Extraocular Retinoblastoma
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Extraocular Retinoblastoma

Extraocular retinoblastoma is a form of cancer that expands beyond the globe of the eye, presenting considerable difficulty in managing pediatric cancer. Protheragen possesses state-of-the-art technologies and expert knowledge in ocular neoplastic disease research and, therefore, offers diagnostics and therapeutics development services for extraocular retinoblastoma.

Introduction to Extraocular Retinoblastoma

This form of retinoblastoma, or retinoblastoma of the eye, is exceptionally uncommon and aggressive. As seen with other forms of retinoblastoma, the condition primarily occurs in children, but extraocular retinoblastoma occurs when retinoblastoma tumorous cells develop outside of the eye globe, whether in the orbit, bone, or bone marrow. The tumorous cells can also extend into the CNS through the optic nerve or subarachnoid space. Such an advancement of the tumor makes the form of extraocular retinoblastoma much more difficult to treat and significantly worsens the prognosis.

GISTIC identification.Fig.1 Significantly altered copy number regions identified by GISTIC. (Aschero R., et al., 2021)

The development of extraocular retinoblastoma can be traced to genetic and cellular changes that guide the evolution of retinal cells into cancerous cells. The most important genetic event centers around changes in the tumor suppressor gene, RB1, which has mutations or deletions within it. The absence of functional pRb retinoblastoma protein owing to mutation(s) within the RB1 leads to unchecked cell division and the development of retinoblastoma tumors.

Diagnostic Methods of Extraocular Retinoblastoma

Cerebrospinal Fluid (CSF) Analysis: The crucial diagnosis of leptomeningeal spread with its poor associated prognosis also hinges on CSF cytology.

RB1 Gene Mutation Analysis: Identification of hereditary retinoblastoma is strictly dependent on the testing of mutations of the gene RB1 and hence this genetic analysis is very important.

Liquid Biopsy: The analysis of circulating tumor DNA (ctDNA) is replacing traditional methods in more advanced areas of medicine. In oncology, it is useful for both the detection of minimal residual disease and the assessment of therapeutic efficacy.

Therapeutics Development for Extraocular Retinoblastoma

  • Chemotherapy
    Chemotherapy still holds an important place in the management of extraocular retinoblastoma. Classical chemotherapy protocols usually comprise vincristine, cisplatin, cyclophosphamide, etoposide, and doxorubicin. These medications act on rapidly proliferating malignant cells to decrease the mass of the tumor and hinder its progression.
  • High-Dose Chemotherapy with Stem Cell Support
    The application of high-dose chemotherapy and subsequent autologous hematopoietic stem cell rescue has potential benefits for cases with metastatic disease. In particular, intensive therapeutics with carboplatin, thiotepa, and etoposide have shown good responsiveness in stage IVa cases.

Our Services

Protheragen offers comprehensive services for the development of diagnostics and therapeutics for extraocular retinoblastoma. Our expertise spans the entire spectrum of research and development, from early-stage discovery to preclinical evaluation.

Diagnostics Development

  • Karyotype Analysis Service
  • Omics Analysis Service
  • Biomarker Development Service
  • Artificial Intelligence Service
  • Customized Diagnostics Development Service

Therapeutic Development

  • Small Molecule Drug
  • Cell Therapy
  • Gene Therapy
  • Therapeutic Antibody
  • Therapeutic Peptide
  • Therapeutic Protein

Disease Models

  • Y79 Cell Line Xenograft Models
  • WERI-Rb Cell Line Xenograft Models
  • Rag-2 knockout Immunodeficient Mouse Models
  • Non-Human Primate Models

Preclinical Research

  • Pharmacodynamics Study Services
  • Pharmacokinetics Study Services
  • Drug Safety Evaluation Services
  • Customized Research Services

Protheragen's commitment to innovation and excellence drives us to deliver the highest quality services, advancing the fight against extraocular retinoblastoma. If you are interested in our services, please feel free to contact us.

References

  • Aschero, Rosario, et al. "Recurrent somatic chromosomal abnormalities in relapsed extraocular retinoblastoma." Cancers 13.4 (2021): 673.
  • Dunkel, Ira J., et al. "Intensive multimodality therapy for extraocular retinoblastoma: a children's oncology group trial (ARET0321)." Journal of Clinical Oncology 40.33 (2022): 3839-3847.