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Most breast cancers
begin in a woman’s terminal ductal
lobular units – ducts (above) that
drain the milk producing glands. An intense
training program under development by
Chicago faculty will help radiologists
diagnose breast cancers earlier in their
development – when treatment is
most effective. |
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One of two American men and
one of three American women will be diagnosed
with some type of cancer during their lifetimes. The
disease wreaks physical and psychological suffering,
and undermines patients’ abilities to enjoy
productive and happy lives. Even treatment can cause
severe and often debilitating side effects –
and ultimately, too many patients lose their battles.
Fortunately, advancements in medical
science have given millions of cancer patients the
gifts of longer life, greater comfort, and, in some
cases, a cure. The University of Chicago’s many
breakthroughs in the fight against this disease have
anchored it as a global leader in cancer care and
research. Chicago specialists are attacking on two
fronts: by detecting cancer as early as possible,
and by treating it in ways that spare healthy tissue
and prolong life.
To sustain and even accelerate
work on behalf of cancer patients worldwide, the University
of Chicago aims to provide its topflight faculty with
the best possible resources, recruit additional leaders,
and develop technologically advanced facilities to
support its research.
Led by Michelle LeBeau, M.D.,
director of the University’s Cancer Research
Center, today’s Chicago team is fusing a wealth
of biological knowledge with newer breakthroughs in
genetics. They are pioneering the future of cancer
research to discover cancer’s causes, detect
it at treatable stages, and target it with new, more
powerful therapies that are actually safer for patients.
For example, Chicago researcher
Ralph Weichshelbaum recently invented a revolutionary
new way to harness the power of a cancer-killing enzyme
naturally produced in the body. This enzyme, TNF,
can be lethal in doses that act broadly throughout
a person’s system. But when Weischelbaum connects
TNF with a radiation-activated gene and delivers this
potent combination directly to a tumor, radiation
prompts TNF production within the tumor only –
and the body’s healthy tissue remains unharmed.
This patented approach has shown tremendous promise
in treating breast and pancreatic tumors, and trials
are underway to test its effectiveness against esophageal,
rectal, and head and neck cancer.
Of course, cancer treatments are
best employed at the earliest possible stages of the
disease – that’s why early detection is
critical to patient survival. Breast cancer is a prime
example. Although public health efforts have led to
more mammograms, the general radiologists who interpret
breast images lack formal training opportunities in
the United States. Physician researchers Gillian Newstead
and Robert Schmidt are developing an intensive training
program at the University of Chicago to improve radiologists’
skills in reading mammography, ultrasound, and MRI
images. Chicago’s expertise in advanced imaging
and computer-assisted diagnosis makes this unique
training program possible.
For more than a decade, the University’s
Cancer Risk Clinic, led by founder Olufunmilayo Olopade,
M.D., has advanced prevention and early detection
through genetic risk assessment. Genetic testing can
help determine if individuals have a hereditary predisposition
to cancer.
Olopade has assembled a team of
physicians, social scientists, and molecular geneticists
to explore the effects of genetics as well as social
and environmental factors on breast, gastrointestinal,
and ovarian cancer. She has learned, for example,
that black women may harbor more cancer-promoting
genes, and tend to develop breast cancer earlier than
their white counterparts as well as die from it more
frequently. Olopade and her colleagues are now pursuing
the largely unexplored territory of how environmental
or social stresses, particularly in American urban
settings, affect genetic alterations in patients’
tumors. She studies both Nigerian and African-American
women, who share similar genetic profiles but live
in different environments.
The University of Chicago’s
cancer investigators receive nearly one-third of all
peer-review funding awarded to the Biological Sciences
Division and Hospitals – a clear measure of
the depth and breadth of the institution’s cancer
research enterprise. Timely and critical philanthropic
investments will generate unparalleled opportunities
for continued progress in patient care, and the eradication
of cancer as a life-threatening disease.
- Named professorships reward Chicago’s best
faculty, providing endowed funding that enables
senior faculty to focus their talents on teaching,
sustaining research efforts, and providing exceptional
care for patients.
- New faculty will extend and enhance efforts to
pursue innovation in emerging areas of cancer research,
including population science, bioinformatics, and
metastasis.
- Modern, safe, and efficient facilities will sustain
advanced research, increase productivity, and help
Chicago attract new leaders. The institution’s
master plan includes a new building for clinical
research set to open in 2007, as well as technological
upgrades to the school’s “core facilities”
or shared research space.
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