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SCIENTIFIC REPORT 2004 - Sylvester Comprehensive Cancer Center

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C L I N I C A L O N C O L O G Y R E S E A R C H P R O G R A M<br />

HIGHLIGHTS/DISCOVERIES<br />

• Collaborated on a phase I trial of arginine<br />

deiminase in melanoma with promising results.<br />

A phase II protocol currently is under development.<br />

• Developed a phase I clinical trial for patients<br />

whose brain tumors expressed a procollagenlike<br />

protein, based on Dr. Feun and Niramol<br />

Savaraj, M.D.’s in vitro discovery that this<br />

protein may predict clinical response to vitamin<br />

D therapy. This trial has been approved by the<br />

Institutional Review Board (IRB); the Investigational<br />

New Drug (IND) application is under<br />

review by the Food and Drug Administration<br />

(FDA).<br />

AWTAR GANJU-KRISHAN, PH.D.<br />

Professor of Radiation Oncology<br />

DESCRIPTION OF RESEARCH<br />

Most of Dr. Krishan’s current research<br />

focuses on:<br />

• Monitoring of nuclear hormone receptor expression<br />

in human breast and prostate tumors.<br />

Dr. Krishan has developed flow cytometric<br />

methods for determining estrogen, androgen,<br />

and vitamin D receptor expression in archival<br />

human tumors. These methods recently have<br />

been used to determine expression in human<br />

male and female breast tumors and prostate<br />

tumors.<br />

• Evaluating a novel apoptosis assay with antibodies<br />

to ssDNA using flow cytometry; Dr.<br />

Krishan and Oscar Frankfurt, Ph.D., (University<br />

of Miami) have been studying the use of a<br />

novel method for discriminating between<br />

apoptotic and the necrotic cells by laser flow<br />

cytometry, which was recently published.<br />

• Evaluating tumor cells in body fluids using high<br />

resolution flow cytometry; Dr. Krishan and his<br />

colleagues have recently developed a high resolution<br />

flow cytometer with funding from NASA<br />

and the American <strong>Cancer</strong> Society (ACS). This<br />

instrument can measure nuclear volume and<br />

thus discriminate between normal and tumor<br />

cells. Supported by an exploratory grant from<br />

the NIH-NCI, they are currently examining the<br />

potential of this technique for detecting occult<br />

tumor cells in body fluids from cancer patients.<br />

• Studying androgen receptor expression in human<br />

prostate tumors; Dr. Krishan and May<br />

Abdel-Wahab, M.D., Ph.D., have used flow<br />

cytometric methods to correlate receptor expression<br />

with clinical response in patients on<br />

the Radiation Therapy Oncology Group’s<br />

(RTOG) study of radiation and hormone<br />

therapy in prostate cancer patients.<br />

• Evaluating DNA aneuploidy and S-phase fraction<br />

as indicators of response to chemoradiotherapy<br />

in patients with invasive cervical<br />

carcinoma; Dr. Krishan, Aaron H. Wolfson,<br />

M.D., and Daniel Estape, M.D., are involved<br />

in this project, which is funded by the RTOG<br />

and seeks to use high-resolution flow cytometry<br />

for the analysis of aneuploidy and cell cycle distribution<br />

in human cervical cancer under a<br />

University of Miami IRB-approved protocol.<br />

• Organizing annual Indo-U.S. workshops in<br />

cytomics. These workshops include six to ten<br />

U.S. faculty members along with their Indian<br />

counterparts, who teach the latest methods in<br />

flow cytometry in India. Up to 50 researchers<br />

attend these workshops, and so far, four workshops<br />

have been held in research institutes/<br />

universities in Chandigarh, Hyderabad, Jammu,<br />

and Bombay.<br />

36<br />

UM/<strong>Sylvester</strong> <strong>Comprehensive</strong> <strong>Cancer</strong> <strong>Center</strong> Scientific Report <strong>2004</strong>

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