Katalin Dobra

Katalin Dobra

Professor/Överläkare
E-postadress: katalin.dobra@ki.se
Besöksadress: BioClinicum Visionsgatan 4, 17176 SOLNA
Postadress: K7 Onkologi-Patologi, K7 Forskning Dobra, 171 77 Stockholm

Om mig

  • Jag är professor och överläkare i molekylär patologi vid institutionen för onkologi-patologi, Karolinska Institutet.

    Min forskning handlar om optimering av en integrerad strategi för individanpassad och målinriktad behandling av lung- och lungsäckscancer genom datorstödd tumörgradering, molekylär kartläggning och klinisk validering av biomarkörer.

    Utbildning
    1994 MD; Summa Cum Laude, Semmelweis University Budapest, Hungary
    2002 PhD Experimental Pathology, Karolinska Institutet: Malignant mesothelioma, an experimental study with emphasis on proteoglycans in mesothelial cell growth and differentiation. ISBN 91-7349-168- 3.
    2008 Specialist in Clinical Pathology and Cytology, Karolinska University Hospital
    2010 Associate Professor in Patology; Department of Laboratory Medicine, Karolinska Institutet, Stockholm
    2014-2020 Senior Lecturer in Molecular Pathology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm
    2021 Adjunct Professor in Clinical Pathology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm

    Akademiska priser och utmärkelser
    2008 Young Investigator award, KI Founds
    2017 National Molecular Pathology Personalized Cancer Medicine Award Astra Zeneca
    2017 Magnus Nasiel Stipend
    2021 Magnus Nasiel Stipend

Forskningsbeskrivning

  • Målsättningen för min grupps forskning är att integrera och validera nya diagnostiska och prediktiva biomarkörer framtagna genom omfattande molekylär karakterisering av lungtumörer innefattande både primär lungcancer, malignt mesoteliom samt pleura- och hjärnmetastas av icke småcellig lungcancer (NSCLC). Vi optimerar betingelserna för tidig diagnostik genom molekylär karaktärisering, lösliga proteiner, fri DNA och exosomer från exsudat och perifert blod.

    Att identifiera de patienter som får bäst effekt av behandling är vårt yttersta mål och det skapar bättre underlag för målinriktad och individanpassad behandling. Samtidigt gör vi långtidsuppföljning för att påvisa klonal selektion och genomför experimentella studier om grundläggande tumördrivande mekanismer och kartlägger resistensmekanismer. Simultan resistens/känslighetsprofilering för olika etablerade och experimentella behandlingar från exsudat deriverat ex-vivo system möjliggör prediktion av faktisk behandlingssvar för olika individanpassade behandlingsalternativ..

    I ett nystartat projekt kombinerar vi artificiell intelligens och maskinlärning med nyetablerade morfologiska bildanalys inom digital patologi för att bättre kunna stratifiera patienter med aggressiv tumörfenotyp och större benägenhet till spridning och recidiv. Vi identifierar och isolerar med lasermikrodissektion de subpopulationer av celler som invaderar kringliggande stroma, fettvävnad och som morfologiskt befinner sig i olika faser av celldelningen följd av singelcell sekvensering.

    De morfologiskt identifierade cellers dynamiska molekylära förändringar kopplas samman med multipla databaser för att hitta nya molekylära markörer. Genom att blockera dessa molekylära mekanismer som driver tumörspridning och resistensutvecklingen hoppas vi kunna skräddarsy det bästa riktade behandlingsalternativet för patienter med primär malignt mesoteliom och spridd metastatisk NSCLC.

    Vi har visat att tillförsel av vissa proteiner och små molekyler kan vända sjukdomsutvecklingen och göra tumören mindre aggressiv. På lång sikt detta kan leda till nya riktade behandlingar som matchar varje patients unika genuppsättning med ledning av specifika biomarkörer.

Undervisning

  • Jag har lång erfarenhet som lärare på grund-, avancerad- och forskarnivå.

    Jag hade övergripande ansvar att utforma och sjösätta det nya magisterprogrammet i diagnostisk cytologi och för närvarande ansvarar jag för integreringen av patologin i det nya sexåriga läkarprogrammet.

Artiklar

Alla övriga publikationer

Forskningsbidrag

  • Syndecan-1 in cell surface and nucleus interconnects multiple signaling pathways in tumors, inhibits tumor growth and can be a useful biomarker
    Swedish Cancer Society
    1 January 2018
    Proteoglycan syndecan-1 (sdc1) is a molecule in the cell membrane, where it manages cell interactions with its environment. Syndecan-1 is important for mesothelioma cell maturation, and is linked to good prognosis, while if it is cut from the cell surface due to various enzymatic reactions, mesothelioma cells become more aggressive and the prognosis deteriorates. We have found that sdc-1 can also be transported to the cell nucleus, where it inhibits the cell's growth and ability to move, which are central functions of cancer cells. We have mapped the Sdc-1 structure in detail and was able to identify a minimal structure sufficient to reduce cell growth. We test sdc1 as a diagnostic biomarker when analyzing both blood samples and fluid from the pulmonary sacs. To achieve clinical utility, sdc1 must be measured together with other markers. In a first sub-project, we will find out how cells with different levels of sdc1 in the nucleus differ and which substances interact with sdc1 in the cell nucleus. A short sequence of the sdc1 molecule RMKKK that directs it into the nucleus is tested as possible growth inhibitor. We also test if sdc-1 can participate in uptake of different drugs and if it is important for communication between cells through vesicular structures, so-called exosomes. When we have learned to better understand how sdc1 links different signal paths, it gives a basic knowledge of how different cell functions are regulated. It will then give us valuable tools to attack tumor cells. Sdc1 affects a number of growth factors against which there are specific chemo. Sdc1 can therefore be a molecule that can specifically mediate the treatment of tumors. The biomarker analysis aims to be able to diagnose malignant mesothelioma at an earlier stage and provide increased possibilities for cure for patients.
  • Syndecan-1 links multiple signaling pathways in mesenchymal tumors and can be a useful biomarker
    Swedish Cancer Society
    1 January 2017
    The proteoglycan syndecan-1 (sdc1) is a molecule in the cell membrane, where it manages the cell's interaction with its environment. We have found that it can also go to the cell nucleus, where it regulates the cell's growth and ability to move, which are central functions of cancer cells. During the fetus, the body's supporting tissues and epithelium develop. Sometimes the cells switch between these main groups, ie they can switch from connective tissue to epithelium (MET) and vice versa (EMT), a process called trans-differentiation. In the tumor malignant mesothelioma, this transdifferentiation can be induced in experiments, making it possible to study the process more closely. We test sdc1 as a diagnostic biomarker when analyzing both blood samples and fluid from the pulmonary sacs. To achieve clinical utility, sdc1 must be measured together with other markers. In a first sub-project, we will find out how cells with different levels of sdc1 in the nucleus differ and which substances interact with sdc1 in the cell nucleus. We will also study how the varying level of sdc1 in the core of mesothelioma cells affects the division of the cell, growth, motility and neovascularization. A short sequence of the sdc1 molecule that directs it into the nucleus is tested as possible growth inhibitor. When we learned to better understand how sdc1 links different signal paths, it gives a basic knowledge of how different cell functions are regulated. It will then include factors that can be attacked in malignant tumors. Sdc1 affects a number of growth factors against which there are specific chemo. Sdc1 can therefore be a molecule that can specifically mediate the treatment of tumors. The biomarker analysis aims to be able to diagnose malignant mesothelioma at an earlier stage and provide increased opportunities for curative treatment.
  • Syndecan-1 links multiple signaling pathways in mesenchymal tumors and can be a useful biomarker
    Swedish Cancer Society
    1 January 2016
    The proteoglycan syndecan-1 (sdc1) is a molecule in the cell membrane, where it manages the cell's interaction with its environment. We have found that it can also go to the cell nucleus, where it regulates the cell's growth and ability to move, which are central functions of cancer cells. During the fetus, the body's supporting tissues and epithelium develop. Sometimes the cells switch between these main groups, ie they can switch from connective tissue to epithelium (MET) and vice versa (EMT), a process called trans-differentiation. In the tumor malignant mesothelioma, this transdifferentiation can be induced in experiments, making it possible to study the process more closely. We test sdc1 as a diagnostic biomarker when analyzing both blood samples and fluid from the pulmonary sacs. To achieve clinical utility, sdc1 must be measured together with other markers. In a first sub-project, we will find out how cells with different levels of sdc1 in the nucleus differ and which substances interact with sdc1 in the cell nucleus. We will also study how the varying level of sdc1 in the core of mesothelioma cells affects the division of the cell, growth, motility and neovascularization. A short sequence of the sdc1 molecule that directs it into the nucleus is tested as possible growth inhibitor. When we learned to better understand how sdc1 links different signal paths, it gives a basic knowledge of how different cell functions are regulated. It will then include factors that can be attacked in malignant tumors. Sdc1 affects a number of growth factors against which there are specific chemo. Sdc1 can therefore be a molecule that can specifically mediate the treatment of tumors. The biomarker analysis aims to be able to diagnose malignant mesothelioma at an earlier stage and provide increased opportunities for curative treatment.
  • Syndecan-1 links multiple signaling pathways in mesenchymal tumors and can be a useful biomarker
    Swedish Cancer Society
    1 January 2015
    The proteoglycan syndecan-1 (sdc1) is a molecule in the cell membrane, where it manages the cell's interaction with its environment. We have found that it can also go to the cell nucleus, where it regulates the cell's growth and ability to move, which are central functions of cancer cells. During the fetus, the body's supporting tissues and epithelium develop. Sometimes the cells switch between these main groups, ie they can switch from connective tissue to epithelium (MET) and vice versa (EMT), a process called trans-differentiation. In the tumor malignant mesothelioma, this transdifferentiation can be induced in experiments, making it possible to study the process more closely. We test sdc1 as a diagnostic biomarker when analyzing both blood samples and fluid from the pulmonary sacs. To achieve clinical utility, sdc1 must be measured together with other markers. In a first sub-project, we will find out how cells with different levels of sdc1 in the nucleus differ and which substances interact with sdc1 in the cell nucleus. We will also study how the varying level of sdc1 in the core of mesothelioma cells affects the division of the cell, growth, motility and neovascularization. A short sequence of the sdc1 molecule that directs it into the nucleus is tested as possible growth inhibitor. When we learned to better understand how sdc1 links different signal paths, it gives a basic knowledge of how different cell functions are regulated. It will then include factors that can be attacked in malignant tumors. Sdc1 affects a number of growth factors against which there are specific chemo. Sdc1 can therefore be a molecule that can specifically mediate the treatment of tumors. The biomarker analysis aims to be able to diagnose malignant mesothelioma at an earlier stage and provide increased opportunities for curative treatment.
  • Transdifferentiation of mesenchymal tumors; the importance of syndecan-1 in the cell surface and cell nucleus
    Swedish Cancer Society
    1 January 2014
    This project aims to study syndecan-1 as a possible biomarker and create an understanding of the process called transdifferentiation, where the proteoglycan syndecan-1 (sdc1) is an important co-player. During the fetal period, the body develops from three main types of tissue. One of these gives rise to the body's supporting tissues. During this development, the constituent cells are transformed, sometimes so as to switch appearance and function between the main groups, ie transitions from connective tissue to epithelium (MET) and vice versa (EMT). In the adult individual, such transdifferentiation can take place, for example, in tumors, where EMT causes a more difficult-to-treat condition with poorer prognosis. Sdc1 is a molecule in the cell membrane that manages the cell's interactions with its environment. A few years ago we showed that sdc1 also goes to the nucleus of the cell, and our preliminary results indicate that the one that regulates the cell's growth and ability to move, ie central functions for cancer cells. In these systems we will study more precisely which of the sdc1's functions are of importance for the mesothelioma cell transdifferentiation, which also gives knowledge of what makes that tumor so difficult to treat. We have recently been able to show that a short sequence of the sdc1 molecule is what directs it into the nucleus and it slows the growth of mesothelioma cells. We will study how mesothelioma cells with varying levels of sdc1 in the nucleus grow, divide and move. Of central importance to this project is also to link this to the cell's growth mode. This is done partly by showing with different antibodies markers for the different forms of the transdifferentiation. When we learned to better understand how transdifferentiation works, we gain through this important knowledge of malignant tumors that are used directly for diagnostic and treatment purposes. In pleural fluid and blood samples, syndecan-1 can be used to enable early diagnosis and thereby improve the patient's possibilities for successful treatment.

Anställningar

  • Professor/Överläkare, Onkologi-Patologi, Karolinska Institutet, 2022-

Examina och utbildning

  • Docent, Patologi, Karolinska Institutet, 2010
  • MEDICINE DOKTORSEXAMEN, Institutionen för laboratoriemedicin, Karolinska Institutet, 2002

Nyheter från KI

Kalenderhändelser från KI