Charlie’s Letters « Charlie Teo Foundation

Courage is the CURE

12th December 2024

Hello Friends,

I have done a lot of soul searching over the years about what it truly means to be courageous…

If you spend years and years on a pursuit that may come to no fruition, wouldn’t it be great if you could put your time into something else. However, the problem with that mindset is if you lack the courage to take a risk, as a society we will never achieve anything new!

Over 30 years of trying to find a cure for brain cancer, I’ve been faced many times with the question of what is futile and what is worthwhile. What I’ve come up with is this… 

Hello Friends,

I have done a lot of soul searching over the years about what it truly means to be courageous…

If you spend years and years on a pursuit that may come to no fruition, wouldn’t it be great if you could put your time into something else. However, the problem with that mindset is if you lack the courage to take a risk, as a society we will never achieve anything new! 

Over 30 years of trying to find a cure for brain cancer, I’ve been faced many times with the question of what is futile and what is worthwhile. What I’ve come up with is this… 

When you are faced in life with the dilemma of futility, or whether you should be courageous to pursue a goal… well it’s all about the greater good and the worthiness of what you are pursuing. It’s all about a non-selfish attitude to approaching the problem you wish to solve. 

If you’re doing it for yourself, for personal or financial gain, for fame or because you fear failure or seek perfection, you will come a buster. But if you’re being courageous for the right reasons: for the community’s greater good and the betterment of mankind, then your pursuit of courage can never be considered futile. 

I could have sat back and never tried to find a cure for brain cancer – but there is nothing remotely futile about the Charlie Teo Foundation’s pursuit of this goal.

I learnt immense courage and strength from my patients, and it is this courageous mindset that the Charlie Teo Foundation has adopted in our approach to funding research.

Without courage, there would be no progress at all. This is why courage is the CURE!

When you are faced in life with the dilemma of futility, or whether you should be courageous to pursue a goal… well it’s all about the greater good and the worthiness of what you are pursuing. It’s all about a non-selfish attitude to approaching the problem you wish to solve. 

If you’re doing it for yourself, for personal or financial gain, for fame or because you fear failure or seek perfection, you will come a buster. But if you’re being courageous for the right reasons: for the community’s greater good and the betterment of mankind, then your pursuit of courage can never be considered futile. 

I could have sat back and never tried to find a cure for brain cancer – but there is nothing remotely futile about the Charlie Teo Foundation’s pursuit of this goal.

I learnt immense courage and strength from my patients, and it is this courageous mindset that the Charlie Teo Foundation has adopted in our approach to funding research.

Without courage, there would be no progress at all. This is why courage is the CURE!

My Recent Global Work

Outside of our quest for a cure through the work of the Charlie Teo Foundation, I continue to use and hone my skills around the world operating on some of world’s most difficult brain tumours and teaching my techniques to neurosurgeons who are incredibly thirsty to learn!

Two weeks ago I ran my very first outpatient clinic with Prof Ling Feng in Wuzhishan, China.

I then spent time teaching in Cambodia, which was extremely satisfying. The local surgeons are hungry for knowledge. Despite the lack of dedicated equipment, they offer a very compassionate and skilful level of service to their patients… and there’s no lack of patients!

Pictured is me teaching them minimally invasive keyhole surgery for a patient with two metastatic tumours from a primary lung cancer. The patient felt so much better after surgery that everyone was impressed with the revolutionary technique, and he was discharged from the hospital the next day.

I was invited to give a talk last week at the International Federation of Neuroendoscopy (IFNE) held in Dubai. I was so proud to see several of my previous fellows now on the program as speakers and leaders in the field of Minimally Invasive Neurosurgery.

The Chairman of the meeting was Dr Aneela Darba, who is now Chief of her department in Abu Dhabi. One of the most impressive talks was given by Prof Chris Profyris, who is now a leading figure in the field of keyhole trans-orbital approaches to the Skull Base.

Prof Samy Elhamadi gave a very impressive presentation on the management of carotid artery injuries when performing endonasal surgery. There is nothing more satisfying than to see your students become better surgeons than oneself.

From there I travelled this week to Debrecen in Hungary, where arguably the best hands-on cadaver course in the world is run by Prof Nikolai Hopf and Prof Robert Reisch. They combine didactic lectures with cadaver dissection labs with live surgery demonstrations to up-skill both trainee and senior surgeons in the field of keyhole neurosurgery. I was honoured to be invited to be part of the faculty and to perform live surgery on a patient with a very difficult brain tumour. The course was attended by neurosurgeons from Australia, Serbia, Norway, Saudi Arabia, Ukraine, Spain, Germany, Hungary, Poland and Switzerland. 

Building our World-Class Research Program

It is with pride that I say that Charlie Teo Foundation is Australia’s leading brain cancer charity funding research globally. In just six years, we have achieved more than I could imagine – $15 million committed to brain cancer research across 35 projects in eight countries, supporting some of the world’s most courageous brain cancer researchers!!!

Our world-class proactive research strategy sets us apart. Our in-house international cancer research expert, Dr Peter Truong, collaborates with our international Scientific Advisory Board to identify grand challenges and emerging trends in brain cancer. We also engage directly with researchers worldwide to align their projects with our identified knowledge gaps, ensuring that every dollar is well spent, and strategically invested.

As part of our mission, we are the proud sponsor of the Brain Tumour Biobank, one of the largest collections of brain tumour biospecimens for research.

Recognising that the scarcity of human brain tumour specimens limits scientific progress, we have recently expanded our biobanking operations to empower brain cancer research teams in Australia!

This expansion is crucial for advancing research and developing new treatments for the benefit of patients in Australia.

As a testament to our world-class research program, Charlie Teo Foundation was awarded the 2024 Perpetual Impact Grant to invest in our biobank resources.

With this funding, we are excited to welcome Alisha Mila as our Biobank Officer. She will work with our Head of Research to oversee the Brain Tumour Biobank.

We are very proud this year to have appointed three new expert clinicians and scientists in the field of brain cancer to our pro bono Scientific Advisory Board:

  • Dr Anoop Patel, Associate Professor of Neurosurgery and Research Laboratory Head at the Center for Advanced Genomic Technologies, Duke University, U.S.
  • Markus Bittl, Head of Paediatric Neurosurgery at the Department of Neurosurgery, Klinikum Stuttgart, Germany.
  • Dr Kristina Cook, Research Fellow at the Charles Perkins Centre, University of Sydney and Translational Radiation Biology and Oncology Group, Westmead Institute for Medical Research, Australia.

The role of our Scientific Advisory Board is to peer review and make recommendations to the Charlie Teo Foundation on scientific matters relating to our research program. Read More…

Grant Announcements

I am proud to say we have awarded over $1 million in new brain cancer research grants over the past 6 months across Australia, North America and the UK!

These scientists have been proactively identified by Charlie Teo Foundation’s Head of Research, Dr Peter Truong, and peer-reviewed by our Scientific Advisory Board. I am honoured to introduce you to our courageous scientists taking us one step closer to a CURE!

I learnt courage from my patients, and we are proud to support, empower and fund tenacious scientists who emulate this quality in their outside the box approach to brain cancer research.

Dr Charles Teo AM

DIPG research at Westmead Kids in Sydney

Grant Amount: AU$222,900

As the Head of the Children’s Cancer Research Unit at the Children’s Hospital at Westmead, Prof Geraldine O’Neill’s mission is to transform childhood brain cancer into a thing of the past. Her research has defined how cancer cells interact with their surrounding tissue environment.

With support from the Charlie Teo Foundation, her team is developing advanced pre-clinical models for DMG/DIPG, the most lethal childhood brain cancer.

Despite hearing about promising treatments resulting from laboratory research, these often fail in real patients because our evaluation tests are not informative and stringent enough.

Prof O’Neill’s project aims to develop better tests by using lab-grown brain structures and patient-derived cancer cells. This approach offers a more realistic and rigorous evaluation platform for potential DIPG treatments, potentially leading to better treatment strategies for children with DIPG. Read More…

International collaboration with major U.S. research teams

Grant Amount: AU$372,335

We are excited to announce our first major collaborative grant, awarded to A/Prof David Nathanson at UCLA and A/Prof Scott Dixon at Stanford University.

Their groundbreaking research focuses on GBM, the most lethal adult brain cancer. Traditional chemotherapies often fail because GBM cells resist apoptosis, a common cell death process.

To tackle this challenge, A/Prof Nathanson, a seasoned veteran in drug development and clinical translation for GBM, and A/Prof Dixon, a world leader in identifying unconventional approaches to drive GBM cell death, have teamed up. Their labs have identified a novel mechanism called palmoptosis, a process where fat molecules are disrupted leading to cell death. Preliminary findings suggest that GBMs are more vulnerable to palmoptosis. They have identified a drug, already safe for human use, that can trigger palmoptosis.

This world’s-first research aims to understand palmoptosis in GBM and identify patients who could benefit most from this exploratory therapy. Read More…

Our first ever UK research grant

Grant Amount: AU$495,500

Dr Simona Parrinello is a Professor of Neuro-oncology and Head of the Research Department of Cancer Biology at UCL. Inspired by her physicist father and a lifelong passion for biology, she has dedicated her career to advancing cancer research.

Current standard-of-care treatments for GBM often leave behind resilient tumour cells, known as minimal residual disease (MRD), which can regrow into deadly tumours. There is currently no standard-of-care for recurrent brain tumours.

Her research grant will be focused on developing advanced laboratory models to better understand MRD. Her team will use patient tumour samples and cutting-edge Mass Cytometry technology to study how resilient tumour cells within GBMs survive initial treatments.

By uncovering how these residual cells survive and re-grow into tumours, these insights will contribute towards identifying new therapeutic targets to help prevent tumour regrowth. Additionally, implementing this model for drug-testing in GBM will potentially result in more effective treatments long-term. Read More…

Research Progress & Impact

We are immensely proud to have supported some of the most innovative and impactful research in the fight against brain cancer! With your support, our dedicated donors and partners, we are bringing new hope to patients and families.

We are excited to share remarkable outcomes from our grants, showcasing the transformative progress made by our courageous researchers. Their tireless efforts are paving the way for new discoveries and advancements that hold the promise of brighter futures for those inflicted by this devastating disease.

Adult Brain Cancer Research

Imaging Technologies Revolutionise our Understanding of Brain Tumour Microenvironment

Funding provided: AU$200,000

We are thrilled to report that our funding to Prof Joyce under her Research Rebel grant awarded in 2021 has been highly impactful.

Her lab’s work has resulted in six high-impact papers on novel brain cancer tumour microenvironment (TME) biology and imaging methodology development.

Prof Joyce’s research focuses on the brain cancer TME, which can be imagined as the “neighbourhood” where cancer cells live. Her lab leads in developing high-resolution imaging techniques to literally ‘look inside’ the brain of living animals over time. This approach has allowed them to understand how brain tumours develop and how the TME contributes to cancer growth.

Her research has uncovered crucial brain cancer biology that will inform new treatment strategies. Additionally, her lab has developed advanced microscopy methodologies for the broader research community to collaboratively advance the field. Read More…

We published a total of six papers from this research program, supported thanks to the generosity of the Charlie Teo Foundation. Thank you for advancing knowledge to help the treatment of brain cancers.

Professor Johanna Joyce, University of Lausanne, Switzerland

Breakthrough in GBM Therapy Using New Hydrogel and FLASH Radiotherapy

Funding provided: AU$295,278

We are proud to report that the funding to A/Prof David Cormode and A/Prof Jay Dorsey at the University of Pennsylvania has resulted in important translational findings for GBM.

The team developed a cutting-edge technique called FLASH radiotherapy combined with a radiation-responsive drug-loaded hydrogel. This hydrogel, administered directly to the tumour site after surgery, acts like a sponge, slowly releasing the drug over time and in response to radiotherapy.

Pre-clinical trials in GBM animal models showed significant improvements in survival rates with this combination therapy. This method ensures high drug concentrations at the target site, reducing systemic side effects. A key achievement was demonstrating the safety and effectiveness of this therapy in a model that closely mimics the human immune system, making the findings highly relevant for future clinical applications.

We congratulate their teams for their courage in innovating new treatment options for brain cancer! Read More…

Childhood Brain Cancer Research

Australian Superstar of STEM making strides in the fight against childhood brain cancer

Funding provided: AU$199,455

We are honoured to report that the funding provided to Dr Jessica Buck and her team has led to significant clinical discoveries for childhood brain cancer.

Current treatments for childhood brain cancer often fall short because they are first tested on adult models, ignoring crucial differences between adults and children. To address this, Dr Buck’s team developed the world’s first paediatric mouse models that mimic the way children’s bodies and immune systems develop.

Using these models, the team identified new immunotherapy options that boost children’s immune systems to fight brain cancer more effectively. This research has attracted over $2 million in additional funding and established collaborations with international experts!

Dr Buck’s team aims to use this research as the foundation for paediatric brain cancer-specific immunotherapy clinical trials, offering new hope to children and their families.

We congratulate Dr Buck and her team on their outstanding advancements to the field. Read More…

Under my Charlie Teo Foundation Grant, I developed world-first techniques to more accurately evaluate new childhood brain cancer therapies. Our pipeline enables testing of new immunotherapies in paediatric models for the first time. We desperately need more research into this devastating disease to develop better treatments. This is why charities like the Charlie Teo Foundation are SO important. Better research can provide HOPE to kids with brain cancer and their families.

Dr Jessica Buck, The Kids Research Institute Australia

Pioneering Blood Test for Non-Invasive Detection of Paediatric

Funding provided: AU$275,860

We are excited to report the latest progress from Prof Craig Horbinski’s research into developing new ways to diagnose paediatric brain cancer non-invasively. His team’s recently published findings bring hope for more accurate and less invasive ways to detect brain tumours in children.

The team uses a method called liquid biopsy, which searches for tiny bits of DNA that tumours shed into the bloodstream. By analysing this DNA, doctors can gain important clues about the tumour without requiring surgical biopsy.

Prof Horbinski’s team has successfully developed a blood test that can detect different types of childhood brain tumours by identifying tumour-specific DNA patterns. This test showed significant promise, accurately distinguishing children with brain tumours from those without. While the test is not yet perfect, it could become a valuable tool in presurgical evaluations.

We congratulate Prof Horbinski and his team for their dedication to improving non-invasive paediatric brain cancer detection! Read More…

Charlie Teo Foundation will help us reach new heights in medical research and care. Thank you again for your exceptional support and belief in our people to bring life-changing innovation to medicine.

– The Feinberg School of Medicine, Northwestern University, U.S.

This holiday season let’s bring hope to those living with brain cancer. Your generosity fuels life-changing, courageous research and drives the pursuit of better treatments – turning hope into action.

Thanks to our corporate partner, Cooks Plumbing Supplies, your generosity will be DOUBLED this holiday season – meaning your impact is twice as strong!

Cook’s Plumbing Supplies is a family owned and operated business, with doors first opening to Sydney’s plumbing trade in 1969. They have been a loyal, regular donor to the Charlie Teo Foundation since 2018, having contributed over $600,000 dollars to crucial brain cancer research.

I am proud to call the Managing Director, Mick Dover and Peta Dover, my dear friends!

The human spirit is stronger than anything it faces. Even in the shadow of brain cancer, patients show us the extraordinary power of COURAGE, resilience and determination, reminding us that life’s toughest battles are fought with heart and mind as much as with the body.

This December, join me in empowering these brave warriors. Together, we can make an impact that lasts a lifetime.

With heartfelt gratitude for your continued support!

Love Charlie

Love Charlie

Dr Charlie Teo AM
Founder