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UID:8@vhl-europa.org
DTSTART;TZID=Europe/Amsterdam;VALUE=DATE:20241019
DTEND;TZID=Europe/Amsterdam;VALUE=DATE:20241021
DTSTAMP:20241125T134659Z
URL:https://vhl-europa.org/events/meeting-report-vhl-international-medical
 -research-conference-19-20-october-2024-milan-italy/
SUMMARY:Meeting Report: VHL International Medical Research Conference\, 19-
 20 October 2024\, Milan\, Italy
DESCRIPTION:Our journey to Milan for the VHL International Medical Research
  Conference began on a rainy Friday\, 18 October. A public transport strik
 e made for a complicated arrival\, we finally got to the hotel across town
 . We held our Annual General Assembly for VHL in the hotel in the evening 
 of October 18th\, 2024\, with members from Italy\, Germany\, Hungary\, Den
 mark\, France\, and the Netherlands in person\, and with other participant
 s joining online from Germany\, France\, the Netherlands.   \n\nDay 1 High
 lights\n\nRNA Interference and belzutifan in Kidney Cancer Research: Dr. J
 im Brugarolas from the University of Texas Southwestern Medical Center in 
 the USA presented a study on a new drug\, ARO-HIF2\, designed to block can
 cer-related genes associated with clear cell renal cell carcinoma (ccRCC).
  The study showed some promise\, though neurotoxicity and limited response
  rates highlighted areas for improvement. Additionally\, Dr. Brugarolas pr
 ovided updates on the ongoing development of belzutifan\, including the us
 e of a PET scan tracer to better monitor its effects in patients. \n\nRadi
 otherapy as an Option for VHL Kidney Tumours: Dr. Rachel van Leeuwaarde (U
 niversity Medical Center Utrecht\, the Netherlands) discussed the potentia
 l of radiotherapy\, specifically MR-LINAC\, for VHL-related kidney tumours
 . This non-invasive\, possibly cost-effective approach offers promise for 
 patients unable to undergo surgery\, particularly those with larger tumour
 s. \n\nGene Therapy and Neural Crest Cells in VHL: PhD candidate Pedram Mo
 eini (University of Navarra\, Spain) shared early findings on gene therapy
  using AAV vectors in kidney cancer cells\, an approach with potential for
  long-term gene-based treatments for VHL. Meanwhile\, Dr. Betty Gardie fro
 m Nantes University Hospital\, France\, discussed her research on neural c
 rest cells and their link to VHL manifestations\, raising the possibility 
 that VHL may be classified as a “neurocristopathy.” \n\nIn a new featu
 re at the conference\, two young doctors pursuing their PhDs in VHL presen
 ted some challenging patient cases. Dr. Saya Ahmad from UMC Utrecht and Dr
 . Lucia Solerno from San Raffaele Hospital in Milan (who also spent severa
 l months working with the VHL team at UMC Utrecht) shared unique cases. Th
 ey engaged a panel of experts to consider the best treatment options for t
 hese patients\, creating a lively and interactive session that encouraged 
 the audience to think along and ask questions! \n\nDay 2 Highlights\n\nHis
 torical and Clinical Perspectives on VHL: Dr. Ram Srinivasan (National Can
 cer Institute\, USA) presented a historical look at VHL treatment\, from e
 arly kidney surgery practices to today’s nephron-sparing techniques. He 
 also detailed developments since the VHL gene was identified in 1993\, inc
 luding the work on belzutifan\, which has shown promise in stabilising tum
 our growth and reducing the need for surgeries\, though it awaits approval
  from the European Medicines Agency (EMA). \n\nMolecular and Genetic Insig
 hts into VHL-Related Tumours: Prof. Sakari Vanharanta (University of Helsi
 nki\, Finland) presented research on the role of the PAX8 gene in kidney c
 ancer\, showing how it drives tumour growth when combined with specific mu
 tations in ccRCC. Meanwhile\, Prof. Ian Frew (University of Freiburg\, Ger
 many) explored differences in VHL mutations in males and females\, and Pro
 f. Ruhe Dere from Baylor College of Medicine (Houston\, Texas\, USA) discu
 ssed the interplay between SETD2 and VHL genes in cell division\, potentia
 lly affecting tumour formation. Prof Tien Hsu (National Central University
 \, Taiwan) team presented data that we shouldn’t only focus on treating 
 the tumour itself\, but RCC can also be approached by treating the endothe
 lial vascular cells\, and it goes beyond VEGF\, through another protein\, 
 Oncostatin M. \n\nAdvances in Retinal Capillary Haemangioma: Dr. Shizuo Mu
 kai (Mass General Brigham Hospital\, USA)\, an eye surgeon specialising in
  VHL\, discussed advancements in treating retinal capillary haemangioma. D
 r. Mukai discussed the value of early diagnosis and prompt treatment to pr
 event blindness. For patients with ocular symptoms alone\, he advised agai
 nst systemic treatments like belzutifan\, recommending targeted eye care b
 y experienced retinal specialists instead. \n\nAdvocacy and Support for VH
 L Patients in Europe: Dr. Rachel Giles\, President of VHL Europa\, highlig
 hted the ongoing needs of European VHL patients\, especially regarding acc
 ess to belzutifan\, which remains unavailable in many countries outside cl
 inical trials or managed access programs. She also pointed to the unique p
 sychosocial challenges young adults with VHL face and noted initiatives to
  map these needs. Janet Thompson of the VHL Alliance shared an overview of
  alliance activities supporting the VHL community and expanding resources 
 for patients. \n\nThe conference hosted over 450 medical researchers and m
 edical students. The steady progress in VHL research was wonderful to see\
 , although addressing the challenges that remain for patients and healthca
 re providers alike are still substantial tasks. \n\nAfter the conference\,
  we headed to the airport\, only to discover that all flights in Northern 
 Italy had been cancelled. Arrangements had to be made for another night in
  Milan\, and after sorting out hotels and flights home the next day\, we s
 ettled in to enjoy one more evening in the city. A hassle\, to be sure\, b
 ut ultimately a lovely\, unexpected night in Milan! 
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