UAB has been a nationally recognized leader in innovative basic and translational cancer research for the last 40 years, with its Comprehensive Cancer Center (CCC) being one of the first NCI-designated CCC in the country. It remains the only CCC in the six-state southern region including Alabama, Georgia, South Carolina, Mississippi, Arkansas, and Louisiana, which allows it to draw on a large patient population from this region for clinical trials and for patient samples that are essential for cutting-edge research using human specimens. Cancer research at UAB cuts across essentially all departmental boundaries and is one of the most highly collaborative and interdisciplinary areas of research at UAB. A typical cancer research project might involve collaboration with Southern Research Institute, an affiliate of UAB, for development of novel anti-cancer agents using their high-throughput chemical screening capabilities; use of the small animal imaging facility for preclinical studies; collaborations with individuals working on proteomics or next-generation sequencing to understand the changes in cells that occur during neoplastic progression; or collaboration with any number of other individuals with expertise in tumor immunology, viral mechanisms of cancer pathogenesis, cell signaling, cell death, and metabolic pathways that are often perturbed in cancer. In the Department of Microbiology, there are a number of individuals with a specific research interest in basic mechanisms of cancer pathogenesis involving both liquid tumors like lymphomas and leukemias, and solid tumors like pancreatic cancer and hepatocellular carcinoma, which are two of the most lethal human cancer types. Some of the work that is ongoing in cancer research within the Department is highlighted below.
Christopher A. Klug, Ph.D.
One of the major goals of our research efforts is to use animal models to understand the factors that influence the initiation and progression of acute myeloid leukemia (AML) and pancreatic ductal adenocarcinoma (PDAC). AML is a molecularly heterogeneous disease that accounts for about 80% of all acute leukemia cases in adult humans. The two most common AML subtypes are characterized by chromosomal translocations that disrupt the function of the same transcription factor complex, core-binding factor (CBF), which is essential for normal hematopoietic stem cell formation and myeloid lineage development. Animal models of CBF leukemias are readily generated by introducing translocation fusion genes into mouse stem cells using retroviral vectors that co-express green fluorescent protein to allow tracking of cells expressing oncogenic fusion proteins in animals reconstituted with retrovirally transduced cells. These models are ideal for monitoring the pre-leukemic state and for assessing factors that promote tumor progression. They are also very useful for monitoring responses to novel therapeutics in vivo. With respect to pancreatic cancer, a number of inducible mouse models expressing mutant Kras on tp53-mutant backgrounds have become available that histologically recapitulate well-characterized stages of human PDAC, with evidence of early-stage pancreatic neoplasia that is localized to the pancreas, as well as stages where transformed ductal epithelial cells have metastasized to peripheral tissues. We are currently using these mice to identify serum protein and lipid biomarkers that are representative of an early, organ-confined stage of disease to allow for early detection of cancer and to identify pathways that promote chemotherapy resistance in more advanced disease. Pancreatic cancer is one of the most fatal human malignancies, with an overall 5-year survival rate of less than 4 percent, so development of novel therapeutics is essential for improving the prognosis of PDAC.
Frances Lund, Ph.D.
One of the projects in the Lund laboratory evaluates whether drugs that modulate the cellular redox rate can be used to treat lymphoid tumors. Regulation of the cellular redox state is critical for numerous cellular activities including energy metabolism, signaling and transcription. Hematopoietic tumors are prone to intrinsic oxidative stress due to reactive oxygen species (ROS) produced during oxidative phosphorylation. These tumors must constantly rebalance their redox state to survive in the pro-oxidant environment. The cellular redox state is controlled by the NAD/NADH and NADP/NADPH redox partners and tumors are dependent on increased NAD biosynthesis to support their augmented metabolism. In our project we evaluate whether CD38, a NAD(P)-consuming ecto-enzyme expressed by many B cell malignancies, promotes the survival or growth of B cell tumors with the long-term goal of identifying new types of chemotherapy to treat B cell malignancies like multiple myeloma and chronic lymphocytic leukemia.
Guangxiang G. Luo, M.D.
Hepatocellular carcinoma (HCC) is the most commonly diagnosed malignancy of the liver with a poor five-year survival rate (7%) due to its late presentation and resistance to chemotherapy. HCC ranks as the fifth most common cancer type and the third leading cause of cancer death worldwide. In the United States, HCC is the most rapidly increasing type of cancer with annual deaths of more than 14,000. Hepatitis B (HBV) and C (HCV) viruses are the major causes of HCC development, accounting for more than 70% cases. Approximately 400 million people worldwide are chronically infected with HBV and HCV. Therefore, HBV- and HCV-induced HCC represents a major burden of global health. We have developed cell culture systems of HBV and HCV infection and/or replication in both human and mouse hepatocytes. We have also made transgenic mice expressing a functional full-length viral RNA of genotype 2a HCV. Interestingly, HCV replication in transgenic mice resulted in HCC development. However, the underlying molecular mechanism of HCV-induced HCC remains unknown. Over the last decade, compelling evidence has emerged in support of the concept that hepatic cancer stem cells (CSCs) are responsible for initiation and progression of HCC. Through profiling and characterization of hepatic CSCs, we will determine the role and underlying molecular mechanisms of virus-induced hepatic CSCs using multidisciplinary approaches, including cell biological, genetic, genomic, and proteomic technologies. We will also search for reliable biomarkers for diagnosis and/or prognosis of HCC. More importantly, we are interested in identifying safe and efficacious therapeutic agents for treatment of HCC.
Jan Novak, Ph.D.
Dr. Novak’s research interests in Cancer include glycoimmunobiology and glycoimmunopathology as they relate to structure and function of antibodies and other glycoproteins in cancer, such as multiple myeloma and different types of adenocarcinoma (e.g., breast cancer).
Jamil S. Saad, Ph.D.
Apoptosis is a strictly regulated process by which abnormal cells are removed from the body without altering the immune system or generating an inflammatory response. Inappropriate apoptosis (enhanced or diminished) is linked to many human diseases including neurodegenerative and autoimmune disorders, AIDS, and many types of cancers. The apoptotic pathway is normally initiated by cell surface death receptors such as Fas. These receptors undergo a conformational change in response to their cognate ligands (FasL), allowing them to interact with adaptor proteins such as Fas-associated death domain (FADD). Fas-FasL interaction leads to activation of caspase 8 (by FADD) and formation of death-inducing signaling complex (DISC). DISC formation and subsequent protein recruitment is a critical initial step in regulating Fas-mediated apoptosis. There is compelling evidence that Fas interacts with various molecules, suggesting that Fas signaling is complex and regulated by multiple proteins. Among these is calmodulin (CaM), which is recruited into DISC in cholangiocarcinoma cells. It has been hypothesized that Fas-CaM interaction may affect Fas-FADD interaction and thus regulates DISC assembly and inhibits apoptosis in cholangiocarcinoma and other cancer cells. Thus, Fas-CaM interaction appears to be an inhibitory component of DISC and may play a vital role in obstruction of caspases activation. Our lab is interested in understanding the structural determinants of Fas-CaM interaction, which will be critical to understanding the precise molecular mechanism of Fas-mediated apoptosis and mechanism of inhibition. These studies will likely lead to developing new strategies to develop inhibitors of these interactions and thus to cancer treatment.
C. Scott Swindle, Ph.D.
My research is focused on both normal hematopoiesis and leukemia. I am interested in understanding molecular mechanisms that facilitate hematopoietic stem cell (HSC) self-renewal, a property that is necessary to maintain homeostasis of the hematopoietic system. By genetically modifying murine HSC using retroviral gene delivery or gene-targeted mouse strains, we are able to address the role of various genes and pathways in the regulation of self-renewal. I am particularly interested in transcription factors involved in this process, with much of my work focused on Hox genes and core-binding factor. Understanding mechanisms regulating HSC self-renewal should facilitate development of technologies to expand human HSC ex vivo, which has applications for bone marrow transplantation and gene therapy.
A second major focus of my research investigates mechanisms of leukemogenesis, with particular focus on core binding factor associated acute myeloid leukemias (INV16 and t(8;21)). Using mouse models of these diseases, we are able to address the roles of various oncogenes and mutations in promotion of AML. We are also using mouse models to identify potential leukemic stem cell markers, which are subsequently investigated using human AML specimens.