Medulloblastoma Down Under 2013: a report from the third annual meeting of the International Medulloblastoma Working Group
Identifieur interne : 004609 ( Main/Curation ); précédent : 004608; suivant : 004610Medulloblastoma Down Under 2013: a report from the third annual meeting of the International Medulloblastoma Working Group
Auteurs : Nicholas G. Gottardo [Australie] ; Jordan R. Hansford [Australie] ; Jacqueline P. Mcglade [Australie] ; Frank Alvaro [Australie] ; David M. Ashley [Australie] ; Simon Bailey [Royaume-Uni] ; David L. Baker [Australie] ; Franck Bourdeaut [France] ; Yoon-Jae Cho [États-Unis] ; Moira Clay [Australie] ; Steven C. Clifford [Royaume-Uni] ; Richard J. Cohn [Australie] ; Catherine H. Cole [Australie] ; Peter B. Dallas [Australie] ; Peter Downie [Australie] ; François Doz [France] ; David W. Ellison [États-Unis] ; Raelene Endersby [Australie] ; Paul G. Fisher [États-Unis] ; Timothy Hassall [Australie] ; John A. Heath [Australie] ; Hilary L. Hii [Australie] ; David T. W. Jones [Allemagne] ; Reimar Junckerstorff [Australie] ; Stewart Kellie [Australie] ; Marcel Kool [Allemagne] ; Rishi S. Kotecha [Australie] ; Peter Lichter [Allemagne] ; Stephen J. Laughton [Nouvelle-Zélande] ; Sharon Lee [Australie] ; Geoff Mccowage [Australie] ; Paul A. Northcott [Allemagne] ; James M. Olson [États-Unis] ; Roger J. Packer [États-Unis] ; Stefan M. Pfister [Allemagne] ; Torsten Pietsch [Allemagne] ; Barry Pizer [Royaume-Uni] ; Scott L. Pomeroy [États-Unis] ; Marc Remke [Canada] ; Giles W. Robinson [États-Unis] ; Stefan Rutkowski [Allemagne] ; Tobias Schoep [Australie] ; Anang A. Shelat [États-Unis] ; Clinton F. Stewart [États-Unis] ; Michael Sullivan [Nouvelle-Zélande] ; Michael D. Taylor [Canada] ; Brandon Wainwright [Australie] ; Thomas Walwyn [Australie] ; William A. Weiss [États-Unis] ; Dan Williamson [Royaume-Uni] ; Amar Gajjar [États-Unis]Source :
- Acta Neuropathologica [ 0001-6322 ] ; 2013.
Abstract
Medulloblastoma is curable in approximately 70 % of patients. Over the past decade, progress in improving survival using conventional therapies has stalled, resulting in reduced quality of life due to treatment-related side effects, which are a major concern in survivors. The vast amount of genomic and molecular data generated over the last 5–10 years encourages optimism that improved risk stratification and new molecular targets will improve outcomes. It is now clear that medulloblastoma is not a single-disease entity, but instead consists of at least four distinct molecular subgroups: WNT/Wingless, Sonic Hedgehog, Group 3, and Group 4. The Medulloblastoma Down Under 2013 meeting, which convened at Bunker Bay, Australia, brought together 50 leading clinicians and scientists. The 2-day agenda included focused sessions on pathology and molecular stratification, genomics and mouse models, high-throughput drug screening, and clinical trial design. The meeting established a global action plan to translate novel biologic insights and drug targeting into treatment regimens to improve outcomes. A consensus was reached in several key areas, with the most important being that a novel classification scheme for medulloblastoma based on the four molecular subgroups, as well as histopathologic features, should be presented for consideration in the upcoming fifth edition of the World Health Organization’s classification of tumours of the central nervous system. Three other notable areas of agreement were as follows: (1) to establish a central repository of annotated mouse models that are readily accessible and freely available to the international research community; (2) to institute common eligibility criteria between the Children’s Oncology Group and the International Society of Paediatric Oncology Europe and initiate joint or parallel clinical trials; (3) to share preliminary high-throughput screening data across discovery labs to hasten the development of novel therapeutics. Medulloblastoma Down Under 2013 was an effective forum for meaningful discussion, which resulted in enhancing international collaborative clinical and translational research of this rare disease. This template could be applied to other fields to devise global action plans addressing all aspects of a disease, from improved disease classification, treatment stratification, and drug targeting to superior treatment regimens to be assessed in cooperative international clinical trials.
Url:
DOI: 10.1007/s00401-013-1213-7
PubMed: 24264598
PubMed Central: 3895219
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Nicholas G. Gottardo<affiliation><nlm:aff id="Aff1">Department of Paediatric Oncology/Haematology, Princess Margaret Hospital for Children, Perth, WA Australia</nlm:aff>
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Le document en format XML
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<author><name sortKey="Pfister, Stefan M" sort="Pfister, Stefan M" uniqKey="Pfister S" first="Stefan M." last="Pfister">Stefan M. Pfister</name>
<affiliation wicri:level="3"><nlm:aff id="Aff16">German Cancer Research Center, Heidelberg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pietsch, Torsten" sort="Pietsch, Torsten" uniqKey="Pietsch T" first="Torsten" last="Pietsch">Torsten Pietsch</name>
<affiliation wicri:level="3"><nlm:aff id="Aff22">University of Bonn, Bonn, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>University of Bonn, Bonn</wicri:regionArea>
<placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region>
<region type="district" nuts="2">District de Cologne</region>
<settlement type="city">Bonn</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pizer, Barry" sort="Pizer, Barry" uniqKey="Pizer B" first="Barry" last="Pizer">Barry Pizer</name>
<affiliation wicri:level="1"><nlm:aff id="Aff23">Alder Hey Children’s NHS Foundation Trust, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Alder Hey Children’s NHS Foundation Trust, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pomeroy, Scott L" sort="Pomeroy, Scott L" uniqKey="Pomeroy S" first="Scott L." last="Pomeroy">Scott L. Pomeroy</name>
<affiliation wicri:level="2"><nlm:aff id="Aff24">Boston Children’s Hospital, Harvard Medical School, Boston, MA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Boston Children’s Hospital, Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Remke, Marc" sort="Remke, Marc" uniqKey="Remke M" first="Marc" last="Remke">Marc Remke</name>
<affiliation wicri:level="1"><nlm:aff id="Aff27">The Hospital for Sick Children, Toronto, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>The Hospital for Sick Children, Toronto</wicri:regionArea>
<wicri:noRegion>Toronto</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Robinson, Giles W" sort="Robinson, Giles W" uniqKey="Robinson G" first="Giles W." last="Robinson">Giles W. Robinson</name>
<affiliation wicri:level="2"><nlm:aff id="Aff30">Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Rutkowski, Stefan" sort="Rutkowski, Stefan" uniqKey="Rutkowski S" first="Stefan" last="Rutkowski">Stefan Rutkowski</name>
<affiliation wicri:level="3"><nlm:aff id="Aff25">University Medical Center Hamburg-Eppendorf, Hamburg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea>
<placeName><settlement type="city">Hambourg</settlement>
<region type="land" nuts="2">Hambourg</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schoep, Tobias" sort="Schoep, Tobias" uniqKey="Schoep T" first="Tobias" last="Schoep">Tobias Schoep</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shelat, Anang A" sort="Shelat, Anang A" uniqKey="Shelat A" first="Anang A." last="Shelat">Anang A. Shelat</name>
<affiliation wicri:level="2"><nlm:aff id="Aff31">St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Stewart, Clinton F" sort="Stewart, Clinton F" uniqKey="Stewart C" first="Clinton F." last="Stewart">Clinton F. Stewart</name>
<affiliation wicri:level="2"><nlm:aff id="Aff31">St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Sullivan, Michael" sort="Sullivan, Michael" uniqKey="Sullivan M" first="Michael" last="Sullivan">Michael Sullivan</name>
<affiliation wicri:level="1"><nlm:aff id="Aff26">Christchurch Hospital, Christchurch, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Christchurch Hospital, Christchurch</wicri:regionArea>
<wicri:noRegion>Christchurch</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Taylor, Michael D" sort="Taylor, Michael D" uniqKey="Taylor M" first="Michael D." last="Taylor">Michael D. Taylor</name>
<affiliation wicri:level="1"><nlm:aff id="Aff27">The Hospital for Sick Children, Toronto, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>The Hospital for Sick Children, Toronto</wicri:regionArea>
<wicri:noRegion>Toronto</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wainwright, Brandon" sort="Wainwright, Brandon" uniqKey="Wainwright B" first="Brandon" last="Wainwright">Brandon Wainwright</name>
<affiliation wicri:level="1"><nlm:aff id="Aff28">University of Queensland, Brisbane, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of Queensland, Brisbane</wicri:regionArea>
<wicri:noRegion>Brisbane</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Walwyn, Thomas" sort="Walwyn, Thomas" uniqKey="Walwyn T" first="Thomas" last="Walwyn">Thomas Walwyn</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Princess Margaret Hospital for Children, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Weiss, William A" sort="Weiss, William A" uniqKey="Weiss W" first="William A." last="Weiss">William A. Weiss</name>
<affiliation wicri:level="2"><nlm:aff id="Aff29">University of California, San Francisco, San Francisco, CA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>University of California, San Francisco, San Francisco</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Williamson, Dan" sort="Williamson, Dan" uniqKey="Williamson D" first="Dan" last="Williamson">Dan Williamson</name>
<affiliation wicri:level="1"><nlm:aff id="Aff7">Northern Institute for Cancer Research, Newcastle University, Newcastle, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Northern Institute for Cancer Research, Newcastle University, Newcastle</wicri:regionArea>
<wicri:noRegion>Newcastle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gajjar, Amar" sort="Gajjar, Amar" uniqKey="Gajjar A" first="Amar" last="Gajjar">Amar Gajjar</name>
<affiliation wicri:level="2"><nlm:aff id="Aff30">Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
</titleStmt>
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<idno type="pmid">24264598</idno>
<idno type="pmc">3895219</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3895219</idno>
<idno type="RBID">PMC:3895219</idno>
<idno type="doi">10.1007/s00401-013-1213-7</idno>
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<idno type="wicri:Area/Ncbi/Checkpoint">001596</idno>
<idno type="wicri:doubleKey">0001-6322:2013:Gottardo N:medulloblastoma:down:under</idno>
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<idno type="wicri:Area/Main/Curation">004609</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Medulloblastoma Down Under 2013: a report from the third annual meeting of the International Medulloblastoma Working Group</title>
<author><name sortKey="Gottardo, Nicholas G" sort="Gottardo, Nicholas G" uniqKey="Gottardo N" first="Nicholas G." last="Gottardo">Nicholas G. Gottardo</name>
<affiliation><nlm:aff id="Aff1">Department of Paediatric Oncology/Haematology, Princess Margaret Hospital for Children, Perth, WA Australia</nlm:aff>
<wicri:noCountry code="subfield">WA Australia</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hansford, Jordan R" sort="Hansford, Jordan R" uniqKey="Hansford J" first="Jordan R." last="Hansford">Jordan R. Hansford</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Princess Margaret Hospital for Children, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mcglade, Jacqueline P" sort="Mcglade, Jacqueline P" uniqKey="Mcglade J" first="Jacqueline P." last="Mcglade">Jacqueline P. Mcglade</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Alvaro, Frank" sort="Alvaro, Frank" uniqKey="Alvaro F" first="Frank" last="Alvaro">Frank Alvaro</name>
<affiliation wicri:level="1"><nlm:aff id="Aff4">John Hunter Children’s Hospital, Newcastle, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>John Hunter Children’s Hospital, Newcastle</wicri:regionArea>
<wicri:noRegion>Newcastle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ashley, David M" sort="Ashley, David M" uniqKey="Ashley D" first="David M." last="Ashley">David M. Ashley</name>
<affiliation wicri:level="1"><nlm:aff id="Aff5">Barwon Health, Andrew Love Cancer Centre, Geelong, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Barwon Health, Andrew Love Cancer Centre, Geelong</wicri:regionArea>
<wicri:noRegion>Geelong</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bailey, Simon" sort="Bailey, Simon" uniqKey="Bailey S" first="Simon" last="Bailey">Simon Bailey</name>
<affiliation wicri:level="1"><nlm:aff id="Aff7">Northern Institute for Cancer Research, Newcastle University, Newcastle, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Northern Institute for Cancer Research, Newcastle University, Newcastle</wicri:regionArea>
<wicri:noRegion>Newcastle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Baker, David L" sort="Baker, David L" uniqKey="Baker D" first="David L." last="Baker">David L. Baker</name>
<affiliation wicri:level="1"><nlm:aff id="Aff6">PathWest, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>PathWest, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bourdeaut, Franck" sort="Bourdeaut, Franck" uniqKey="Bourdeaut F" first="Franck" last="Bourdeaut">Franck Bourdeaut</name>
<affiliation wicri:level="3"><nlm:aff id="Aff8">Curie Institute, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Curie Institute, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cho, Yoon Jae" sort="Cho, Yoon Jae" uniqKey="Cho Y" first="Yoon-Jae" last="Cho">Yoon-Jae Cho</name>
<affiliation wicri:level="2"><nlm:aff id="Aff9">Stanford University School of Medicine, Stanford, CA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Stanford University School of Medicine, Stanford</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Clay, Moira" sort="Clay, Moira" uniqKey="Clay M" first="Moira" last="Clay">Moira Clay</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Clifford, Steven C" sort="Clifford, Steven C" uniqKey="Clifford S" first="Steven C." last="Clifford">Steven C. Clifford</name>
<affiliation wicri:level="1"><nlm:aff id="Aff7">Northern Institute for Cancer Research, Newcastle University, Newcastle, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Northern Institute for Cancer Research, Newcastle University, Newcastle</wicri:regionArea>
<wicri:noRegion>Newcastle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cohn, Richard J" sort="Cohn, Richard J" uniqKey="Cohn R" first="Richard J." last="Cohn">Richard J. Cohn</name>
<affiliation wicri:level="3"><nlm:aff id="Aff10">Sydney Children’s Hospital Network, Sydney, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Sydney Children’s Hospital Network, Sydney</wicri:regionArea>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cole, Catherine H" sort="Cole, Catherine H" uniqKey="Cole C" first="Catherine H." last="Cole">Catherine H. Cole</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Princess Margaret Hospital for Children, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff11">University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Dallas, Peter B" sort="Dallas, Peter B" uniqKey="Dallas P" first="Peter B." last="Dallas">Peter B. Dallas</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Downie, Peter" sort="Downie, Peter" uniqKey="Downie P" first="Peter" last="Downie">Peter Downie</name>
<affiliation wicri:level="3"><nlm:aff id="Aff12">Monash Children’s Hospital, Southern Health, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Monash Children’s Hospital, Southern Health, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="Aff15">Royal Children’s Hospital, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Children’s Hospital, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Doz, Francois" sort="Doz, Francois" uniqKey="Doz F" first="François" last="Doz">François Doz</name>
<affiliation wicri:level="3"><nlm:aff id="Aff8">Curie Institute, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Curie Institute, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="Aff13">University Paris Descartes Sorbonne Paris Cite, Paris, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>University Paris Descartes Sorbonne Paris Cite, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ellison, David W" sort="Ellison, David W" uniqKey="Ellison D" first="David W." last="Ellison">David W. Ellison</name>
<affiliation wicri:level="2"><nlm:aff id="Aff31">St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Endersby, Raelene" sort="Endersby, Raelene" uniqKey="Endersby R" first="Raelene" last="Endersby">Raelene Endersby</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fisher, Paul G" sort="Fisher, Paul G" uniqKey="Fisher P" first="Paul G." last="Fisher">Paul G. Fisher</name>
<affiliation wicri:level="2"><nlm:aff id="Aff9">Stanford University School of Medicine, Stanford, CA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Stanford University School of Medicine, Stanford</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Hassall, Timothy" sort="Hassall, Timothy" uniqKey="Hassall T" first="Timothy" last="Hassall">Timothy Hassall</name>
<affiliation wicri:level="1"><nlm:aff id="Aff14">Royal Children’s Hospital, Brisbane, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Children’s Hospital, Brisbane</wicri:regionArea>
<wicri:noRegion>Brisbane</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Heath, John A" sort="Heath, John A" uniqKey="Heath J" first="John A." last="Heath">John A. Heath</name>
<affiliation wicri:level="3"><nlm:aff id="Aff15">Royal Children’s Hospital, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Children’s Hospital, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hii, Hilary L" sort="Hii, Hilary L" uniqKey="Hii H" first="Hilary L." last="Hii">Hilary L. Hii</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jones, David T W" sort="Jones, David T W" uniqKey="Jones D" first="David T. W." last="Jones">David T. W. Jones</name>
<affiliation wicri:level="3"><nlm:aff id="Aff16">German Cancer Research Center, Heidelberg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Junckerstorff, Reimar" sort="Junckerstorff, Reimar" uniqKey="Junckerstorff R" first="Reimar" last="Junckerstorff">Reimar Junckerstorff</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Princess Margaret Hospital for Children, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff17">PathWest Neuropathology, Royal Perth Hospital, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>PathWest Neuropathology, Royal Perth Hospital, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kellie, Stewart" sort="Kellie, Stewart" uniqKey="Kellie S" first="Stewart" last="Kellie">Stewart Kellie</name>
<affiliation wicri:level="3"><nlm:aff id="Aff18">The Children’s Hospital at Westmead, Sydney, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The Children’s Hospital at Westmead, Sydney</wicri:regionArea>
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<author><name sortKey="Kool, Marcel" sort="Kool, Marcel" uniqKey="Kool M" first="Marcel" last="Kool">Marcel Kool</name>
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<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
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<author><name sortKey="Kotecha, Rishi S" sort="Kotecha, Rishi S" uniqKey="Kotecha R" first="Rishi S." last="Kotecha">Rishi S. Kotecha</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, Perth</wicri:regionArea>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
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</author>
<author><name sortKey="Lichter, Peter" sort="Lichter, Peter" uniqKey="Lichter P" first="Peter" last="Lichter">Peter Lichter</name>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
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<author><name sortKey="Laughton, Stephen J" sort="Laughton, Stephen J" uniqKey="Laughton S" first="Stephen J." last="Laughton">Stephen J. Laughton</name>
<affiliation wicri:level="1"><nlm:aff id="Aff19">Starship Children’s Hospital, Auckland, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Starship Children’s Hospital, Auckland</wicri:regionArea>
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</author>
<author><name sortKey="Lee, Sharon" sort="Lee, Sharon" uniqKey="Lee S" first="Sharon" last="Lee">Sharon Lee</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, Perth</wicri:regionArea>
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<author><name sortKey="Mccowage, Geoff" sort="Mccowage, Geoff" uniqKey="Mccowage G" first="Geoff" last="Mccowage">Geoff Mccowage</name>
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<wicri:regionArea>The Children’s Hospital at Westmead, Sydney</wicri:regionArea>
<placeName><settlement type="city">Sydney</settlement>
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<author><name sortKey="Northcott, Paul A" sort="Northcott, Paul A" uniqKey="Northcott P" first="Paul A." last="Northcott">Paul A. Northcott</name>
<affiliation wicri:level="3"><nlm:aff id="Aff16">German Cancer Research Center, Heidelberg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
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</affiliation>
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<author><name sortKey="Olson, James M" sort="Olson, James M" uniqKey="Olson J" first="James M." last="Olson">James M. Olson</name>
<affiliation wicri:level="2"><nlm:aff id="Aff20">Fred Hutchinson Cancer Research Center, University of Washington, Seattle, WA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Washington (État)</region>
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<wicri:cityArea>Fred Hutchinson Cancer Research Center, University of Washington, Seattle</wicri:cityArea>
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<author><name sortKey="Packer, Roger J" sort="Packer, Roger J" uniqKey="Packer R" first="Roger J." last="Packer">Roger J. Packer</name>
<affiliation wicri:level="1"><nlm:aff id="Aff21">Children’s National Medical Center, Washington, D.C., USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Children’s National Medical Center, Washington, D.C.</wicri:regionArea>
<wicri:noRegion>D.C.</wicri:noRegion>
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</author>
<author><name sortKey="Pfister, Stefan M" sort="Pfister, Stefan M" uniqKey="Pfister S" first="Stefan M." last="Pfister">Stefan M. Pfister</name>
<affiliation wicri:level="3"><nlm:aff id="Aff16">German Cancer Research Center, Heidelberg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pietsch, Torsten" sort="Pietsch, Torsten" uniqKey="Pietsch T" first="Torsten" last="Pietsch">Torsten Pietsch</name>
<affiliation wicri:level="3"><nlm:aff id="Aff22">University of Bonn, Bonn, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>University of Bonn, Bonn</wicri:regionArea>
<placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region>
<region type="district" nuts="2">District de Cologne</region>
<settlement type="city">Bonn</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pizer, Barry" sort="Pizer, Barry" uniqKey="Pizer B" first="Barry" last="Pizer">Barry Pizer</name>
<affiliation wicri:level="1"><nlm:aff id="Aff23">Alder Hey Children’s NHS Foundation Trust, Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Alder Hey Children’s NHS Foundation Trust, Liverpool</wicri:regionArea>
<wicri:noRegion>Liverpool</wicri:noRegion>
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</author>
<author><name sortKey="Pomeroy, Scott L" sort="Pomeroy, Scott L" uniqKey="Pomeroy S" first="Scott L." last="Pomeroy">Scott L. Pomeroy</name>
<affiliation wicri:level="2"><nlm:aff id="Aff24">Boston Children’s Hospital, Harvard Medical School, Boston, MA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Boston Children’s Hospital, Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Remke, Marc" sort="Remke, Marc" uniqKey="Remke M" first="Marc" last="Remke">Marc Remke</name>
<affiliation wicri:level="1"><nlm:aff id="Aff27">The Hospital for Sick Children, Toronto, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>The Hospital for Sick Children, Toronto</wicri:regionArea>
<wicri:noRegion>Toronto</wicri:noRegion>
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</author>
<author><name sortKey="Robinson, Giles W" sort="Robinson, Giles W" uniqKey="Robinson G" first="Giles W." last="Robinson">Giles W. Robinson</name>
<affiliation wicri:level="2"><nlm:aff id="Aff30">Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Rutkowski, Stefan" sort="Rutkowski, Stefan" uniqKey="Rutkowski S" first="Stefan" last="Rutkowski">Stefan Rutkowski</name>
<affiliation wicri:level="3"><nlm:aff id="Aff25">University Medical Center Hamburg-Eppendorf, Hamburg, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea>
<placeName><settlement type="city">Hambourg</settlement>
<region type="land" nuts="2">Hambourg</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schoep, Tobias" sort="Schoep, Tobias" uniqKey="Schoep T" first="Tobias" last="Schoep">Tobias Schoep</name>
<affiliation wicri:level="1"><nlm:aff id="Aff3">Telethon Institute for Child Health Research, The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Telethon Institute for Child Health Research, The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Shelat, Anang A" sort="Shelat, Anang A" uniqKey="Shelat A" first="Anang A." last="Shelat">Anang A. Shelat</name>
<affiliation wicri:level="2"><nlm:aff id="Aff31">St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Stewart, Clinton F" sort="Stewart, Clinton F" uniqKey="Stewart C" first="Clinton F." last="Stewart">Clinton F. Stewart</name>
<affiliation wicri:level="2"><nlm:aff id="Aff31">St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Sullivan, Michael" sort="Sullivan, Michael" uniqKey="Sullivan M" first="Michael" last="Sullivan">Michael Sullivan</name>
<affiliation wicri:level="1"><nlm:aff id="Aff26">Christchurch Hospital, Christchurch, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Christchurch Hospital, Christchurch</wicri:regionArea>
<wicri:noRegion>Christchurch</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Taylor, Michael D" sort="Taylor, Michael D" uniqKey="Taylor M" first="Michael D." last="Taylor">Michael D. Taylor</name>
<affiliation wicri:level="1"><nlm:aff id="Aff27">The Hospital for Sick Children, Toronto, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>The Hospital for Sick Children, Toronto</wicri:regionArea>
<wicri:noRegion>Toronto</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wainwright, Brandon" sort="Wainwright, Brandon" uniqKey="Wainwright B" first="Brandon" last="Wainwright">Brandon Wainwright</name>
<affiliation wicri:level="1"><nlm:aff id="Aff28">University of Queensland, Brisbane, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of Queensland, Brisbane</wicri:regionArea>
<wicri:noRegion>Brisbane</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Walwyn, Thomas" sort="Walwyn, Thomas" uniqKey="Walwyn T" first="Thomas" last="Walwyn">Thomas Walwyn</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Princess Margaret Hospital for Children, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Princess Margaret Hospital for Children, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Weiss, William A" sort="Weiss, William A" uniqKey="Weiss W" first="William A." last="Weiss">William A. Weiss</name>
<affiliation wicri:level="2"><nlm:aff id="Aff29">University of California, San Francisco, San Francisco, CA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>University of California, San Francisco, San Francisco</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Williamson, Dan" sort="Williamson, Dan" uniqKey="Williamson D" first="Dan" last="Williamson">Dan Williamson</name>
<affiliation wicri:level="1"><nlm:aff id="Aff7">Northern Institute for Cancer Research, Newcastle University, Newcastle, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Northern Institute for Cancer Research, Newcastle University, Newcastle</wicri:regionArea>
<wicri:noRegion>Newcastle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gajjar, Amar" sort="Gajjar, Amar" uniqKey="Gajjar A" first="Amar" last="Gajjar">Amar Gajjar</name>
<affiliation wicri:level="2"><nlm:aff id="Aff30">Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Department of Oncology, Mail Stop 260, St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Memphis</wicri:cityArea>
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<series><title level="j">Acta Neuropathologica</title>
<idno type="ISSN">0001-6322</idno>
<idno type="eISSN">1432-0533</idno>
<imprint><date when="2013">2013</date>
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<front><div type="abstract" xml:lang="en"><p>Medulloblastoma is curable in approximately 70 % of patients. Over the past decade, progress in improving survival using conventional therapies has stalled, resulting in reduced quality of life due to treatment-related side effects, which are a major concern in survivors. The vast amount of genomic and molecular data generated over the last 5–10 years encourages optimism that improved risk stratification and new molecular targets will improve outcomes. It is now clear that medulloblastoma is not a single-disease entity, but instead consists of at least four distinct molecular subgroups: WNT/Wingless, Sonic Hedgehog, Group 3, and Group 4. The Medulloblastoma Down Under 2013 meeting, which convened at Bunker Bay, Australia, brought together 50 leading clinicians and scientists. The 2-day agenda included focused sessions on pathology and molecular stratification, genomics and mouse models, high-throughput drug screening, and clinical trial design. The meeting established a global action plan to translate novel biologic insights and drug targeting into treatment regimens to improve outcomes. A consensus was reached in several key areas, with the most important being that a novel classification scheme for medulloblastoma based on the four molecular subgroups, as well as histopathologic features, should be presented for consideration in the upcoming fifth edition of the World Health Organization’s classification of tumours of the central nervous system. Three other notable areas of agreement were as follows: (1) to establish a central repository of annotated mouse models that are readily accessible and freely available to the international research community; (2) to institute common eligibility criteria between the Children’s Oncology Group and the International Society of Paediatric Oncology Europe and initiate joint or parallel clinical trials; (3) to share preliminary high-throughput screening data across discovery labs to hasten the development of novel therapeutics. Medulloblastoma Down Under 2013 was an effective forum for meaningful discussion, which resulted in enhancing international collaborative clinical and translational research of this rare disease. This template could be applied to other fields to devise global action plans addressing all aspects of a disease, from improved disease classification, treatment stratification, and drug targeting to superior treatment regimens to be assessed in cooperative international clinical trials.</p>
</div>
</front>
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