PI: Weng Chuan Peng
Understanding childhood liver cancer
Pediatric liver cancer is a rare cancer that affects approximately 1 in a million children. In the Netherlands, about 8 – 10 children are diagnosed with liver cancer every year. The most common malignant liver tumors in children are hepatoblastoma (HB) and hepatocelullar carcinoma (HCC). Histologically, hepatoblastoma can generally be classified into various subtypes such as pure fetal (well differentiated, crowded), embryonal (less differentiated, more aggressive), small-cell undifferentiated (very aggressive), while HCCs oberved in children and adolescents are pathologically and biologically distinct from HCC in adults. Due to the limited number of patients, childhood liver cancer is poorly studied.
We will investigate the biology underlying liver cancer, based on NGS data (WGS/WES, single cell RNA-seq, spatially-resolved transcriptomics etc), in vitro organoid model derived from tumor cells (gene editing, advanced imaging, high throughput screening), and in vivo mouse model (tumor cells, organoid transplantion in the liver). The overall aim is to unravel the genetic basis of tumor variants, identify key signaling pathways, the role of tumor microenviroment, and characterization of the immune profile. One of our immediate goal is to establish a patient-derived tumor organoid biobank. These ‘tumoroids’ will be the basis for personalized medicines, for e.g., genomic analysis, drug screening, and predicting responses to chemotherapy, among others. With the knowledge gained from basic research, we aim to answer clinically relevant questions; for instance, why are some tumor subtypes more aggresive than others and respond poorly to chemotherapy. In addition, we hope to find novel biomarkers for tracking tumor responses to chemotherapy and identify potential therapeutics (e.g., antibodies, engineered ligands) targeting tumor subtypes that are difficult to treat.
At the Maxima, we will be working closely with the clinicians (i.e., pediatric oncologist, pathologist, surgeon) to understand childhood liver cancer. Through the understanding of tumor biology, we hope to find novel strategies to treat liver cancer, expose fewer children to chemotherapy, and ultimately cure more children without compromising their quality of life.
Adult stem cell 3D culture and cell replacement therapy
Establishing engraftable hepatocyte organoids (‘mini liver on a dish’):
A long-standing challenge in the stem cell field is the ability to expand primary cell type indefinitely in vitro, while maintaining its physiological properties. This is exacerbated by the fact that many tissues are slow cycling, for example, the liver, lung, kidney, pancreas, heart, showing little-to-no proliferation in vivo.
Our lab utilizes the liver as our model organ due to its immense regenerative capacity following injury. Recently, we demonstrated that murine hepatocytes can be propagated indefinitely in 3D culture, by incorporating factors that are typically observed during tissue repair. Of particular significance is that these in vitro- expanded progenitor cells could engraft efficiently in the injured livers of FAH mice and expressed the appropriate markers related to liver function (Peng et al., Cell, 2018).
The ability to generate large number of healthy cells is the first essential step towards making cell replacement therapy (to treat liver diseases) possible. It is estimated that 5 – 10% of engraftment is sufficient to maintain normal liver function. We are currently focusing on expanding functional adult human hepatocytes indefinitely in vitro, and develop strategies to (i) achieve significant engraftment, and more importantly (ii) maintain their long-term engraftment in mouse model; Our long-term goal is that cell transplantation may one day address the issue of organ donor shortage.
- STOmics Grant Program - Spatial Temporal Omics Consortium - Consortium website
- ITCC-P4 - Organoid Mirror Project - initiated by the Molenaar group
Twinning program KiTZ- Toward precision medicines for liver tumors – with dr Zsiros, Ina Oehme(KiTZ) (2022 - 2023)
Princess Máxima Center Foundation
- A donation was received through the Princess Máxima Center Foundation. With gratitude, the Peng group spends these donations on research.