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SCIENTIFIC REPORT 2004 - Sylvester Comprehensive Cancer Center

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I N T R O D U C T I O N A N D P R O G R E S S R E P O R T<br />

professor of Medicine at the University of<br />

Miami School of Medicine, is leading the<br />

investigation. ADI-PEG is a targeted approach<br />

to fighting cancer, which focuses on enzymes<br />

that are very common in all melanoma cell<br />

lines. ADI-PEG attaches to arginine, an amino<br />

acid in the blood, which malignant tumor cells<br />

rely on to grow. The ADI-PEG degrades the<br />

arginine, making it impossible for the cancer<br />

to synthesize and use. This has significant advantages<br />

over previous treatments. Because<br />

this treatment is not chemotherapy, it can be<br />

administered as an outpatient treatment with<br />

a single weekly injection, rather than requiring<br />

a hospital stay or a long infusion.<br />

• Sheldon Greer, Ph.D., professor of Microbiology<br />

and Immunology at the University of<br />

Miami School of Medicine, has made many<br />

important discoveries in the course of his distinguished<br />

scientific career. An experimental<br />

radiosensitizer developed by Dr. Greer will<br />

shortly enter a phase I clinical trial for head<br />

and neck cancer patients. Cytochlor, developed<br />

by Dr. Greer and NCI-approved for patient<br />

trials to be conducted by Luis E. Raez, M.D.,<br />

F.A.C.P., enters tumor cells and renders them<br />

much more susceptible to low-dose radiation.<br />

This enables a much higher success rate against<br />

cancer cells and the potential for reducing<br />

patient side effects.<br />

• Theodore J. Lampidis, Ph.D., professor of Cell<br />

Biology and Anatomy, has discovered one way<br />

to attempt to tackle the problem of targeting<br />

non-dividing tumor cells that are resistant to<br />

chemotherapy and/or radiation. He has<br />

found that slow dividing cells located in the<br />

middle of the tumor grow under low oxygen<br />

conditions (hypoxia) and differ in their metabolism<br />

of glucose from normal cells in the body.<br />

To exploit this difference, he has shown that by<br />

simply using a false sugar—2-Deoxyglucose<br />

(2-DG)—instead of glucose, the slow growing<br />

tumor cells take up more 2-DG than the slow<br />

growing normal cells and consequently starve to<br />

death. Luis E. Raez, M.D., F.A.C.P., and Shou-<br />

Ching Tang, M.D., Ph.D., have initiated the<br />

first clinical trials in lung cancer patients using<br />

this highly novel approach.<br />

• A unique peptide (IEP11) was defined by<br />

Diana M. Lopez, Ph.D., professor of Microbiology<br />

and Immunology and leader of UM/<strong>Sylvester</strong>’s<br />

Tumor Immunology Program. This<br />

peptide appears to elicit a powerful immune<br />

response in mice that have been injected with<br />

various types of tumor cells. Subsequent studies<br />

indicate that those animals that were “IEP11<br />

immunized” were found to form tumors at a<br />

greatly reduced rate. This suggests that the<br />

peptide could serve as an adjuvant treatment to<br />

enhance many cancer vaccine therapies in the<br />

treatment of a variety of tumor types. Viragen,<br />

a new biotechnology company located in<br />

Plantation, Florida, will collaborate with the<br />

University’s team to develop the peptide for<br />

use in human clinical trials.<br />

• Azorides Morales, M.D., chairman of Pathology<br />

at the University of Miami School of Medicine,<br />

has devised a way to use microwave radiation<br />

to reduce tissue pathology processing from<br />

one day to about one hour. The Jackson Health<br />

System and UM/<strong>Sylvester</strong> are the only institutions<br />

in the world offering this technique. This<br />

is not frozen section pathology, but accelerated<br />

tissue processing patented by the University of<br />

Miami, which may revolutionize the way tissues<br />

are processed, while allowing pathologists to<br />

extract vital molecular information in ways not<br />

previously possible.<br />

• Eckhard R. Podack, M.D., Ph.D., has developed<br />

a new antibody that can be used to target<br />

Hodgkin’s and non-Hodgkin’s lymphoma cells.<br />

The development of this novel antibody called<br />

SGN30, which identifies a protein on the surface<br />

of the cancer cells and “labels” the cells<br />

with an antibody therapy, allows the immune<br />

system to target them for destruction. This is a<br />

more “intelligent” treatment and should have<br />

fewer side effects than with traditional chemotherapy.<br />

Joseph D. Rosenblatt, M.D., and<br />

iv<br />

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

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