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Patricia Thompson photo from Stony Brook University

By Daniel Dunaief

Patricia Thompson gets a call from her sister Kathy Hobson when people in San Angelo, Texas — where Thompson grew up and where her sister and brother live — when someone has cancer. They want to know what Thompson thinks of their treatment.

While Thompson is not a medical doctor, she has been working as a scientist to develop ways to discriminate high-risk patient populations from low-risk patients to limit “toxic treatments in low-risk individuals” and improve the efficacy of aggressive treatment in high risk-patients. The goal, she said, is to better treat patients based on the specific pathobiology of their disease.

Thompson, who came to Stony Brook University last October as a professor of pathology and associate director of Basic Research at the Cancer Center, is pleased with the support from the university.

“There’s a real convergence of factors, including a strong commitment from the leadership, the Simons Center and the university medical school faculty and staff at Stony Brook,” she said. “We all want to see the Stony Brook Cancer Center bring prestige to our community, attract the finest talent in cancer research and clinical care and attract innovators and job builders.”

Thompson said Cancer Center Director Yusuf Hannun, Medical School Research Dean Lina Obeid, Pathology Department Chairman Ken Shroyer, and Dean of the Medical School Ken Kaushansky have all led the charge.
Shroyer is pleased Thompson joined the effort. “Bringing her here was an incredible coup,” he said. She brings “real national prominence” and led one of the “most important clinical and translational research programs in breast and colorectal cancer.”

Thompson is committed to furthering her own research studies, while balancing between critical basic science discoveries and their clinical impact.

For some scientists, she wants to assist researchers as they move from the bench to the first human study. She helps them understand who needs to be involved to advance a potential diagnostic tool or novel treatment.

Still, she endorses the benefits of basic research. “Application is always an important long-term goal, but scientific exploration for new discovery is critical to advancements,” she said. Applied and basic research are “neither mutually exclusive approaches.”

Thompson studies colorectal and breast cancer because both have an inflammatory component and an immune element. She’s exploring what is shared between these two cancers as common targets for prevention and treatment.

Colon cancer provides a window that helps scientists and doctors understand the way cancer progresses.
“Our ability to study the premalignant to malignant progression in colorectal cancer has provided important basic knowledge of how cancers develop and taught us about how cells defend against tumorigenesis and how these systems fail,” she said.

Thompson went through some formative professional and personal experiences during graduate school that shaped her career. In the mid-1990s, she was studying an autoimmune disease in which she worked on an animal model with a neuroimmunologist.

“I wanted to know that all this work I was doing with animals was contributing to the disease in humans,” she said.

Around the same time, her father, Jim Thompson, who owned and operated Angelo Tool Company, learned he had stage IV colorectal cancer. He was diagnosed in 1995, before major advances in colorectal cancer treatment. Her father received compassionate care use of a new therapy, enabling him to live for three more years, considerably longer than his initial two-month prognosis. If he had been diagnosed five years later and received a platinum-based regimen, he would have “gained even more time,” she said.

Thompson said she and her family struggle with the fact that her father showed symptoms he kept to himself, largely out of fear. If his cancer had been detected earlier, she believes it is likely he could have been cured.

She suggests people not be “afraid of a cancer diagnosis” and recommends “routine screening” and consultation with a doctor if they show symptoms.

Thompson lives in Rocky Point with her husband, Michael Hogan, who is the vice president of life sciences at Applied DNA Sciences.

As for her work, Thompson believes her research might help physicians and their patients.
Her research aims to develop “diagnostic tests that help in prognosis” while identifying “patients that may achieve more benefit from aggressive chemotherapy,” she said.

A view of Cold Spring Harbor Laboratory. File photo

Cold Spring Harbor Laboratory and the North Shore-LIJ Health System say they are partnering up to align research with clinical services in an effort to treat the health system’s nearly 16,000 cancer cases each year.

The partnership, announced last week, will benefit from more than $120 million investment that will be used to accelerate cancer research, diagnosis and treatment. The money will also be used to develop a new clinical research unit at the North Shore-LIJ Cancer Institute in Lake Success, NY. The unit will support the early clinical research of cancer therapies while also being used to train clinicians in oncology, the branch of medicine that deals with cancer. The source of the investment is not being disclosed.

“This is a transformative affiliation for both institutions, bringing the cutting-edge basic discovery science and translational cancer research at CSHL to one of the largest cancer treatment centers in the United States,” Cold Spring Harbor Lab President and CEO Bruce Stillman said in a press release.

As part of the affiliation, clinician-scientists will also be trained to perform preclinical cancer research and conduct early-stage human clinical trials to help further research.

“Cancer patients at North Shore-LIJ are going to benefit from the world’s leading cancer research centers,” Dagnia Zeidlickis, vice president of communications for Cold Spring Harbor Lab said in a phone interview Monday.

The partnership is just the latest move made by North Shore-LIJ to improve cancer care. Over the past two years, the health system invested more than $175 million to expand cancer treatment centers throughout Long Island and New York City.

Recently, North Shore-LIJ completed an $84 million expansion of the institute’s headquarters in Lake Success. It consolidated all cancer services offered by North Shore University Hospital and Long Island Jewish Medical Center in a state-of-the-art 130,000-square-foot facility, including ambulatory hematology/oncology, chemotherapy and radiation medicine, surgical oncology and brain tumor services, according to a press release.

North Shore-LIJ is also building a new $34 million, 45,500-square-foot outpatient cancer center in Bay Shore and is pursuing other major expansions on Long Island and in Manhattan, Queens, Staten Island and Westchester County.

“Bringing the scientists of Cold Spring Harbor Laboratory together with the more than 200 academic oncologists and clinicians of the North Shore-LIJ Cancer Institute will transform our approach to cancer research and treatment throughout the New York area,” North Shore-LIJ President and CEO Michael Dowling said in a statement.

Cold Spring Harbor Lab’s researchers have been studying cancer since the early 70s and have made several discoveries that have helped diagnose and treat cancer patients. In 1982, the lab was part of the discovery of the first human cancer gene. The Cold Spring Harbor Laboratory Cancer Center has been a National Cancer Institute-designated cancer center since 1987, and is the only such center on Long Island, according to the statement.

The lab’s research focuses on many different types of cancers: breast, lung, prostate, pancreas, cervix, ovary and skin, as well as leukemia and lymphoma, carcinoid tumors, sarcomas and more.

The cancer institute is part of the 19 health systems that makes up the North Shore-LIJ Health System. According to Zeidlickis, North Shore-LIJ cares for more than 16,000 new cancer cases each year and is New York State’s largest hospital system.

Under the terms of the partnership, both North Shore-LIJ and Cold Spring Harbor Laboratory will continue as independent organizations governed by their respective boards of trustees.

Geoffrey Girnun hiking in the White Mountains of New Hampshire. Photo from Girnun

By Daniel Dunaief

He hopes to use their addictions against them. By taking away what they depend on for survival, he would like to conquer a disease that ravages and, all too often, kills its victims.

Geoffrey Girnun, an associate professor in the pathology department and the director of cancer metabolomics at Stony Brook University, is looking closely at the addictions cancer has to certain pathways that normal cells do not. “It is really about starving the cancer,” he explained. “Perhaps what you feed the patient can starve the cancer.”

Cancer has a ramped-up metabolism that handles nutrients differently, Girnun explained. Differences between normal cells and cancer can provide scientists and doctors with opportunities to develop selective treatments.

Using mouse models, Girnun is exploring the role of different proteins that either promote or prevent various cancers. Recently, he has been studying one particular protein in the liver cell. This protein classically regulates the cell cycle, which is why finding it in the liver, which has non-dividing cells under normal conditions, was unusual.

Girnun discovered that it promotes how the liver produces sugar, in the form of glucose, to feed organs such as the brain under normal conditions. In diabetic mice, the protein goes back to its classic role as a cell cycle regulator.

“We’re using genetic and pharmaceutical mechanisms to dissect out whether increases in liver cancer associated with obesity in diabetics is dependent on this protein,” Girnun said. If he and other scientists can figure out how the protein that functions in one way can take on a different role, they might be able to stop that transformation.

“It’s like a linebacker becoming a quarterback,” Girnun said. He wants to figure out “how to turn it back” into a linebacker.

Girnun is exploring the metabolic pathways and signatures for liver cancer. If doctors are targeting one particular pathway, they might develop “personalized therapy that would help avoid treatments that wouldn’t be effective.”

Girnun’s peers and collaborators said he has contributed important research and insights in his laboratory.

Girnun is “considered a rising star, especially in the area of the downstream signaling events that modulate gluconeogenic gene expression,” explained Ronald Gartenhaus, a professor of medicine and co-leader of the Molecular and Structural Biology Program at the University of Maryland Cancer Center. Gartenhaus, who has known Girnun for seven years and collaborated with him, said metabolomics is “rapidly exploding with novel insights into the perturbed metabolism of cancer cells and how this information might be exploited for improved cancer therapeutics.”

What encouraged Girnun to consider the professional move to Stony Brook was the opportunity to create something larger. “I want to build a program in cancer metabolism,” he said. “I want to build something beyond my own lab.”

When he first spoke to the leadership at Stony Brook, including Ken Shroyer, the head of the pathology department, Yusuf Hannun, the director of the Cancer Center, and Lina Obeid, the dean of research at the School of Medicine, he felt as if he’d found a great match.

Girnun has been so busy working with other researchers that managing collaborations has become a part-time job, albeit one he finds productive and exciting.

Hannun said Girnun has identified “key investigators who are working on developing the field of nutrition and metabolomics.” Girnun is heading up a symposium on May 13th that focuses on innovations in basic and translational cancer metabolomics. The keynote speaker is Harvard Professor Pere Puigserver.

While Girnun changed jobs, he hasn’t moved his family yet from Baltimore. Every week, he commutes back and forth. Girnun and his wife Leah have five children, who range in age from preschool to high school. He hopes his family will move within the next year or so.

Girnun enjoys Stony Brook, where he said he has an office that overlooks the Long Island Sound and where he can run. When he’s hiking on Long Island, he said he has a chance to “think through my experiments.”

His commute from several states away shows “how much I was sold on Stony Brook,” he said. “We believe Stony Brook is moving up to the next level.”

He remains focused on the applications of his research toward people. “Something may be cool mechanistically, but, unless it’ll have a biologically meaningful result and affect how patients are treated or diagnosed, to me, it doesn’t matter,” he said.