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John Cowell, PhD, FRCPath is the Director of the Molecular Oncology & Biomarker Program & Associate Director for Basic Research at the Georgia Cancer Center. His lab has been a leader in understanding the progression of leukemic stem cells to acute myelogenous leukemia (AML). Samples obtained from the biorepository have helped understand the molecular etiology of AML in specific genetic subtypes & provides opportunities to develop novel treatment regimens. 

Dr. Michael Pierce, Director of the University of Georgia Cancer Center, has also been using tissues from the Biorepository to study the role of glycans in cancer. Research by Pierce & others has shown that changes in cell glycans can herald the presence of cancerous or precancerous cells. Among his research accomplishments, Pierce & his team isolated a specific enzyme known as Gnt-V that is elevated in colorectal & breast cancer cells, as well as other types of cancer. The team is now investigating ways to inhibit Gnt-V in hopes of developing a treatment that will slow the growth of tumors & prevent metastasis.

Cells from the tumor bank have also been used by Dr. David Munn, Professor of Pediatrics, who works on tumor immunology & the molecular mechanisms of immune suppression & tolerance. A major focus of the laboratory is the role of tryptophan metabolism by the enzyme indolamine-2, 3 dioxygenase (IDO). IDO-expressing dendritic cells are studied with an emphasis on how these cells suppress anti-tumor immune responses via IDO & downstream pathways. The laboratory employs clinical & translational strategies designed to enhance antitumor immune responses using IDO-inhibitor drugs. 

The focus in the Chadli laboratory is on the identification of heat shock protein 90 (Hsp90) inhibitors as anti-cancer reagents. The Hsp90 chaperoning machine maintains the conformation & stability of many oncogenic proteins, transcription factors, steroid receptors, metalloproteases, & nitric oxide synthases that are essential for cancer cell survival & proliferation.  The Hsp90 machine is therefore an exciting therapeutic target, the inactivation of which would deliver a combinatorial attack on multiple signaling pathways, leading to a more efficient killing of cancer cells & reducing resistance to chemotherapy. His laboratory has developed novel small molecule inhibitors of the Hsp90 chaperoning machine & has used samples from the biorepository to test the efficacy of these new drugs.

The Shi laboratory has spent a significant amount of effort on developing high-throughput technologies for dissecting complex epigenetic regulation in normal & cancer cells. One of their most recent innovations was the development of a targeted bisulfite sequencing method based on solution-based sequence capture technology. Currently, they are utilizing these high-throughput bisulfite-sequencing methods for profiling DNA methylation patterns in leukemias & lymphomas. They have demonstrated that aberrant epigenetic gene regulation in lymphoid malignancies involves DNA methylation, histone modifications, & spatial conformation of the genome. Samples obtained through the Biorepository have been used to elucidate the epigenetic profiles in chronic lymphocytic leukemia which can now distinguish subtypes that have better outcomes. 

The Hawthorn Laboratory is in the process of sequencing triple negative breast cancers (TNBCs) obtained from the biorepository.  Triple negative breast cancer is defined by the absence of detectable estrogen & progesterone receptor expression levels & by the lack of the epidermal growth factor receptor 2 (HER2) gene amplification. Because it is lacking these tumor-specific molecules there are currently no targeted therapies to treat this type of breast cancer. The survival rate of women developing this breast cancer subtype is a devastating 14% while those who develop estrogen positive tumors have a survival rate of 97%.  Women of African descent (AA) have a generally lower rate of breast cancer incidence than women of European descent (CA), however, 20% of tumors in CA patients are TNBCs, while ~40% of breast cancers in AA patients are TNBCs. Dr. Hawthorn is using whole genome sequencing to profile TNBC tumors & examining the profiles of CA & AA patients to determine if the disease is different between the two racial groups. There is currently very limited data on AA TNBC as a separate disease entity so that access to the samples provided by BRAG-Onc are critical to the success of this important study. 

Drs. Ganapathy & Thangaraju of the Signaling & Angiogenesis Program within Georgia Cancer Center have studied the tumor suppressor function of a receptor for niacin & butyrate called GPR109A. Using samples received from BRAG-Onc, these investigators found that GPR109A is expressed in normal breast tissue but is silenced in tumor tissue.  Studies have shown that activation of this receptor results in the inhibition of genes involved in cell survival of breast cancer cells. These findings have been confirmed in cell lines & mouse models of breast cancer & suggest the GPR109A is a tumor suppressor in the mammary gland. Studies are now underway to determine if therapeutic activation of this gene may be an effective strategy in the treatment of breast cancer.