Preclinical Molecular Imaging Group

Dr Gabriela Kramer-Marek’s group uses cutting-edge biomedical imaging techniques to gain information about the way particular genes drive cancer progression.

Our group’s long-term goal is to develop specific biomarkers for detecting cancers and to evaluate these biomarkers in pre-clinical cancer models

Notwithstanding the remarkable clinical success of mAb-based treatment regimens, not all patients benefit from them. This can be attributed, at least in part, to the complexity of the tumour microenvironment and its considerable heterogeneity both in terms of the tumour and non-tumour cell components. These phenomena represent a huge challenge in identifying predictive biomarkers and stratifying patient populations for personalised therapy approaches.

Therefore, there is an urgent need to develop assays that will help in three ways:

  1. accurate patient selection
  2. understanding intrinsic resistance mechanisms or the emergence of acquired resistance following treatment initiation and
  3. choosing the most effective combination regimen in circumstances in which single-agent therapies are insufficiently effective.

Currently, the baseline expression level of antigens targeted by therapeutic mAbs can be analysed by methods such as: immunohistochemistry (IHC), flow cytometry, proteomics, or next-generation sequencing of tumour tissues acquired at diagnostic biopsy or intra-operatively. These techniques aid our understanding of how cancer cells adapt to treatment and become resistant, but such methods are inherently invasive, prone to sampling errors caused by inter- and intra-tumour heterogeneity of receptor expression within analysed biopsy specimens and do not lend themselves readily to repeated sampling.

Positron emission tomography (PET), using radiolabelled mAbs, antibody fragments or engineered protein scaffolds (immuno-PET), has the potential to acquire information non-invasively and can be highly complementary to analyses based on tissue acquisition. Accordingly, immuno-PET agents might accurately identify the presence and accessibility of the target and provide a rapid assessment of tumour response to a variety of treatments in a timely fashion (e.g. within 1-2 weeks of treatment initiation).

Furthermore, immuno-PET agents can provide information about the heterogeneity of both target expression and therapeutic response, which are increasingly recognised as key factors in treatment resistance. This especially relates to patients with advanced disease in whom target expression may vary from site to site and a biopsy of a single local or metastatic deposit may not accurately reflect the situation across the entire disease burden. Although introduction of immuno-PET into routine clinical practice may add complexity and increase costs, with appropriate use this imaging modality has the potential to identify patients likely to benefit from therapy and assess the efficacy of novel target-specific drugs.

Against this background, our research focuses on the development and characterisation of targeted-PET radiotracers, including protein-based theranostic agents that enable smart monitoring of immunotherapies and expand opportunities for personalised medicine approaches.

Early diagnosis and individualized therapy have been recognized as crucial for the improvement of cancer treatment outcome. While proper molecular characterization of individual tumour types facilitates choice of the right therapeutic strategies, early assessment of tumour response to therapy could allow the physicians to discontinue ineffective treatment and offer the patient a more promising alternative. Therefore, the role of molecular imaging in elucidating molecular pathways involved in cancer progression and the ability to select the most effective therapy based on the unique biologic characteristics of the patient and the molecular properties of a tumour are undoubtedly of paramount importance.

The mission of this group is to investigate innovative imaging probes and apply them to novel orthotopic or metastatic models that are target driven, to gain information of the way particular oncogenes drive cancer progression through signalling pathways that can be imaged in vivo and, correlate it with target level ex vivo. Such an approach enables non-invasive assessment of biochemical target levels, target modulation and provides opportunities to optimize the drug dosing for maximum therapeutic effect, which leads to the development of better strategies for the more precise delivery of medicine.

The long term goal of our research is to develop specific imaging cancer biomarkers, especially for positron emission tomography (PET) as well as optical imaging and, evaluate these biomarkers in pre-clinical cancer models. Significant efforts are directed towards validating biomarkers for early prediction of treatment response, with the focus on new targeted therapies (such as inhibition of cell signalling pathways).

Our initial portfolio of imaging agents include radiolabelled affibody molecules, TK inhibitors and, conventional tracers that monitor universal markers of tumour physiology.

We are actively supported by other groups from the Division of Radiotherapy and Imaging as well as the Division of Cancer Therapeutics. Moreover, our close association with The Royal Marsden NHS Foundation Trust enables rapid translation of our research to early clinical studies and ensures a fast transition of know-how from the research laboratory to the patient bedside.

Dr Gabriela Kramer-Marek

Group Leader:

Preclinical Molecular Imaging Gabriela Kramer-Marek

Dr Gabriela Kramer-Marek is investigating new ways of molecular imaging in order to predict an individual patient’s response to treatment. Before moving to the ICR, she developed a new approach for non-invasive assessment of HER2 expression in breast cancer.

Researchers in this group

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Phone: 020 3437 6376

Email: [email protected]

Location: Sutton

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Phone: +44 20 3437 6785

Email: [email protected]

Location: Sutton

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Phone: +44 20 3437 6857

Email: [email protected]

Location: Sutton

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Phone: 020 3437 4549

Email: [email protected]

Location: Sutton

Dr Gabriela Kramer-Marek's group have written 63 publications

Most recent new publication 2/2025

See all their publications

Recent discoveries from this group

28/02/25

Drug discovery researchers have made significant progress towards targeting a protein that is seen as a promising anticancer target but has, until now, been considered undruggable. Using an innovative approach, they discovered a previously undocumented area of the drug target that could serve as a binding site for cancer drugs.

The target, eukaryotic initiation factor 4E (eIF4E), is essential for the production of proteins linked to cell growth in a several tumour types – including breast and prostate cancer. Blocking this protein’s activity would reduce cancer’s ability to adapt to different physiological conditions to promote its growth and survival.

A collaborative Project Team at The Institute of Cancer Research, London, and Astex Pharmaceuticals, Cambridge, identified a compound that can disrupt eIF4E’s interactions with a protein called eIF4G. The binding of these two proteins stimulates the first stage of the protein synthesis process. Although this compound did not block protein synthesis, the researchers expect that a similar but more potent small molecule inhibitor could drive a more substantial cellular response. Further research in this area could lead to treatments that are effective across a broad range of cancer types.

The study, published in the journal Nature Communications, was primarily funded by Astex Pharmaceuticals. Additional funding was provided by Cancer Research UK and The Institute of Cancer Research (ICR), which is both a charity and a research institute.

Reaping the benefits of an unbiased approach

A wealth of data from previous studies has shown that eIF4E contributes to the development of cancer, and other researchers have previously attempted to target this protein. However, they have only considered two specific approaches – targeting the site on eIF4E that binds to RNA to help initiate protein synthesis and disrupting the interaction between eIF4E and eIF4G. 

In this study, the Project Team at Astex Pharmaceuticals adopted an unbiased strategy, using a technique called fragment-based screening to examine the entire surface of the eIF4E protein. Unlike conventional high-throughput screening, which involves testing a large library of compounds, fragment-based screening focuses on a smaller, curated pool of several thousand simpler and smaller compounds. This strategy employs specialised equipment to identify compounds that bind effectively to the target protein.

Fragments, being smaller and simpler than larger molecules, are more likely to fit well with the target protein, although they typically exhibit a lower affinity. This provides drug discovery scientists with a strong starting point, from where they can carry out further work to build a more complex structure that could, one day, become an effective drug. 

After the Astex Pharmaceuticals Team identified new fragment binding sites on eIF4E through this screening process, the scientists at the ICR’s Centre for Cancer Drug Discovery used various techniques to control the target’s activity by knocking out and then rescuing specific proteins. This allowed them to assess how each binding site contributes to eIF4E’s functions.

Revealing eIF4E’s vulnerability

By tackling a longstanding problem – the inability to find potent eIF4E ligands – in a new, more open-minded way, the researchers were able to identify a new site with functional relevance for the protein. What is more, the lead compound they tested showed potential to disrupt the crucial eIF4E-eIF4G interaction by binding at this site.

The finding that this disruption was insufficient to stop protein synthesis suggests that it may be necessary to block multiple interactions between eIF4E and eIF4G to achieve a strong functional effect in cells. Alternatively, a more potent small molecule inhibitor may suffice.

The study authors note that their lead compound could also serve as a platform for developing protein degrading drugs that break down eIF4E, which would significantly aid the research community in understanding the role of eIF4E and the regulation of protein synthesis initiation in cancer. In the longer term, this greater understanding could pave the way for the development of improved drugs targeting eIF4E or the processes it controls, ultimately benefiting patients.

The research community may also benefit from another key technological innovation featured in this study. The challenge of producing large quantities of pure eIF4E protein has previously prevented scientists from using a fragment-based screening approach to better understand it. In this study, the team successfully engineered eIF4E to mask the region that was proving problematic. Other scientists could use this technique to allow them to carry out their own screening analyses on this protein of interest.

Opening up a new line of attack against cancer

Dr Paul Clarke, Group Leader of the RNA Biology and Molecular Therapeutics Group at the ICR, said:

“Our work underscores the strength of fragment-based drug discovery for identifying new binding pockets in traditionally hard-to-drug proteins and demonstrates how it can be combined with genetic characterisation and degrader technology to explore protein function in complex biological systems.

“The Joint Project Team’s innovative approach was critical for identifying novel fragment hits and enabling the iterative, structure-guided design that produced not only our tight-binding tool compound but also a closely related, less active control compound for comparison in cell-based experiments. With further work, I am optimistic that we can harness and build on our findings to develop a new, effective treatment approach across multiple types of cancer.”

Dr Olivia Rossanese, Director of the Centre for Cancer Drug Discovery at the ICR, said:

“This exciting discovery could open up a new line of attack against cancer, hopefully leading to smarter, kinder treatments for patients. At the Centre for Cancer Drug Discovery, our focus is on discovering new drugs to meet the challenges of cancer evolution and drug resistance, so cancer patients have more treatment options – extending and saving lives. By exposing a weakness in eIF4E, Dr Clarke and his colleagues have taken the first significant step to blocking its activity and potentially hindering cancer’s ability to flourish.

“They have also confirmed a powerful method for discovering druggable binding sites, which could help researchers across the world make progress against a range of potential anticancer targets. I’m excited to see where this research can take us over the coming months and years.”