2025 Archives - Page 5 of 8

Chrystal Paulos, PhD

Melanoma is a serious and often deadly type of skin cancer. Although immunotherapy has saved many lives, it still doesn’t work for every patient. Our lab is developing ways to give the immune system another chance to succeed.We are creating a new kind of cell therapy using “helper” T cells, known as Th17 cells. These cells do more than attack cancer directly—they help guide and activate other immune cells, turning the fight into a team effort.We discovered that a molecule called ICOS helps these helper T cells survive longer and build immune memory. This memory may help stop cancer from coming back in the future.Our goal is to turn this finding into a new treatment for people with melanoma who did not respond to standard therapies. By helping the immune system work better, we hope to offer patients more than extra time. We want to offer lasting hope.This research moves us closer to making melanoma a disease we can truly overcome.

Yuxuan Miao, PhD

More people are getting head and neck cancer caused by the human papillomavirus (HPV). Traditional treatments like surgery or radiation can cause strong side effects. Sometimes, the cancer comes back. Because of this, doctors are looking for safer and better ways to treat these cancers. Immunotherapy is a newer treatment. It helps the body’s immune system find and destroy cancer cells. Some people with head and neck cancer do well with a type of immunotherapy called “immune checkpoint inhibitors.” But, patients whose cancer is caused by HPV usually do not benefit as much. A new immunotherapy called HB-200 is being tested. It is designed to help the immune system better find and attack cancer linked to HPV. Early studies show that HB-200 may work for patients with HPV-positive cancer, even if other treatments have not helped. Our research looks at tumor samples from people with and without HPV. All of these patients received different types of immunotherapy. We are using simple lab tests and special tools to learn why HPV-related cancers do not respond well to older treatments, but do respond to HB-200. Our goal is to make HB-200 better and find new ways to treat these cancers. We hope this will lead to better care and longer, healthier lives for patients.

Todd Fehniger, MD, PhD

Cancer immunotherapy is a medicine that helps the body’s immune system fight cancer. One type, called “CAR T cells,” changes immune cells so they can see and attack cancer better. This has been a big help for people with serious lymphoma, but it can cause strong side effects like bad flu symptoms, brain problems, and low blood counts.This project is trying a new kind of immunotherapy that uses different immune cells called “natural killer cells.” We found a way to make these cells remember how to fight cancer better. These “memory natural killer cells” have helped leukemia patients without causing strong side effects. But there are still problems, like having a hard time seeing all types of cancer (including lymphoma) and being stopped by a “brake” on their surface. Natural killer cells also need a special growth signal called interleukin 15 to stay alive and fight cancer well.This project will fix these problems by adding tiny “mini” proteins to the memory natural killer cells. These changes will help them attack tough lymphoma, remove the “brake,” and make their own growth signal. We hope this will create a new treatment for difficult lymphoma and help us find more ways to make natural killer cells better in the future.

Agnel Sfeir, PhD

Cells use DNA repair systems to fix damage and keep their DNA stable. When these systems fail, it can lead to cancer and make treatment harder. One toxic type of damage is a double-strand break (DSB), where both strands of DNA are cut. In healthy cells, DSBs are usually fixed by a process called homologous recombination (HR). This method is very accurate. Some tumors, especially those with BRCA1 or BRCA2 mutations, lose the ability to use HR. These tumors rely on backup repair methods that are less accurate. One of these is called microhomology-mediated end joining (MMEJ). MMEJ fixes breaks by using short, matching DNA sequences, but it often adds or deletes small sections of DNA.MMEJ depends on an enzyme called polymerase theta (Polθ), which is found at high levels in many cancers. Research shows that BRCA-deficient tumors need Polθ to survive. Because of this, Polθ is now being tested as a drug target, alone and with PARP inhibitors. This project studies how MMEJ helps cancer cells resist treatment. We focus on two key ways. First, MMEJ can create changes that fix BRCA1 or BRCA2, which restores HR and reduces the effects of PARP inhibitors. Second, MMEJ may support the growth of extra circular DNA (ecDNA) that carries cancer genes. This makes tumors grow faster and resist therapy. By understanding how Polθ drives these changes, we hope to find new ways to treat cancer and make current therapies last longer.

Diana Hargreaves, PhD

Pancreatic cancer (PC) is a leading cause of cancer death in America. PC has few treatment options. Immunotherapy is a treatment that has promise. Immunotherapy can cure cancer, but it has never worked for PC. We found that some PCs respond well to immunotherapy. These patients have a mutation in a SWI/SNF gene. We began a trial to test how SWI/SNF mutant PCs respond to immunotherapy. We will collect blood to see what changes with treatment. We will make mice with SWI/SNF mutant cancer and test if these mice respond to immunotherapy. We will also test if blocking SWI/SNF with a drug can make tumors respond to immunotherapy. We hope to identify PC patients that can benefit from immunotherapy. We will also identify new treatments for PC that may help other patients.

Kyle Payne, PhD

Ovarian cancer is one of the deadliest types of cancer and has very few treatment options. However, there is hope that new types of treatment that help the body’s own immune system fight cancer could help patients live longer. Scientists have found that ovarian cancer patients who have more T cells—special immune cells that can find and kill cancer—often survive longer than patients with fewer T cells. But we still don’t fully understand what T cells are targeting when they attack ovarian cancer cells. This lack of knowledge has slowed down the development of better immune-based treatments for this disease. Our study is trying to solve this problem. Using new technology, we plan to discover what T cells are looking for when they fight ovarian cancer. We also want to create a new treatment that helps T cells better find and kill cancer cells. To do this, we will use a method called mass spectrometry to find targets on the tumor cells. Then we will use computer tools and lab tests in animal models to see if T cells can recognize and respond to those targets. If this approach works, we will move forward with a clinical trial to test if the new treatment helps ovarian cancer patients live longer. We also believe this work could lead to new treatments for other types of cancer.

Lewis Chodosh, MD, PhD

Breast cancer comes back in up to 30% of patients, sometimes many years after treatment. These recurrences cause nearly all deaths from the disease. The returning cancer comes from tiny “sleeper” cells that survive treatment. These cells stay in the body without growing, in a resting or dormant state.

If we can keep these cells from “waking up,” we may be able to stop breast cancer from coming back and save lives. In our earlier research using mouse models and patient samples, we found something surprising: breast cancer sleeper cells can change their behavior and start acting like bone-forming cells. This change may help keep them dormant and stop the cancer from returning. We also showed that this bone forming activity can be seen in animals using PET scans—a common imaging method used in hospitals.

Our project aims to build on this discovery and develop a new way to keep sleeper cells dormant. To do this, we will:

Study this bone-forming process in patient tumor samples under the microscope.
Improve how we detect the bone forming process using PET scans in animal models.
Use what we learn to design a clinical trial that looks for whether this process occurs in patients during treatment.

If successful, our work could reveal a new way the body keeps cancer cells asleep, help us find which patients are affected, and lead to new treatments to prevent breast cancer from returning.

Jessica Sun, MD

Funded in partnership with the Pediatric Cancer Research Foundation through the 2024 Dribble for Victory

Clinical trials help improve the treatment of children with cancer. But, it takes a lot of work to be able to offer clinical trials to patients. This grant will help us add another person our research team part-time. This person will gather information about clinical trials and share it with patients, families, and other providers so that people know what we have available at Duke. They will work with other doctors at Duke who treat children and young adults with cancer to make sure we are all offering clinical trials to our patients. They will also follow up with survivors of pediatric cancer to let them know of any available research options. By doing these things, we hope to be able to offer clinical trials to more patients.

Andrea Kasinski, PhD

We are developing a new cancer treatment that could change how we fight the disease. Our drug, FM-FolamiR-34a, is designed to treat triple-negative breast cancer (TNBC). TNBC is one of the most aggressive and hardest-to-treat types of cancer. Many cancer treatments attack a single target, but our drug works differently. It stops multiple targets at once, like a combination of drugs in a single treatment. It does this by replacing a natural tumor-fighting molecule that is missing in many TNBC cases.Earlier attempts to use this type of treatment failed because the drug broke down too quickly and did not reach tumors well. We have solved this problem by making the drug more stable and attaching it to a targeting molecule that guides it directly to cancer cells.In lab studies, this approach shrank tumors and, in some cases, made them disappear completely. To prepare for human trials, we will improve the drug, compare it to existing treatments, and complete important safety tests.This research could lead to a powerful new way to treat cancer, offering hope to patients who currently have few options. Our goal is to turn cutting-edge science into real treatments that save lives.

Mario Suva, MD, PhD

Glioblastoma is the most common and aggressive type of brain cancer, and sadly, most people only survive 12 to 18 months after being diagnosed. This hasn’t changed in the last 20 years. One of the reasons it’s so hard to treat is that glioblastoma is very complex and different from one patient to another.To improve treatment, we need to better understand this complexity and figure out how to target each part of the cancer. The Suva lab has spent the last decade studying glioblastoma in depth using advanced genetic tools to understand how it varies. We’ve discovered that glioblastoma can be broken down into four important parts, and each part is essential for the cancer to grow.In this research, we will develop strategies to target each of these four parts. We’ll use new technologies developed by the Bar-Peled lab that can target elements of the cancer that were once thought too hard to treat. Our first step will be to analyze tumor samples from patients to find new drug targets. From there, we will work on drug development to eventually test them in clinical trials.