Paediatric Cancer

The most common childhood cancers are cancers of the blood (leukaemias and lymphomas), brain, and central nervous system; they account for over half of the cancers diagnosed in children. Between 2008–2010, around 1,600 children were diagnosed with cancer each year in the UK. More than 8 in 10 children now survive five years or more, compared to 3 in 10 in the 1960s. Consequently, much research is directed at designing less toxic therapies, reducing therapeutic burden, and developing diagnostic tests to enhance patient stratification. This research is made possible in Cambridge by strong links between research labs and the clinic as well as contributions to international clinical trials.

Advances in children’s cancer and leukaemia research in Cambridge

Programme Contacts

Cambridge University Hospitals NHS Foundation Trust
Programme Lead
University of Cambridge
Department of Pathology
Programme Lead

Selected publications

  • Multi-site phosphorylation controls the neurogenic and myogenic activity of E47
    Biochem Biophys Res Commun.
    14 Feb 2019
  • ACCELERATE and European Medicine Agency Paediatric Strategy Forum for medicinal product development for mature B-cell malignancies in children
    Eur J Cancer
    14 Feb 2019
  • Lingual Alveolar Soft Part Sarcoma in a 1-Year-Old Infant: Youngest Reported Case With Characteristic ASPSCR1-TFE3 Fusion
    Pediatr Dev Pathol
    11 Feb 2019
  • Fifteen-minute consultation: A general paediatrician's guide to oncological abdominal masses
    Arch Dis Child Educ Pract Ed
    7 Feb 2019
  • Unrecognised Outbreak: Human parainfluenza virus infections in a pediatric oncology unit. A new diagnostic PCR and virus monitoring system may allow early detection of future outbreaks
    Wellcome Open Res
    19 Sep 2018
  • From bench to bedside: the past, present and future of therapy for systemic paediatric ALCL, ALK
    Br J Haematol
    25 Jan 2019
  • Identification of new Wilms tumour predisposition genes: an exome sequencing study
    Lancet Child Adolesc Health
    15 Mar 2019

Neuroblastoma is a cancer of the peripheral nervous system and is largely diagnosed in children under the age of 5. On average, around 100 children will be diagnosed with neuroblastoma each year in the UK alone. Research into this rare paediatric cancer in Cambridge is conducted in the labs of Prof. Anna Philpott and Dr Suzanne Turner. In the former lab, research is being conducted to elucidate the relationship between cellular proliferation and differentiation and how this finely controlled balance is affected in neuroblastoma. In the latter lab, the mechanisms of drug resistance of some neuroblastoma sub-types is being analysed. 

Paediatric leukaemia and lymphoma

Research on paediatric leukaemia and lymphoma is conducted in the lab of Dr Suzanne Turner in close collaboration with clinical colleagues, namely by Dr Amos Burke. Projects include characterising tumour heterogeneity in paediatric non-Hodgkin lymphoma (NHL), and investigating minimal residual (MRD) and minimal disseminated disease (MDD) as prognostic factors. Research into paediatric leukaemias is analyzing mechanisms of therapy resistance and divulging novel therapeutic targets. This research is undertaken with close alignment to a portfolio of clinical trials conducted at both International and National levels. 

Malignant germ cell tumours (GCTs)

Malignant germ cell tumours (GCTs) are complex cancers that affect patients of all ages. They develop from cells that produce eggs or sperm and mostly occur in the ovaries and testes. Around 2,500 men are diagnosed with testicular GCTs every year in the UK alone, and the disease is a leading cause of death of young men. Dr Matthew MurrayDr James Nicholson and Prof Nick Coleman are leading research on the causes on GCTs, in particular in the investigation of the role of MicroRNAs; they were the first to show that increased levels of these microRNAs are present in the blood when malignant GCTs are diagnosed and that levels of the molecules can be monitored during treatment. In the future, microRNAs found in the blood are likely to be useful for improving the accuracy of diagnosis and disease-monitoring in other solid tumours of childhood.

Greyhound Limb Sparing Surgery
Paediatric musculoskeletal cancers

Research on paediatric musculoskeletal cancers is conducted in the labs of Professor Matthew Allen and Dr Jane Dobson. They are interested in preclinical modelling, with a particular emphasis on paediatric cancers (such as osteosarcoma, rhabdomyosarcoma and Ewings sarcoma) and adult cancers that spread to bone (such as breast, prostate, renal and lung cancer). They use a combination of cell culture and preclinical animal models to explore the mechanisms through which these cancers grow in bone and then spread (metastasise) to other organs. They also work with dogs and cats with naturally-occurring cancer to evaluate new therapies and work on strategies for prevention of metastasis. It is known that certain soft tissue sarcomas appear more frequent in specific breeds of dog, suggesting an underlying genetic influence, which they are exploring. Ultimately, they seek to develop new approaches to diagnose, track and treat these cancers in both animals and humans.