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University of Groningen

On the origins of pediatric brain cancer

Bockaj, Irena

DOI:

10.33612/diss.156023051

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from

it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date:

2021

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Bockaj, I. (2021). On the origins of pediatric brain cancer: Exploring the role of genome instability in

development and disease. University of Groningen. https://doi.org/10.33612/diss.156023051

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On the origins of pediatric brain cancer

Exploring the role of genome instability

in development and disease

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The work described in this thesis was conducted at the Departments of Pediatric Oncology and Hematology/Pediatrics and the European Research Institute for the Biology of Ageing (ERIBA), University Medical Centre Groningen, University of Groningen, the Netherlands.

Cover design & Layout: Irena Bočkaj Printing: Gildeprint B.V., www.gildeprint.nl

Copyright © Irena Bočkaj, Groningen, The Netherlands. All rights reserved. No part of this book may be reproduced or transmitted, in any form or by any means without prior permission of the author.

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On the origins

of pediatric brain cancer

Exploring the role of genome instability in development and disease

PhD thesis

to obtain the degree of PhD at the University of Groningen

on the authority of the Rector Magnificus Prof. C. Wijmenga

and in accordance with the decision by the College of Deans. This thesis will be defended in public on Monday 15 February 2021 at 11.00 hours

by

Irena Bočkaj

born on 19 September 1988 in Mostar, Bosnia & Herzegovina

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Supervisor

Prof. E.S.J.M. de Bont

Co-supervisor

Dr. S.W.M. Bruggeman

Assessment Committee

Prof. H.J.P. te Riele Prof. B.J.L. Eggen Prof. M.A.T.M. van Vugt

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Table of Contents

Chapter 1

General Introduction: Pediatric Brain Cancers & Brain Development

On the origins of pediatric brain cancer: when normal development goes astray.

6

Scope of this thesis

31

Chapter 2

The Developing Brain & Genome Instability

Vulnerability to aneuploidy in the developing brain: a path to cancer?

40

Chapter 3

Pediatric Medulloblastoma & Cell-of-origin

The developmental stage of the medulloblastoma cell-of-origin is maintained in cancer and restricts Hedgehog pathway usage and drug sensitivity.

60

Chapter 4

Pediatric Medulloblastoma & Genome Instability

A role for genomic instability in pediatric medulloblastoma: modelling medulloblastoma using CIN as a driver.

103

Chapter 5

Pediatric high-grade glioma & Cell-of-origin

In quest of the pontine glioma cell-of-origin.

134

Chapter 6

Pediatric High-Grade Glioma & Genome Instability

The H3.3K27M oncohistone affects replication stress outcome and provokes genomic instability in pediatric glioma.

160

Chapter 7

General discussion & Conclusion

194

Appendices

Revisiting the chromosome segregation checkpoint (Bioessays 2017) 218

List of abbreviations 220

Dutch summary 222

Acknowledgements 226

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