You’re Going Down CLL!!!

New pieces to the puzzle are being identified in the Kipps’ BCRF lab:

(click to see article links)

4/6/2013 Fighting Cancer at the UC San Diego Moores Cancer Center

In an article published in the San Diego Union Tribune,  assistant project scientist, Emanuela Ghia, PhD, is highlighted at the Moores UC San Diego Cancer Center fight against cancer in association with the American Cancer Society.  While this article focuses on breast cancer research, it highlights some of the important advances, applications, and techniques that we are applying in our fight against CLL and other blood cancers.

To read the full article click on the link below:

Genetics Seen as Key to Cancer Fight

UCSD-led team finds leukemia-killing molecule

Dr. Thomas Kipps and researchers at the UC San Diego Moores Cancer Center have found a monoclonal antibody named RG7356 that may be effective in in killing chronic lymphocytic leukemia cells without harming healthy cells.

Read about it HERE

Embryonic Development Protein Active in Cancer Growth

Silencing it impairs tumor growth, making ROR1 a potential therapeutic target

A team of scientists at the University of California, San Diego Moores Cancer Center has identified a novel protein expressed by breast cancer cells – but not normal adult tissues – that could provide a new target for future anti-cancer drugs and treatments… Read the full story from the UCSD Newsroom

Read the study report in PLoS One

Study senior investigator Thomas J. Kipps, MD, PhD, is Evelyn and Edwin Tasch Chair in Cancer Research and professor of medicine in the Division of Hematology-Oncology. He is Interim Director of the UC San Diego Moores Cancer Center, where he co-leads the Hematologic Malignancies Program.

Dr. Kipps is principal investigator of the UC San Diego site in the Cancer Immunotherapy Trials Network, a research network established last year by the National Cancer Institute and headquartered at the Fred Hutchinson Cancer Research Center in Seattle.

Dr. Kipps was named to the National “Top Doctors” List for 2011-2012. In both 2010 and 2011, he was selected for the “San Diego Top Doctors” list.

 

Brian Koffman Interviews Dr. Kipps

Three of a four part interview with CLL doctor, Dr. Tom Kipps from UC San Diego, we hear him present a vision of the future of “personalized” cancer therapy in general and CLL in particular.

Kipps Interview Part 1- Brian Koffman Interview

Kipps Interview – Part 2

Kipps Interview – Part 3

For more about Brian Koffman’s adventure CLICK HERE

Subclonal evolution involving SF3B1 mutations in chronic lymphocytic leukemia

In this report, Dr. Schwaederlé and other research associates at the UC San Diego BCRF lab investigate the progression of SF3B1 mutations in the CLL B cells over time in an attempt to elucidate whether there exists subclonal evolution involving SF3B1 mutations in CLL. Accumulation of CLL cells harboring mutations in SF3B1 suggests that such subclones have some competitive advantage, which might account for accelerated progression of the disease in some patients over time. Alternatively, subclones of CLL cells might be selected during therapy, similar to what has been observed in mutations involving TP53 in CLL cells of patients treated with standard chemotherapy.

Click Here to see the full article

Dr. Kipps Best Practices in Medicine

Dr. Charles Burton, President Elect of the Association for Medical Ethics, and Dr. Thomas Kipps of UC San Diego engage in a lively discussion on identifying best practices in medicine and developing strategies that reap the benefits of academic-industry collaborations without violating real or perceived conflicts of interest. Burton and Kipps are presented by the Center for Ethics in Science and Technology in San Diego. (#24058)

UCTV Video Presentation

Genetics and Epigentics

By Drs. Ghia and Smith

Chronic Lymphocytic Leukemia (CLL) is a disease that causes uncontrollable growth of body’s white blood cells, called B-lymphocytes or B cells. Patients with aggressive disease experience a rapid increase in white blood cells counts over a relatively short period of time and will require treatment soon after diagnosis. On the other hand, in patients with indolent disease, the rise white blood cell counts occurs more slowly. Unfortunately, indolent forms of CLL invariably transition to aggressive CLL, necessitating treatment. Understanding this transition from indolent to aggressive disease, known as CLL progression, is one Emanuela Ghia, Ph.D.’s primary research interests.

Dr. Ghia, an Assistant Project Scientist in Dr. Thomas Kipps’ laboratory, has been researching the mechanisms that drive the progression of CLL, collaborating with Erin Smith, Ph.D., from the Genome Information Sciences Division, led by Kelly Frazer, Ph.D., at the UC San Diego Moores Cancer Center. More specifically, they are working to identify the genetic and epigenetic changes that drive CLL progression.

What are genetic and epigenetic changes? 

Genetic changes are mutations that occur in DNA. Interestingly, depending on their location and type, some mutations may have no negative consequences on our health while others can facilitate cancer growth. For example, in CLL some mutations may accelerate the growth of B-lymphocytes. Epigenetic changes are due to alterations in what genes are actually expressed. Such control of gene expression allows for different cell types, such your as skin cells or blood cells, to have striking differences in what proteins they use even though both have the same blueprint DNA, which codes for these proteins. An important process that turns on or turns off genes is called “methylation”.

Drs. Ghia and Smith are evaluating leukemia cells from patients who progressed from indolent to aggressive disease and required treatment. Leukemia cells are collected at two time points: (1) within 1 year from diagnosis and (2) after 4 or more years from diagnosis and within 1 year of requiring therapy. The collection of these leukemia cells allow Drs. Ghia and Smith to perform whole-genome sequencing* to study genetic changes and to perform methylation analyses** to study epigenetic changes.

This study is designed to allow researchers in the field of CLL to understand the genetic and epigenetic changes that are the key players driving CLL progression. Moreover, this important study should provide hope for patients with CLL because it will enable the development of new therapies specifically designed to target the genetic and epigenetic changes determined to play an important role in CLL progression.

*Whole-genome sequencing is an efficient method to selectively sequence the coding regions of the genome and also to calculate allele frequency. Exons are short, functionally important sequences of DNA which represent the regions in genes that are translated into protein. In the human genome there are about 180,000 exons: these constitute about 1% of the human genome, which translates to about 30 megabases (Mb) in length.

**DNA methylation array is designed to interrogate whether known DNA CpG islands are methylated or not. CpG islands are genomic regions that contain a high frequency of cytosine and guanine next to each other. DNA methylation is one of several epigenetic mechanisms that cells use to control gene expression.

Drs. Ghia and Smith are working with the UC San Diego’s Moores Cancer Center “My Answer to Cancer” Program**. This initiative is working to pinpoint the root cause of several cancers, ranging from chronic lymphocytic leukemia to breast.

The UC San Diego Moores Cancer Center is poised to implement genomic sequencing and personalized care for all of our patients and transform the way we treat cancer. Sharing space with researchers and clinical trials means that the Moores Cancer Center can quickly deliver new discoveries from the laboratory to our patients. Simply put, UC San Diego Moores Cancer Center is the perfect place for the MY ANSWER TO CANCER initiative. Please visit “My Answer to Cancer” at http://cancer.ucsd.edu/mac/ to learn more about this initiative.