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Marc Hansen
Professor of Medicine
mhansen@nso2.uchc.edu

Areas of Interest:
My laboratory is interested in the discovery and analysis of genes involved in the development of the bone tumor osteosarcoma. Osteosarcoma is the most common primary tumor of bone and represents an important opportunity for interaction between basic and clinical research.

Osteosarcoma is highly variable in its presentation with numerous subtypes based on the histology, age of onset and site of occurrence. This variation can have an influence on prognosis and can determine treatment options. Osteosarcoma has no commonly associated benign precursors or other morphological determinants, thus necessitating the development of a good molecular classification system in order to predict clinical behavior.

We are interested in examining the molecular evidence that these variations represent distinct diseases. A better understanding of the origin of osteosarcoma, particularly in the context of the osteoprogenitor lineage pathways will also be useful in developing models for this disease.

We use several approaches to address these problems. Laser capture microdissection combined with allelotype analysis, high throughput genotype analysis, comparative and arrayed BAC genome hybridization, cDNA microarray and mass spectroscopy analysis allow us to compare genomic and expression profiles for each of the classes of osteosarcoma to determine if they are distinct diseases. We then validate our analysis using tissue microarrays, quantitative PCR and other high sample throughput methods. Finally, we use in situ hybridization and immunohistochemistry to examine the expression profiles of our candidate genes. We have also begun to develop transgenic mouse models for osteosarcoma to test its relationship with normal bone development.

As a product of our analysis of osteosarcoma, we have also identified genes involved in the predisposition to several bone dysmorphology syndromes including Hereditary Multiple Exostoses, Cornelia de Lange Syndrome, and Paget’s Disease of Bone.

Finally, we are interested in improving treatment of osteosarcoma patients. The survival rate of patients with osteogenic sarcoma has greatly improved with the institution of a multidisciplinary approach that combines multi-agent chemotherapy and limb-sparing surgery. Presently, 80% of those patients who do not have distant metastases at presentation will become long-term survivors. Unfortunately, this means that approximately 20% of patients who do not have metastases at diagnosis do not survive. Despite intensive effort and the widely appreciated magnitude of the problem, there are currently no diagnostic tools that can segregate, at the time of diagnosis, those children whose osteosarcoma will respond to therapy from those whose tumor will not respond. Our goal is to develop a molecular signature that can be obtained at the time of diagnosis that would distinguish potential responders from non-responders.

Visit the Center For Molecular Medicine webpage: http://cmm.uchc.edu/index.html

Selected Publications:

Deshpande AM, Reveles X, Naylor SL, Leach RJ and Hansen MF. PHC3 acts as a tumor suppressor important in G0 transcriptional repression. (manuscript submitted).

Bhatia P, Deshpande A, Ammerman DG, Johnson-Pais TL, Rossi JA, Anderson DM, Unni KK, Meyers PA, Gorlick RG, Leach RJ and Hansen MF. RANK overexpression: A link between osteosarcoma and bone remodeling (manuscript submitted).

Johnson-Pais TL, Singer FR, Bone HG, McMurray CT, Hansen MF and Leach RJ. (2003) Identification of a novel tandem duplication in exon 1 of the TNFRSF11A gene in two unrelated patients with Familial Expansile Osteolysis. J Bone Miner Res 18: 376-380.

Garg S, Hansen MF, Rowe DW and Achenie LE. (2003) An adaptive strategy for single- and multi-cluster gene assignment. Biotechnol Prog 19: 1142-1148.

Johnson-Pais TL, Nellissery MJ, Ammerman D, Pathmanathan D, Bhatia P, Buller CL, Leach RJ and Hansen MF. (2003) Determination of a minimal region of loss of heterozygosity on chromosome 18q21.3 in osteosarcoma. Int J Cancer 105: 285-288.

Seton M, Choi HK, Hansen MF, Sebalt RJ, Cooper CC. (2003) An analysis of environmental factors in familial versus sporadic Paget’s disease of bone - The New England Registry for Paget’s disease of bone. J Bone Mineral Res 18: 1519-1524.

Johnson-Pais TL, Wisdom JH, Weldon KS, Cody JD, Hansen MF, Singer FR and Leach RJ. (2003) Three novel mutations in SQSTM1 identified in familial Paget disease of the bone. J Bone Miner Res 18: 1748-1753.

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