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Hoeijmakers group

Genome instability and nutrition

Although most children with cancer are cured, they may be confronted with the negative lasting effects of the treatment later in life. We aim to find ways to reduce these long-term effects and improve quality of life through nutritional interventions.

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Jan Hoeijmakers

Jan Hoeijmakers

Damage to our genome occurs continuously in every cell at a massive scale. Time- and exposure-dependent accumulating DNA damage leads to mutations that can initiate and drive carcinogenesis or -as we discovered- physically hamper transcription, triggering functional decline, cellular senescence and cell death causing aging. Our main research focus is the interplay between DNA damage accumulation and repair in cancer (therapy) and (accelerated) aging and neurodegeneration. By studying molecular mechanisms up to patients, we intend to obtain an integral understanding and derive rational-based effective strategies, including nutritional and pharmacological interventions which promote overall healthy aging and reduce severe long-term side effects and improve quality of life in children cured from cancer.

“I am dedicated to curing children with cancer without loss of quality of life later”

Jan Hoeijmakers

Research group leader

Relevance for Pediatric Oncology

These findings are particularly relevant in the context of pediatric oncology, where chemo/radiotherapy given to children as treatment against their cancer, also results in DNA damage accumulation is other organs and tissues, thereby contributing to the development of direct and/or late-life side effects and (segmental) accelerated aging. By means of nutritional preconditioning, DR and/or fasting regimens could be implemented prior to treatment, to have the remarkably powerful protective ‘survival response’ activated at the start of therapy. The boosted defense and resilience mechanisms, reduce DNA damage, delay aging and protect from surgery-associated ischemia/reperfusion-injury and chemo/radiotherapy. We study these concepts and underlying mechanisms using cell systems, organoids, organotypic tissue slices, mouse models and in clinical studies in patients with the aim to improve quality of life of all (ex-)cancer patients.

In summary, this pioneering work places DNA damage at the basis of cancer and aging, highlights the flexible nature of aging and establishes the repair mutants as valid tools for identification of life- and healthspan-extending pharmaceutical and nutraceutical interventions in mammals. This opens new avenues for prevention or treatment of aging-related diseases, including cancer.

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