# Immunologic Targeting of Developmentally-Regulated Antigens for the Treatment of High-Risk Medulloblastoma

> **NIH NIH F30** · UNIVERSITY OF FLORIDA · 2021 · $28,314

## Abstract

PROJECT SUMMARY/ABSTRACT
Pediatric brain tumors have recently surpassed leukemia as the most common cause of cancer-related death in
children. Immunotherapies leveraging the specificity of cytotoxic T cells have demonstrated unprecedented
treatment responses for some malignancies; however, a lack of known targets prevents its application to the
treatment of pediatric brain tumors. Medulloblastoma (MB) is the most common malignant pediatric brain tumor
and is now understood to include at least four distinct molecular variants. Group 3 MB is the deadliest and among
the most prevalent subtypes. Despite the use of aggressive treatments, the overall survival of patients with Group
3 MB remains below 50%. Serious long-term side effects and high relapse rates indicate that more targeted and
effective therapies are desperately needed. Thus, the long-term goal of this proposal is to develop an
immunologic strategy for treating high-risk MB. In melanoma, the most commonly appreciated immunologic
targets are mutated proteins that generate immunogenic epitopes unique to tumor cells (neoantigens). In
contrast to melanoma, the prevalence of mutations in pediatric brain tumors is paltry. Epigenetic modifiers
predominate the few recurrently mutated genes. In MB, aberrant epigenetic gene regulation is shown to drive
transcription patterns reminiscent of pluripotent stem cells and developing neural precursors. Pluripotent stem
cells and neural stem cells therefore represent potential cellular sources of developmentally-regulated antigens
(Dev Ags) that can be used to prime immune responses. The central hypothesis of this proposal portends that
immunologic targeting of aberrantly expressed developmental proteins in Group 3 MB will provide a novel
therapeutic platform with enhanced curative potential for these patients. This hypothesis will be tested through
three specific aims: 1) Evaluate the capacity of induced pluripotent stem cells (iPSCs) and their spatiotemporally
distinct neural progeny to serve as sources of antigen for immunologic targeting of Group 3 MB; 2) Determine
the effect of chemotherapy, radiation, and epigenetic modifiers on the expression and anti-tumor efficacy of Dev
Ags in Group 3 MB tumors; and 3) Demonstrate the ability of human Dev Ag specific T cells to target human MB
tumors in vitro and in a patient-derived xenograft model of Group 3 MB. Aim 1, will utilize an in vitro model of
neurodevelopment to analyze the transcriptional overlap of iPSCs and distinct iPSC-derived neural stem and
progenitors (iNSPCs) with Group 3 MB and will evaluate the specificity and efficacy for targeting MB using Dev
Ag T cells. Aim 2 will evaluate changes in gene expression, T cell specificity, and anti-tumor efficacy following
exposure of MB tumors to radiation, chemotherapy, and epigenetic modifiers. Finally, using autologous iPSCs,
iNSPCs, immune cells, and MB tumors, the efficacy of Dev Ag T cells in patient-derived xenografts of Group 3
MB will be evaluated...

## Key facts

- **NIH application ID:** 10246430
- **Project number:** 5F30CA221345-05
- **Recipient organization:** UNIVERSITY OF FLORIDA
- **Principal Investigator:** Kyle Dyson
- **Activity code:** F30 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $28,314
- **Award type:** 5
- **Project period:** 2017-09-01 → 2022-08-06

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10246430

## Citation

> US National Institutes of Health, RePORTER application 10246430, Immunologic Targeting of Developmentally-Regulated Antigens for the Treatment of High-Risk Medulloblastoma (5F30CA221345-05). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10246430. Licensed CC0.

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