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News from The Ovarian Cancer Research Fund Research News: Summer 2006 OCRF’s 2005 Ovarian Cancer Research Training Program of Excellence (POE) Award Recipients Now entering its fourth year, OCRF’s highly competitive POE program provides $75,000 of funding for up to two years for either a Gynecology/Medical Oncology Fellow or a Ph.D. currently in their post-doctoral training at a cancer center of excellence. The grant recipients will be working under the supervision of a mentor who is a recognized leader in the field of ovarian cancer research and will be involved in either laboratory, clinical, or epidemiology research. OCRF believes that these awards will advance the overall scientific objectives of the cancer center, and encourage the recipient’s research career in the field of ovarian cancer. Joseph Kwong, Ph.D., of Brigham and Women’s Hospital/ Harvard Medical School. Please join us in congratulating our eight (8) newest POE grant recipients and read, in their own words, about their research endeavors. RESEARCH NEWS continued on page 3 FUNDRAISING NEWS See inside for more... Making a difference one event at a time. Inside... Letter from the Co-Executive Directors.............................2 Research News Continued ........................3-4 Fundraising News Past Events.......................5- 7 Upcoming Events ..............7-8 Liz Tilberis Scholars Program ........................9- 10 Ways to Give Back.........................11 Marcia Cross with Eva Longoria at As Seen In…Harper’s Bazaar in Los Angeles.. © Amy Graves / wireimage.com Rosie O'Donnell and Joy Behar at Stand Up for Madeline and OCRF. OCRF Receives Charity Navigator’s Highest 4-Star Rating for Sound Fiscal Management OCRF is pleased to announce that it has earned a 4-star rating from Charity Navigator for its ability to efficiently allocate and grow its finances. Charity Navigator is America’s premier and largest evaluator of charities. Less than 25% of the charities rated by Charity Navigator receive 4-stars. OCRF is honored to be recognized for its fiscal responsibility. For more information, please visit www.charitynavigator.org Know the Symptoms .........................12 (212) 268-1002 • (800) 873-9569 • www.ocrf.org 14 Pennsylvania Plaza Suite 1400 New York, NY 10122 212.268.1002 800.873.9569 212.947.5652 fax www.ocrf.org Mission & History of Founded in Memory of Ann Schreiber OCRF With Special Tribute to Liz Tilberis (President, 1997-1999) Board of Directors Executive Board Faith Kates Kogan President Sol Schreiber, Esq. Founder & Co-Chair Carmel J. Cohen, M.D. Co-Chair Peter R. Dottino, M.D. Vice President Edward Labaton, Esq. Secretary Donna B. Nadler Treasurer Andrew Tilberis Linda Yarden Susan D. Bazaar Susan Bershad, M.D. Jacqueline Bianco Anthony Broy Joseph J. Campinell Jeannette Chang Nancy Davis Andrew Feuerstein Susie Fragnoli Michelle Gerson Maria Gordian, M.D. Mindy Gray Carol J. Hamilton John W. Hansbury, Esq. Cindy Harrell Horn June Jacobs Sherry Jacobson Thomas C. Liebman Dana L. Mark Ylain Mayer Christine E. McLaughlin Mark D. Myslinski Mara Burros Sandler Lyris A. Schonholz, M.D. Judith Schwartz, M.D. Patti Webster Robin Zarel Laura D. Zemmel not - for - profit organization that was founded in December 1994 to honor the memory of Ann Schreiber, a distinguished public administrator who lost a courageous five - year battle with ovarian cancer. OCRF is devoted to the formulation of early diagnostic treatment programs and research towards the ultimate conquest of ovarian cancer. As OCRF strives to find an early diagnostic tool and a cure, it also seeks to support patients and their loved ones in understanding this disease and its treatment as well as to provide outreach programs and raise public awareness. Letter from the Co-Executive Directors It is our great pleasure to bring you OCRF’s 2006 Summer Newsletter. In this edition of HOPE, we proudly showcase our latest group of funded investigators in the Liz Tilberis Scholars Program and the Ovarian Cancer Research Training Program of Excellence. These recent grants bring the number of OCRF-funded researchers to 89 scientists at 41 Jamie Boris (left), Carol Hamilton, President of L’Oréal Paris, Milla Jovovich, institutions across the country. Since Louisa Terry, Eva Longoria, and Glenda Bailey, Editor- In - Chief of Harpers 1998, OCRF’s research grants have Bazaar at the Lindbrook Gallery in Los Angeles. proven immensely fruitful in bringing forth new discoveries and in fostering career development. We believe that our latest grant recipients hold great promise and welcome them as they join an esteemed group of scientists who have been supported by our organization. © Amy Graves / wireimage.com Members of the Board The Ovarian Cancer Research Fund, Inc. (OCRF) is a On pages 5 - 8, you will read about our past fundraising accomplishments and upcoming events. All of our events, large and small, help to raise the consciousness about ovarian cancer as well as the dire need for more research. We are blessed that we’ve been able to partner with so many dedicated individuals and organizations across the country. It is this kind of teamwork that has allowed us to reach a national audience and to raise funds for muchneeded research. On behalf of all of us at OCRF, we thank you for your dedication and commitment to our cause. We look forward to your continued support because only together can we conquer ovarian cancer. Enjoy your summer and be sure to check our website (www.ocrf.org) for upcoming special events and research updates. Jamie L. Boris Co-Executive Director Louisa D. Terry Co-Executive Director OCRF Staff Tracy E. Enright Julie Hazelip Craig Rosati Kira E. Siebert Louisa Terry Co - Executive Director Jamie Boris Co - Executive Director -2- RESEARCH NEWS continued from cover page test for early detection of disease. An effective screening test to detect ovarian cancer in its early stages has yet to be developed, but remains a critical goal in order to improve patient survival. PROGRAM OF EXCELLENCE award recipients Methylation, a modification of genomic DNA by addition of a small molecule, is required for normal development and plays an important role in controlling how genes are turned “on” or “off”. Methylation of DNA is often associated with turning off a gene and is frequently found in cancers at genes whose normal function is to control tumor growth. Methylation of genes in ovarian cancer, however is under explored. Our research will help determine the methylation status of several different genes in the blood samples of ovarian cancer patients. We are hopeful that the methylation profiles that we discover can serve as markers of early detection of ovarian cancer. We hope to develop a simple and relatively non-invasive method to rapidly screen blood samples for the presence of ovarian cancer. In addition, cancer recurrence may also be associated with a distinct methylation profile, which could be used to predict whether cancer may recur or perhaps supply us with specific targets for appropriate treatment. Furthermore, having a marker for such an aggressive disease may also be a valuable tool for developing more effective ovarian cancer treatment. Donna Badgewell, Ph.D. M.D. Anderson Cancer Center Protein Biomarkers for the Early Detection of Ovarian Cancer When ovarian cancer is diagnosed in stage I, more than 90% of patients can be cured with conventional surgery and chemotherapy. Despite improvements in cytoreductive surgery and combination chemotherapy, advanced-stage epithelial ovarian cancer has a poor prognosis; fewer than 30% of patients survive long term. Early detection of ovarian cancer in a larger screening of patients could significantly improve the overall survival rate. To date, the most promising screening strategy for ovarian cancer appears to be a two-stage process in which an elevated or rising CA125 level in the serum test triggers ultrasonography and an abnormal sonogram prompts surgery. However, CA125 is not an optimal first step in a two-stage strategy. CA125 is not elevated in the sera of approximately 50% of patients with early-stage ovarian cancer. Joseph Kwong, Ph.D. Brigham and Women’s Hospital / Harvard Medical School Use of a panel of markers, including three protein markers recently identified in Dr. Robert Bast’s laboratory at M. D. Anderson Cancer Center, in collaboration with Drs. Zhen Zhang and Dan Chan at Johns Hopkins, may provide greater sensitivity for early-stage disease, provided that a high level of specificity can be maintained. These three markers could be added to a larger panel to improve sensitivity of an initial step in an ovarian cancer screen. Our goal is to develop a test for early detection of ovarian cancer by identifying proteins in the blood or urine that change in concentration when cancer is present. This test could be used to test women annually for ovarian cancer and could significantly improve the survival rate of women diagnosed with this disease by allowing us to detect ovarian cancer earlier. Inflammation, E74 - like factor 3 (ELF3) and Ovarian Epithelial Cell Transformation Although studies have been focused on relating the risk of ovarian carcinogenesis with incessant ovulation and levels of pituitary gonadotropin for many years, the etiology of ovarian cancer is still largely unknown. In recent years a growing body of epidemiologic evidence suggests that factors causing epithelial inflammation may lead to ovarian carcinogenesis. However, there has been no experimental study proving the correlation between these factors and ovarian carcinogenesis. One of the main hindrances may be due to the lack of models that could be applicable to test such hypotheses. Recently, we have successfully established a three-dimensional normal human ovarian surface epithelial (HOSE) spheroid model mimicking the ovarian epithelial inclusion cysts, which provides us with a useful model to perform functional studies on the ovarian epithelial cells in vitro. It will also enable us to examine the effect of ovarian epithelial cells that are exposed to the inflammation-related factors. We also found that tumor necrosis factor alpha (TNF - α), a potent pro-inflammatory cytokine, may be related to ovarian carcinogenesis as it confers a tumor-like phenotype in normal HOSE spheroids. Amy French, M.D. Duke University Serum Methylation Markers as a Tool for Disease Prognosis and for Early Detection of Ovarian Cancer Epithelial ovarian cancer remains the leading cause of gynecologic cancer deaths in the United States, with cure rates changing minimally over time. Poor prognosis is partially due to the fact that 75% of women are diagnosed with advanced disease. The majority of early stage ovarian cancers are asymptomatic, and although physical exam, ultrasound and CA-125 serum antibody tests are available to help with diagnosis, they are not sensitive or specific enough to use as a screening The proposed studies will be aimed at understanding the mechanisms underlying the TNF - α induced tumor-like phenotype in the ovarian epithelial cells. According to our microarray analysis, the transcription factor ELF3 was over-expressed in a majority of ovarian tumor tissues, which suggests a role of ELF3 in ovarian carcinogenesis. Based on the roles of ELF3 in inflammatory responses and its possible roles in inducing POE AWARD RECIPIENTS continued on next page -3- that this ovarian growth factor is actually what makes these tumors resistant to Herceptin. In my studies, I propose that therapeutic inhibition of heregulin may reverse ovarian tumor resistance to Herceptin. If the results we obtain through this award confirm our prediction, we intend to move this novel therapeutic combination into preclinical studies, and ultimately into clinical trials, so that ovarian cancer patients will receive the potential benefit of this novel therapeutic as soon as possible. POE AWARD RECIPIENTS continued from previous page epithelial cell transformation, we are highly interested in whether ELF3 plays a role in ovarian cancer and to investigate the possibility of TNF - α involvement. The understanding of the oncogenic role of ELF3 in ovarian cancer development will certainly provide a new insight into markers for early detection of the disease, ultimately benefiting the strategies for treatment and chemoprevention of ovarian cancer. Deyin Xing, M.D., Ph.D. Ritu Salani, M.D. Massachusetts General Hospital Johns Hopkins Medical Institutions A Mouse Model for BRCA1 - Associated Ovarian Cancer Development of a Hypersensitive DNA Integrity Assay to Detect Ovarian Cancer Approximately 10% of epithelial ovarian cancers are hereditary. Most hereditary ovarian cancers can be attributed to germline mutations in the breast/ovarian cancer susceptibility gene, BRCA1. Sporadic and hereditary ovarian cancers are similar in many respects, however, patients with hereditary cancers develop the disease earlier and display a longer recurrence-free interval following chemotherapy. Most BRCA1 - associated ovarian cancers are of the serous subtype and have a disrupted p53 pathway. Little is known about the mechanisms that underlie BRCA1associated ovarian tumorigenesis, mainly due to the lack of an appropriate experimental model system. Considering the distinct clinical and histopathological aspects of BRCA1 - associated ovarian cancers, there is great need to develop mouse models for ovarian cancers that will elucidate the cooperation among BRCA1, p53 and other putative tumor suppressor genes and oncogenes. The lack of an effective screening tool for ovarian cancer patients continues to result in a high mortality from the disease. This proposal is designed to develop and assess a new technology, the hypersensitive DNA Integrity Assay (DIA), to detect ovarian cancer by evaluating the DNA strand integrity (longer DNA fragments) in cell-free ascites and plasma. We hypothesize that the increased DNA strand integrity (longer DNA fragments) is a unique tumor-associated marker in bodily fluids. The reason to select DNA strand integrity as a biomarker is because the presence of a longer strand is commonly associated with a solid tumor even at early clinical stages, thus minimizing the need to employ a host of multiple biomarkers and different techniques for cancer detection. By analyzing the lengths of DNA fragments, it may be possible to distinguish patients with ovarian cancer from patients with benign disease, which may lead to a diagnostic blood test. We have engineered mouse ovarian cancer cell lines that are either wild type or deficient for BRCA1. Our first aim is to identify genes that contribute to BRCA1 - associated ovarian tumorigenesis. Consistent with the finding that the loss of p53 function and the amplification of myc often accompany the BRCA1 mutation in hereditary breast tumors, we were able to transform mouse ovarian epithelial cells using a combination of genetic alterations in BRCA1, p53 and myc. Using the same approach, we will test other candidate genes that are known to be upregulated in hereditary tumors for their ability to collaborate with a BRCA1 deficiency in inducing tumorigenesis. A global expression profiling comparison between wild type and BRCA1- deficient cell lines will be used to identify novel pathways that may be involved in BRCA1- associated tumorigenesis. The genes that are specifically altered in BRCA1- deficient cell lines will be tested for their ability to induce transformation or alter growth and tumor progression in BRCA1- deficient cells. Jason Wilken, Ph.D. Yale University School of Medicine Overcoming Herceptin Resistance in Ovarian Cancer Improved methods of treating ovarian cancer patients are urgently needed. While traditional chemotherapeutic drugs are effective in destroying the tumor, these drugs often damage healthy tissues, resulting in severe side effects. Recent advances in cancer treatment include “antibodies”, compounds that can selectively inhibit the growth and spreading of tumor cells without the range of side effects associated with traditional chemotherapeutics. One such antibody is known as Herceptin (by Genentech, Inc.) and is now in clinical use for the treatment of breast cancer. Despite Herceptin’s remarkable success in breast cancer treatment, it has proven surprisingly ineffective in the treatment of ovarian cancer so far. Our second aim is to develop in vitro and in vivo mouse models of BRCA1-associated tumorigenesis. In situ tumor induction will be achieved by direct ovary injection of retroviral vectors that contain candidate genes that we identify as potential collaborators in the tumorigenic process. Such models will be used to characterize the earliest stages of tumorigenesis, identify the mechanisms of differential response of BRCA1-associated tumors to DNA - damaging chemotherapy, and for the utilization of these distinct mechanisms in the development of gene - or pathway - targeted therapy. Some of us suspect that fundamental differences in ovarian and breast cancer biology leads to the observed difference in the efficacy of Herceptin in ovarian cancer patients. Specifically, ovarian tumors often produce a growth factor known as “heregulin”, and in fact, we propose -4- fundraising NEWS PAST EVENTS S TA N D U P F O R M A D E L I N E A N D O C R F > Monday, May 8, 2006 - Carolines on Broadway, New York City This annual tribute to Madeline Kahn was another fantastic success, raising $85,000! Hosted by the hilarious Joy Behar, this special night was filled with outrageous laughter thanks to the brilliant performances of Rosie O’Donnell, Mario Cantone, Judy Gold, Susie Essman, Robert Klein, Colin Quinn and John Pinette. OCRF is grateful to Caroline Hirsch, who underwrites the event, and to all the performers for making this show possible. OCRF’s Craig Rosati, radio personality Valerie Smaldone and actor/comedian John Pinnette. Mario Cantone Robert Klein O VA R I A N C Y C L E > Saturday, April 29, 2006 - Atlanta, Georgia The Ovarian Cycle raised a record $102,000! OCRF was thrilled to be the primary beneficiary of this wonderful event. Special thanks to Bethany Diamond and her dedicated team for making this Cyclists peddling away in Atlanta. great day happen. The Ovarian Cycle is an indoor cycling training program, which takes place at numerous health clubs in the Atlanta area and culminates in the 100 mile Century Ride celebration. Please go to www.ovariancycle.org for more information. Ovarian Cycle founder, Bethany Diamond (center) celebrating with Century Riders. FUNDRAISING NEWS continued on next page - 5- FUNDRAISING NEWS continued from previous page WEDDING SALON > Monday, April 24, 2006 - New York City For the third year in a row, OCRF received all proceeds from the silent auction at The Wedding Salon in New York City. This year, $9,000 was raised for the organization. The Wedding Salon is the world’s first luxury wedding showcase, featuring must - have products and services for the sophisticated bride and groom. TEAL MAGNOLIAS An evening of fashion and awareness to benefit The Ovarian Cancer Research Fund > Monday, April 3, 2006 - The Hilton, Cherry Hill, New Jersey The Hilton in Cherry Hill, New Jersey was the setting for the fabulous Teal Magnolias event on April 3rd. The evening raised an impressive $140,000 for OCRF and we are thankful to the members of OCRF’s Regional Steering Committee Dara Marcozzi, Mimi Yurkow, The Hon. Susan Bass Levin, Jane F. Kelly and Anne Gutos for choosing us as the Ovarian cancer survivors preparing to stage the stage for the fashion show. beneficiary. NJ Governor Jon Corzine served as the Honorary Chair of the event that honored ovarian cancer survivors and the courageous women who have lost their battle with this disease. The evening featured inspirational speeches by survivors and a fabulous fashion show presented by Shimmer of Haddonfield, NJ, Andrea's Boutique of Marlton, NJ, and Suky Rosen of Ardmore, PA. Special thanks to the event Premier Sponsors: South Jersey Industries and Cooper University Hospital and also the Platinum Sponsors Mr. and Mrs. Kenneth Schatz. NJ Senator John Adler, Joanne Sabatini, Teal Magnolias Co-Chair, ovarian cancer survivor Loretta Shatz, Ken Shatz, Lisa Blaber, Event Co-Chair and Dara Marcozzi, ovarian cancer survivor & OCRF Steering Committee. -6- Stacy Stevens (left), OCRF’s Kira Siebert and Louisa Terry and committee member, Heather Hatcher. Fashion and photography were the themes of a fabulous cocktail party and silent auction at the Lindbrook Gallery in Los Angeles. The evening, which raised over $250,000 for OCRF, was hosted by the President of L’Oréal Paris Carol J. Hamilton, Editor - in - Chief of Harper's Bazaar Glenda Bailey, Desperate Housewives star Eva Longoria, and model and actor Milla Jovovich. Joy Bryant © Amy Graves / wireimage.com > Thursday, December 8, 2005 - Los Angeles, California © Amy Graves / wireimage.com L’ O R É A L PA R I S P R E S E N T S A S S E E N IN...HARPER'S BAZAAR Alan Cumming walking the red carpet. © Amy Graves / wireimage.com © Amy Graves / wireimage.com Over 300 guests kicked off the holiday season by bidding on silent auction items including pictures from top fashion photographers such as Peter Lindbergh, Solve Sundsbo, Enrique Badulescu, Mario Sorrenti and Mario Testino, as well as extraordinary fashion accessories, all from the chic pages of Harper's Bazaar. The event was generously underwritten by L’Oréal Paris thus every penny raised went directly to OCRF’s research initiatives. L’Oréal Paris spokesperson Milla Jovovich at the auction. Heather Locklear UPCOMING EVENTS S U B A R U W O M E N ’ S T R I AT H L O N > Summer / Fall 2006 St. Petersburg, Florida June 11, 2006 Naperville/Chicago, Illinois June 25, 2006 OCRF is thrilled to welcome Subaru as the title sponsor of the newly named Subaru US Women’s Triathlon Series. The triathlons are designed for the first-timer to Running to the finish. the avid athlete and may be done individually or as a relay. Participants may choose from the “Sprint” distance comprised of a .75k swim, 12.5k bike, and 5k run, or a “Super Sprint” distance .375k swim, 10k bike, and 2.5k run. Federal Way / Seattle, Washington September 10, 2006 The Team Hope program was created to help raise funds for OCRF while uniting an incredible group of women that inspire us all. To join Team Hope, San Diego, California October 15, 2006 members simply agree to raise a minimum of $500 for OCRF. Members then receive their own webpage, triathlon gear, access to an 8-week long To join Team Hope, or for more information on the remaining series, please go to www.uswts.com Triumphant triathletes after the race. online coaching program, in-person contact with a local certified coach, and entrance to the VIP area at the finish line. FUNDRAISING NEWS continued on next page -7- Super Saturday S U P E R S AT U R D AY 9 > July 29, 2006 - Water Mill, New York Super Saturday is OCRF’s day-long summer fundraising event for the entire family, generously underwritten by Donna Karan and sponsored by In Style. Activities include © Sherly Rabbini & Josephine Solimene 9 FUNDRAISING NEWS continued from previous page a one - of - a - kind designer garage sale with over 200 designers - called the "Rolls Royce of garage sales" by The New York Times - a kids' carnival with rides, games and fun, a Target reading lounge, fabulous raffle, and goodie bags. Food and refreshments are provided all day, with an informal seated lunch in the afternoon. With special co - host Kelly Ripa, this year’s event is sure to be another record-breaker. Tickets begin at $400 and table packages begin at $2,500. For ticket and information, Super Saturday supporter Heidi Klum. please visit OCRF’s website at www.ocrf.org or call (212) 759 - 2800. > To see a complete list of our event participants and sponsors please visit: www.ocrf.org A view of Super Saturday. L’ O R É A L L E G E N D S G A L A > November 8, 2006, New York City The biennial L’Oréal Legends Gala promises to be an outstanding evening – honoring legends Paul Charron, Chairman and Chief Executive Officer, Liz Claiborne and Glenda Bailey, Editor - in - Chief, Harper’s Bazaar. The 2006 Liz Tilberis Humanitarian Award will be presented to environmentalist and philanthropist Cindy Harrell Horn and Warner Bros. President and COO Alan Horn for their outstanding commitment to countless noble causes. Dr. Peter Dottino, Director, Department of Gynecologic Oncology, Mount Sinai Medical Center will receive the firs t - ever HOPE Award for his contributions to the field of ovarian cancer. This black - tie fête will be held at the American Museum of Natural History and will include cocktails, a one - of - a - kind silent auction and a seated dinner. Tickets are $1,500 and tables begin at $15,000. For more information, please call Inez Weinstein Special Events at (212) 254 - 6677. -8- Spotlight on the 2005 Liz Tilberis Scholars The Liz Tilberis Scholars Program is OCRF’s signature research initiative. Through this program, mid - level researchers (post doctoral/post fellowship) compete for unparalleled opportunities to develop techniques for early diagnosis and improved care of women with ovarian cancer. Each scholar will receive a three-year grant of $100,000 per annum so they are able to devote their time exclusively to cutting-edge ovarian cancer research. We congratulate these talented researchers and are delighted to profile their work. JEREMY CHIEN, PH.D. | MAYO CLINIC Regulated Targeting of Polarity Proteins by HtrA1: Implications in Ovarian Cancer Metastasis The metastasis of primary ovarian cancer represents a main obstacle in the successful treatment of ovarian cancer and is the main course of mortality in individuals with ovarian cancer. Emerging evidence suggests that disruption of apicobasal polarity and subsequent acquisition of epithelial-to-mesenchymal transition (EMT) phenotype are essential for cancer cell metastasis. PDZ domain-containing polarity complexes are important in regulating cell polarity, EMT, cell proliferation and metastasis. Recently we have identified a PDZ-containing candidate tumor suppressor, HtrA1, as down-regulated in ovarian cancer. Reexpression of HtrA1 suppresses metastasis. HtrA1 also interacts with polarity complex proteins in yeast two-hybrid genetic screening. Therefore, it is possible that HtrA1 may regulate cell polarity and that loss of HtrA1 may promote metastatic tumor progression. To address these possibilities, we will analyze the expression of HtrA1 in early stage (I-II) and late stage (III-IV) ovarian tumors and correlate HtrA1 expression with metastatic behavior of ovarian cancer. We will also investigate whether HtrA1 interacts with PDZ-containing polarity proteins and regulates cell polarity and metastasis. The results from this study are expected to provide insights into biological processes underlying metastatic tumor progression, and would be of benefit in the identification of ovarian tumors with metastatic potential and aggressive behavior. This projected in named in honor of Louis Kogan and his commitment and distinguished service to OCRF. JOSE R. CONEJO-GARCIA, M.D., PH.D. | DARTMOUTH MEDICAL SCHOOL Vascular Leukocytes as Novel Anti-Tumor Therapeutic Targets The current therapies against cancer show significant limitations. Alternative therapies are therefore needed. Since tumors cannot grow in the absence of vascular support, tumor blood vessels represent important therapeutic targets. We have identified a novel population of tumor-infiltrating leukocytes, termed Vascular Leukocytes (VLCs), which have the capacity to form blood vessels in the ovarian cancer microenvironment. Temporary elimination of VLCs in mouse models does not harm the animal and results in a dramatic decrease in tumor growth, due to the specific disruption of tumor vasculature. These experiments are highly relevant for future human treatments, since VLCs are also strongly represented in human ovarian cancer. LIZ TILBERIS SCHOLARS continued on next page -9- LIZ TILBERIS SCHOLARS continued from previous page In order to design clinically effective ways of impeding tumor vascularization, we are investigating the precise contribution of VLCs to vascularization at different stages of tumor progression. Interestingly, VLCs originate from leukocytes that have the potential to orchestrate an anti-tumor immune response. We are therefore determining the mechanisms whereby ovarian cancer regulates the transformation of latent immuno-stimulatory cells (VLC precursors) into immunosuppressive endothelial-like cells (VLCs), which act as accomplices in tumor growth and dissemination. Since VLCs exhibit a distinct profile of markers, we are also testing new immunotherapies to target determinants that are specific to VLCs and are absent in normal adult blood vessels. Our long-term goal is to reverse the angiogenic capacity of VLCs while exposing their potential as active immunogenic, anti-tumor antigen-presenting cells. The identification of VLCs as significant contributors to tumor vascular support will prove to be highly beneficial to the treatment of human ovarian cancer. ANDREW LI, M.D. | CEDARS SINAI MEDICAL CENTER Combined Androgen Receptor/Epidermal Growth Factor Receptor Antagonism in Epithelial Ovarian Carcinoma While the majority of women with epithelial ovarian cancer enter remission following surgical cytoreduction and platinum-taxane chemotherapy, most will recur and ultimately succumb to progressive disease refractory to cytotoxic chemotherapy. The limited response rates of recurrent disease to second-line treatment underscores the critical need for novel therapeutic strategies. Our previous work has identified decreased surgical cytoreducibility and survival in women with ovarian cancer who harbor androgen receptors with short genetic polymorphisms; these short sequences, coding for a polyglutamine amino acid tract, have been inversely correlated with androgen receptor activity. Epidermal Growth Factor Receptor (EGFR) signaling may represent a candidate mechanism by which androgens promote aggressive epithelial ovarian cancer biology. We hypothesize that combined androgen receptor-EGFR antagonism, targeted to patients with specific androgen receptor genotypes, synergistically inhibits cellular proliferation of malignant ovarian epithelial cells. OCRF’s Scientific Advisory Committee (SAC) is comprised of ten of the world’s leading gynecologic oncologists and researchers. They are the undisputed experts in their field and are devoted to OCRF’s mission to eradicate ovarian cancer. Andrew Berchuck, M.D., Chair Duke Comprehensive Cancer Center Carmel J. Cohen, M.D., Vice Chair Columbia University, College of Physicians & Surgeons Robert C. Bast, Jr., M.D. University of Texas, M.D. Anderson Cancer Center Jonathan S. Berek, M.D., MMSc. Stanford University School of Medicine Jeff Boyd, Ph.D. Curtis and Elizabeeth Anderson Cancer Institute To test this hypothesis, we propose to study ovarian cancer cells in cell culture and in a mouse ovarian cancer model. To establish the molecular interaction between androgen receptor and EGFR, we will examine our unique library of cell lines genetically modulated to contain androgen receptors of different polyglutamine lengths. Activation of specific Molly Brewer, D.V.M., M.D., M.S. Arizona Cancer Center proteins significant in ovarian cancer cellular progression will be examined in vitro, and these same cell lines will be introduced into mice for studies comparing tumor growth with treatment of combined androgen receptor and EGFR inhibition. To date, no studies have explored combined AR-EGFR antagonism as a therapeutic modality. We hypothesize that disregulation of this molecular pathway is a fundamental flaw in aggressive epithelial ovarian tumor biology, and elucidation of these specific mechanisms will promote novel therapeutic strategies to treat women with recurrent ovarian cancer. Stephen C. Rubin, M.D. Hospital of the University of Pennsylvania - 10 - Robert F. Ozols, M.D., Ph.D. Fox Chase Cancer Center Carolyn D. Runowicz, M.D. University of Connecticut Health Center Michael Seiden M.D. Ph.D. Massachusetts General Hospital Ways to Give Back L’Oréal Paris Color of Hope Bracelet L’Oréal Paris continues their longstanding commitment and ongoing relationship with OCRF with a new OCRF fundraising initiative for 2006: a limited edition “Color of Hope” Sterling Silver Bracelet. In recognition of Ovarian Cancer Awareness Month the bracelet will be available for sale starting in September. The silver Color of Hope bracelet features a rope design with “O” toggle clasp, adorned with pavé cubic zirconias to give a beautiful brilliance. And to ensure that all women can adorn their wrists with this bracelet, L’Oréal Paris is making it available in three lengths: 7”, 7.25” and 8”. The Color of Hope Bracelet is available through the L’Oréal Paris’ Web site (www.lorealparisusa.com) and at L’Oréal Paris retail stores for $24.95, with 100% of net profits benefiting OCRF. Fuss Frocks: What’s the “fuss” all about? After spending a career in advertising working on campaigns as diverse as credit cards, hotels, cell phones, computer chips and iPods, Lissa Lowe decided to focus on her “baby” full time: fuss™, a line of 100% cuddly cotton apparel for babies and grown ups too. The collection is designed to blend the yesteryear charm of hand illustrations with a playful but simple aesthetic. Goodies are hand silk-screened on items from American Apparel as well as hand packaged. The magic is in the details, she says. Lowe’s passion is filled with purpose. Fuss donates 10% of its net profits to OCRF in honor of women everywhere who continue to keep joy in their hearts and a sparkle in their eyes despite the challenges of illness… and in memory of her mom. Now that is something to “fuss” about. Shop www.fuss - frocks.com or call (877) 415 - FUSS. September is... OVARIAN CANCER AWARENESS MONTH Be sure to visit our website at www.ocrf.org for more ways you can help raise awareness and shop to support ovarian cancer research. From cell phones to gym memberships, we will have a whole host products and ways that you can help find a cure. - 11 - Know the Symptoms of Dedicated to advancing Ovarian Cancer • Vague but persistent and unexplained gastrointestinal complaints such as gas, nausea, and indigestion • Pelvic and/or abdominal swelling and/or pain; bloating and/or feeling of fullness • Unexplained change in bowel habits • Unexplained weight gain or loss research, raising awareness & finding a • Frequency and/or urgency of urination cure • New and unexplained abnormal postmenopausal vaginal bleeding Every woman should undergo an annual rectal and vaginal pelvic examination. If an irregularity of the ovary is detected, or if some of the vague symptoms are expressed, further testing should be performed. This may include a CA -125 blood test and a transvaginal sonogram. It is important to note that the PAP test is used to detect cervical for ovarian cancer cancer, NOT ovarian cancer. If you are concerned about your risk of ovarian cancer, you should speak to your gynecologist for more information. For more information or to receive a free information packet, please call OCRF at 1-800-873-9569 or go to www.ocrf.org NON-PROFIT ORGANIZATION U.S. POSTAGE 14 Pennsylvania Plaza Suite 1400 New York, NY 10122 PAID NEW YORK, NY Permit No.