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-PROGRAMA- Chairmen / Directores: Miguel A Piris and Manuel Morente Lugar / Place: EUROFORUM INFANTES, San Lorenzo de El Escorial, Madrid Fecha / Date: March 26th & 27th, 2009 JUEVES/ Thursday, March / 26th 08:00 08:20 SESIÓN 1 08:40 Recogida de Acreditaciones / Registration Bienvenida y apertura / Welcome & Opening CANCER GENOMICS I / GENÓMICA DEL CÁNCER I Chairperson / Moderador: Mariano Barbacid, CNIO, Madrid, Spain Tom Hudson, Ontario Institute for Cancer Research, Ontario, Canada The International Cancer Genome Consortium / Consorcio Internacional del Genoma del Cáncer (+ info) 09:20 The International Cancer Genome Consortium (ICGC) was launched in April 2008 to coordinate an international-scale research effort to understand the genomic, transcriptomic and epigenetic changes involved in the major forms of cancer. The ICGC will produce comprehensive catalogues of the full range of genetic mutations involved in the world’s major types of cancer, with key factors being the ability to detect all mutated cancer genes, data at the level of individual DNA bases, application of common standards for pathology and technology and comparison data from matched, non-tumor tissue. This information will lead to better ways of diagnosing, treating and preventing cancer. Victor E Velculescu, Johns Hopkins, Baltimore, MD, USA The genomic landscapes of human cancer / Panorámicas genómicas del cáncer humano (+ info) 10:10 It is generally accepted that cancer is a disease caused by accumulation of mutations in specific genes. These tumor-specific mutations provide clues to the cellular processes underlying tumorigenesis and have proven useful for diagnostic and therapeutic purposes. To date, however, only a small fraction of the genes has been analyzed and the number and type of alterations responsible for the development of common tumor types are unknown. We have recently begun a systematic study of the cancer genome through analysis of the majority of protein coding genes in breast, colorectal, pancreatic and brain cancers. These analyses have identified a wealth of new genes and pathways that had not been previously linked to human cancer. Our studies define the genetic landscape of human cancers, provide new targets for personalized intervention, and open fertile avenues for basic research in tumor biology. Rene Bernards, The Netherlands Cancer Institute, Amsterdam, The Netherlands Finding biomarkers of drug resistance using functional genetic approaches / Identificación de biomarcadores de resistencia farmacológica mediante genómica funcional Targeted cancer therapies, like conventional cancer therapies, also suffer from the development of resistance. In my laboratory, we use large-scale loss of function genetic screens to find genes whose suppression causes resistance to targeted cancer drugs. Such genes are of interest because they are modulators of the pathway that is targeted by the drug, but also because these genes are potential biomarkers to predict responses to these drugs in the clinic. (+ info) 10:40 Café / Coffee SESIÓN 2 11:10 CANCER GENOMICS II / GENÓMICA DEL CÁNCER II Chairperson / Moderador: Miguel A Piris, CNIO, Madrid, Spain Miguel A Piris, CNIO, Madrid, Spain Targets in B-cell lymphoma / Dianas en los linfomas de células B Lymphoid neoplasms are a heterogeneous group of lymphoproliferative malignancies with differing patterns of behaviour and responses to treatment. Standard treatments (cytotoxic therapy and immunotherapy) fail to cure roughly half of the patients, leading also to side effects with significant morbidity. Data generated by high-throughput and functional studies are showing that B-cell receptor (BCR) provides the neoplastic B-cells with essential survival signalling. Our effort is currently aimed to target signalling pathways and genes coupled to BCR. (+ info) 11:50 Todd R Golub, Harvard Medical School, Boston, MA, USA Genomic signatures of cancer / Patrones genómicos del cáncer Comprehensive views of the cancer genome are now becoming feasible and have potential for significant impact on the development of cancer therapeutics. Data will be presented that illustrate the ability to generate genome-wide data at the level of DNA, mRNA (including profiling of routinely-collected formalin-fixed paraffin-embedded tissues), and the phosphoproteome. Use of such data for the development of diagnostic and prognostic biomarkers will be presented, as will the use of these genomic signatures as a read-out for small molecule screens. (+ info) 12:30 Matthew Meyerson, Harvard Medical School, Boston, MA, USA Genomic alterations in human cancer / Alteraciones genómicas en el cáncer humano (+ info) 13:10 Cancer is a disease of the genome. High-throughput genome analysis tools now enable the detection of somatic alterations in cancer cells including point mutations, copy number alterations, translocations, and infections. To find copy number alterations, we have now analyzed over 2,600 cancer samples with arrays representing 250,000 mapped single nucleotide polymorphisms (SNPs), or most recently, over 1.8 million mapped probe sets. Major discoveries include the identification of lineage-specific amplification of the NKX2-1 gene in human lung adenocarcinoma (Weir et al., 2007) Most recently, we have identified a counterpart amplified gene in squamous cell carcinomas. To find mutations, we are performing systematic sequencing of selected gene families. Here, major discoveries include activation mutations of the epidermal growth factor receptor tyrosine kinase gene, EGFR, in human lung adenocarcinomas (Paez et al., 2004) and glioblastomas, the fibroblast growth factor receptor 2 gene, FGFR2, in endometrial carcinomas (Dutt et al., 2008), and the anaplastic lymphoma kinase, ALK, in neuroblastomas (George et al., 2008). EGFR, FGFR, and ALK inhibitors respectively kill cells bearing these mutations. Furthermore, we have identified a total of 26 genes that are recurrently mutated in lung adenocarcinoma (Ding et al., 2008). To further systematic genome discovery in well-annotated cancers, the National Institutes of Health have established “The Cancer Genome Atlas” project. This consortium has now completed preliminary analyses of 206 glioblastoma tumor DNA and RNA specimens and identified significant genomic alterations including mutation of the PI3 kinase regulatory subunit gene, PIK3R1 (TCGA Network, 2008). - Lilly Foundation Distinguished Career Award Ceremony POSTERS SESSION 13:40 SESIÓN 3 15:20 Almuerzo / Lunch CANCER BIOMARKERS / BIOMARCADORES DE CÁNCER Chairperson / Moderador: Ramón Colomer Bosch, M.D. Anderson, Madrid, Spain Manuel Morente, CNIO, Madrid, Spain Quality in tumor samples. A limiting step in cancer research / Calidad de las muestras biológicas. Un factor limitante en investigación oncológica (+ info) Translational cancer research is highly dependent of series of cases including high quality samples and their associated data. An easier access to these samples for the scientific community is considered as the main bottleneck for research for health, and biobanks are the most adequate site to try to resolve this issue. However, biobanks should not be considered a static activity. On the contrary, biobanking is a young discipline which need continuously evolve according to the permanent development of new techniques and new scientific goals. To accomplish current requirements of the scientific community biobanks need to face some essential challenges including an appropriate design including networking, harmonized and more suitable procedures, and sustainability, all of them in the framework of their ethic, legal and social dimensions. 16:00 Rafael Rosell, Germans Trias i Pujol Hospital, Barcelona, Spain Therapy response predictors in lung cancer / Predictores de respuesta terapéutica en cáncer de pulmón (+ info) 16:40 17:00 Aberrant signaling generated by the activation of multiple pathways occurs in cancers and contributes to their growth, invasion and survival. Lung cancer-specific EGFR mutations represent a new paradigm of genotyping. In 217 patients with multiple metastases, daily erlotinib attained a 70% response rate, a 14-month time to progression, and a 27-month median survival. Central to DNA damage response is the breast cancer gene 1 (BRCA1). The predictive value of the BRCA1-RAP80-Abraxas complex was examined in metastatic lung cancer patients. A sub-group of patients attained an unprecedented time to progression of 14 months and median survival not reached. Genotyping for appropriate targeted therapy and customized chemotherapy can improve outcomes in several tumors. Café / Coffee Jose Costa, Yale University School of Medicine, New Haven, CT, USA Tumor biomarkers in the century of Systems Biology / Biomarcadores tumorales en el siglo de la Biología de Sistemas Novel technologies and computational biology make it possible to begin to deconvolute the complexity of cancer. The promise and challenges of systems biology for the field of biomarkers will be discussed with an emphasis on new multiparametric tests and their use in the cancer clinic. (+ info) 17:40 Dan Theodorescu, University of Virginia Health Sciences Center, Charlottesville, VA, USA COXEN-A way forward in personalized cancer therapy and drug discovery / COXEN-A en terapia oncológica personalizada y descubrimiento de nuevas drogas We demonstrate a novel, facile yet powerful approach to biomarker derivation that identifies patients most likely to benefit from selected multi-agent therapy. Use of such tools, provides a robust and generalizable approach to personalized cancer therapy with far reaching applications in drug discovery, drug salvage and forecasting of novel single and combination drug effectiveness in cancer patients. (+ info) VIERNES/ Friday, March /27th SESIÓN 4 08:20 MOLECULAR TARGETS / DIANAS MOLECULARES Chairperson / Moderador: Juan A Velasco, Lilly Research Labs, Madrid, Spain Mariano Barbacid, CNIO, Madrid, Spain Mouse tumor models and target validation / Modelos tumorales en ratones y validación de dianas (+ info) To date, more than 500 genes have been found mutated in human cancer, thus providing a wealth of therapeutic targets. Unfortunately, only a handful of these mutated genes encode druggable products. Moreover, even in those the cases in which the mutated protein can be pharmacologically inhibited (protein kinases, growth factors, receptors, etc.), the degree of therapeutic efficacy observed has been rather modest, with the exception of Gleevec and possibly Herceptin. A plausible explanation for these observations has been recently provided by sequencing cancer genomes. Advanced tumors carry mutations in multiple pathways, thus suggesting that successfully cancer therapies will require combinations of drugs capable of blocking two or possibly more distinct pathways. In order to devise better strategies to block oncogenic signaling, we have developed mouse tumor models that faithfully resemble those observed in human patients. These mice can be endowed with conditional mutations whose activation specifically ablates putative therapeutic targets. I will present our most recent results following these basic strategies to evaluate the therapeutic effect of ablating the Raf, Mek and Erk kinases as well as the cell cycle Cdks (Cdk2, Cdk4 and Cdk6) in K-Ras induced NSCLCs. 09:00 Robert Kerbel, Sunnybrook Health Sciences Centre, Toronto, ON, Canada Some mechanisms and consequences of antiangiogenic targeting of the VEGF pathway in cancer / Algunos mecanismos y consecuencias de la actuación a través de VEGF como diana de inhibición de angiogénesis en cáncer Bedside to bench translational studies will be summarized with respect to a number of important questions which have emerged from the clinical use and benefits of approved antiangiogenic drugs. The research summarized is devoted to addressing some of the reasons for the thus far transitory and modest benefits of antiangiogenic therapies for the treatment of advanced metastatic disease. Some strategies for improving antiangiogenic therapies will be outlined such as combination with other treatments, e.g. metronomic low-dose chemotherapy. (+ info) 09:40 Kari Alitalo, Biomedicum Helsinki and the Haartman Institute, University of Helsinki, Finland Targeting VEGF receptor pathways for inhibition of angiogenesis, lymphangiogenesis and metastasis / El receptor de VEGF como diana de inhibición de angiogénesis, linfangiogénesis y metástasis (+ info) Angiogenesis and permeability of blood vessels are regulated by vascular endothelial growth factor (VEGF) via its two receptors VEGFR-1 and VEGFR-2. VEGFR-3 does not bind VEGF and its expression becomes restricted mainly to lymphatic endothelia during development. We have purified and cloned the VEGFR-3 ligand, VEGF-C. VEGF-C overexpression induces lymphangiogenesis and growth of the draining lymphatic vessels, intralymphatic tumor growth and lymph node metastasis in several tumor models. Furthermore, VEGFR-3 inhibitors bloc lymphatic metastasis. These results together with recent clinical cancer studies indicate that paracrine signal transduction between tumor cells and the lymphatic endothelium is involved in lymphatic metastasis of human cancers. We have also recently found a role for VEGFR-3 signaling in settings of physiological and pathological angiogenesis in mice. 10:20 10:40 Café / Coffee Francisco Real, CNIO, Madrid, Spain Targeting the PI3K pathway in bladder cancer: different targets for different tumors? / La vía de PI3K en cáncer vesical: ¿dianas diferentes para tumores diferentes? The PI3K pathway is involved in a wide variety of human cancers. In the bladder, there is evidence for PI3K/mTOR activation in a large fraction of both non-muscle invasive and muscleinvasive tumors. PIK3CA mutations are very common in the former but they are rare in muscle-invasive tumors. By contrast, PIK3CA gains and PTEN losses are rare in low grade, non-muscle invasive, tumors and common in muscle-invasive cancers. It is crucial to determine whether different genetic alterations have a differential effect on sensitivity to drugs targeting PI3K/mTOR for rational clinical trial design. (+ info) 11:20 Jonathan Yingling, Lilly Research Labs, Eli Lilly & Co. Corporate, Indianapolis, USA Translating innovation: PK/PD driven drug discovery and patient tailoring in oncology / Aplicando la innovación: descubrimiento de drogas en oncología a través de PK/PD y adaptación al paciente individual The pharmaceutical industry finds itself at a crossroads that requires transformational approaches to meet the ever-increasing needs of patients, providers and payors. The emergence of genomic technology has fundamentally changed oncology drug discovery and provided unprecedented opportunities for new target discovery and validation as well as “tailoring” to optimize patient outcomes. I will highlight the Lilly oncology strategy for capitalizing on these breakthroughs and present 2 specific examples of portfolio assets that have moved forward into the Lilly development pipeline and have the potential to significantly improve the treatment of cancer. SESIÓN 5 12:00 MicroRNAs AND EPIGENETICS / MicroRNAs Y EPIGENÉTICA Chairperson / Moderador: Hernán Cortés Funes, Hospital 12 de Octubre, Madrid, Spain Manel Esteller, Instituto de Investigaciones Biomédicas de Bellvitge (IDIBELL), Barcelona, Spain Cancer Epigenetics: from the bench to the bedside / Epigenética del cáncer: del laboratorio a la cabecera del paciente Cancer is an epigenetic disease characterized by the breakdown of the DNA methylation and histone modification patterns. The stability of our genome and correct gene expression are maintained in large measure thanks to a perfectly pre-established pattern of DNA methylation and histone modifications. Both of them control the activity of a third component of the epigenetic landscape, non-coding RNAs, particularly microRNAs that are also disrupted in human cancer. (+ info) 12:40 Jean-Pierre Issa, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA Epigenetic therapy: from promise to reality / Terapia epigenética: desde la promesa a la realidad Over the past decade, epigenetic changes such as alterations in DNA methylation and histone modifications have been well described in cancer and are now recognized as targets of therapy (epigenetic therapy). The aim of epigenetic therapy is to reverse epigenetic changes and reactivate important genes thereby modifying the malignant phenotype and inducing clearance of the malignant clone by various mechanisms. DNA methylation inhibitors and histone deacetylase inhibitors have already shown impressive activity in subsets of patients with leukemia. The field is moving forward into solid tumors, and in parallel, other epigenetic targets are being identified and targeted with drugs. (+ info) 13:20 Reuven Agami, The Netherlands Cancer Institute, Amsterdam, The Netherlands Cancerous microRNAs and regulatory RNA binding proteins / MicroRNAs en cáncer y proteínas reguladoras de RNA-binding (+ info) MicroRNAs (miRNAs) are potent post-transcriptional regulators of protein coding genes. Patterns of mis-expression of miRNAs in cancer suggest key functions of miRNAs in tumorigenesis. In the past we set up experiments to identify miRNAs and identified miR-372, miR-221 and miR-135 families as promoting tumor growth and metastasis. These miRNAs are oncogenes as they are deregulated in various types of cancers, target tumor suppressors and their inhibition reverts cancerous phenotypes. Interestingly, little is known about the mechanisms controlling the expression and activity of miRNAs. This regulation is of outmost importance due to the role miRNAs have during normal development and tumor progression. Close inspection of miRNA-target sites on mRNAs revealed to us that occasionally sequences in their vicinity are highly conserved throughout evolution. We therefore hypothesized that conserved regions in mRNAs may serve as docking platforms for modulators of miRNA activity. This led us to hypothesize that RNA-binding proteins could influence miRNA function. Modes of this regulation will be discussed in this meeting. POSTERS SESSION 14:00 SESIÓN 6 15:30 Almuerzo / Lunch TARGETED THERAPY, EXAMPLES / TERAPIA DIRIGIDA A DIANAS, EJEMPLOS Chairperson / Moderador: Eduardo Díaz Rubio, Hospital Clínico San Carlos, Madrid, Spain Pierre Laurent-Puig, INSERM U775, Université Paris-Descartes, Paris, France Prognostic factor in patients with advanced colorectal cancer treated with cetuximab / Factor pronóstico en pacientes con carcinoma colorrectal avanzado tratado con cetuximab We recently enlightened the role of the KRAS oncogene mutation as a marker of the resistance to EGFR antibodies. The presence of KRAS mutations was significantly associated with an absence of response to anti-EGFR monoclonal-antibody-based treatments. They are now restricted to patients with a tumor with a non-mutant KRAS gene. However, only 50% of the patients in this latter group give an objective response and other markers bring new informations. (+ info) 16:10 Josep Baselga, Vall d’Hebrón Hospital, Barcelona, Spain Targeting HER2 in Breast Cancer. Novel therapies and mechanisms of resistance / Apuntando a HER2 en cáncer de mama. Nuevos tratamientos y mecanismos de resistencia Aberrant receptor expression and/or functioning of the human epidermal growth factor receptor (HER) family plays a critical role in the development and evolution of cancer. Inhibiting the signalling activity of individual receptors in this family has advanced the treatment of a variety of human cancers. In my presentation I will re-evaluate the role of two critical family members, HER2 and HER3, and explore the mechanisms of action and preclinical/clinical data for new therapies targeting signalling through these pivotal receptors. These new therapies include tyrosine kinase inhibitors, antibody–chemotherapy conjugates, heat shock protein inhibitors and antibodies that interfere with HER2:HER3 dimers. (+ info) 16:50 Maria S. Soengas, CNIO, Madrid, Spain Therapeutic windows for melanoma treatment / Ventanas terapéuticas para el tratamiento del melanoma (+ info) 17:30 Melanoma progression is invariably associated with multiple defects in apoptotic pathways. This knowledge provides the platform for rational drug design. However, genetically targeted therapies have not yet been proven effective in vivo. Therefore, melanomas may possess yet unidentified mechanisms of cells survival. We have recently identified new roles of autophagy (self cannibalism) underlying melanoma chemoresistance. Here we will report the characterization of compounds able to rewire autophagy programs in melanoma cells to inhibit tumor progression selectively (i.e. without affecting the viability of normal cell compartments). We will present cellular and animal models that support selective autophagy induction as a therapeutic window for intervention in melanoma. Manuel Hidalgo, Centro Integral Oncológico Clara Campal (CIOCC), Madrid, Spain Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors / Inhibidores de la tirosina-kinasa del receptor del factor de crecimiento epitelial (EGFR) 1 Review Current Status of EGFR Biology 2 Review State of the International Clinical Applications 3 Summarize New Agents and Therapeutic Strategies (+ info) 18:10 Despedida y Clausura / Farewel & Closure INFORMACIÓN GENERAL − Conferencias: 30-minute talks; 10-minute discussion after each talk. English <> Spanish simultaneous translation. − Posters: Permanent exhibition, attended by the authors at least on designed time periods / Exhibición permanente, atendidos por los autores al menos durante las horas señaladas. PROMOTORES Y PATROCINIO COMITÉ CIENTÍFICO Y ORGANIZADOR LUGAR DE CELEBRACIÓN Miguel A Piris, Manuel Morente y José A Gutiérrez-Fuentes EUROFORUM INFANTES SAN LORENZO DE EL ESCORIAL, MADRID Fundación Lilly: C/ María de Molina 3, 1º – 28006 Madrid – 91 781 50 70 - Fax 91 781 50 79 – Email: fundacionlilly@lilly.com - www.fundacionlilly.com Secretaría y apoyo logístico: Ana Isabel Moreno - Grupo 7 Viajes (c/ Medea 4, 3º A - 28037 Madrid) Tel: 902 902 747 ext. 2 / Fax: 91 754 32 00 / anaisabel@grupo7viajes.com