Immune Deficiency, Cancer Predisposition & Precision Oncology

Boztug Group

Our group works at the interface of inborn immune disorders and inherited predisposition to childhood tumors, aiming to understand fundamental mechanisms of immune surveillance relevant to pediatric oncology and immunotherapy approaches.

Kaan Boztug

Background

Dysregulation of the immune system can lead to an increased susceptibility to infections, autoimmune manifestations and cancer. While research on immunodeficiencies has so far been primarily focused on the susceptibility to pathogens, the fact that a dysregulated immune system can also lead to malignancy has been largely neglected until recently.

Our Research

We want to uncover the molecular processes underlying IEIs in order to decipher the highly complex signaling pathways of the human body that are relevant for immunodeficiencies and cancer susceptibility. The investigations of these fundamental mechanisms have an enormous impact on how we understand the development of malignancies.  We study the interplay of genes and pathways that play a role in malignant and immune system disorders to enhance our molecular understanding of these diseases.

In close collaboration with several other groups at the institute and the St. Anna Children’s Hospital next door, we aim to translate the molecular understanding of childhood cancer (predisposition) to specific pathway modulations for the identification of targeted treatment approaches for pediatric cancer patients. We study patients suffering from inherited defects of the immune systems, so-called inborn errors of immunity (IEI), formerly known as primary immunodeficiencies, as (mono)genetic diseases provide unique opportunities to unravel genotype to phenotype relationships and to elucidate the pathogenic mechanisms of immune system disorders and their interaction with malignancy.

We utilize state-of-the art genomic approaches including exome sequencing of patient samples to identify causative genetic mutations, combined with a variety of functional assays to:

  • Gain a systematic understanding of the molecular basis of human immune (dys)regulation including autoimmunity and childhood cancer predisposition
  • Elucidate genetics and molecular pathophysiology of rare inborn errors of immunity and to decipher molecular targets for the development of personalized treatment options for immune deficiencies
  • Identify molecular targets through an institute-wide pediatric precision oncology program for tailored treatment of childhood cancer which may be resistant to standard therapeutic protocols

The provision of highly specialised treatment and care for patients with rare diseases and complex clinical manifestations such as childhood cancer is still a challenge. Our investigations aim to improve our understanding of the molecular architecture of the immune system and its linkage with malignancy with the ultimate goal to improve the wellbeing of patients by developing targeted therapies and personalized medicine approaches.

Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases

Kaan Boztug is Director of the Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases (LBI-RUD). The research focus of the LBI-RUD is on rare diseases of the immune system, hematopoiesis, dermatology and the nervous system, which all together account for more than half of all rare diseases. Other focus areas include rare diseases in the field of gastroenterology, hepatology and cancer. CCRI has been a partner institution of LBI-RUD since its conception and launch in 2016.

Projects and Funding

  • Charting key molecules and mechanisms of human immune Dysregulation (iDysChart)
    CCRI responsible Principal Investigator and Awardee: Kaan Boztug
    H2020 – ERC Consolidator Grant, Grant Agreement ID – 820074
    Duration 01/06/2019 to 31/05/2024

  • Integrated and standardized NGS workflows for Personalised therapy (INSTAND-NGS4P)
    CCRI responsible Principal Investigators: Ruth Ladenstein and Kaan Boztug
    Coordinator: Kurt Zatloukal (Medical University Graz)
    H2020 – Innovation Procurement, Grant Agreement ID – 874719
    Duration: 01/01/2020 to 31/05/2025

  • Linking ex-vivo chemosensitivity, treatment and pathway activations for a deeper understanding of pediatric AML (ExTrAct-AML)
    CCRI responsible Principal Investigators: Kaan Boztug, Michael N. Dworzak
    Grant from the Austrian Science Fund (FWF), Clinical Research Project (KLIF), ID – KLI 1056-B
    Duration: 01/10/2022 to 30/09/2024

  • Molecular mechanisms of exocytosis coordination
    CCRI responsible Principal Investigator: Kaan Boztug
    Grant from the Austrian Science Fund (FWF), Stand-Alone Project, ID – P 34834
    Duration: 01/07/2021 to 30/06/2024

  • Crossroads of immunometabolism and human deficiency
    CCRI responsible researcher: Michael Kraakman (supervisor: Kaan Boztug)
    Grant from the Austrian Science Fund (FWF), Lise Meitner Program, ID – M 3013
    Duration: 01/01/2021 to 28/02/2023

Selected Articles

Shahin T, Kuehn HS, Shoeb MR, Gawriyski L, Giuliani S, Repiscak P, Hoeger B, Yuce Petronczki O, Bal SK, Zoghi S, Dmytrus J, Seruggia D, Castanon I, Rezaei N, Varjosalo M, Halbritter F, Rosenzweig SD & Boztug K (2021). Germline biallelic mutation affecting the transcription factor Helios causes pleiotropic defects of immunity. Sci Immunol 6(65), eabe3981. doi: 10.1126/sciimmunol.abe3981.

Kalinichenko A, Casoni Perinetti G, Trotta LC, Huemer J, Galgano D, German Y, Haladik B, Pazmandi J, Thian M, Yüce Petronczki Ö, Chiang SCC, Taskinen MH, Hekkala A, Kauppila S, Lindgren O, Tepiainen T, Kraakman MJ, Vettenranta K, Lomakin AJ, Saarela J#, Seppänen MRJ#, Bryceson YT# & Boztug K# (2021). RhoG deficiency abrogates cytotoxicity of human lymphocytes and causes hemophagocytic lymphohistiocytosis. Blood 137(15):2033-45. doi: 10.1182/blood.2020008738. (# shared senior authorship)

Wang L*, Aschenbrenner D*, Zeng Z*, Cao X, Mayr D, Mehta M, Capitani M, Warner N, Pan J, Wang L, Li Q, Zuo T, Cohen-Kedar S, Lu J, Ardy RC, Mulder DJ, Dissanayake D, Peng K, Huang Z, Li X, Wang Y, Wang X, Li S, Bullers S, Gammage AN, Warnatz K, Schiefer AI, Krivan G, Goda V, Kahr WHA, Lemaire M; Genomics England Research Consortium, Lu CY, Siddiqui I, Surette MG, Kotlarz D, Engelhardt KR, Griffin HR, Rottapel R, Decaluwe H, Laxer RM, Proietti M, Hambleton S, Elcombe S, Guo CH, Grimbacher B, Dotan I, Ng SC, Freeman SA, Snapper SB, Klein C, Boztug K#, Huang Y#, Li D#, Uhlig HH# & Muise AM# (2021). Gain-of-function variants in SYK cause immune dysregulation and systemic inflammation in humans and mice. Nat Genet 53(4):500-510. doi: 10.1038/s41588-021-00803-4. (* shared first authorship; # shared senior authorship) 

Haimel M*, Pazmandi J*, Heredia RJ, Dmytrus J, Bal SK, Zoghi S, van Daele P, Briggs TA, Wouters C, Bader-Meunier B, Aeschlimann FA, Caorsi R, Eleftheriou D, Hoppenreijs E, Salzer E, Bakhtiar S, Derfalvi B, Saettini F, Kusters MAA, Elfeky R, Trück J, Rivière JG, van der Burg M, Gattorno M, Seidel MG, Burns S, Warnatz K, Hauck F, Brogan P, Gilmour KC, Schuetz C, Simon A, Bock C, Hambleton S, de Vries E, Robinson PN, van Gijn M# & Boztug K# (2022). Curation and Expansion of Human Phenotype Ontology for Defined Groups of Inborn Errors of Immunity. J Allergy Clin Immunol 149(1):369-378. Doi: 10.1016/j.jaci.2021.04.033. (* shared first authorship; # shared senior authorship)

Serwas NK*, Hoeger B*, Ardy RC, Stulz SV, Sui Z, Memaran N, Meeths M, Krolo A, Yüce Petronczki Ö, Pfajfer L, Hou TZ, Halliday N, Santos-Valente E, Kalinichenko A, Kennedy A, Mace EM, Mukherjee M, Tesi B, Schrempf A, Pickl WF, Loizou JI, Kain R, Bidmon-Fliegenschnee B, Schickel JN, Glauzy S, Huemer J, Garncarz W, Salzer E, Pierides I, Bilic I, Thiel J, Priftakis P, Banerjee PP, Förster-Waldl E, Medgyesi D, Huber WD, Orange JS, Meffre E, Sansom DM, Bryceson YT, Altman A & Boztug K (2019). Human DEF6 deficiency underlies a novel immunodeficiency syndrome with systemic autoimmunity and aberrant CTLA-4 homeostasis. Nat Commun 10(1):4555. doi: 10.1038/s41467-019-12454-5. (* shared first authorship)

Salzer E*, Zoghi S*, Kiss MG, Kage F, Rashkova C, Stahnke S, Haimel M, Platzer R, Caldera M, Ardy RC, Hoeger B, Block J, Medgyesi D, Sin C, Shahkarami S, Kain R, Ziaee V, Hammerl P, Bock C, Menche J, Dupré L, Huppa JB, Sixt M, Lomakin A, Rottner K, Binder CJ, Stradal TEB, Rezaei N & Boztug K (2020). The cytoskeletal regulator HEM1 governs B cell development and prevents autoimmunity. Sci Immunol 5(49):eabc3979. doi: 10.1126/sciimmunol.abc3979. (* shared first authorship)

About Kaan Boztug

Univ.-Prof. Dr. med. Kaan Boztug, born in Eregli/Turkey, studied Medicine in Düsseldorf, Freiburg and London. In 2011, he joined the CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences in Vienna as Principal Investigator, establishing his own research group. He is a physician and Professor of Pediatrics and Inflammation Research at the Department of Pediatrics and Adolescent Medicine at the Medical University Vienna. He is a Consultant in Pediatric Hematology/Oncology & Head of Pediatric Immunology at the St. Anna Children’s Hospital, has headed the Vienna Center for Rare and Undiagnosed Diseases (CeRUD) since 2014, and has been the Director of the Ludwig Boltzmann Institute for Rare and Undiagnosed Diseases since 2016. Since March 2019, he heads the St. Anna Children’s Cancer Research Institute as Scientific Director.

Team

Kaan Boztug
Scientific Director & Principal Investigator
Wojciech Garncarz
Lab Manager
Jakob Berner
PhD student, resident at St. Anna Children’s Hospital
Alexandra Frohne
Technical Assistant
Sarah Giuliani
Technical Assistant
Raúl Jiménez Heredia
Technical Assistant
Artem Kalinichenko
Senior Postdoc
Michael Kraakman
Senior Postdoc
Irinka Castanon Ortega
Senior Staff Scientist
Bernhard Ransmayr
PhD student
Christina Rashkova
Technical Assistant
Anna Segarra Roca
Technical Assistant
Zoltan Spiro
Project Manager
Sören Strohmenger
PhD student
Cheryl van de Wetering
Postdoc
Isidora Kristofersdottir
PhD Student
Samaneh Zoghi
Postdoc