Research
RESEARCH UPDATE
There are many reasons to hope for a breakthrough in low-grade brain tumour research within the near future. There were no LGG research projects underway in the UK when Astro Brain Tumour Fund was founded in 2001, we are proud what we have achieved since then.
However, there is still much to achieve with UK Government investment on brain tumour research as a whole consisting of a fraction of other cancer research spend and low grade glioma research being quoted as “the underfunded of the underfunded”.
If you are looking for previously published research papers on a particular topic, the comprehensive worldwide database is PubMed. In order to access the full text of most of the papers you have to subscribe to the relevant journal in which they were published. However all University Libraries and main City Libraries have subscriptions to those main journals, which enables you to browse the full articles online and then pay the library to print off copies. Many University libraries have an arrangement whereby you can use their facilities, so you may like to speak to your local one to find out what systems they have in place.
One of the easiest ways to view just brain tumour research papers online is to surf BrainLife. Research papers are reviewed before being published in a categorised format, and you can sign up to their regular newsletter to make sure that you never miss a new discovery.
Another website which publishes regular updates about latest research is the American website Clinical Trials and Noteworthy Treatments for Brain Tumors. For regular updates about their ependymoma research, visit the website of the American based CERN Foundation (Collaborative Ependymoma Research Network)
RESEARCH UPDATE
We are pleased to provide an update on the research projects that Astro Brain Tumour Fund is funding. It is due to our amazing supporters that these projects are happening and the trustees would like to say a huge THANK YOU for helping us make this happen!
FOCUSED ULTRASOUND AGAINST LOW-GRADE GLIOMAS
Astro Brain Tumour Fund is funding a research project investigating a new method of drug delivery to low grade glioma (LGG) brain tumours, which involves focused ultrasound. This approach could increase the amount of therapeutics that reach brain tumours, improving therapy efficiency and decreasing side effects. The project is headed by Doctor Sophie Morse at Imperial College London.
The study consists of two phases:
Phase 1 — Evaluate the therapeutic potential of combined vorasidenib and niraparib treatment in different subtypes of low-grade glioma in vitro.
Phase 2 — Establish in vivo low-grade glioma mouse models and assess the therapeutic potential of focused-ultrasound mediated delivery of vorasidenib and niraparib therapeutics.
We are excited to be working with Sophie and hoping to raise more funds to enable a more detailed study at phase 2.
Update March 2026
Our lab is currently developing realistic in vitro models that mimic how low-grade glioma tumours behave in the human brain. This is crucial, as many potential new drugs don’t show clinical benefit despite promising in vitro preclinical studies. We hope that by engineering an accurate model of low-grade glioma, we will be able to show the effectiveness of combined vorasidenib and niraparib that will translate well to the clinic.
One of the biggest challenges in treating brain tumours is getting medicines to where they are needed, because the brain has a natural protective barrier that blocks many drugs. By recreating this barrier and the surrounding brain environment in the lab, we can safely and quickly see how well different treatments are able to reach tumour cells to evaluate which ones would be most effective.
Our three-dimensional tumour models reflect the diversity seen in patients’ tumours, to include the most important genetic differences found in these cancers. This allows us to test treatments in a way that better represents the disease, rather than relying on simpler systems that fail to predict what happens in real patients.
These models will allow us to test a diverse range of drugs for different tumour types and test how ultrasound can enhance drug delivery to brain tumours.
Current progress:
We are currently in the process of creating low-grade glioma models, using cell types and chemical compounds found in the human brain.
Our main achievements these past few months have been:
– We have designed a model of the tumour microenvironment, which consists of tumour cells in a three-dimensional cluster, surrounded by astrocytes and the extracellular matrix. Astrocytes are the most numerous cells in the brain, which influence the response of tumours to therapies, and the extracellular matrix is the scaffolding on which cells grow, which changes their behaviour.
Figure 1: A schematic of our low-grade glioma in vitro model. Purple: malignant brain tumour cells, beige: astrocytes, green: hyaluronic acid, blue: gelatin.
– We have sourced cells that we will use to test the drug combination: human oligodendroglioma (HOG) cell line, which is an established model for investigating drug efficiency in low-grade glioma.
– We have verified that these cells lack the IDH mutation, which is a disease-defining mutation for low-grade astrocytoma and low-grade oligodendroglioma, the two types of low-grade glioma.
– We have grown tumour spheroids (three-dimensional clusters), characterized their size and growth, and imaged them using fluorescence microscopy. We are currently in the process of optimising this imaging technique to investigate whether the cells inside the spheroids are alive — low-grade gliomas rarely display necrosis, and the presence of dead cells negatively impacts the reproducibility of experiments, therefore we will use small spheroids that do not have a necrotic core.
– Our next step is to investigate the presence of MGMT methylation in our cells, which is a type of mutation that impacts how cells respond to therapy.
– We are currently working on genetically modifying our cells using engineered lentiviruses, which will introduce the IDH mutation to our cells.
– We have sourced cells that we will use to test the drug combination: human oligodendroglioma (HOG) cell line, which is an established model for investigating drug efficiency in low-grade glioma.
– We have verified that these cells lack the IDH mutation, which is a disease-defining mutation for low-grade astrocytoma and low-grade oligodendroglioma, the two types of low-grade glioma.
- Weinberg’s “The Biology of Cancer” describes this phenomenon very well in Chapter 7: Tumour Suppressor Genes.↩︎
- As described in the WHO 2021 Classification of Central Nervous System Tumours.↩︎
RETURNING TO WORK AFTER TREATMENT FOR A LOW-GRADE GLIOMA: ANALYSING RETURN-TO-WORK RATES AND EXPLORING BARRIERS EXPERIENCED BY PATIENTS
Professor Stephen J. Price BSc MBBS(Hons) PhD FRCS(Neuro Surg.)
Clinical Professor of Neurosurgical Oncology, Hon. Consultant Neurosurgeon
Cambridge Biomedical Campus
Latest update April 2026:
We are pleased to report that PhD student Jasmine has had her paper accepted by The Journal of Neuro-oncology – here is a link to the paper
Jasmine says:
“It’s wonderful to have the work from the first year of my PhD published. We received very positive comments from the reviewers on the importance of this research. I want to thank everyone who took the time to complete the survey. By sharing their experiences of returning to work, they have helped shape and direct the future of our research. I would like to thank Astro Brain Tumour Fund for their continued support of the project”.
Study History:
This study looks at the relationship between executive function deficits and return to work in patients with low grade gliomas. Our hypothesis is that executive function deficits will be more common in patients who have not returned to work.
Our objectives are to:
- Understand how common failure to return to work/continue at work is in our group – this will be explored in WP1.
- Understand why patients don’t return to work – this will be explored partially in WP 1 and more detail will be provided by WP2.
- Are there differences in executive function between low grade glioma patients that return to work and those that don’t? This will be explored in WP3.
- Explore combinations of executive function domains – can we subdivide executive function deficits in low grade glioma patients. This will be explored in WP3.
- Use the information obtained from the previous stages to develop an early phase rehabilitation study. This will be explored in WP 4.
By the end of this study we hope to better understand the barriers/issues about return to work for patients. We will better understand changes in executive function and explore if we can combine different executive function subskills and rehabilitation to reinforce them. Working with patients and the public as well as the Tessa Jowell Academy members we will develop a vocational rehabilitation programme for our patients and aim to trial this in a small number so that we can assess the feasibility of the study and have developed a rehabilitation method that could go forwards to a multi-centre efficacy study with NIHR funding.
DEVELOPING ARTIFICIAL INTELLIGENCE TOOLS TO MONITOR LOW GRADE GLIOMAS
This is the second research project being instigated by Prof Stephen Price – this will commence in aPRIL 2026 – Astro Brain Tumour Fund are also funding a PHD student in respect of this work.
“It is hoped that by the end of this study we will have developed a tool that will allow monitoring tumours and aim to have a method that would predict high risk low grade gliomas to individualise follow up of patients. At the end of this study we will arrange a national meeting to discuss how we proceed with a national trial”
UNDERSTANDING LOW-GRADE GLIOMA TO CREATE TREATMENTS TO STOP ITS PROGRESSION
Mr Richard Mair, Assistant Professor and Honorary Consultant Neurosurgeon, CRUK Cambridge Institute University of Cambridge Addenbrooke’s Hospital
This PhD studentship will support this vital research and take us one step closer to understanding how we can stop low-grade gliomas from progressing. The project commenced in April 2025.
UPDATE 2026
” Tara is progressing well and has manged to successfully culture and characterise multiple cell lines from patients with IDH mutant glioma (previously very difficult and an important milestone in her PhD). This now enables us to continue the mechanistic study of transformation through direct cellular perturbation. We will be sure to provide formal written update around the 1-year mark of Tara’s studentship starting”.
MOLECULAR REGULATION OF PAEDIATRIC LOW-GRADE GLIOMAS RESEARCH ROJECT
Professor Denise Sheer, Blizard Institute, Queen Mary University of London.
As reported previously, the aim of our research programme is to characterise the molecular changes that lead to the development of low-grade gliomas in children. I am delighted to let you know that we have had a highly successful year with our research focused on two types of children’s low-grade gliomas, pilocytic astrocytomas and glioneuronal tumours. These tumours each have distinct genetic mutations that lead to cascades of biochemical events that cause the cells to grow abnormally. With your support, our student Lewis Woodward has now completed his substantial PhD thesis entitled “Signalling networks in paediatric low-grade gliomas”. In the thesis, Lewis describes the identification and detailed analysis of these biochemical cascades using cutting-edge experimental and computational methods. He will now continue working in our group to conduct further experiments so that we can publish the work in a scientific journal.
Our findings were presented at the International Society for Paediatric Neuro-Oncology conference in Hamburg in June 2022 and the Cancer Research UK Brain Tumour Conference in Sept 2022. I also gave an invited talk on the work at a paediatric low-grade glioma conference at the Dana Farber Cancer Research Institute in Harvard in Nov 2022.
Update January 2024:
We are continuing to fund Prof Denise Sheer with her research into paediatric low grade glioma brain tumours. Our present funding of this research came to an end in October 2023 and we are pleased to report that great progress has been made. A more detailed report will follow in due course. We are also delighted to report that we have agreed to fund Denise’s assistant Lewis for a further six months to further the work already carried out
~Report from Prof Sheer January 2026
Low-grade gliomas represent about 40% of all brain tumours in children. Although the 5-year survival is far better than for other brain tumour types, due to the slow growth of the tumour cells, children face years of physical and mental hardship. Most children’s low-grade gliomashave alterations in a gene called BRAF, leading to a cascade of activating signals in a cellularpathway (called the MAPK pathway) that causes cells to divide more than they should and forma tumour. Occasionally the tumours contain mutations in other genes such as FGFR1 and FGFR2 which also activate the MAPK pathway. While these discoveries have led to the use of drugs (e.g. trametinib, dabrafenib, tovorafenib) that specifically target the abnormally activated
MAPK pathway, the tumours can become resistant over time and regrow, and the drugs have significant side effects.
We have been very fortunate that our colleagues at the Dana Farber Cancer Institute (DFCI) in Harvard have spent several years developing tumour cell models which they have shared with us. These models were produced by introducing the BRAF and other mutations into ‘neural
stem cells’, that are similar to the cells from which the tumours originate. The models grow well in the laboratory, and we are now examining the cellular and molecular effects of targeted drugs on the model cells using advanced microscopy and molecular biology approaches.
Some of our work was included in a large international study that was published last year,focusing mainly on children’s low-grade gliomas that had FGFR1 and FGFR2 gene mutations (Apfelbaum et al, Nature Communications 2025). Importantly, the study showed that specific
FGFR inhibitors were able to slow down the growth of the neural stem cell models containing the mutated genes, opening new avenues for treating patients with these mutations. The findings also highlighted the importance of genetic analysis of tumours at the time of diagnosis,
so that the correct inhibitors can be given. Our lab contributed the detailed molecular analysis of some of the tumour models in the study.
In my lab, we have also been investigating inhibitors against the BRAF-mutation, using cellular and computational analysis of gene activity, proteins and signalling pathways within the cells.
At a meeting in Heidelberg in December 2025 with our colleagues from Germany, the DFCI andGreat Ormond Street Hospital, I presented our fascinating recent findings which suggest new avenues for combination drug treatments. We will be pursuing our investigations together with
these clinicians and scientists in the coming year.
We are extremely grateful to everyone in Astro Brain Tumour Fund, your families, Trustees and all your supporters for your generous support of our research. We couldn’t do it without you and greatly appreciate every penny that you have donated to us.
