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Identifying new approaches for cancer treatment Extensive genetic and molecular of human tumor and healthy tissue research into the origins of cancer has samples derived during surgery made it clear that cancer results from to remove the tumor. Using a multiple genetic defects and that these revolutionary technology developed defects show great variation between by the group of Hans Clevers at the patients. Even between patients that Hubrecht Institute, these tissue samples suffer from the same type of cancer. can be ‘grown’ into mini-tumors and It appears that a patient’s response mini-organs – called organoids. These to cancer drugs is more determined organoids provide a perfect opportunity by the specific genetic defects in the to study the behaviour of human patient’s tumor than by the organ tumors outside the body, including in which this tumor is located. This their response to cancer drugs. notion is the driver behind the aim of CancerGenomiCs.nl has adopted this CancerGenomiCs.nl to determine and technology as its core model system understand the genetic alterations in and many aspects will be studied. In the tumors of individual patients in addition to the analysis of the genome order to select the right drug for that and for determining drug sensitivity, particular patient, or to determine the we will use the organoids for synthetic right drug target for which drugs need lethality screens to identify causes of The CancerGenomiCs.nl consortium to be developed. resistance, for the analysis of signaling brings together internationally well- pathways and (epi)genetic changes established cancer research groups that may be altered in tumors, and and very promising junior groups. for consequences of aneuploidy and The funds for the CGC.nl research DNA repair defects. Taken together, program provide a unique opportunity this will enable us to identify leads for Cancer is an extremely complex to implement a large-scale and long- new approaches to cancer treatment. disease. To tackle this complexity and term focused strategy to combat cancer Ultimately this should lead to novel unravel the disease process to develop by staying at the forefront of new strategies for interference, which will better treatment strategies, we apply developments in cancer research and be tested in patients by our clinical the latest technological possibilities their implications for the treatment of partners. We are confident that the and bring together different disciplines cancer patients. organoid technology will have a within cancer research. We will invest in and share expensive dramatic effect on the speed by which What makes CancerGenomiCs.nl equipment necessary for analyzing new drugs can be developed and stand out from other cancer research individual organoids. This will have personalized cancer treatment can be Unique approach initiatives is the use of in vitro cultures of human tumors, derived from the ‘living biobank’. This is a collection implemented to benefit more patients. Combining expertise, training the next generation an impact beyond the individual participating groups and will benefit the broader community of cancer researchers. Also we heavily invest in the training of the next generation of cancer researchers. In each participating group, a PhD student or postdoc will be employed using the CGC.nl funds, which will advance the careers of young promising scientists. The participants of the consortium combine interdisciplinary expertise and knowledge covering a wide range of topics in cancer genomics research, which is essential for the training of young, upcoming researchers. Master students, PhD students and postdocs in the consortium receive their training in one of the five research schools of the participating universities and research institutes. Benefit for society About CancerGenomiCs.nl We are convinced that the outcomes of our research program will lead to a better CancerGenomiCs.nl was founded in CancerGenomiCs.nl board consisting treatment of cancer patients. Particularly by providing the tools to determine 2013 and largely builds on the research of René Bernards, Hans Bos, Hans beforehand which drug will be most effective in an individual patient and by saving program of the Cancer Genomics Clevers, Roland Kanaar, René Medema patients exposure to unnecessary treatment and associated severe side-effects. Centre of the Netherlands Genomics and Alexander van Oudenaarden. All of Initiative. CancerGenomiCs.nl has been the participating scientists and groups granted a budget of €30.7 million for have extensive international networks 10 years by the Netherlands Ministry and seeking further international of Education, Culture and Science. The collaborations is high on the CGC.nl 26 participants that collaborate in the agenda. With the expertise combined CGC.nl consortium are internationally within our consortium and the excellent renowned scientists from eight research track records of the participants, institutes in the Netherlands. They we anticipate CancerGenomiCs.nl are leading members of international to become an attractive partner for research programs and bring together international collaborations within and unparalleled expertise, advanced outside Europe. René Bernards technology and infrastructure. The consortium is led by the Hans Bos Hans Clevers René Medema Roland Kanaar Alexander van Oudenaarden Participating institutes and scientists Netherlands Cancer Institute René Bernards Erasmus Medical Center Rotterdam René Medema Roland Kanaar Jan Schellens Wim Vermeulen Titia Sixma Stefan Sleijfer Maarten van Lohuizen John Martens Jos Jonkers Lodewyk Wessels Thijn Brummelkamp Academic Medical Center Amsterdam Jan Paul Medema Hubrecht Institute Hans Clevers Leiden University Medical Center Alexander van Oudenaarden Peter ten Dijke Edwin Cuppen Puck Knipscheer Jacco van Rheenen Radboud University Medical Center Nijmegen Peter Friedl University Medical Center Utrecht Hans Bos Utrecht University Emile Voest Albert Heck Boudewijn Burgering Geert Kops Michiel Vermeulen Colophon @2013 All rights reserved CancerGenomiCs.nl Text & editing Annelies Speksnijder, Hans Bos, Esther Thole Images Many thanks to Edwin Cuppen, Holger Rehmann, Hugo Snippert, Bas Ponsioen and Geert Kops. Image of Newt Lung Cell © Alexey Khodjakov Design SPRANQ creative communications Printing True Colours www.cancergenomics.nl