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You can make a difference by participating in research

Written by Linda Rice, RN, CCRC, director of clinical operations at the UK Center for Clinical and Translational Science, which is dedicated to accelerating discoveries that improve health.

Health research changes lives. It’s how we learn more about health conditions and make discoveries to improve treatments, care and diagnostics. Every medicine or device we use – from aspirin to pacemakers – was developed through a process of research. But research needs people in order to move forward. All too often, studies are forced to end early or don’t enroll enough participants, which means that many important questions go unanswered.

At UK, doctors, nurses and researchers are working diligently to advance discoveries that improve health, and we invite you to join us. You can make a difference by participating in research – you could even be part of a study whose results will help people in the future. Participating is a way to help others by “giving forward,” and it’s also an opportunity to learn more about your own health.

Whether you are healthy or have a medical condition, there are opportunities for you to participate. Health research is more than clinical trials for rare diseases. Sometimes it’s as simple as a questionnaire, a screening or helping to test a type of exercise. Many studies compensate participants.

Health research also includes extensive protection for participants. The ethical and legal codes that govern medical care also apply to research, which is further regulated with safeguards for participants. UK, like every research institution, also has a review board that evaluates all research to ensure protection of participants’ rights and welfare. Every study follows a carefully controlled plan of what researchers will do and what is asked of participants, and this plan is explained in detail before you decide to join. Participants are free to leave a study at any time.

Learn more

There are two ways to learn more and get involved in the process of discovery: You can view current research opportunities at UK, and you can also join ResearchMatch, which connects you with researchers nationwide.

Current Studies at UK: To explore opportunities to participate in ground-breaking research at UK, visit UKClinicalResearch.com and click on “Current Studies.” You can browse opportunities by topic, like Alzheimer’s disease, diabetes, cancer, healthy volunteers, women’s health, drug and alcohol use, and many others.

ResearchMatch: To join this national database of research opportunities, visit ResearchMatch.org/uky. ResearchMatch is an easy, secure, registry that unites people who are interested in research with active studies. Joining is free and fast. Simply register and wait to be contacted, or “matched,” to studies that might interest you. You can also browse studies, share ideas with researchers, and find patient organizations and health information. You always have the choice to participate or not, and you can leave ResearchMatch at any time. Individuals under the age of 19 must be enrolled by a parent or guardian.

If you’d like to learn more about health research, including frequently asked questions, please visit UKClinicalResearch.com. If you have questions about participating in research or current studies at UK, please contact us at UKClinicalResearch@uky.edu or by phone at 859-257-7856 or 859-323-8150.

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Owensboro Health joins Markey Affiliate Network

Owensboro Health has joined the UK Markey Cancer Center Affiliate Network, enhancing cancer care available to patients in Western Kentucky and Southern Indiana and allowing them to stay closer to home and their support systems for most treatments.

Markey is the only National Cancer Institute-designated cancer center in Kentucky.

“Owensboro Health exists to heal the sick and to improve the health of the communities we serve,” said Owensboro Health President and CEO Greg Strahan. “When it comes to offering national-quality, outstanding cancer care, we are proud to team up with the UK Markey Cancer Center, which is recognized as one of the foremost cancer care and research centers in the nation.”

Owensboro Health’s Mitchell Memorial Cancer Center (MMCC) serves the health system’s coverage area, a population of nearly 400,000 people across 14 counties in Western Kentucky and Southern Indiana. More than 1,000 patients are treated at the center annually. Last year, Owensboro Health also joined Markey’s Research Network, which allows MMCC to run many of Markey’s clinical trials on-site.

“As a native of Owensboro, it is a great honor to welcome Owensboro Health as our newest UK Markey Cancer Center Affiliate,” said Dr. Mark Newman, UK executive vice president for health affairs. “These relationships are very important to both of our institutions and most significantly to the care of patients throughout the region and the Commonwealth. We look forward to continuing to work with the outstanding team at Owensboro to provide the highest level of cancer treatment and prevention measures.”

The UK Markey Cancer Center Affiliate Network was created to provide high-quality cancer care closer to home for patients across the region and to minimize the effects of cancer through prevention and education programs, exceptional clinical care, and access to research. The affiliate network is especially important for Kentucky, where cancer rates are the highest in the nation.

“Kentucky is home to some of the worst cancer rates in the country,” said Dr. Tim Mullett, medical director of the UK Markey Cancer Center Affiliate Network. “Collaborating with our affiliate hospitals across the state will enable us to make a positive impact on the dire cancer rates here in the Commonwealth.”

Markey is one of only 69 medical centers in the country to earn an NCI cancer center designation. Because of the designation, Markey patients have access to new drugs, treatment options and clinical trials offered only at NCI centers.

Moving forward, the UK Markey Cancer Center is working toward the next tier of designation – an NCI-designated Comprehensive Cancer Center. Currently, 45 of the 69 NCI-designated cancer centers in the country hold a comprehensive cancer center status. The UK Markey Cancer Center Affiliate Network will play a large role in bringing that next level of cancer funding to Kentucky.

The affiliate network was created in 2006 and is made up of 20 hospitals across the Commonwealth of Kentucky.


Next steps:

  • Markey is Kentucky’s only National Cancer Institute-designated cancer center, providing world-class cancer care right here in the Commonwealth. Learn more about why patients choose Markey for their cancer treatment.
  • Markey’s new state-of-the-art cancer care floor will allow our care teams to treat more patients with complex cancer diagnoses in an environment specifically designed for healing.

UK study finds smoke-free laws lead to reduced rates of lung cancer

A recent study by UK’s BREATHE (Bridging Research Efforts and Advocacy Toward Healthy Environments) shows that fewer new cases of lung cancer were found in communities with strong smoke-free workplace laws.

Strong smoke-free laws are known to improve public health by lowering rates of heart attack, stroke, asthma and emphysema. This study, led by Ellen Hahn, PhD, director of BREATHE and professor in the UK College of Nursing, is the first to show that new cases of lung cancer are lower when communities enact strong smoke-free laws.

The results of the study were published in Cancer, an American Cancer Society journal dedicated to providing clinicians with information on diagnosis, treatment and prevention.

Benefits of stronger smoke-free laws

Kentucky has more cases of lung cancer than any other state, and its mortality rate is 50 percent higher than the national average. Hahn and her team studied whether new cases of lung cancer in Kentucky were lower, higher or stable in communities with smoke-free laws.

“Kentucky has one of the highest adult cigarette smoking rates and the highest rate of new lung cancer cases in the nation,” Hahn said. “Only one-third of Kentuckians are protected by strong smoke-free workplace laws.”

Though other environmental factors play a part in the development of lung cancer, smoking and secondhand smoke exposure are the root cause of the disease.

“This new study shows that having strong smoke-free workplace laws in place to prevent exposure to secondhand smoke is one more way we can help protect our citizens from this devastating disease,” said Dr. Mark Evers, director of the UK Markey Cancer Center.

Creating more smoke-free workplaces

Using data compiled from the Kentucky Cancer Registry, the Cancer Research Informatics Shared Resource Facility and Markey, researchers looked at 20 years of new lung cancer diagnoses among Kentuckians age 50 and over in communities with strong, moderate and weak smoke-free laws.

Lung cancer incidence was 8 percent lower in communities with strong smoke-free workplace laws compared to communities without smoke-free laws. Researchers did not find differences in lung cancer rates between communities with moderate or weak smoke-free laws and those without any smoke-free laws.

These findings could be used to prompt legislation to create more communities with strong smoke-free workplace laws in Kentucky.

“Local government can play a critical role in preventing lung cancer,” said Hahn. “Elected officials can ensure that all workers and the public are protected from secondhand smoke by passing strong smoke-free laws with few or no exceptions.”

BREATHE is a multi-disciplinary research, outreach, and practice collaborative of the UK College of Nursing. Its mission is to promote lung health and healthy environments to achieve health equity through research, community outreach and empowerment, advocacy and policy development and access to health services.

For more information about BREATHE, visit www.breathe.uky.eduClick here to see the map and listings of smoke-free ordinances in Kentucky.


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UK collaboration working to provide more effective treatment for lung cancer

Newly published findings from UK faculty reveal a novel cell signaling interaction that may prevent a key step in lung cancer progression.

Kentucky continues to lead the nation in incidence and death rates from lung cancer, and the UK College of Pharmacy is committed to reducing these numbers.

Lung cancers are often diagnosed in later stages, with very few treatment options available. Patients often develop a resistance to a targeted therapy, resulting in a need for a variety of therapies that can be administered in stages or coupled together.

A collaboration between the UK College of Pharmacy and the Department of Statistics in the UK College of Arts and Sciences is working to address this problem. The project is the work of Madeline Krentz Gober, a recent graduate of the UK College of Pharmacy’s graduate program in the lab of pharmacy faculty member Penni Black. Staff scientist James Collard and UK College of Arts and Sciences faculty member Katherine Thompson also contributed to the findings.

Previous work from the group established that a collection of microRNAs – small RNA that plays a role in regulating biological process like growth and proliferation – could predict sensitivity of non-small cell lung cancer cells to erlotinib, a drug that is effective in treating lung cancer in certain patients.

Further investigation into this collection of microRNA genes revealed a previously unknown relationship between the role of transforming growth factor TGFβ in initiating metastasis and epidermal growth factor receptor (EGFR) signaling non-small cell lung cancers.

Essentially, microRNA molecules that alter TGFβ activity may prevent a key step in metastasis for cancer progression known as epithelial-mesenchymal transition, and this interaction may also require the activity of EGFR, perhaps unappreciated in the initiation of metastasis.

“Getting the right drugs in the right patients is critical to improving cancer outcomes,” said Jill Kolesar, co-director of the Molecular Tumor Board at the UK Markey Cancer Center. “Dr. Black’s work is an important step in predicting which patients benefit most from erlotinib treatment.”

Ongoing work in Professor Black’s lab seeks to uncover biomarkers of response and toxicity to new immunotherapeutic agents used in the fight against lung cancer.


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National network gives Markey patients greater access to personalized care

The UK Markey Cancer Center has joined the Oncology Research Information Exchange Network (ORIEN), a unique research partnership among North America’s top cancer centers that recognize collaboration and access to data are the keys to cancer discovery. Membership will allow Markey’s physicians and researchers to improve patient access to personalized medicine – cancer treatments targeted to the patient’s particular cancer mutation. Markey is the latest addition to this 17-member research partnership.

“It takes teamwork to make great progress in cancer treatments,” said Dr. Mark Evers, director of the UK Markey Cancer Center.

“Markey has always subscribed to this idea, utilizing the resources from a variety of experts across UK’s clinical and academic campuses to treat our patients. This new partnership with ORIEN will allow us to collaborate with some of the best cancer centers across the country, exchanging vital information back and forth that will ultimately lead to new, improved treatments becoming available for Kentuckians.”

Personalized cancer treatment

As cancer care becomes more based on genetics versus tumor types, researchers are discovering specific, often-rare mutations that lead to the disease. To develop personalized clinical trials that can target these mutations, ORIEN members pool their resources and contribute to a shared databank.

Much of their work will focus on patients with advanced primary or metastatic disease, those with limited treatment options, and patients who are likely to develop progressive disease.

ORIEN members follow the Total Cancer Care Protocol, a well-organized, collaborative approach to studying patients throughout their lifetime. Total Cancer Care provides a standard system for tracking patient data and follows the patient throughout his or her lifetime.

This gives clinicians and researchers access to a searchable, growing database of medical information from respected peers that can help them match patients to targeted treatments. This database represents one of the world’s largest clinically annotated cancer tissue repositories, comprising data from more than 200,000 participating patients.

“ORIEN will benefit Kentucky patients with cancer by matching them to clinical trials with drugs targeted to the individual molecular profile of their tumor,” said Jill Kolesar, PharmD, director of the Precision Medicine Clinic at the UK Markey Cancer Center.

“Combined with our National Cancer Institute-sponsored clinical trials, patients at Markey will have access to a large menu of precision medicine clinical trials.”


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UK researcher wins prestigious award to study pediatric cancer

UK Markey Cancer Center researcher Jessica Blackburn, PhD, will conduct innovative pediatric cancer research with the help of a prestigious National Institutes of Health’s New Innovator Award, a grant totaling $1.5 million over five years.

Blackburn, who came to UK from Harvard University in 2015, runs a basic science laboratory using zebrafish as an animal model. This new award will fund research to find causes of leukemia relapse in three ways:

  • Identifying the unique genetic signature of relapse-causing cells, using single-cell sequencing technology in both zebrafish leukemia models and patient samples.
  • Discovering how and where relapse-driving cells “hide” from chemotherapy in the body using live animal imaging techniques in zebrafish.
  • Finding new drugs that can specifically kill the cancer cells that cause relapse by screening thousands of compounds zebrafish.

“The hope for this project is that we will be able to provide new insights into the biology of what causes cancer relapse, not only to find better ways to treat it, but to develop treatment strategies that will prevent relapse from happening in the first place,” Blackburn said.

Zebrafish labs are far less common than labs that use mice as an animal model of cancer, but Blackburn notes that zebrafish models provide important research advantages, which can complement traditional mouse models.

“I think this work shows that zebrafish models of human diseases – like cancer – are being more widely accepted in the medical fields, and that more people are recognizing the important discoveries that can be made using zebrafish,” she said.

The NIH’s New Innovator Award was established in 2007 and supports unusually innovative research from early career investigators who are within 10 years of their final degree or clinical residency and have not yet received a research project grant or equivalent NIH grant.

It’s one of four prestigious awards in the NIH’s High-Risk, High-Reward program, which was created to support unconventional approaches to major challenges in biomedical and behavioral research. Applicants of the program are encouraged to think outside-the-box and to pursue exciting, trailblazing ideas in any area of research relevant to the NIH mission.

“I continually point to this program as an example of the creative and revolutionary research NIH supports,” said NIH Director Dr. Francis S. Collins. “The quality of the investigators and the impact their research has on the biomedical field is extraordinary.”


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Research featuring UK scientists shows promise in treating cancer

A new study published in Nature Chemical Biology featuring UK research highlights a promising new way to address lung cancer and other deadly diseases.

Lung cancer accounts for 25 percent of cancer deaths in the U.S., and one out of every two patients diagnosed with lung cancer won’t survive more than one year. The problem is at its worst in Kentucky, where the state continues to lead the nation in lung cancer incidence and death.

The new research brings together scientists from the UK College of Pharmacy, Memorial Sloan Kettering Cancer Center and St. Jude Children’s Research Hospital and reveals a new way to treat lung cancer by blocking cancer-causing proteins on a cellular level. The study involves a compound developed by UK College of Pharmacy Dean Kip Guy’s lab.

The foundation for research

The groundwork for the study began more than 10 years ago when Dr. Bhuvanesh Singh, a physician-scientist at Memorial Sloan Kettering Cancer Center, identified that an increase of a protein called DCN1 led to more malignant lung cancers and shorter life spans for his patients. Of the patients he studied, those with high levels of DCN1 succumbed to the disease more quickly than those with normal levels.

Frustrated by their findings, Singh’s team set out to study the specifics of DCN1. While DCN1 is a normally occurring protein, his team found that too much of it leads directly to cancer formation. Simply put, a malignant tumor was formed when the amount of DCN1 in a cell was increased. Thus, patients with more DCN1 got sick more quickly and died faster than their counterparts.

Efforts in Brenda Schulman’s lab at St. Jude, led by biochemist Daniel Scott, established how DCN1 interacts with other proteins and controls cellular processes. Their key discovery used X-ray crystallography to show that a small modification of the partner protein to DCN1, known as UBE2M, was required for DCN1 to work. This common modification, N-terminal acetylation, had not previously been shown to be critical to controlling activity of this specific protein. Recognizing the potential for targeting this modification, Shulman reached out to form a collaboration between the three laboratories.

Their goal: to develop a way to stop DCN1 from killing patients.

‘Jamming the lock’

Understanding the behavior and function of DCN1 was far more ambitious than running simple tests. It was a significant step forward in understanding how proteins within a cell work.

Building upon the science from Shulman’s team, Jared Hammill from Guy’s lab and Danny Scott from Schulman’s lab worked to stop the interactions of DCN1 altogether. If DCN1’s activity depended on this interaction, then it stood to reason they could create a compound to intervene and stop the interaction from happening.

Guy describes the interaction as a “lock and key model.” Scientists have a blank key – which is UBE2M – and a lock, which is DCN1. The key wants to fit into the lock, so it’s modified until it fits. This modification process is N-terminal acetylation.

“What’s the significance?” Guy said. “Well, we’re the first people to show that protein interaction controlled by N-terminal acetylation can be blocked. We’re essentially jamming the lock with a compound so the key won’t fit.”

The items jamming that lock are a series of small molecules created in the lab. When the molecules were tested directly in cancer cells, they worked. They effectively blocked DCN1 from binding to UB2EM. After decades of collaborative research, there was finally a barrier between lock and key.

What it means for patients

The impact of these findings for healthcare and lung cancer patients specifically could be profound.

“We are excited about the implications of this research, which offer us a meaningful solution for addressing diseases like cancer, neurodegenerative disorders and infection,” Shulman said. “It’s exciting to collaborate with so many complementary groups of expertise and to watch how Dr. Scott and Dr. Hammill led the team. This research opens many new doors for us.”

The collaboration between these three labs could mean relief to many of those suffering from a variety of diseases.

“To have spent decades on this research and have such promising results is truly exhilarating,” Singh said. “At the end of the day, what matters most is improving health outcomes for our patients. This work represents a very important step towards developing a new approach to treat the most difficult of cancers and hopefully increase cure rates.”

This research was funded in part by National Institutes of Health, the Howard Hughes Medical Institute and American Lebanese Syrian Associated Charities.


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Meet the Researcher Day

UK cancer researchers welcome middle, high school students

Middle and high school students from across the region came to UK and UK HealthCare last week for an up-close look at what it’s like to be a cancer researcher.

“Meet the Researcher Day,” hosted by the UK Markey Cancer Center and the Leukemia & Lymphoma Society (LLS), is a field trip reward given to schools in the region that successfully raise more than $1,000 for the LLS’s Pennies for Patients campaign.

This year, students from Shelby County West Middle School, Mercer County Senior High School, Henry County Middle School and New Albany High School in Indiana won the opportunity to visit the Biomedical/Biological Sciences Research Building on UK’s campus and learn more about how the money they raised for Pennies for Patients will help further cancer research.

After an introduction by UK researchers Tianyan Gao and Craig Vander Kooi, the students received a tour of different cancer research labs and learned how to use basic lab equipment. The event also featured remarks from Dr. John D’Orazio, a pediatric oncologist and cancer researcher as well as LLS Honored Hero Brad Wilson, a UK chemical engineering student and two-time leukemia survivor. The students also heard a panel discussion about careers in science featuring D’Orazio and UK students Michael Gosky and Payton Stevens.

“I think it’s important that students get to see the lab spaces, meet the researchers and understand what the Leukemia & Lymphoma Society and Markey Cancer Center mission is: The cure for cancer,” said Shelia Gustafson, campaign director for the Kentucky and Southern Indiana Chapter of LLS.

Pennies for Patients is the annual fundraiser for the Student Series of the LLS. It encourages students to collect spare change during a three-week period early in the year. Funds raised support leukemia, lymphoma and myeloma research; patient and community service; public health education; and professional education.

For this year’s campaign, 485 schools across the region participated, raising more than $400,000 – a new record. The schools participating in Pennies for Patients had to raise a minimum of $1,000 to win the chance to attend Meet the Researchers Day. The four schools at Meet the Researchers Day this year were chosen in a random drawing, raising more than $10,000 combined for LLS.

Check out the video below for highlights from this year’s Meet the Research Day.


Next steps:

  • Learn more about clinical trials at Markey, which give patients access to the most up-to-date cancer research and innovations.
  • Markey is Kentucky’s only NCI-designated cancer center, providing world-class cancer care right here in the Commonwealth. Learn more about why patients choose Markey for their cancer treatment.
Kate Zaytseva, one of four project leaders on the COBRE grant for the Center for Cancer and Metabolism, and postdoc Naser Jafari are studying the importance of an enzyme called fatty acid synthase in controlling survival and spread of colorectal cancer.

UK wins $11.2 million NIH grant to study cancer-obesity link

UK has been awarded an $11.2 million grant from the National Institutes of Health to study the link between cancer and metabolic disorders, including obesity. The prestigious award will enable UK to launch the UK Center for Cancer and Metabolism (CCM).

The Centers of Biomedical Research Excellence (COBRE) grant to study the metabolism of cancer comes from the NIH’s National Institutes of General Medical Sciences and will fund the UK Center for Cancer and Metabolism over the next five years.

Kentucky has disproportionately high incidences of both cancer and metabolic disorders – our state leads the nation in cancer deaths and is in the top 10 for highest obesity rates in the country. While scientists have long known of a direct link between obesity and cancer, the need for further research into this field is a necessity for Kentuckians.

Senate Majority Leader Mitch McConnell of Kentucky, an advocate of the 21st Century Cures Act, contacted NIH Director Francis S. Collins on behalf of UK’s grant application.

“In an effort to improve healthcare access and outcomes for my constituents, UK has long made a priority of undertaking important research specific to Kentucky and the Appalachian region,” McConnell said.

“Over the years, UK and its Markey Cancer Center have developed one of the strongest cancer research, prevention and treatment programs in the country, as demonstrated by the center’s 2013 NIH National Cancer Institute designation, which I was proud to support. I was also pleased to assist UK in securing this competitive grant to advance and strengthen this critical health research for Kentucky by enabling advanced research focusing on the development of novel therapies for cancer treatment.”

Kentucky Representative Andy Barr echoed McConnell’s sentiments, noting that support and funding for innovative cancer research remains a priority.

“The awarding of this competitive grant is a recognition of the University of Kentucky as a national leader in biomedical research,” Barr said. “I have consistently supported the National Institutes of Health because these investments not only contribute to our local communities and institutions, they will improve and even save lives by advancing new treatments and cures. I am confident the healthcare services provided by the NCI-designated Markey Cancer Center and the research done by UK scientists funded by this grant will help us to find better ways to fight cancer, which will benefit patients and families in Kentucky and around the world.”

Linking metabolism and cancer

The UK Center for Cancer and Metabolism capitalizes on highly specialized institutional strengths in cancer and advanced metabolomics tools to focus on the underlying mechanisms that link dysfunctional metabolism to cancer. Recent studies have shown that the metabolic powerhouse of cells – the mitochondria – can influence how aggressive a cancer becomes.

UK has internationally renowned experts in the field of cancer and metabolism, and new state-of-the-art technology has improved the ability to understand how metabolism impacts cancer.

“As the University for Kentucky, we are uniquely positioned to conduct this level of sophisticated research thanks to the presence of a diverse array of biomedical researchers, clinicians and our leading academic medical center,” UK President Eli Capilouto said. “Research and development is at the core of economic and human development, and it is why UK is Kentucky’s most instrumental change agent, health provider and economic engine. The progress we make offers the brightest future and best hope for Kentucky.”

The CCM will bring together highly complementary disciplinary strengths at UK in cancer, metabolism and data sciences, coupled with sophisticated metabolomics tools and advanced cancer imaging capabilities, to strengthen the university’s cancer research enterprise by providing a thematically focused multidisciplinary infrastructure dedicated to defining the role of metabolism in the development and treatment of cancer.

“Research is at the heart of any progress we hope to make in bridging health gaps in the Commonwealth,” said Lisa Cassis, UK vice president for research. “Increased funding opportunities through the 21st Century Cures Act, and in particular this COBRE focused on cancer and metabolism, will enable the university to foster the development of the next generation of scientists who will lead our efforts in translating basic research findings into promising new therapies.”

Fighting back against cancer in Kentucky

The scientific discoveries achieved through the CCM will continue to help the UK Markey Cancer Center in its mission to conquer cancer in the Commonwealth. As Markey prepares to renew its National Cancer Institute Cancer Center designation, and simultaneously compete to become a Comprehensive Cancer Center later in 2017, Markey Director Dr. Mark Evers emphasizes the need for increased cancer research funding and continuing to push for new discoveries.

“Nowhere in the country is it more important to have this level of cancer research underway,” Evers said. “Kentuckians face a unique set of health issues, but we at the UK Markey Cancer Center are distinctly positioned to help solve the problem. Being an NCI-designated cancer center means being a leader in research as well as clinical care and outreach. This funding will allow us to translate our findings into potential new therapies for cancer patients from Kentucky and beyond.”

The CCM leverages expertise with mentors and collaborators from across multiple UK centers, disciplines and departments. The multidisciplinary collaboration is indicative of the type of work ongoing at UK and UK HealthCare every day.

“This new funding is another example of the vital importance to the people of Kentucky – and this region – in having an academic medical center at the University of Kentucky,” said Dr. Michael Karpf, UK executive vice president for health affairs. “The synergy and collaboration between researchers and clinicians to further studies in cancer can only be done at a place like this, where people are working together to make a difference in the lives of patients now and for generations to come.”

Promoting collaboration

COBRE grants also use this platform to develop promising early-stage investigators with enhanced skillsets in exciting new areas of cancer research and to enhance their success in competing for NIH grant support. The grant promotes collaborative, interactive efforts among researchers with complementary backgrounds, skills and expertise.

Four junior investigators, mentored by teams of clinicians and scientists from a variety of disciplines, departments, and colleges at UK, will lead major projects investigating an aspect of cancer metabolism:

  • “Role of vitamin D in protecting against cachexia in cancer patients,” led by Travis Thomas, Department of Clinical Sciences, UK College of Health Sciences
  • “Role of serine biosynthesis pathway in breast cancer,” led by Yadi Wu, Department of Pharmacology and Nutritional Sciences, UK College of Medicine
  • “Role of RORα in breast cancer metastasis,” led by Ren Xu, Department of Pharmacology and Nutritional Sciences, UK College of Medicine
  • “Role of fatty acid synthase in colorectal cancer,” led by Kate Zaytseva, Department of Toxicology and Cancer Biology, UK College of Medicine

The CCM is co-led by program directors Daret St. Clair, professor and James Graham Brown Foundation Endowed Chair in the UK Department of Toxicology and Cancer Biology, and Peter Zhou, professor in the UK Department of Molecular and Cellular Biochemistry.

“Having the kind of environment where learning and collaboration are placed at the forefront is why we were chosen for this grant, and we hope to continue that throughout the life of this center,” St. Clair said. “It will also enable us to reach out to new and talented researchers who want to come to UK to become new project leaders and continue the work we’re doing.”


Watch the video below to learn more about the Center for Cancer and Metabolism.


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A new study, done in part at the UK Markey Cancer Center, shed light on why lung cancer cells can resist therapeutic cancer treatment.

Markey research sheds light on lung cancer formation and treatment

A new study co-authored by a researcher starting her laboratory at the UK Markey Cancer Center shows that in certain genetic situations, one non-small cell lung cancer subtype can change into another subtype.

This lung cancer “lineage switching” could explain why some cancers are resistant to therapeutics, and this research examines exactly how the lineage switch can happen. The work was a collaborative effort between laboratories in Kentucky, New York and Boston.

“Now that we have a glimpse into the molecular mechanism of lineage switching, we can begin to learn how to manipulate this phenomenon for better therapeutic outcomes,” said study co-author Christine Fillmore Brainson, assistant professor in the UK Toxicology and Cancer Biology department.

Previously, it was unclear which cells in the adult lung can be the “cells-of-origin” of the two major subtypes of non-small cell lung cancer, namely adenocarcinoma and squamous cell carcinoma. Likewise, it was unclear what differences in DNA organization define the two distinct lung cancer subtypes. The existence of adenosquamous lung tumors, clinically defined by the presence of both glandular adenocarcinoma lesions and fully stratified squamous lesions within the same tumor, suggested that both adenocarcinomas and squamous cell carcinomas could come from the same cells in the lung, but clear evidence for this theory was lacking.

Published in Nature Communications, the study showed that adenocarcinoma cells can change to squamous cells due to reorganization of their DNA in specific ways. Beginning with a mouse model of adenosquamous lung tumors, researchers validated the genetics by comparing it to human adenosquamous lung tumor – the genetics are often the same, including activation of the oncogene KRAS and the deletion of the tumor suppressor Lkb1. The team then used transplant assays to demonstrate that established adenocarcinoma tumors could transition to squamous cell carcinomas in the mouse lung.

Lastly, the group isolated different lung cells, and demonstrated that only certain lung cells could give rise to tumors capable of undergoing the lineage switch.

“This data is exciting because it shows which cells in the lung can give rise to adenosquamous tumors,” Brainson said.  “And the technique we used to transform the isolated cells can be applied to many lung cancer models.”

Oncologists have observed this “lineage switching” after the failure of EGFR tyrosine kinase inhibitor treatment, when it is clinically justifiable to take a second biopsy. However, second biopsies are not normally done after chemotherapy, a practice that Brainson thinks could be revised to understand the exact mechanisms of therapy resistance.

In addition to Brainson, the manuscript was co-authored by Haikuo Zhang of the Dana-Farber Cancer Institute in Boston. The research was a collaborative effort between the laboratories of Carla Kim at Boston Children’s Hospital, where Brainson was based for her post-doctoral studies; Hideo Watanabe at Icahn School of Medicine in New York; and Dr. Kwok-Kin Wong at Pearlmutter Cancer Center in New York.

This work was funded in part by the American Cancer Society, the Lung Cancer Research Foundation, the V Foundation for Cancer Research, the March of Dimes, the National Cancer Institute, the Gross-Loh Family Fund for Lung Cancer Research and Susan Spooner Family Lung Cancer Research Fund at the Dana-Farber Cancer Institute


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