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Rallying together to support pancreatic cancer research

March 20, 2024
The Wage Hope with Hollings team for last year's PurpleStride walk

More than two decades ago, a chance encounter during a walk down Gadsden Street sparked a lifelong friendship for Sarah “Chris” Christopher, one of our resilient pancreatic cancer survivors. Chris had invited Amy, a gardening neighbor, to an event, who then extended the invitation to her neighbor Valerie. Years of love followed.

“The love of those two women has been life-changing,” said Valerie, “We have supported each other through two cancer diagnoses – thyroid cancer (Amy) and pancreatic cancer (Chris). Chris’ husband and our dear friend Remley – after whom my daughter is named – passed away after a cancer diagnosis as well. Through it all, our support of each other has stayed strong. Being able to show that support and love during the Pancreatic Cancer Action Network’s annual PurpleStride walk means so much to our family.”

 

 
Left to right: Remley Hooker, Rachel Burge, Sarah Christopher, Valerie Sessions

 

Chris’ story is a testament to the power of resilience and support.  I first met her two years ago when Valerie learned that I was researching how different mutations in pancreatic cancer could be used to develop more effective chemotherapies. In true Charleston style, she arranged a happy hour for the three of us to discuss Chris’ experiences. Bubbly and full of life, Chris showed no sign that she had recently battled cancer. Having received a life-altering diagnosis four years prior, she confronted the challenge with resilience. She sought treatment at the Hollings Cancer Center and never let her cancer define her.

Today, she stands tall, back on the tennis court and at the gym with a renewed sense of purpose. She wants others to know just how important it was to have a supportive health care team on her journey to recovery.

“I am thankful every day for the outstanding medical and surgical care I received at Hollings Cancer Center and an amazing group of friends," said Christopher. "It is so important to have someone in health care who listens to you.”

Her story began with a stomachache on a Sunday evening. It continued all day Monday.  By Tuesday morning, she decided to call her primary care doctor, who urged her to come in immediately. She's grateful she trusted her instincts. Her advice, especially for other women, is trust yourself.

“We have good instincts. If something feels wrong, check it out. What started as a tender, slightly distended abdomen ultimately led to a life-changing diagnosis,” said Christopher, who feels like she’s one of the lucky ones. “Fortunately for me, my primary care doctor said, ‘Get over here!’  And away we went!”

“I am thankful every day for the outstanding medical and surgical care I received at Hollings Cancer Center and an amazing group of friends. It is so important to have someone in health care who listens to you.”

-- Sarah "Chris" Christopher

I am so grateful to have met people like Chris through my role in PanCAN because it gives even more meaning to my lab work. The five-year survival rate for pancreatic cancer is 13%, and I believe research is the only way that we will develop more targeted therapies for patients.

PanCAN’s Research Grants Program has provided funds for research across the nation, including the Hobbs Lab at MUSC, where I am currently getting my Ph.D. This has given me the opportunity to contribute to fighting this disease inside AND outside the lab, and participating in PanCAN PurpleStride last year was life-changing – because this event has the power to change lives. It was a special day when we could all come together to honor people like Chris and support other pancreatic cancer patients who were not as lucky or are still fighting.

The mission of fighting this dreaded disease hits close to home because I lost my Dad to cancer. I personally know the pain and heartbreak of losing someone too soon. Sadly, 900 South Carolinians will die in 2024 from pancreatic cancer. The good news is that we can make a huge difference by raising awareness and vital funds for pancreatic cancer research at Hollings Cancer Center.

My friends and I will join communities across South Carolina on Saturday, April 27, for PanCAN PurpleStride. At this ultimate walk to end pancreatic cancer, we gather to celebrate Chris's triumph over adversity, raise awareness for pancreatic cancer research and support patients battling the disease. We hope to see you there!

 

Meet the Author

Rachel Burge

Abney Graduate Fellow

Project: Discovering Mutant-selective KRAS Vulnerabilities to Develop Targeted Therapies for Pancreatic Cancer

Mentor: Aaron Hobbs, Ph.D.

In the human body, proteins work together to keep us healthy. We all have Deoxyribonucleic acid (DNA), a molecule that contains all the information necessary to build proteins. KRAS is an essential protein in all our cells, acting like the body's gas pedal to accelerate growth. In pancreatic cancer, the DNA sequence that codes for KRAS changes, resulting in a defective protein that accelerates the wrong cells. Each patient has different types of mutated KRAS, which look similar to healthy KRAS, making stopping the mutant protein difficult.

My research works by creating a screening system in pancreatic cells that places a red warning flag on proteins that are helping many of the different KRAS mutants. We can isolate and identify these flagged proteins and look for differences. This research will use these differences to develop more targeted therapies for each patient's specific mutation.

image of Julie Dickerson

Julie Dickerson

Abney Graduate Fellow

Project: The Role of BRD4 in Regulating Interplay between Transcription and DNA Repair

Mentor: David Long, Ph.D.

BRD4 is a transcription protein that helps to turn our genes on and off, including several genes that can cause cancer if not correctly regulated. If there is too much BRD4, cancer-causing growth genes are turned on and allow the cells to grow out of control. Our lab recently discovered that BRD4 is also helping our cells repair broken DNA by bringing other repair proteins to the right spot. Another way cancer develops is when cells can’t fix damaged DNA, so BRD4 is tied to cancer through this function as well.

Because BRD4 has two very important roles in the cell, we want to know how BRD4 switches between its two jobs to avoid conflicts and prevent cancer. We think that when DNA is damaged, BRD4 working as a transcription protein gets removed from DNA to turn off any genes that may be broken. It then switches jobs and goes back to the DNA in a repair role to help fix the damage. We hope to understand how BRD4 switches between its two roles and when this switch becomes important in cancer development.

image of Lena Golick

Lena Golick

LOWVELO Graduate Fellow

Project: A Superantigen-based Immunotherapeutic for Pediatric Acute Myeloid Leukemia

Mentor: Nathan Dolloff, Ph.D.

Pediatric acute myeloid leukemia (pAML) treatment currently relies on conventional chemotherapy and novel treatments are desperately needed to improve survival outcomes. Our approach initiates an anti-AML immune response by targeting the CD33 glycoprotein, which is expressed in 90% of pAML cases, to MHC class II molecules on antigen presenting cells. The completion of this project will establish the potential of an innovative pediatric AML immunotherapy.

Image of Mohamed Faisal Kassir

Mohamed Faisal Kassir

Abney Graduate Fellow

Project: Mitophagy and the Anti-tumor Activity of T-cells in Alzheimer's Disease

Mentor: Besim Ogretmen, Ph.D. 

An interesting negative association has been identified between Alzheimer’s disease and cancer: in other words, people with Alzheimer’s disease are less likely to have cancer. In this study, we are exploring the role of immune cells known as T-cells in this negative association.

Specifically, this research will examine lipid signaling in mitochondria – the main powerhouses of the cells – as a driver of T-cell resistance to tumor incidence in Alzheimer’s disease. We hope that by understanding the metabolic and molecular mechanisms driving the protection of Alzheimer’s patients against cancer, we can translate these findings to cancer patients at large to potentiate their anti-tumor immunity.

2022 Awardees

Baicheng Lin headshot

Baicheng Lin

HCC Abney Fellow

Project: Investigating PRMT4/BRD4 Inhibition in Combination Anti-Cancer Therapy

Mentor: David Long, Ph.D.

Many cancers are sensitive to DNA damage, which is why radiotherapy and chemotherapy apply for many anti-cancer treatments. To identify new therapies and improve the efficacy of existing therapies, many new agents have been developed that target DNA damage signaling and repair pathways.

Our lab recently discovered a new function for BRD4 in the regulatory mechanism of Homologous Recombination (HR) repair. BRD4 plays a direct role in HR repair by recruiting important proteins to damage sites. Dr. Gan found BRD4 is a substrate of PRMT4 and showed that BRD4 methylation is required for the binding of BRD4 to DNA.

We hypothesize that methylation of BRD4 by PRMT4 is critical for BRD4 repair function. This study will explore the roles of PRMT4-mediated BRD4 methylation in DNA damage repair and develop new targeted therapies using BRD4-PRMT4 combination treatment.

Nathaniel Oberholtzer headshot

Nathaniel Oberholtzer

HCC Abney Fellow

Project: Hydrogen Sulfide Signaling in Anti-Tumor T-Cell Immuno-Metabolic Programming

Mentor: Shikhar Mehrotra, Ph.D.

My project focuses on enhancing the immune response to cancer cells by altering immune cell metabolism. Specifically, I am interested in the role that hydrogen sulfide, a gaseous signaling molecule, might play in promoting the anti-tumor immune response. Through these studies, we hope to better understand the complex interaction between the immune system and cancer and the metabolic factors that influence the ability of immune cells to control cancer growth.

Victoria Spadafora headshot

Victoria Spadafora

HCC Abney Fellow

Project: Investigating the Role of Ceramides in Muscle Wasting in Pancreatic Cancer-Induced Cachexia

Mentor: Denis Guttridge, Ph.D.

Cachexia is a condition in which cancer patients lose a significant amount of weight over the course of their disease due predominantly to the loss of muscle mass. This condition can decrease a patient’s chance of survival but the mechanism behind this wasting is unknown. This research will investigate the role of ceramides and whether their regulation in skeletal muscle plays a role in the cachexia phenotype of pancreatic cancer patients.

2021 Awardees

Charles Brobbey

Charles Brobbey

HCC Abney Fellow

Project: Role of PRMT5 in ULK1-mediated Autophagy and Breast Cancer Therapy

Mentor: Wenjian Gan, Ph.D.

Protein arginine methyltransferases (PRMTs) are a family of proteins that methylate arginine residues of varied cellular substrates. PRMT5 is the predominant Type II PRMT whose overexpression negatively correlates with prognosis, survival, and severity of breast cancer, making it an important therapeutic target for breast cancer treatment. Despite the well-established anti-tumor effects of PRMT5 inhibitors, the exact mechanism of how PRMT5 inhibition suppresses cancer progression is largely unknown. This study will explore how PRMT5-mediated methylation of ULK1 suppresses autophagy and provide evidence to show that combining ULK1 and PRMT5 inhibitors will be a more potent breast cancer therapy than PRMT5 inhibitors alone.

Amanda Daulagala

Amanda Daulagala

HCC Abney Fellow

Project: Interaction of the Extracellular Matrix with the Cell-Cell Junction Associated RNAi Machinery in Colon Cancer Epithelial Cells

Mentor: Antonis Kourtidis, Ph.D.

Imagine trying to stay still on an expanding floor with your friends while holding hands. As the floor expands there would be more tension on the grip of the hands. If this is prolonged, then you lose your grip and start moving freely, just like cancer cells would do in the human body. Replace you and friends with epithelial cells in the colon, hands with cell-cell junctions, more specifically the Adherens Junctions, and the floor with the extracellular matrix (ECM). Fibrosis, a major precursor to colon cancer, introduces abnormal physical stress through extensive remodeling of the ECM, which is sensed by the Adherens Junctions, just like hands felt the tension while standing on the moving floor.

PLEKHA7 is a protein at the Adherens Junctions that helps maintain the epithelial integrity, or else the “grip,” between the cells. It also recruits a set of proteins that belong to a mechanism called RNA interference (RNAi) that regulates microRNA (miRNA) biogenesis and function. miRNAs control the overall expression of proteins and eventually cell behavior. Our project aims to examine how PLEKHA7 and its associated RNAi machinery respond to physical stresses by the ECM and whether this response, in turn, affects miRNAs, protein expression and pre-cancerous cell behavior.

Kareem Heslop

Kareem Heslop

HCC Abney Fellow

Project: Targeting VDAC to Modulate Warburg Metabolism in Hepatocarcinoma

Mentor: Eduardo Maldonado, Ph.D., DVM

We propose to design and validate compounds to increase mitochondrial metabolism and revert the pro-proliferative Warburg metabolism in cancer. This work aims to discover compounds that target the voltage dependent anion channel (VDAC). Located on the outer mitochondrial membrane, VDAC is responsible for the passage of respiratory substrates, ADP and PI, that fuel mitochondria. By targeting VDAC, we can control mitochondrial metabolism in cancer. Overall, this project is expected to lead to the development of new “metabolically” targeted chemotherapeutic agents to be used alone or in combination with conventional chemotherapy for different types of cancer.

Joseph Karam

Joseph Karam

HCC Abney Fellow

Project: Elucidating the Mechanism of PCBP1 Regulated Transcription at Cancer Gene Promoters

Mentor: Philip H. Howe, Ph.D.

Our lab studies the changes that allow cancer cells to spread, or metastasize. When cancer spreads, it becomes much more difficult to treat. We work together to make discoveries that will lead to better treatments. In my project, I’m studying how a protein involved in metastasis binds to structures in DNA to regulate the expression of cancer genes.

2020 Awardees

Stephanie Jones

Stephanie Jones

HCC Abney Fellow

Project: Genetic Variants in Smoking Cessation and Relapse: A Longitudinal Study

Mentor: Bethany Wolf, Ph.D.

Genetics play a role in smoking cessation. This project aims to identify genetic variations associated with smoking cessation and the degree of relapse throughout adulthood. This research will improve understanding of the role of genetics in cessation failure and relapse throughout adulthood, which could guide the development of precision medicine cessation intervention approaches for cancer prevention and control.

Julia Lefler

Julia Lefler

HCC Abney Fellow

Project: The Role of Fibroblast Signal Transducer and Activator of Transcription 3 (STAT3) in Shaping the Pancreatic Ductal Adenocarcinoma (PDAC) Immune Microenvironment

Mentor: Michael Ostrowski, Ph.D.

These studies highlight the importance of understanding how tumor cells communicate with their surrounding environment. With this strategy, we can find ways to block that communication to limit tumor growth. We hope to expand on our findings to ultimately discover new and improved strategies to treat PDAC.

Timothy Samec

Timothy Samec

HCC LOWVELO Fellow

Project: Novel Tandem Peptide Targeted Delivery of Small interfering RNA (siRNA) for RNA interference (RNAi) Therapeutics in Ovarian Cancer Treatment

Mentor: Angela Alexander-Bryant, Ph.D.

This work is focused on the development of an original peptide delivery system with the ability to selectively target ovarian cancer cells, avoid deterioration by natural pathways present within the cell, and effectively deliver therapeutic cargo to reduce expression of a gene responsible for ovarian cancer cell growth, proliferation, and invasion.

2019 Awardees

Ashley Howell

Ashley Howell

HCC Abney Fellow

Project: Investigation into Factors that May Affect Response to Immune Checkpoint Inhibitors in Elderly Patients with Melanoma

Mentor: Kristin Wallace, Ph.D.

Changes to the composition and function of the immune system occur naturally with age, which may affect an elderly patient's response to cancer immunotherapy. This research will utilize national data from the SEER cancer registry and the Medicare program to investigate the use of immune checkpoint inhibitors in elderly patients with advanced melanoma. Specifically, we will evaluate the impact of age and comorbidity burden on overall survival in older melanoma patients treated with checkpoint blockade therapy and determine whether the risk of experiencing immune-related adverse events increases with age.

Hannah Knochelmann

Hannah Knochelmann

Project: Mechanisms of Enhanced Anti-Tumor Efficacy of Four-Day Expanded Th17 Cells for Adoptive Transfer

Mentor: Chrystal Paulos, Ph.D.

Generating personalized T cell products for cancer immunotherapy can take several months and is extremely expensive, which limits availability of this therapy and excludes many patients with aggressive malignancies. We recently developed a method where therapeutic T cells can be generated in only four days and now seek to understand their improved antitumor properties. These studies implicate new approaches to streamline T cell production, making this therapy more affordable and available worldwide.

Connor West

Connor West

HCC Abney Fellow

Project: Determination of N-linked Glycosylation Changes in Hepatocellular Carcinoma and the Associated Glycoproteins for Enhanced Biomarker Discovery and Therapeutic Targets

Mentor: Richard Drake, Ph.D.

Our lab focuses primarily on sugar modifications to proteins known as glycans and how these glycans change with disease states. My research focuses on liver cancer, specifically hepatocellular carcinoma, and how these sugar structures change during disease progression. Previously, we have found that specific glycan changes occur more frequently and abundantly in cancerous tissue. From this, we hope to use these glycan structure changes and the proteins they are attached to as potential biomarkers for earlier detection of liver cancer, therefore improving survival rates and treatment options.

2018 Awardees

Bradley Krisanits

Bradley Krisanits

HCC Abney Fellow

Project: Advanced Glycation End-Products: Lifestyle Contributions to Prostate Cancer Disparity and Intervention

Mentor: David Turner, Ph.D.

The HCC fellowship will aid in the successful completion of a clinical trial investigating the benefits of lifestyle change on biomarkers of prostate cancer progression.

Tony Kwon

Hyunwoo (Tony) Kwon

HCC Abney Fellow

Project: Investigation of IFNg-IDO1-Tryptophan Transport Axis as the Molecular Basis for Bladder Cancer Sex Bias

Mentor: Zihai Li, M.D., Ph.D.

Males and females share robust differences in their susceptibility to various autoimmune and infectious diseases, emphasizing that sex is an important biological variable regulating the immune system. My research studies the potential implication of sex-based immunological differences on the pathogenesis of various malignancies.

Steven Schutt

Steven Schutt

HCC Abney Fellow

Project: Fli-1: A Promising Therapeutic Target in Graft-versus-Host Disease and Leukemia

Mentor: Xue-Zhong Yu, M.D.

The protein Friend leukemia virus integration 1 (Fli-1) is responsible for development of Ewing's Sarcoma and certain types of leukemia, while also being associated with systemic lupus (SLE) in humans. This association led us to test if targeting Fli-1 in pre-clinical animal models would be beneficial for graft-versus-host disease (GVHD), where we indeed found that targeting Fli-1 using a genetic approach was able to prevent GVHD development.

Aubrey Smith

Aubrey Smith

HCC Abney Fellow

Project: Defining the Role of Toll-like Receptor Agonists in T Cell-based Immunotherapy

Mentor: Chrystal Paulos, Ph.D.

We recently discovered that Toll-like receptor 9 agonist, called CpG-ODN, dramatically augments the anti-tumor activity of adoptively transferred CD8+ T cells. This grant seeks to uncover the mechanisms underlining the effectiveness of this novel therapy. Our findings have the potential to revolutionize various forms of T cell-based therapies for cancer patients.

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