Newsletter Signup x

Learning why high-risk neuroblastoma resists treatment – to learn how to beat it

One of the hardest things about finding a cure for cancer is that many forms don’t respond well to treatment. We’re looking at why a particular kind of high-risk neuroblastoma that affects children resists attempts to treat it, so we can develop new ways to beat it, and give children a better chance to survive it and live longer lives.

High-risk neuroblastoma develops resistance to treatment, so children affected by it often relapse. We’re looking at what makes tumours develop resistance, so we can overcome it.

Project Progress...

scientist researching treatment improvements for acute lymphoblastic leukaemia

Project Details

  • Project Title

    CRISPR-based genome-wide knockout and overexpression screens to identify acquired resistance mechanisms to ALK inhibition in neuroblastoma

  • Lead Researcher

    Dr Suzanne Turner

  • Research Centre

    University of Cambridge

  • City & Institution Postcode

    Cambridge CB2 0QQ

  • Start Date

    14 November 2016

  • Duration

    3 years

  • Grant Amount


Mother and daughter
Make a regular gift today!

Your donation helps save young lives!

Read more


Information about neuroblastoma

Neuroblastoma is the second most common solid tumour in childhood, affecting just under 100 children a year in ...

Read more
Brothers playing

Patient Story – Lucas

Meet Lucas - one of our hero patient stories

Lucas was diagnosed with neuroblastoma when he was born. Today, he is a happy, healthy little boy. His great ...

Read more


Neuroblastoma is the second most common solid tumour in children, affecting around 100 children a year in the UK. It’s a cancer of the nerve cells, usually developing in the abdomen, and causes over 10 per cent of deaths from childhood cancer. Although overall survival rates from neuroblastoma have improved, for those in high-risk or relapse categories rates have remained at 40 to 50 per cent per cent since the 1970s.

Suzanne is aiming to identify what makes neuroblastoma resistant to a new form of treatment targeting a gene mutation called ALK, so that she can work out ways to overcome it.

This project will build on previous work by the Turner group. They’ve identified a list of genes that may be involved in resistance to ALK inhibitors. Every gene on that list will be individually tested to confirm its role, then the team will work to develop clinically-viable strategies to overcome it.

What difference will this project make?

Resistance to treatment has always been a major obstacle to successfully curing cancer. Some types, including the high-risk neuroblastoma that affects children, will respond at first to intensive treatment, but then resistant tumours develop, which mean that the child is unlikely to survive.

This project is looking at mutations in a gene known as ALK, and how tumours relating to it develop resistance to treatment.

Around 9 per cent of high-risk neuroblastoma patients carry this ALK mutation. It’s also seen in a number of adult cancers, and we’ve had some good initial results with treatments that use ALK inhibitors. But although the tumours respond well to start with, after a while resistant tumours emerge. We’re now looking at neuroblastoma with tumours carrying these ALK mutations, and expect them to develop similar resistance over time.

Up to now, when exploring new ways to treat these tumours, we’ve had to use a ‘wait and see’ approach, trying things out through several rounds of trials before we can see the effect. This takes a long time, often too long for children going through an early round of a trial for a new treatment.

In this project, Suzanne will be investigating how tumours resist to a treatment at the same time as the trials, aiming to develop tailored treatments against resistant neuroblastoma tumours. If successful, this should help to prevent relapse, and significantly extending the children’s survival periods.


About the Research Team

Dr Suzanne Turner is a Senior Lecturer in the Department of Pathology at the University of Cambridge. She has over 20 years of research experience and is an internationally-recognised expert. She is currently leading ALKATRAS, an EU-funded project looking at the ALK protein and developing ways to work against cancers relating to it.

Her co-investigator is Liam Lee, a PhD student in the Department of Pathology. He has over 10 years of research experience from previous fellowships at leading US institutions, including MD Anderson Cancer Center and the National Cancer Institute. His expertise in genetics and bioinformatics (analysing complex biological data with computer scripts), is key to this study.

Newsletter icon

Know someone who might be interested in this article?

Email this page to a friend!
Karin Straathof

Development of ‘seek and destroy’ system against neuroblastoma

Related research- Dr Karin Straathof

Today, less than half of children with an aggressive form of the childhood cancer neuroblastoma can be cured, ...

Read more

Developing new treatments for high-risk neuroblastoma

Related research- Helen Bryant

Neuroblastoma has a ‘high-risk’ form which, despite using every treatment available, means that some children can’t be cured. ...

Read more

Children's Fundraising

Children's fundraising
Read more