viruses. With the adenovirus inducing a doubling of cell death after 6days of infection while HSV virus induces a potent cell death after just 24-48 hours of infection with 95% of cells dead. 67 | P a g e POSTER 45 Antibotoxome™, a novel cytotoxic conjugate, shows substantial cancer cell death in in vitro models of pancreatic, liver, breast, cervical cancer and myeloma but is not toxic to healthy cells Guillaume Hautbergue1, Andrew Chantry2, Simon Tazzyman2, Ali Khurram3, Matt Bryan4, Maria Fragiadaki5 1 Institute for Translational Neuroscience (SiTRan), University of Sheffield, 2Academic Unit of Nephrology, Department of Infection and Immunity, University of Sheffield, 3Sheffield Myeloma Research Team, Department of Oncology, University of Sheffield, 4 School of Clinical Dentistry, University of Sheffield, 5Department of Cardiovascular Science Antibotoxome™ is a construct comprising a magnetic bead conjugated to two cytotoxic agents (BLF-1 and TRAIL) and an antibody to an internalising cell surface receptor (eg CXCR4). Burkholderia lethal factor one (BLF1) is a bacterial endotoxin produced by Burkholderi pseudoallei. BLF1 is only toxic to cells if internalised. TRAIL binds to death receptors present on tumour cells and is internalised into the cell inducing apoptosis via caspase-8. Tumour cells express death receptors but healthy cells express decoy receptors rendering TRAIL toxic to tumour cells but not healthy cells. Anti CXCR4 antibody binds to CXCR4 expressed on tumour cell surface and leads to internalization. CXCR4 is expressed on the surface of myeloma cells. Antibotoxome™ is thus designed to be toxic to cancer cells but not to healthy tissue. We have performed in vitro studies demonstrating that Antibotoxome™ is toxic to cancer cell lines including pancreatic, liver, breast, cervical cancer and myeloma. Furthermore, Antibotoxome™ has not been toxic to healthy cells including HEK293 embryonic kidney cells and MDCKII kidney tubular epithelial cells. We now seek further funding to conduct in vivo studies using a murine model of myeloma to treat mice bearing heavy loads of myeloma cells with Antibotoxome™ to assess tolerability and efficacy. 68 | P a g e POSTER 46 Game Technology Against Cancer (GTAC) ft Osteolyticon TM Cassie Limb (artist), Mike Futcher aka YogYog (animator), Andrei Pambuccian (programmer), Andy Chantry (musician and medic) Sheffield Myeloma Research Team, Dept of Oncology, University of Sheffield Objectives To utilize the collective consciousness of game players worldwide to defeat cancer. To design a game that would educate patients, researchers, funders and the public about cancer induced bone destruction. To use game technology to design new strategies against cancer. Methods An artist, an animator, a programmer, a musician and a medic had a series of conversations and dreamt up Osteolyticon. Using original textures and designs and an original soundtrack, much of which was created using unusual digitally processed vocal sounds, the visual and aural themes for Osteolyticon were created. Using the Blender animation package, a dynamic bone marrow microenvironment was created featuring bone continually remodeling, osteoclasts repairing microfractures and osteoblasts laying down new osteoid. Malignant plasma cells emerge and recruit new osteoclasts to accelerate bone destruction and inhibit osteoblasts. Chemotherapy destroys the cancer cells and bone recovers but give too much and toxic death ensues. You control, you treat, you choose! Results An interactive game that is fun to play, teaches you about cancer and bone destruction and allows you to interact with all the key elements. Osteolyticon looks particularly good projected on to large screens and plans are afoot to project Osteolyticon, at night, onto the entire facia of the Royal Hallamshire Hospital as part of the forthcoming University of Sheffield Festival of the Mind. When exhibited at the recent Sheffield Cancer Research Centre, 93% of participants expressed the belief that Osteolyticon was an effective way to engage the public. Difficulties encountered included arguments between the artist, the animator and the medic concerning the inclusion of various New Age elements and the tendancy of the medic to lapse into unintelligible jargon. Conclusion Osteolyticon unleashes unpredictable elements in the battle against cancer. 69 | P a g e POSTER 47 TM Osteolytica , an image analysis software package that substantially improves the accuracy of cancer-induced osteolytic lesion measurements compared to other currently available methods 1 2 1 2 1 Holly Evans , Twin Karmakharm , Michelle Lawson and Paul Richmond Andrew Chantry 1 Sheffield Myeloma Research Team, Dept of Oncology, University of Sheffield, UK. 2 School of Automatic Control Systems Engineering, University of Sheffield, UK. Objectives: Osteolytic lesions are a defining characteristic of myeloma and other cancers that destroy bone. Measurement of these lesions is notoriously difficult and results often suffer from inaccuracy, poor reducibility and bias. We sought to improve the accuracy and reproducibility of osteolytic lesion analysis. Methods: TM We have developed Osteolytica , an osteolytic lesion analysis software package, featuring an easy to use step-by-step interface. It utilises novel graphic cards acceleration (parallel computing) and 3D rendering to provide rapid reconstruction and analysis of osteolytic lesions. Analysis of osteolytic lesions in 3 different murine models of myeloma was performed using Osteolytica TM and 2-D image analysis using ImageJ software. For study 1, C57Bl/KaLwRij mice were injected with PBS (n=4) or 2 6 x 10 5TGM1 cells (n=7), and sacrificed after 21 days. For study 2, NOD/SCID-GAMMA mice were 6 injected with PBS (n=4) or 1x10 JJN3 cells (n=5) and sacrificed after 21 days. For study 3, 6 NOD/SCID-GAMMA mice were injected with PBS (n=5) or 1x10 U266 cells (n=8) and sacrificed after 8 weeks. Tibiae were scanned using microCT and datasets reconstructed. Results: For study 1, the disease group exhibited significantly increased osteolytic bone disease compared TM to controls using Osteolytica , but not when using the 2-D method. For study 2, the disease group exhibited significantly increased osteolytic bone disease compared to controls when using Osteolytica TM and the 2-D method. For study 3, the disease group exhibited no significant difference in osteolytic bone disease compared to ontrols using either Osteolytica TM or the 2-D method. We also deployed four independent researchers to analyse 5 bones using Image J 2-d analysis. Inter-user variability was substantial (+/- 20%). This is in contrast to multiple repeat analyses using Osteolytica TM which demonstrated zero variability. Conclusions: Osteolytica TM is a novel, accurate and reproducible method of analysing osteolytic lesions. It is a substantial improvement on previous methods, being rapid and easy to use, and eliminates interuser variability. 70 | P a g e Be a YCR Star We wouldn’t be here for the people of Yorkshire without the generosity of our supporters. Every year thousands of people support us in our goal to help the people of Yorkshire avoid, survive and cope with cancer. Join our growing team of YCR stars Take on a Challenge - walk, run, cycle or go extreme with a skydive Fundraise with friends - hold your own event with friends or colleagues Give some of your time – make a difference by volunteering at an event Fund vital research – sign up to regular giving Here’s a taster of some of the Events taking place this year th 8 June th 15 June st 21 June nd 22 June th 20 July rd 3 August TH 11 August st 31 August th 7 September th 18 September th 28 September th 28 September th 12 October th 11 December Hull 10K RU Taking the P Great Yorkshire Bike Ride Pennine 10K Leeds 10K York 10K PGA Leeds Cup Pro Am Dales Rider Great North Run Knaresborough Golf day Berlin Marathon Great Yorkshire Run Yorkshire Marathon Winter Ball For more information on these events and other ways to get involved visit www.ycr.org.uk and the “support us “ section 71 | P a g e Chief Executive Mr Charles Rowett Yorkshire Cancer Research 39 East Parade HARROGATE HG1 5LQ Registered Charity No. 516898 Tel: 01423 501269 Email: [email protected] 72 | P a g e