The immediate and long-term goals of the principal investigator are to become an independent clinical scientist with the ability to integrate and utilize biologically relevant findings from both clinical trials and correlative laboratory studies to develop innovative and effective therapies for multiple myeloma (MM). Therefore, the principal investigator proposes to undertake a career development plan that provides training in both clinical and laboratory research as well as the opportunity to implement these skills in a fully integrated research program. The application proposes an orderly series of research endeavors that will take advantage of the unique academic setting and provide invaluable experience in translational science as well as an organized educational program designed to formally train the principal investigator in clinical research. Furthermore, the expertise of the mentor and the highly conducive environment for developing and carrying out novel clinical anticancer strategies will facilitate the principal investigator's transition to independence. MM is characterized by the accumulation of malignant plasma cells that form the bulk of the tumor mass. However, these cells are relatively quiescent suggesting that the proliferative capacity of the tumor lies within a specialized subpopulation of cells, MM stem cells or progenitors that are responsible for the initiation and progression of disease by maintaining the production of new tumor cells. Our preliminary data demonstrate that MM stem cells resemble B cells rather than plasma cells and have the capacity to self-renew and produce progeny that subsequently differentiate into mature non-dividing plasma cells. A better understanding of the biology of MM stem cells is critical as therapies that inhibit their self-renewal may limit the production of new tumor cells. Conversely, treatments that affect mature plasma cells may induce clinical remissions, but cannot be potentially curative unless they also impact upon malignant progenitors. We hypothesize that the study of MM stem cells through a combination of clinical trials and correlative laboratory studies will provide continuous insight into the biology of MM and form the basis for novel therapies in MM. Accordingly, the specific aims of this proposal are to: (1) isolate and study the biology of MM stem cells; (2) develop further clinical strategies to target MM stem cells; and (3) Determine the effects of clinically targeting MM stem cells using monoclonal antibodies against antigens expressed on MM stem cells. Both clinical outcomes and laboratory correlates will be integrated to serve as the foundation for the development of subsequent generations of clinical trials.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
1K23CA107040-01A1
Application #
6866818
Study Section
Subcommittee G - Education (NCI)
Program Officer
Gorelic, Lester S
Project Start
2005-02-10
Project End
2010-01-31
Budget Start
2005-02-10
Budget End
2006-01-31
Support Year
1
Fiscal Year
2005
Total Cost
$138,510
Indirect Cost
Name
Johns Hopkins University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Lim, Yiting; Hedayati, Mohammad; Merchant, Akil A et al. (2012) Chloroquine improves survival and hematopoietic recovery after lethal low-dose-rate radiation. Int J Radiat Oncol Biol Phys 84:800-6
Brennan, Sarah K; Wang, Qiuju; Tressler, Robert et al. (2010) Telomerase inhibition targets clonogenic multiple myeloma cells through telomere length-dependent and independent mechanisms. PLoS One 5:
Rasheed, Zeshaan; Wang, Qiuju; Matsui, William (2010) Isolation of stem cells from human pancreatic cancer xenografts. J Vis Exp :
Rasheed, Zeshaan A; Yang, Jie; Wang, Qiuju et al. (2010) Prognostic significance of tumorigenic cells with mesenchymal features in pancreatic adenocarcinoma. J Natl Cancer Inst 102:340-51
Merchant, Akil; Joseph, Giselle; Wang, Qiuju et al. (2010) Gli1 regulates the proliferation and differentiation of HSCs and myeloid progenitors. Blood 115:2391-6
Brennan, Sarah K; Meade, Brooke; Wang, Qiuju et al. (2010) Mantle cell lymphoma activation enhances bortezomib sensitivity. Blood 116:4185-91
Merchant, Akil A; Matsui, William (2010) Targeting Hedgehog--a cancer stem cell pathway. Clin Cancer Res 16:3130-40
He, Xiaobing; Marchionni, Luigi; Hansel, Donna E et al. (2009) Differentiation of a highly tumorigenic basal cell compartment in urothelial carcinoma. Stem Cells 27:1487-95
Jimeno, Antonio; Feldmann, Georg; Suárez-Gauthier, Ana et al. (2009) A direct pancreatic cancer xenograft model as a platform for cancer stem cell therapeutic development. Mol Cancer Ther 8:310-4
Lin, T; Jones, R J; Matsui, W (2009) Cancer stem cells: relevance to SCT. Bone Marrow Transplant 43:517-23

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