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Principal Investigator/Program Director: Timothy J. Ley, MD.  tley@im.wustl.edu
Washington University Medical School, Box 8007
660 South Euclid, St Louis, Mo 63110-1092
Ph 314-362-8831, Fax 314-362-9333
Goals and Significance The long-term goal of this program project is to define all the genetic alterations that occur in adult AML cells, and to define the importance of these mutations for disease susceptibility, initiation, progression, relapse, and resistance. The short-term goal is to define the most frequently occurring mutations that affect clinical outcomes, since these are the ones most likely to have an impact on therapy. We will use this information to create molecular diagnostic tools for disease stratification, and identify candidate genes for targeted therapeutics. The identification of the mutations that occur in adult AML genomes will contribute greatly to our understanding of the pathogenesis of this disease.
The Key Elements of the Program Project The systematic study of adult AML genomics requires a unique institutional environment with specific key elements.
Our group is in a unique position to perform these studies because these components are already in place at Washington University Medical School and Barnes Jewish Hospital (Figure 1). The first component is the Siteman Cancer Center (SCC), designated by the NCI in 2001. The SCC has created a critical infrastructure that includes 12 Cores that will support the science in the Genomics of AML Program Project Grant (GAML PPG). The second key component is the Washington University Genome Sequencing Center (GSC), whose Director is Rick Wilson, leader of Project 1.
The GSC is one of the largest academic sequencing centers in the world, and is currently performing 30 million sequencing reactions per year. The techniques and capacity for large scale resequencing of AML samples is therefore available at our GSC. The third key component is the availability of large numbers of AML patients via the Leukemia/Stem Cell Transplantation Program at Washington University, headed by John DiPersio, leader of Project 3. This program is one of the largest of its kind in the United States, performing more than 250 stem cell transplants each year, and entering more than 75 new AML patients on protocols. Patient material crucial for validating the importance of AML-associated mutations will also come from the Leukemia Tissue Bank of Cancer and Leukemia Group B (CALGB) and from the NCI’s Cancer Therapy Evaluation Program (CTEP). The final component is mouse modeling of AML, which is critical for the validation of genes that are implicated in AML pathogenesis. One of the first mouse models of an acute myeloid leukemia was established at this institution by the PI of the GAML PPG, and several project leaders have successfully created important mouse models of this disease. Under the auspices of the GAML PPG, these components will be harnessed to improve our understanding of AML genomics, which will hopefully lead to improvements in therapy.
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The Biomedical Informatics Core is a cooperative effort between the Siteman Cancer Center,
the Nagarajan Lab in the Department of Pathology and Immunology, and the Washington University Neuroscience Blueprint Core.