One man’s smoke-free lung cancer missionbetter treatments and helping patients live longer,...
Transcript of One man’s smoke-free lung cancer missionbetter treatments and helping patients live longer,...
Fightinglung cancer
Livingsmoke-free 6 One man’s
mission85
Cure is the newsletter for the University of Florida Shands CancerCenter, home to cancer care and research for the Southeast’s mostcomprehensive academic health center. In each issue, we will bringyou stories about the progress and patient-centered care occurringat the center, as well as the partners who help make it happen.
Are you a patient?For more information about care and services offered at theUF Shands Cancer Center, call 352-265-0940.
To support the work of the UF Shands Cancer Center, call DeniseStobbie at 352-273-9080, e-mail [email protected], write toP.O. Box 103633, Gainesville, FL 32610, or visit “Make a Gift”at www.cancer.ufl.edu.
To receive or opt-out of receiving this newsletter,email Lindy Brounley at [email protected].
Published by the UF Health Science Center Office of News & Communications
Director, UF Shands Cancer CenterPaul Okunieff, M.D.
Director, News & CommunicationsMelanie Fridl Ross, M.S.J., E.L.S.
Communications Director, UF Shands Cancer CenterLindy Brounley
From the Director’s DeskAdvancing lung cancer care, research
ResearchProton therapy effective in treating lung cancer
Just for patientsThe power of quitting smoking
The lung cancer teamLung Cancer Center offers streamlined care to patients
BreakthroughPotential biomarkers could improve screening, treatment
One man’s missionGenerous donation targets small cell lung cancer
PartnersWhy one couple donates time, funds to fight cancer
Faculty spotlight: William Slayton, M.D.Leading the fight against cancer in children
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About us
Contents
Cover:Physicians and scientists from the UF Shands Cancer
Center are focused on improving and developingbetter treatments for patients with lung cancer.
Cover illustration by Josh Clark
Fightinglung cancer
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Fightinglung cancer
Livingsmoke-free 6 ne man s
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EditorApril Frawley Birdwell
DesignerMickey Cuthbertson
www.cancer.ufl.eduCure //Summer 20112
Year after year, the number of adults
who smoke in the United States continues to
decline, and according to the American Cancer
Society, rates of lung cancer in men and women
have begun to ebb as well.
But this frightening fact remains: Lung
cancer continues to be the most deadly form of
cancer we face, leading to one-quarter of all the
cancer deaths in the United States each year.
And the number of nonsmokers stricken with
this devastating disease has begun to increase.
Last year, clinicians from the University
of Florida Shands Cancer Center made bold
strides to improve the quality of care we
provide to lung cancer patients with the
establishment of the UF Lung Cancer Center
(story on page 6). Led by Frederic Kaye, M.D.,
experts across multiple disciplines, including
oncology, radiation oncology, surgery and
pulmonary medicine, have united to provide
a comprehensive, streamlined approach to
treating patients with lung cancer.
Our investigators and clinician-scientists
are making discoveries that advance our
ability to provide patients with more effective,
targeted treatments, but also potentially detect
the disease earlier in those patients most at
risk. In May, UF Shands Cancer Center member
David Reisman, M.D., Ph.D., published a study
(story on page 7) that shows when a protein
commonly found in cells is absent or inactive,
the likelihood is 10 times higher that a person
will develop lung cancer when exposed to
carcinogens, like cigarette smoke.
The discovery is valuable. With more work,
we potentially will be able to screen people
for the abnormal gene linked to this inactive
protein. In this way, we will identify people at
highest risk for lung cancer and gain a foothold to
prevent the disease before it strikes.
As a final note, our efforts to end this disease
have gotten a major boost through the extremely
generous support of an anonymous donor who lost
his wife (story on page 8) to small cell lung cancer.
With his support, our researchers will be able to
delve more deeply into the fundamental causes of
small cell lung cancer, with the aim of developing
better treatments and helping patients live longer,
happier lives.
This is a mission we have embarked upon
together — doctors, scientists, patients and
families. And together we are making great strides.
From thedirector’s desk
Paul Okunieff, M.D., is the Marshall E. Rinker Sr. Foundationand David B. and Leighan R. Rinker chair and serves asdirector of the UF Shands Cancer Center and chair of theCollege of Medicine department of radiation oncology.
director’s desk
PHOT
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Paul Okunieff, M.D.Director, UF Shands Cancer Center
www.cancer.ufl.edu Cure //Summer 2011 3
PAUL OKUNIEFF
Welcome
Proton therapy could reduce the side effects of radiation
in some patients with lung cancer, according to new
fi ndings from researchers at the University of Florida
Proton Therapy Institute in Jacksonville.
Studies published in Clinical Lung Cancer and
Radiotherapy & Oncology show significant benefits of
proton therapy for treating stage 1 and stage 3 lung cancers.
There were significant reductions in the dose of radiation
to the lung, heart and esophagus with the use of proton
therapy compared with conventional radiotherapy, intensity
modulated radiotherapy and stereotactic radiotherapy for
stage 1 and stage 3 lung cancer. These dose reductions with
proton therapy are expected to reduce the risk of side effects
from radiation.
The UF Proton Therapy Institute is conducting two
research studies focused on safely delivering higher doses of
radiation to tumors in the lung.
One study is designed to find out what effects a higher
tumor dose of proton radiation has on patients and their stage
3 lung cancer combined with standard chemotherapy. Due to
the accuracy of radiation given with protons, the dose to the
normal lung tissue that surrounds the tumor will be lower,
which may reduce the frequency and severity of side effects.
A second study aims to see if hypofractionated image-
guided radiation therapy is a good way to treat stage 1 lung
tumors for patients who will not have surgery. This therapy
may be better than conventional radiation for some patients
because it delivers a more lethal dose of radiation to the
tumor, decreases the amount of the patient’s lung and heart
exposed to radiotherapy and takes less time.
Physicians and patients interested in more information
about the UF Proton Therapy Institute clinical trials can call
877-686-6009 or visit www.floridaproton.org.
— Theresa Makrush
A new way to target tumor cellsWhether a tumor flourishes or dies depends, to an extent, on the acidity of the environmentin which it lives, and a certain enzyme plays a key role in that balance, new research from UFShands Cancer Center researchers has shown. An enzyme known as carbonic anhydrase IXinfluences tumor biology by working to keep acidity — or pH — at a level at which normal cellsperish, but cancer cells thrive. “We don’t know why cancer cells can tolerate low pH — but theydo, and we believe that carbonic anhydrase is a significant player in picking the specific pH atwhich the cells are happiest,” said biochemist Susan Frost, Ph.D., who led the research team.The enzyme may serve as a new target for visualizing, diagnosing and treating cancer. Thefindings were published in the Journal of Biological Chemistry. — Czerne M. Reid
www.cancer.ufl.eduCure //Summer 20114
Research
The promiseof protons
Proton therapy effectivein treating early stage and
locally advanced lung cancer
Chingkuang Tu, Ph.D., Susan Frost, Ph.D., and David N. Silverman, Ph.D.
The UF Proton Therapy Institute is located in Jacksonville.
It’s never too late to kick a bad habit, and smoking is no exception.
Cigarette smoke contains toxic and cancer-causing chemicals
that can lead to many serious diseases and conditions, such as
cancer, stroke, high blood pressure and infertility.
UF smoking cessation specialist Gillian Eagle, R.N., C.D.E., said
quitting enhances people’s quality of life at any age — or even any stage of
sickness — by improving their health and helping them feel better.
After just a couple days without cigarettes, former smokers report that
they breathe easier, Eagle says. Within a week, they notice that they have
more energy and cough less. And within two to 12 weeks, circulation
improves and walking becomes easier, she said.
That’s because once they quit, the levels of oxygen and carbon
monoxide in their blood return to the levels of a nonsmoker, she said.
For those who are already diagnosed with cancer, quitting may prolong
their life by reducing their risk of developing a second tumor or having a
recurrence, Eagle said. Research shows that continuing smoking with lung
cancer can affect the behavior of the existing lung tumor.
The most effective approach to quitting is medication combined with
counseling, researchers say. Eagle uses this method in the Quit Smoking
Now program offered through the UF College of Medicine and UF Area
Health Education Centers.
The six-week program is free and open to the public. Participants
attend group or individual meetings each week and receive free nicotine
replacement therapy, including nicotine packets, gum and lozenges.
“We laugh and have fun,” Eagle said.
The program moves through six steps to becoming smoke-free:
education, preparation, quit day, motivation, adjustment and celebration.
To sign up, call Gillian Eagle at 352-392-4541, ext. 239 or email
[email protected]. — By Kathryn Stolarz
TIPS FORQUITTINGSMOKING10
Here are 10 ways to help you quitfrom smoking cessation specialistGillian Eagle:
Educate yourself about theeffects of smoking.
Seek supporters.
Get counseling andnicotine therapy.
Throw away your cigarettes.
Remove ashtrays from sight.
Pick a quit day.
Find healthy hobbies to distractyourself and stay busy.
Drink water.
Take deep breaths.
Exercise to relieve stress and releasefeel-good endorphins.
Post a no-smoking sign by your doorto remind yourself and others thatyou are quitting.
IT’S NEVER TOO LATETO QUIT SMOKING
www.cancer.ufl.edu Cure //Summer 2011 5
Patient Care
Gary Love had been retired two years when he first
noticed the strange, draining feeling in his head. He
went to the doctor, thinking it was a sinus infection.
It wasn’t.
An MRI revealed a brain tumor, which doctors
eventually traced back to a type of lung cancer called
adenocarcinoma. The news was shocking for Love and his
family, said his daughter, Katie Love Hobbs. He’d never
smoked. He didn’t drink. The former sheriff’s deputy had
never even been in the hospital before.
Already being treated at Shands at UF for his brain
tumor, Love met with the University of Florida Lung Cancer
Center team, who devised a plan of attack. Between August
and November of 2010, he went through 37 lung radiation
treatments, as well as chemotherapy.
“I never thought I would be going through this with
my dad,” Hobbs said. “They gave us hope. There was
never a doctor we had who did not act like they would do
everything they could to help us. They all work together and
they are amazing every day.”
No patient ever wants to hear a doctor utter the word
“cancer,” and a diagnosis of lung cancer is particularly
scary. Lung cancer is responsible for more than one-quarter
of all cancer deaths, has a five-year survival rate of about 15
percent — for patients with stage 4 disease survival hovers
at just 2 percent — and has few symptoms, often going
undetected in the early stages. Quick, efficient care for these
patients is a necessity.
Established in July 2010, the UF Lung Cancer Center is
a multidisciplinary clinic that brings together all the experts
involved in caring for a patient with the disease. Each week,
pulmonologists, surgeons, medical oncologists, radiation
oncologists, a social worker and other experts meet in one
location to see patients, relieving the need for families to
trek from office to office for appointments. And every Friday,
these experts gather with a radiologist and pathologist at 7
a.m. in a conference room to discuss patients together. As
they look over pathology reports, X-rays and CT scans, they
agree on treatment plans, talk over concerns and weigh in on
different patients’ conditions.
“For cancer patients in general, the two most important
concerns is a lack of communication among doctors and a
lack of streamlined process and timeliness,” said Frederic
Kaye, M.D., medical director of the Lung Cancer Center.
“What the multidisciplinary clinic strives to do, and we
think it is doing a good job so far, is giving us direct lines of
communication and streamlining the process.”
Michael Jantz, M.D., director of interventional
pulmonology, said patients also feel more confident having
seen a multidisciplinary team.
Fighting lung cancer, togetherUF Lung Cancer Center unites experts for patient-focused care
www.cancer.ufl.eduCure //Summer 20116
Patient Care
Lung Cancer Center team membersCharles Klodell, M.D., Michael Jantz,M.D., Andrea Penley, R.N., andFrederic Kaye, M.D., discuss a patient.
“They know their case has been reviewed by multiple
disciplines with a cohesive plan formulated amongst us,”
he said.
A key part of the team, Kaye said, is nurse-coordinator
Andrea Penley, R.N., who works closely with every
family, setting their appointments, referring them to
resources and giving them a familiar person to call
anytime they have questions.
“These people need an informed voice, someone they
can call up who can help them,” Penley said. “Patients are
starting to expect a higher level of coordination. I think all
cancer care is headed in this direction.”
In addition to the clinical care the center provides,
researchers are working diligently to find better ways to
detect, treat and cure lung cancer, specifically looking into
the genetics and molecular basis of tumors and developing
better ways to screen at-risk patients for the first signs of
lung cancer. In Love’s case, a specific genetic mutation
could not be identified, but the lung cancer team hopes
more effective and less toxic treatments based on new
genetic biomarkers will be available for all patients in the
near future.
Almost two years after doctors first found his brain
tumor, Gary Love is feeling about 75 percent back to
normal. He’s traveling again with his wife and spending
time with his family. The couple just got back from a trip
to Las Vegas, said their daughter.
“Cancer is never fair. It never happens to someone
who deserves it,” Hobbs said. “But I cannot say enough
about UF and Shands and what they have done for my
dad.” — April Frawley Birdwell
www.cancer.ufl.edu Cure //Summer 2011 7
Putting thebrake on cancer
When a movie character says, “It’s too quiet,” that’s
usually a sign something bad may happen.
Now, UF researchers have discovered when
variations of a certain protein in our cells are too quiet, it
may add to the risk that someone will develop lung cancer.
When scientists restored the protein to its normal, active
self, its cancer-inhibiting properties reappeared.
These discoveries, published in Oncogene, show that
drugs could suppress tumor growth by restoring cellular
processes rather than inhibiting cancer-causing genes
known as oncogenes.
“Oncogenes are the cancer’s gas pedal,” said prin-
cipal investigator David Reisman, M.D., Ph.D., a UF
associate professor of medicine and a member of the UF
Shands Cancer Center. “What we’ve done is demonstrate
the feasibility of reconstituting the cancer brake.”
The protein, known as Brahma, or BRM, is involved
in the regulation of cellular functions. It also has a role in
telling cells whether to divide and grow or stop dividing
and die. Other studies have found “silenced” BRM in 10
to 20 percent of all solid tumors.
Reisman knew silencing the BRM gene alone did not
cause tumor growth, but when carcinogens were intro-
duced, 10 times as many tumors appeared compared with
mice with normal BRM expression.
More people die of lung cancer every year than of
cancers of the breast, colon, prostate or lymphoma com-
bined, according to the National Cancer Institute. Howev-
er, only 10 percent of smokers develop lung cancer and as
many as 15 percent of those diagnosed with lung cancer
have never smoked. — Lindy Brounley
Research
David Reisman, M.D., Ph.D.
Patient Gary Love with daughter Katie Love Hobbs (left)and wife Susan Love
T he fight to cure cancer
became a personal
mission for a Central
Florida man last year after he
lost his beloved wife of more
than three decades to small
cell lung cancer. His recent
$500,000 gift to the University
of Florida Shands Cancer
Center, made anonymously,
established a research fund
that takes aim at small cell
carcinoma — an aggressive and
deadly form of lung cancer.
“I lost my best friend
and my love,” he said. “I was
devastated to lose my wife and I
don’t want anybody else to have
to deal with this.”
There was no indication
his wife, Janet, was ill in 2009
when the couple set off on
their annual summer road trip.
Midway into the journey, she
began experiencing shortness of breath and nighttime coughing. Janet had a
chest X-ray at a walk-in clinic when the couple reached Oregon, and she was
told to return to Florida as soon as possible.
“We left our car and motor home in Oregon and flew back here,” the donor
said. “She was diagnosed with small cell lung cancer, and her doctor told
us the chance for a cure was very, very slim, really none — I don’t think he
wanted to say ‘none,’ but that’s what he was saying — and that he would try to
extend her life as long as possible. That’s when I knew we were in big trouble.”
After 10 months battling the disease without complaint and with more
concern for her husband than herself, Janet passed away. Years before ever
becoming ill, Janet and her husband agreed they would donate their bodies to
science. According to those wishes, Janet’s body was donated for anatomical
research at UF&Shands. Despite this, the donor felt he could do more.
“This cancer destroyed my wife’s and my life totally; I am so angry, and I
wanted to go after it,” he said. “I felt it was my responsibility to do something,
and I saw this as an opportunity to fight back.”
He chose to name the fund created by his gift the “Janet and I Fight Back
with the Small Cell Cancer Research Fund.”
According to the National Cancer Institute, lung cancer is the leading
cause of cancer deaths nationwide, and is responsible for more than 157,000
deaths annually — exceeding the number of deaths caused by colon, breast
and prostate cancers combined. Small cell lung cancer, which accounts for
about 15 percent of all lung cancers, is especially fast-growing and deadly.
Even in patients who at first appear to have early stage disease, the tumor has
One man’s
Anonymous donor helps fi ght disease that took his wife
This cancer destroyed my wife’s and my life totally;I am so angry, and I wanted to go after it. I felt it wasmy responsibility to do something, and I saw this asan opportunity to fight back.” — Anonymous donor
www.cancer.ufl.eduCure //Summer 20118
often spread to other parts of
the body and the chance of
survival is slim.
“Although most patients
initially improve following
standard treatments for this
disease, few can be cured and,
unfortunately, the past 20 years
of clinical trials dedicated to
small cell lung cancer have
failed to reverse this outcome,”
said Frederic Kaye, M.D., a
professor of medicine and
UF Shands Cancer Center
researcher. “One of the reasons
research in small cell lung
cancer has lagged is because it’s
such an aggressive tumor, and
few, if any, patients undergo
surgery to remove it. Because
of that, there are limited biopsy
samples available for research
studies.”
Primary tumor samples
are critical to cancer research
because they allow scientists to
understand the molecular and
genetic mechanisms leading to cancer growth or suppression. Kaye’s lab was
the first to identify a tumor suppressor gene in small cell lung cancer, which
helped define an important gene signaling pathway that underlies all types
of lung cancer. He plans to conduct additional genetic sequencing on those
tumors and derived cell lines for research.
“One of the goals that we hope to achieve with this money is to
undertake a complete genomic analysis of a collection of small cell lung
cancer samples,” Kaye said. “That would enable us to look for recurrent
genetic mutations that might give clues for improved diagnosis, but more
importantly, to use as therapeutic targets to test in new, investigational
clinical trials to treat patients.”
To take advantage of the funds, UF researchers will submit proposals to a
committee, which will evaluate submissions based on originality, feasibility,
quality of science, and potential for future independent funding or product
development. This opportunity to directly advance the most promising
research to improve patient treatments and survivorship is exactly what the
donor had in mind when he made his gift. He has high hopes for small cell
lung cancer patients of the future.
“I want them to have hope. We were basically given no hope; it was just
because the doctor was being frank with us, and we appreciated that, but I
would like to see somebody eventually have some hope and possibly even a
cure,” he said.
To help advance the most promising research and innovative treatment
methods for lung cancer at UF, contributions may be made to either the “Janet
and I Fight Back with the Small Cell Cancer Research Fund” or the “Lung
Cancer Research Fund.” For more information, visit www.cancer.ufl.edu,
“Make a Gift.” — By Lindy Brounley
Lungs for legacyIt’s a difficult decision to make butchoosing to donate lung tissue toresearch could help researchersfight lung cancer. To discuss adonation, email researcher DavidReisman about Lungs for Legacy [email protected].
www.cancer.ufl.edu Cure //Summer 2011 9
Partners
Donationsupports chairPaul Okunieff, M.D., director of the UF ShandsCancer Center, has been named the Marshall E.Rinker Sr. Foundation and David B. and LeighanR. Rinker chair. The chair was established in 2010with a 10-year pledge of $1.2 million from thefoundation and the Rinkers. The gift supports thephysician-in-chief of the Shands Cancer Hospitalat UF and the College of Medicine’s academiccancer program. “We are proud to support thisvery important work and hope the establishmentof this chair will help further advance cancertreatment and research for the people of ourstate,” said David B. Rinker (shown at left withOkunieff and Leighan R. Rinker).
www.cancer.ufl.eduCure //Summer 201110
It is our pleasure to collaborate with Universityof Florida Performing Arts on the second seasonof Chords of Color for a Cause. This year, fourChords of Color performances will showcaseartists who are cancer survivors or havesupported loved ones through experiences withcancer. UF&Shands cancer physician-scientistswill collaborate with these artists in exploringtheir cancer experiences during educationalseminars, which are open to the public. Formore information about the performances, visitperformingarts.ufl.edu/outreach/chords-of-color-for-a-cause/. Two upcoming ‘Lunch andLearn’ sessions include:
Lunch and Learn: CopingAug. 24, noon – 1 p.m.Phillips CenterRSVP by Aug. 22 to 352-273-2703
Lunch and Learn: ReproductiveEndocrinology and InfertilitySept. 22, noon – 1 p.m.Phillips CenterRSVP by Sept. 20 to 352-273-2703
E very couple has their own special story of how they met. For the
Islams, it was the fight for a cure that brought them together.
They crossed paths at an American Cancer Society fundraiser.
Jim’s company, Florida Food Service, was catering, Marilyn was helping run a
casino booth, and the rest is history.
Jim’s and Marilyn’s passion for the cause is personal. Jim, 70, lost his
late wife to cancer; Marilyn, 66, is a melanoma survivor, and many of their
immediate family members have had cancer.
The pair married in 2005. Since then, they have served together on the UF
Shands Cancer Center Leadership Council and have made generous financial
contributions to the center’s research. As advisory board members, they stay
up-to-date on UF&Shands’ latest strides in research and patient care and are
pleased with the center’s continued progress.
Jim says, “I can’t stress enough the marvelous stuff that they’re doing.”
The couple was excited when the center unveiled the Intrabeam,
its newest cancer-fighting machine, in November. It’s just as effective as
conventional radiation but can reduce side effects and dramatically decrease
treatment time from weeks to a single half-hour session. Shands is one of fewer
than 20 centers nationwide to have it.
Also, the Islams are proud of the UF Proton Therapy Center, established
in 2006. It significantly reduces patients’ risk of collateral damage during
radiation treatment.
Beyond the center’s technology, Jim and Marilyn are thrilled with its
quality patient care under the leadership of Paul Okunieff, M.D.
Marilyn says she will never forget the day she got the call telling her she
had melanoma in 1998. Shands got her in for surgery that afternoon.
“That, to me, was worth a million bucks,” Marilyn said. — Kathryn Stolarz
A couple’s fight for a cure
Partners
Jim and Marilyn Islam
Leukemia is one of the most curable forms of
cancer, but for children who have it, the side
effects of treatment often pose a heavy burden.
Many drugs involved in chemotherapy destroy
healthy cells, causing problems such as arthritis,
stroke and deadly infections, says UF pediatric
oncologist William Slayton, M.D.
At the UF Shands Cancer Center, Slayton and
collaborators are looking for other compounds that
could be targeted therapies, which attack the cancer but
inflict less damage on the rest of the body.
“The burden of the cure is pretty heavy in at least
some of the cases, so we are looking for ways to lessen
that burden by discovering more targeted ways to cure
these patients,” Slayton said.
Slayton, who specializes in treating and studying high-risk forms of leukemia, was recently
named chief of the division of hematology and oncology in the College of Medicine department of
pediatrics. He has served as interim chief of the division since 2008.
“I am really excited about being appointed chief here,” Slayton said. “I feel like we have
an excellent opportunity to build on the strengths of our division. We have this rich scientific
environment, and I think there is an opportunity to not only provide great care to our patents but
also make discoveries that will help children in the future.”
Investigators in the department are focused on making discoveries in areas such as bone cancer,
leukemia, lymphoma and blood disorders such as hemophilia. Slayton is also proud of the strides
the division has made in recent years to improve the experiences of its patients and their families.
“Our unit is somewhat unique,” he said. “We have made it a one-stop shop.”
— April Frawley Birdwell
Cureswithout
a cost
Targeted treatmentsSlayton has spent his career looking for
and studying safer therapies for children
with leukemia. He has worked with the
Children’s Oncology Group on clinical trials
studying targeted chemotherapies for pa-
tients with acute lymphoblastic leukemia
who have the Philadelphia chromosome,
a mutation found within leukemia cells.
Because of these trials, the cure rate for
these patients receiving chemotherapy
has jumped from 20 percent to 80 percent.
WILLIAM SLAYTON
The burden of the cure ispretty heavy in at least someof the cases, so we arelooking for ways to lessenthat burden by discoveringmore targeted ways to curethese patients.”
— William Slayton
Faculty spotlight
www.cancer.ufl.edu Cure //Summer 2011 11
Visit www.cancer.ufl.edu to access the UF Shands Cancer Center Clinical Trials Study Information Portal.The portal lists open clinical trials by disease site and, for physicians, offers e-mail notification when new oncology trials open.
PO Box 103633Gainesville, FL 32610-3633
Shawna Griggs-Young monitors a table with a powerful message at the NuNu 5K race, which was held to raise money for triple negative breast cancer in April.
Running for NuNuMore than 500 people participated in the third annual NuNu 5K race, held in April at the UF CancerGenetics Research Complex to raise money for triple negative breast cancer research. Recognizing theneed for better support for the study of this form of breast cancer, the Collaboration of Scientists forCritical Research in Biomedicine established the event in honor of Mary Lou “NuNu” Miller. To date, thegroup has raised $32,000, which will be matched with UF Shands Cancer Center funds to establish thefi rst CSCRB research grant. To help support this research effort, visit “Make a Gift” at cancer.ufl.edu.