Stony Brook University

Stony Brook University hosts opioid forum featuring health care community

Medical professionals participate in an opioid ethics symposium at Stony Brook University Aug. 3. Photo by Kyle Barr

The opioid crisis has reached its tendrils out to touch every person in the U.S., and the doctors who prescribe those opioids for pain relief see the ethical dilemma; whether they should treat their patients’ pain or not out of concerns of misuse.

At an opioid ethics symposium hosted at Stony Brook University Aug. 3, Dr. Kevin Zacharoff, an expert in pain medicine and a sitting member of the Anesthetic and Analgesic Drug Products Advisory Committee of the U.S. Food and Drug Administration, said a number of doctors no longer prescribe opioids for pain management because of how quickly the repercussions of misuse will come down on them. 

“All the regulatory agencies are coming down and tightening the screws of people in primary care, and people in primary care are saying ‘I wash my hands of it,’” Zacharoff said. “This is all falling on the shoulders of health care providers — when people dying from heroin and fentanyl has overtaken pain medication.”

Dr. Kevin Zacharoff delivered the keynote speech and discussed the effects of regulatory agencies on addiction. Photo by Kyle Barr

The U.S. Department of Health and Human Services reports that nationally 116 people a day died from opioid-related drug overdoses in 2016. A U.S. Centers for Disease Control and Prevention report released in 2016 said that the rate of death from drug overdoses has increased 137 percent and a 200 percent increase in the rate of opioid overdose deaths from 2000 to 2014. 

CDC data shows that regulations on prescription opioids restrained the rise of overdose deaths involving legal drugs, but since 2011 there has been a spike in the number of deaths caused by illicit drugs such as heroin and other painkillers including fentanyl. Zacharoff said he fears that these regulations on opioid prescribing pushes stable patients who could have been using opioids to treat long-term pain into using illicit drugs.

“Prescription drug monitoring programs have made a positive impact, but they have also had a negative impact on health care providers, because it takes a lot of time and energy,” Zacharoff said. “Should we sacrifice our care for patients for the sake of people using the substances illicitly?”

For the past several years federal agencies, as well as state governments, have started to restrict the number of opioids available for pharmacies as well as scrutinizing how doctors prescribe that medication. A large number of federal agencies, such as the CDC, the FDA, the Drug Enforcement Administration, just to name a few, are involved in opioid research and regulations. This is on top of state prescription drug monitoring programs, which make doctors fill out forms on patients, saying whether they informed them of the dangers of the drugs and whether they asked if there was a person in the house with a history of addiction.

In April, Attorney General Jeff Sessions announced that the DEA would propose setting more limits on the numbers of opioids that a drug manufacturer could produce. Prescribing doctors said they have seen multiple problems with a shortage of opioids due to these limits on manufacturing and distribution.

“We are seeing an inability to get our prescriptions filled on Long Island,” said Laureen Diot, a nurse practitioner from East Patchogue.

Though that is not to say there have not been bad actors. In May, Merrick doctor Michael Belfiore was convicted of prescribing hundreds of opioids for profit and for causing the deaths of two men via overdoses. He wrote 5,000 prescriptions for 600,000 pain pills between January 2010 and March 2013, but Belfiore is asking a federal judge to dismiss the case, saying it was the pharmaceutical companies who promoted the drugs while downplaying their risks.

The issue, Zacharoff said, stems from doctors’ lack of education when it comes to pain medicine. A 2011 study in the National Academies Press showed that out of 117 U.S and Canadian medical schools only four U.S schools offer a required course on pain.

“That’s despite the fact that pain is the most common reason people seek medical attention,” Zacharoff said. “Doctors will often say to me, ‘I have to think about hypertension, diabetes, heart disease,’ but pain is more prevalent than diabetes, cancer and heart disease combined.” 

Suffolk County officials are hoping to see a decline in the number of opioid-related deaths this year. In a report presented at the May 31 Suffolk County Legislature’s health committee meeting Chief Medical Examiner Michael Caplan said that if numbers stay low, approximately 260 opioid-related deaths are expected this year — a near 100-person decrease compared to 2017. However, the county will not know the total opioid-related deaths until the year’s end.

There are options for nonopioid pain relief, such as rehabilitative and psychological therapies. Doctors at the symposium said they expect as opioid prescribing ebbs, then other practices or drugs will become more prevalent. While some medical professionals said medical marijuana might one day work as effective pain relief, it not being legal in New York and without the necessary number of tests, the drug is not viable at this moment.

“It’s too early to write the book on marijuana for chronic pain,” said Marco Palmieri, the director of the Center for Pain Management at Stony Brook University. “Some physicians have gotten around this by opting not to test for marijuana [when doing prescriptions]. Whether that’s right, I don’t know. There certainly needs to be more data available.”

From left, Peter Tonge with Eleanor Allen and Fereidoon Daryaee. Photo from SBU

By Daniel Dunaief

The journey begins at one point and ends at another. What’s unclear, however, is the process that led from beginning to end. That’s where Peter Tonge, a professor in the Department of Chemistry and Radiology at Stony Brook University’s College of Arts & Sciences, recently discovered important details.

Working with a protein called dronpa, Tonge wanted to know how the protein changed configurations as it reacted to light. There was more than one theory on how this process worked, Tonge said. “Our studies validated one of the previous hypotheses,” he said. Structural changes occur on different time scales. With a team of collaborators, Tonge was able to follow the photoreaction from absorption to the final activated form of the photoreceptor.

The technique Tonge used is called infrared spectroscopy. Through this approach, he looks at the vibration in molecules. People generally “have this picture of a molecule that isn’t moving,” he said. “In fact, atoms in the molecule are vibrating, like balls on a spring going backwards and forwards.”

Tonge uses the technique to look at vibrations before and after the absorption of light and subtracts the two. “People knew what the structure of dronpa was at the beginning and they knew the final structure,” but they had only developed educated theories about the transition from one state to another, he explained. The application of this work isn’t immediate.

“The knowledge we gained will be a foundation that will be combined with other knowledge,” Tonge said. Theoretically, scientists or drug companies can redesign the protein, fine-tuning its light-sensitive properties.

Tonge’s lab, which includes 11 graduate students, two postdoctoral researchers, two undergraduates and six high school students, explores several different scientific questions. They are studying how proteins use the energy in a photon of light to perform different biological functions.

In optogenetics, scientists have developed ways to use light to turn processes on or off. Eventually, researchers would like to figure out ways to control gene transcription using this technique. According to Tonge, scientists are “interested in using these processes that have naturally evolved to tailor them to our own purposes.”

Tonge’s other research focus involves understanding how drugs work. Most drugs fail when they reach clinical trials. “Our ability to predict how drugs will work in humans needs to be improved,” he said, adding that he focuses on something called the kinetics of drug target interactions to improve the process of drug discovery.

In kinetics, he explores how fast a drug binds to its target and how long it remains bound. Companies look to design drugs that remain bound to their desired target for longer, while separating from other areas more rapidly. This kind of kinetic selectivity ensures the effectiveness of the drug while limiting side effects.

By thinking about how long a drug binds to its target, researchers can “improve the prediction of drug activity in humans,” explained Tonge. “We need to consider both thermodynamics and kinetics in the prediction of drug activity.”

A study of kinetics can allow researchers to consider how drugs work. Understanding what causes them to break off from their intended target can help scientists make them more efficient, reducing their failure rate.

Borrowing from sports, Tonge suggested that kinetics measures how quickly an outfielder catches a ball and throws it back to the infield, while thermodynamics indicates whether the outfielder will be able to make a catch. He believes the most interesting work in terms of kinetics should occur in a partnership between academia and industry.

Tonge is the newly appointed director of the Center for Advanced Study of Drug Action at Stony Brook, where he plans to develop a fundamental understanding of how drugs work and the role kinetics play in drug action.

Joanna Fowler, a senior chemist emeritus at Brookhaven National Laboratory, worked with Tonge for several years starting in 2005. She said Tonge developed ways to label tuberculosis and other molecularly targeted molecules he had developed in his lab. They did this to image and follow it in the body using the imaging tools BNL had at the time.

In an email, she described Tonge as a “scholar” and a “deep thinker,” who investigates mechanisms that govern the interactions between chemical compounds including drugs and living systems, adding, “He uses his knowledge to address problems that affect human beings.”

Finally, Tonge is also pursuing research on positron emission tomography. He would like to synthesize new radio tracers and use PET to see where they go and learn more about how drugs work. He would also like to enhance ways to locate bacteria in humans.

The professor is trying to detect infections in places where it is difficult to diagnose because of the challenge in getting clinical samples. Samples from throat cultures or mucus are relatively easy to obtain — the short-term agony from a swab in the back of the throat notwithstanding.

“It is more difficult to get samples from locations such as prosthetic joints,” which makes it more challenging to detect and diagnose, he said.

If an infection isn’t treated properly, doctors might have to remove the prosthesis. Similarly, bone infections are difficult to detect and, if left unchecked, can lead to amputations.

A resident of Setauket, Tonge lives with his wife, Nicole Sampson, who is a professor in the chemistry department at SBU and is the interim dean for the College of Arts and Sciences, and their two children, Sebastian, 18, and Oliver, 14.

Tonge, who was raised in the United Kingdom, said he enjoys running on Long Island.

Tonge and Sampson are co-directors of a graduate student training program in which they train students to improve their ability to communicate their science. One of the activities they undertook was to visit a high school and have grad students present their research to high school students.

As for his work, Tonge said he is “genuinely curious about the chemistry that occurs in biological systems.”

From left, Emmy award-winning actor Brian Cox with Alan Inkles, founder and director of the Stony Brook Film Festival at the U.S. Premiere of ‘The Etruscan Smile’ on July 21. Photo by Nick A. Koridis

The 23rd annual Stony Brook Film Festival wrapped up with a Closing Night Awards Reception on July 28. The evening recognized the outstanding new independent films screened at the festival, which was held at the Staller Center for the Arts at Stony Brook University from July 19 to 28.

“The Etruscan Smile,” featuring acclaimed actor Brian Cox in the lead role, won the Grand Prize. The sold-out U.S. Premiere was screened on July 21 with Brian Cox, Thora Birch and Sandra Santiago attending and hosting a Q&A. 

Alan Inkles, founder and director of the Stony Brook Film Festival announced additional awards at the reception. “We received so many enthusiastic responses from our astute audience members over the ten days of the festival,” he said. “‘The Etruscan Smile’ was hailed as a favorite. I was fortunate to have Brian Cox reach out to us just as we were finishing our schedule. He had been to the Stony Brook Film Festival for his film ‘The Carer’ and was keen on having the U.S. Premiere of ‘The Etruscan Smile’ at Stony Brook.”

The Stony Brook Film Festival has awarded eight Grand Prizes in its 23-year history. “The Etruscan Smile is the ninth to receive a Grand Prize.” 

And the winners are:

2018 Grand Prize 

“The Etruscan Smile” (United States)

U.S. Premiere 

Directed by Oded Binnun and Mihal Brezis. Written by Michael McGowan, Michal Lali Kagan and Sarah Bellwood. With Brian Cox (“Braveheart,” “The Carer”), Thora Birch (“Ghost World”), JJ Feild (“Austenland”) and Rosanna Arquette (“Pulp Fiction”). 

2018 Jury Award – Best Feature (tie) 

“Octav” (Romania)

U.S. Premiere 

Directed by Serge Ioan Celebidachi. Written by Serge Ioan Celebidachi and James Olivier. With Marcel Iures, Victor Rebengiuc, Eric Aradits and Alessia Tofan.

“Symphony for Ana” (Argentina)

East Coast Premiere 

Directed by Ernesto Ardito, Virna Molina. Written by Ernesto Ardito, Virna Molina and Gaby Meik. With Isadora Ardito, Rocio Palacin, Rafael Federman, Ricky Arraga, Vera Fogwill and Rodrigo Nova.

2018 Audience Choice – Best Feature 

“The Guilty’ (Denmark)

Directed by Gustav Möller. Written by Emil Nygaard Albertsen and Gustav Möller.With Jakob Cedergren, Jessica Dinnage and Omar Shargawi.

2018 Spirit of Independent Filmmaking  

“Thrasher Road” (United States) 

East Coast Premiere

Written and Directed by Samantha Davidson Green. With Allison Brown and Christian Kohn.

2018 Jury Award – Best Short

“Unnatural” (United States)

East Coast Premiere 

A film by Amy Wang. 

2018 Audience Choice Award – Best Short

“Internet Gangsters” (United States)

New York Premiere 

A film by Sam Friedlander. 

This year the films at the 2018 Stony Brook Film Festival spanned 19 different countries and the festival welcomed over 40 filmmakers to represent their films at screenings. With support from presenting sponsor Island Federal Credit Union and others, SBU was able to welcome guests from Israel, India, England, New Zealand, Spain, Belgium, and many from the West Coast.

The Closing Night Awards reception held in Staller Center’s Paul W. Zuccaire Gallery was sponsored by HBO. Catering for the reception was provided by The Meadow Club. 

Additional sponsors include Campolo, Middleton & McCormick, LLP; Altice Media Solutions, Suffolk County; and WLIW21. Staller Center Media Sponsors include WSHU Public Radio, Times Beacon Record News Media, WALK 97.5, LI News Radio and Oldies 98.1.

The Stony Brook Film Festival will announce the start date for 2019 entries later in the year at www.stonybrookfilmfestival.com.

Kenneth Shroyer and Luisa Escobar-Hoyos are the recent recipients of a two-year research grant from PanCAN. Photo by Cindy Leiton

By Daniel Dunaief

Stony Brook University has collected its first PanCAN award. Pathology Chair Kenneth Shroyer and Assistant Professor and Co-Director of the Pathology Translational Research Lab Luisa Escobar-Hoyos have earned a two-year $500,000 research grant from the Pancreatic Cancer Action Network.

The tandem has worked together for seven years on the protein keratin 17, or k17, which started out as an unlikely participant in pancreatic cancer and as a molecule cancer uses to evade chemotherapy.

Shroyer and Escobar-Hoyos were “thrilled to get the award,” said Shroyer in a recent email. “While we thought our proposal was very strong, we knew that this was a highly competitive process.”

Indeed, the funding level for the PanCAN grants program was between 10 and 15 percent, according to PanCAN.

The grants review committee sought to identify projects that “would constitute novel targets for treating pancreatic cancer,” said Maya Bader, the associate director of scientific grants at PanCAN. 

“Given that k17 represents a potential new target, the committee felt the project was a good fit with exciting potential to meet this goal. We are thrilled to welcome Dr. Shroyer to the PanCAN grantee research community and look forward to following both his and Dr. Escobar-Hoyos’ contributions to the field,” she said.

Escobar-Hoyos explained that she and Shroyer hope “this work will shed scientific insight into potential novel ways to treat the most aggressive form of pancreatic ductal adenocarcinoma,” which is the most common type of pancreatic cancer.

Although they are not sure if their approaches will be successful, she believes they will provide information that researchers can use to “further understand this aggressive disease.”

Thus far, Shroyer and Escobar-Hoyos have focused on the role of k17 in pulling the tumor suppressor protein p27 out of the nucleus into the cytoplasm, where it is degraded. More recently, however, they have explored how the k17 the tumor produces reprograms the cancer metabolome.

They have data that suggests that k17 impacts several dozen proteins, Escobar-Hoyos suggested. If the tumors of patients express k17, around half the protein content will go to the nucleus of the cell. 

In addition to understanding what k17 does when it enters the nucleus, Escobar-Hoyos and Shroyer are testing how they might stop k17 from entering the nucleus at all. Such an approach may prevent pancreatic cancer from growing.

Shroyer and Escobar-Hoyos are working with a graduate student in the lab, Chun-Hao Pan, who is testing molecular pathways that might make pancreatic cancer more resistant to chemotherapy.

Dr. Yusuf Hannun, the director of the Stony Brook Cancer Center, was pleased that his fellow Stony Brook scientists earned the PanCAN distinction.

“It is an important award and speaks to our growing significant efforts in research in pancreatic cancer,” he said, suggesting that the research could have important benefits for patients battling with pancreatic cancer.

“This defines at the very least a novel and important biomarker for pancreatic cancer that can also extend into novel therapeutic approaches,” Hannun said. This type of research could enhance the diagnostic process, allowing doctors to subtype pancreatic cancers and, if the pathways become clearer, enhance the effect of chemotherapy.

The funds from the PanCAN award will support experiments in cell culture and in animal models of pancreatic cancer, Shroyer explained.

Shroyer has teamed up with numerous researchers at Stony Brook and Cold Spring Harbor Laboratory on this work.

As proof of principle for one aspect of the proposal, he accessed chemosensitivity data from pancreatic cancer organoids. Hervé Tiriac, a research investigator who works in David Tuveson’s lab at CSHL, generated these organoids from SBU pancreatic cancer specimens.

In addition to their work with organoids at CSHL, Shroyer and Escober-Hoyos benefited from their collaboration with SBU’s Ellen Li, a professor of medicine, who ensured patient consent and specimen collection.

Going forward at Stony Brook University, the key collaborator for this project will be Richard Moffitt, an assistant professor in the departments of Biomedical Informatics and Pathology.

Shroyer described Moffitt as an “internationally recognized leader in the field of pancreatic cancer subtyping” who is working to understand better how k17 could serve as a prognostic biomarker.

At the same time, Wei Hou from the Department of Family, Population and Preventive Medicine will provide biostatistical support throughout the course of the project.

PanCAN, which has donated $48 million to support pancreatic cancer research, awarded nine grants this year in the United States, Canada and France, for a total contribution of $4.2 million. 

The other scientists include Andrew Aguirre from the Dana-Farber Cancer Institute, Scott Lowe, who had previously worked at Cold Spring Harbor Laboratory and is now at Memorial Sloan-Kettering Cancer Center and George Miller at New York University School of Medicine.

Previous recipients of PanCAN awards have been able to leverage the funds to attract research dollars to their work.

Grantees who had received $28.2 million from 2003 to 2015 went on to receive $311 million in subsequent funding to support their pancreatic cancer research, according to PanCAN. That means that every dollar awarded by PanCAN converts to $11.01 to fund future research aimed at understanding, diagnosing and treating pancreatic cancer, according to Bader. Most of the subsequent funding comes from government sources.

PanCAN award recipients have published research that other scientists have cited more than 11,000 times in other papers published in biomedical journals. This means “other researchers are reading, learning from and building upon our grantees’ work,” Bader added.

Stony Brook University baseball player Nick Grande slides into third. Photo from SBU Athletics

By Desirée Keegan

Nick Grande was home for a few weeks during winter break, and while his mother joked he could get a job during his extended stay, the shortstop had a different idea.

“No, mom,” he said in response. “As soon as the new year starts that’s it, you won’t see me again. I’ll be at Stony Brook every day.”

The Stony Brook University sophomore was a standout for Smithtown West’s baseball team, helping the Bulls claim two league titles during the three years he was team captain. He was named second team All-State as a senior after posting a .529 batting average, which also earned him the Suffolk County Silver Slugger Award. He also captained the league title-winning basketball team in his senior season. But while there are always adjustments to be made making the jump from high school to Division I college ball, his freshman season didn’t go as smoothly as he’d hoped.

Stony Brook University baseball player Nick Grande turns two. Photo from SBU Athletics

As a freshman at SBU, he played in 35 games, collecting multiple hits in seven of those contests. He notched his first collegiate hit and home run in the same game at Presbyterian College, and went 3-for-3 as the designated hitter in a win against Sacred Heart University. But he wanted to become more consistent, so he got up every morning during winter break at 8 a.m. to work on improving his game, and he did.

Grande batted .377 for the 32-25 Seawolves this past season. His 78 hits were the sixth most in a single season in Stony Brook history; his 32 stolen bases are the second most in a season only behind MLB-draftee Travis Jankowski’s 36 in 2012; he had 22 multi-hit games, including eight in a row; and reached base safely a team-best 22 straight games. Grande batted .418 in America East conference play and had five of his six home runs in conference.

“There’s a reason why people are talented,” said Nick Grande Sr., who was the head baseball coach and now principal at Island Trees High School. He recalled bringing his son to the field every day after school since he was 3 years old. “It’s all about the time they put into perfecting their craft … his desire, his determination. He hates to lose more than he loves to win, and that’s been since he was 3 years old.”

Although the elder Grande said his son has a fear of failure, he doesn’t show it. Grande Jr. said he’s picked up a philosophy of positivity along the way, from his time spent on the diamond at the age of 7 with his dad at the end of the day from his father’s Island Trees coaching job, to his new head coach Matt Senk, and everyone else he met along the way.

“You have to go into a game expecting to be successful — that’s the only way it’s going to work out of you, I think,” he said. “Even if you’re cold or having a tough day you have to step into the box knowing that you’re going to get a hit. I tried to have a positive mindset out there.”

“He hates to lose more than he loves to win, and that’s been since he was 3 years old.”

— Nick Grande Sr.

The starting shortstop earned back-to-back America East Player of the Week honors March 27 and April 3. He went 6-for-11 with a homer and three RBIs in a home series against the University of Massachusetts Lowell and went 6-for-6 with three doubles and a pair of RBIs in a win against Binghamton University. One of the nation’s top base stealers in 2018, he swiped three in a game twice. He went on to be named second-team ABCA/Rawlings Northeast All-Region, an America East spring scholar-athlete, a first-team Google Cloud Academic All-American and a first-team All-American by Collegiate Baseball.

“It was nice to be able to produce and contribute to help the team win games,” Grande said, adding it helped having role models like recent MLB draftees pitcher Aaron Pinto and infielder Bobby Honeyman and Coram outfielder Andruw Gazzola. “Being in a great lineup where top to bottom guys are having great at-bats didn’t hurt either.”

Despite his strong showing on the offensive side of the ball, Grande said he has a defense-first mentality.

“He’d rather catch a ground ball than get a base hit, and when he makes an error I hear about it for days,” Grande’s father said, laughing. “That’s because we’ve hit thousands of ground balls. He doesn’t stop, he doesn’t quit, and that’s because he wants to be as close to perfect as you can be.”

Senk said though that Grande wanted to be more of a consistent hitter to balance his game. He said he pointed out to his shortstop he had an inside-out swing that didn’t allow him to hit the ball as hard as he could, so he started pulling the ball more. Grande also practiced using his backhand to get to more ground balls.

Stony Brook University baseball player Nick Grande digs into the box. Photo from SBU Athletics

“He has such a tremendous work ethic — that was never an issue,” the SBU coach said. “He worked hardest in the toughest part of the game. He takes well to coaching, he kept working at it and working at it and ended up really clicking in a big way. I knew it when we were playing the defending national champs, University of Florida, and he hit a home run off first-round draft pick Brady Singer. From there his season took off. I think that was because of his dedication, athleticism and intelligence.”

But there’s more to the ballplayer than his devotion and talent. Smithtown West head coach Al Nucci said what he does in the classroom, and the kind of teammate he is makes him exemplary in every which way.

“He stood out from the day he started,” Nucci said of seeing Grande during a Booster Club practice as a youngster. “As crazy as it sounds as a young boy he had an incredible work ethic, he loved the game, he was always looking to improve, he smiled, he was super polite — as a 6-year-old on 60-foot diamond completely and totally standing out from his peers.”

He was pulled up to varsity as an eighth-grader to get more of a challenge, and ended up starting the second half of the season and into the playoffs after an injury sidelined one of his teammates. His coach joked that he might be the only Bulls player in history to hit a home run in his first at-bat and sacrifice bunt his next, showing his team-first mentality.

“He’s probably a better person and a better student than he is an athlete,” Nucci said. “He’s the first on the field and the last one off it, and he backs up his leadership skills and his work ethic with results on the field. And Nick didn’t need to speak — he spoke with his mitt, with his arm, with his bat, with his baseball intellect and with his attitude. Nick is the type of kid that takes a little something from everyone and uses it to his advantage. I hope my son ends up like Nick one day, I’ll tell you that.”

“He takes well to coaching, he kept working at it and working at it and ended up really clicking in a big way.”

— Matt Senk

Grande’s father said although it can be nerve-racking, it’s been nice to take off the coaching uniform and sit back and watch his son play.

“Your stomach is turning, you’re a nervous wreck, your hands are sweating, but there’s not a better place in the world to be than watching your kids play sports,” he said. “The sport to me always had such a positive effect on my life, and from an early age he seemed to be following in the same footsteps, that the game was going to be meaningful for him, too.”

Baseball is a game of highs and lows, and it’s those who turn the lows into highs that tend to become successful. Nick Grande is the epitome of that according to those who know him best.

“When you get a text from your son that says, ‘Dad, I was just chosen as first-team All-American,’ after you pick yourself up off the floor, you take a deep breath and say, ‘Wow, all of his hard work, all of his dedication really paid off for him,’” Grande Sr. said. “People that work hard deserve to be rewarded in life, and in his case he has.”

Stephanie Maiolino. Photo by Elizabeth Anne Ferrer

By Daniel Dunaief

This one’s a head scratcher, literally.

For years, people assumed early primates — small creatures that lived 55 million years ago — had nails. That, however, is not the complete story, as Stony Brook University Assistant Professor Stephanie Maiolino and a team of researchers discovered.

In addition to nails, which lay flat on our fingers and which make it easy to scratch an itch after a mosquito bite, earlier primates had something called grooming claws. These claws, which were on the toes next to their big toes, allowed them to remove external parasites like ticks and lice, which likely helped them survive against an onslaught of various critters eager to steal, or even infect, some of their blood.

Maiolino, who is in the Department of Anatomical Sciences at SBU, teamed up with lead author Douglas Boyer, an associate professor in the Department of Evolutionary Anthropology at Duke University; Johnathan Bloch, the Florida Museum of Natural History curator of vertebrate paleontology at University of Florida; Patricia Holroyd, a senior museum scientist at UC-Berkeley’s  Museum of Paleontology; and Paul Morse, from the Florida Museum of Natural History at the University of Florida at Gainesville to report their results recently in the Journal of Human Evolution.

“It was generally assumed that only a certain type of primate had grooming claws,” Maiolino said. “Finding these structures was quite surprising.”

Maiolino spent considerable time during her doctoral work, which she conducted at SBU prior to becoming an instructor at the university, analyzing the differences in the bones of species that have nails, claws and grooming claws. By understanding the anatomical features of the phalanges — or fingers and toes — leading up to the claws or nails, Maiolino was able to go back into the fossil record to explore the prevalence of these digit protrusions.

Oftentimes, she suggested, researchers collect a bone, or even a fragment of a bone, in which a nail or claw is almost never preserved in the fossil record. Maiolino used her analysis to extrapolate the parts that extend beyond the remaining fossils.

While nails sit on the end of fingers, grooming claws stick up, which puts them in an ideal position for combing through hair, which would allow the primates to remove pests that could compromise their health or threaten their survival.

“From a functional standpoint, it’s often overlooked how important the need to remove these parasites [is],” she said. When people see lemurs whose ears are completely covered in ticks or they hear about dogs that have so many ticks on them that the dog is at risk of dying, they recognize that “having an adaptation to help you remove them is actually surprisingly a big deal.”

Like any other adaptation, however, the development of these grooming digits comes with a cost. Instead of having that digit available for locomotion or grasping branches, it becomes more useful in removing unwanted insects. “There are significant pressures shaping the feet of these primates,” said Maiolino.

To provide some perspective on the importance of grooming claws, Maiolino highlighted how the primates from the fossil record were not much bigger than a mouse. Having less blood because they are smaller than current primates, and dealing with ticks that are closer to their size, suggests that the health consequences of an infestation are much greater.

As primates became more social — interacting with other members of their species and taking turns grooming each other — the pressure to have these grooming claws may have reduced.

Nonetheless, Maiolino said, a few primates that spend hours each day picking ticks off each other in a process called allogrooming still have these claws. “Some of the animals that do have [the claws] groom each other considerably,” she said, which suggests that there is still work to do to understand the evolution of these features.

When Maiolino and her collaborators first started exploring the claws versus nails discussion, they knew that researchers believed anthropoids didn’t have them.

“Now we know that anthropoids did,” she said. “We’re getting more of a sense of the distribution” of these claws.

From here, Maiolino would like to continue to explore the evolutionary trajectory from claw-bearing nonprimates to nail-bearing primates. There are a “lot of questions about why early primates ended up evolving nails in the first place,” she said.

William Jungers, a distinguished professor emeritus at Stony Brook University who was Maiolino’s doctoral thesis adviser, described her as “an outstanding and innovative young scientist with a very bright future as an educator and comparative anatomist.” He said Maiolino uses “cutting edge imaging methods to advance our understanding of primate origins and paleobiology, especially the evolution of unique aspects of primate hands and feet.”

Jungers explained that claws and nails are the “key features linked to both locomotion and social behavior.”

Maiolino, who currently lives in Port Jefferson, said when she visits zoos, she’s always on the lookout for the way primates and other mammals use their nails or claws. She also studies photographs and videos.

When she first started graduate school, Maiolino was much more interested in skulls than in nails. Once she linked nails and claws, however, to questions about primate origins, she became much more interested in them.

Outside of the lab, Maiolino said she enjoys watching horror movies. One of her favorites is the second “Aliens” film in the Signourney Weaver centered franchise. She is also a fountain pen enthusiast.

Back in high school in New Jersey, Maiolino  was especially interested in studying evolution. Embryology and embryological development appealed to her, as she was amazed by how growth in the womb affected what organisms became.

As for her work, a Holy Grail question for her would be to better understand why primates developed nails in the first place. She’s trying to understand the interplay between body size, behavior and other variables that affected these structures.

In the fall, OLLI classes were contained in the Social & Behavioral Sciences building, the Charles B. Wang Center, above, and Student Activities Center this fall. Photo from Stony Brook University

Continuing education students in Suffolk County recently found out speaking up can garner better results.

Students and workshop leaders enrolled in the Osher Lifelong Learning Institute at Stony Brook University, a program that offers workshops, lectures and activities to retired and semiretired individuals, breathed sighs of relief when SBU representatives informed them at a June 27 meeting at the university that all OLLI classes will remain on campus. A few months ago, due to increased enrollment of SBU and OLLI students, it was proposed by university representatives that some OLLI classes be held off campus and members were told they could no longer park in the lot reserved for staff and faculty.

“There are some questions. So, I think there’s room for tweaking here.”

— John Gobler

Judith Greiman, chief deputy to SBU president and senior vice president for government and community relations, said while all classes will be held on campus, they will only be scheduled Mondays, Wednesdays and Fridays instead of every weekday. Class duration will also be changing from 75 minutes to 60. OLLI students will be required to use the metered parking lots where they will need a hang tag, so they won’t have to put coins in the meters. The new parking arrangement will mean an added $75 in OLLI fees per semester.

The changes came after complaints from members and several meetings with Greiman, SBU community relations director Joan Dickinson and OLLI representatives, according to past OLLI president Robert Mirman. He said both sides had to bend a little.

“It’s understandable that the students of the university have priority, and they’re growing, there’s no ifs, ands or buts,” Mirman said. “But the majority of our members, the feedback that we got, was that they would prefer to be on campus.”

Workshop leader John Gobler said he believes the new plans are an improvement over initially proposed ideas, but said he and other members feel issues still exist. The new schedule has an hour break between classes, which will cause a good amount of downtime for those who take more than one course a day. He said at the June 27 meeting, members complained about the additional $75 a semester fee. Not everyone brings their car since they carpool, others need to park in handicap spots at the university and metered parking is limited, according to Gobler. Mirman said overall the $75 additional fee per semester will be less expensive than using the meters.

“The misperception, on the part of some, was that somehow the university didn’t want people on campus.”

—Judith Greiman

“We do have the support of the university, and they’re trying to help us, I’m sure,” Gobler said. “There are some questions. So, I think there’s room for tweaking here.”

Gobler also has concerns about equipment since classes will be offered solely in the Charles B. Wang Center, Student Activity Center and Social & Behavioral Sciences building, where the rooms don’t have the same technology equipment as other buildings. The one benefit of OLLI classes taking place in the three buildings instead of various buildings is OLLI members will know where their class location is as soon as they register. In the past, they had to wait until SBU
students completed registration to know where a class was going to be held.

Dickinson said current discussions with OLLI representatives has led to helping members become more involved with volunteer and community opportunities. She said many didn’t realize there were university events they could take part in like an international science competition where members can meet with the participating students and see their projects. She said many agencies in the community reach out to SBU and ask for help with reading to local students, musical performances, hosting campus tours and more. Those same volunteer opportunities will exist for OLLI members.

“Those kinds of connections and becoming more a part of the campus will be there,” Dickinson said.

Greiman said the university is happy to work with OLLI.

“The misperception, on the part of some, was that somehow the university didn’t want people on campus,” Greiman said. “In fact, we very strongly support the program and see the OLLI members as ambassadors and as part of the Stony Brook family.”

Knowing the signs of a stroke and getting help quickly can save your life.

By Ernest J. Baptiste

Ernest Baptiste

Stroke can affect people of all ages and backgrounds. When you have a stroke, you lose nearly two million brain cells for each minute that passes until normal blood flow is restored to your brain. No wonder it’s a leading cause of disability. It’s also the fifth-leading cause of death for both men and women in the United States.

We’re encouraged that there has been a decline in stroke deaths over the past few years — due in part to increased awareness of the signs of stroke, people seeking treatment faster and improvements in the types of treatments available — but our work is far from done.

Knowing the signs of stroke and getting help quickly can save your life or that of a loved one. Signs include sudden loss of balance, sudden loss of vision in one or both eyes, an uneven facial expression, numbness or weakness in one arm and/or leg or disrupted speech. If you suspect you’re having a stroke, call 911 immediately. Let the operator know and ask to be taken to a stroke center where advanced treatments are available.

It is certainly a testament to the advanced level of quality stroke care provided at Stony Brook University Hospital that our stroke center was recently certified by The Joint Commission as a Comprehensive Stroke Center — the highest level a stroke center can achieve. To receive this advanced certification, we underwent a rigorous screening process. 

This certification is awarded only to institutions that provide advanced care to patients with exceptional, around-the-clock treatment.

As the first and only certified Comprehensive Stroke Center in Suffolk County — the second on Long Island and one of only 11 in New York State — Stony Brook joins an elite group. Nationally, approximately 200 hospitals out of 5,800 have earned this designation.  

While we hope that you or someone you love never experiences a stroke, it’s important to know that you have the most advanced level of stroke care just minutes away at SBU. For the thousands of Long Islanders who survive a stroke and face a tough road ahead, we offer help as well. 

Our Stony Brook Stroke Support Group provides encouragement and feedback from others who can relate to a stroke survivor’s and/or their family member’s situation, as well as tips about helpful programs and resources.

Although this advanced certification is a significant achievement for Stony Brook University Hospital, it is our patients and the communities we serve who benefit the most from having this level of stroke care available close to home. As a certified comprehensive stroke center, we provide a level of care that few hospitals anywhere can match.

Ernest J. Baptiste is the chief executive officer at Stony Brook University Hospital.

Above, a battle scene shot at Benner’s Farm in East Setauket last summer.
Film showcased at SBU’s Staller Center for the Arts

By Talia Amorosano

The wait is over. On Sunday, June 24, an integral piece of U.S. and Long Island history will be revisited in the geographic location where much of it actually took place. At 7 p.m., the Stony Brook University’s Staller Center for the Arts, 100 Nicolls Road, Stony Brook, will host the first major public screening of “One Life to Give,” a film about the friendship and lives of young American heroes Benjamin Tallmadge and Nathan Hale, whose actions would lead to the creation of a Revolutionary spy ring based on the North Shore of Long Island.

Presented in the Main Theater, doors will open at 6:45 p.m. After a message from publisher Leah Dunaief, a short behind-the-scenes documentary will be shown followed by the main film screening. After a message from the creators, the evening will conclude with a Q&A with the cast and crew. Admission to the event is free, courtesy of TBR News Media. No reservations are necessary.

Cast and crew gather around a camera to view playback last summer.

The film’s co-producer and writer, Michael Tessler, describes the film as an exploration of historical events with a human focus. “After spending several years researching Benjamin Tallmadge and the other heroes featured in our film, I began to look at them not as detached names in a textbook, but more so as real people, with real stories that deserve to be told,” he said.

 Dave Morrissey, the actor who portrays Tallmadge in the film, describes his character as a “22-year-old kid,” who, despite his relative youth, is “focused” and “grounded,” propelled into action by the death of his brother at the hands of the British. “When something like that happens to you, you turn into a machine … into something else,” said Morrissey. “If you channel the energy and do what’s right, the possibilities are endless.”

By focusing a metaphorical macro lens on the multidimensional characters of Tallmadge and Hale, the film traverses consequential moments of American history: the Battle of Long Island, the anointing of America’s first spy and the events that would lead to the creation of the Culper Spy Ring, a group of men and women who risked their lives and status to gather British intelligence for the Revolutionary cause. 

Though Tessler notes that the film is, at its heart, a drama, he and the film’s director and co-producer Benji Dunaief stress the cast and crew’s commitment to accuracy in their interpretation of historical events. 

“The history comes second to the narrative in most [other film adaptations of historical events],” says Dunaief. “Our approach with this film was the exact opposite. We wanted to see where we could find narrative within [pre-existing] history.” 

“Many of the lines from the film were plucked directly from the diaries of the heroes themselves,” stated Tessler. “We worked closely with historians and Revolutionary War experts to achieve a level of accuracy usually unseen in such a local production.”

The fact that many scenes from the film were shot in the locations where the events of the real-life narrative took place helped give the visuals a sense of truthfulness and the actors a sense of purpose.

“The location took production to the next level. It’s really crazy how closely related the sets we used were to the actual history,” said Dunaief, who specifically recalls filming at a house that contained wood from Tallmadge’s actual home. “It helped to inspire people in the cast to get into character.” 

Morrissey recalls spending a particularly inspiring Fourth of July on Benner’s Farm in East Setauket. “We were filming the war scenes with all the reenactors … in the cabin that we built for the set … in the town where the battles and espionage had really happened. There were fireworks going on in the background while we sang shanty songs. It was amazing.”

The Continental Army shoots off a cannon at Benner’s Farm.

Though locational and historical accuracy played a large role in making filming a success, ultimately, Dunaief and Tessler credit the resonance of “One Life to Give” to an engaged and participatory community. “This was a community effort on all accounts,” says Dunaief, noting the roles that the Benners, Preservation Long Island, The Ward Melville Heritage Organization, the Three Village Historical Society and others played to bring “One Life to Give” to fruition. 

The fact that the screening will take place at the Staller Center, in the heart of the community that helped bring the film about, represents a full-circle moment for the cast and crew. “We’re calling it a screening but it is so much more,” said Dunaief. “It is a fantastic example of how the community has stood by this film, from beginning to end.”

“We’re beyond honored and humbled to use a screen that has seen some of the greatest independent films in history,” said Tessler. “Stony Brook University has been a wonderful partner and extremely accommodating as we work to bring our local history to life.” 

Tessler projects confidence that viewers will leave the screening with a similar sense of gratitude. “This story shows a part of our history that I think will make the audience very proud of the place they call home.”

The future of ‘One Life to Give’: 

Michael Tessler and Benji Dunaief plan to show the film at festivals around the country, to conduct a series of screenings on Long Island, and to partner with local historical societies that can use it as an educational tool. Additionally, a sequel to “One Life to Give,” titled “Traitor,” is already in the works. Filming will begin this summer.

All photos by Michael Pawluk Photography

Perry Gershon. Photo by Kyle Barr

As the five-headed Democratic Primary to select a challenger for 1st District U.S. Rep. Lee Zeldin (R-Shirley) nears, six Stony Brook University faculty members, some with ties to Brookhaven National Lab, have authored a letter endorsing their preferred winner.

The signers of the letter are throwing their public support behind Perry Gershon, a first-time candidate for political office from the private sector, who made a career as a commercial mortgage lender and small business owner, citing his belief that “facts trump opinions.” The group also supports Gershon’s broader dedication to protecting the environment.

The endorsement came with a disclaimer that the signees being affiliated with SBU are for identification purposes only and do not imply institutional support for any political candidate. Other notable endorsements in the race thus far include Suffolk County Legislator Al Krupski’s (D-Cutchogue) stated support for Kate Browning, a former legislator herself; and Legislator Kara Hahn (D-Setauket) and Brookhaven Town Councilwoman Valerie Cartright (D-Port Jefferson Station) backing Vivian Viloria-Fisher, another Suffolk legislature alumna. Notably, the group of six from SBU’s STEM department did not endorse BNL scientist Elaine DiMasi, who is also among the five candidates in the race.

The full letter from the SBU professors supporting Gershon is below, lightly edited for grammar and style.

Endorsement of Perry Gershon for Congress by faculty and researchers in science, technology, engineering and math at Stony Brook University and Brookhaven National Laboratory

An open letter to the community:

As faculty and researchers at Stony Brook University and Brookhaven National Laboratory  involved in science, technology, engineering and math (STEM) teaching and research, we believe it is of vital importance that you vote for Perry Gershon as your next U.S. Representative in Congress in New York’s 1st Congressional District June 26 in the Democratic Primary.

For all of us, at both the university and the lab in Brookhaven, mid-western Suffolk has been our home for many years, just as the South Fork in eastern Suffolk has been Perry’s home for over 20 years. CD1 covers both — we share the same aquifer and the same need for clean water. What happens here locally, in our country, and in the world, matters deeply to all of us.

We need Perry in Congress because he believes that facts trump opinions. Perry grew up in an academic family. His parents are both medical researchers at Columbia University. While a student at Yale, Perry was involved in original research as co-investigator on multiple published papers with faculty. He understands at his core that investigation and evidence must win out over demagoguery.

Perry believes in the overwhelming evidence of climate change and its profound effects at every scale, from Long Island to the entire Earth. Unlike President Donald Trump (R) and Zeldin, Perry would stay in the Paris Climate Accord and work to help America meet its goals. Perry holds that expanding markets for innovative clean technologies generates jobs and economic growth. Research at SBU, BNL, and Suffolk incubators can be at the forefront of turning CD1’s economy into one that supports good-paying, middle-class jobs that offer our young people the opportunity to stay on Long Island.

Perry knows that Environmental Protection Agency regulations, based on scientific study, are made to help and protect every one of us. Yet under Trump (R), EPA Administrator Scott Pruitt (R) and Zeldin, expert scientists are no longer even allowed to provide advice to the EPA, because recipients of EPA grants, who are the most knowledgeable experts, are forbidden from serving on EPA’s scientific advisory committees — the bodies that make sure regulations to protect public health and environmental values are based on sound science.

Perry knows that Department of the Interior decisions should benefit the country, not benefit any corporation that wants to exploit our natural resources for its bottom line. We do not need or want offshore oil drilling destroying our pristine coastline and threatening our tourist industry. While Zeldin feigns opposition, his support of Trump has allowed Zinke to move forward to expedite drilling permits.

Perry stands for the Democratic values that we all share: seeking truth and diversity of opinion. Unlike Trump and Zeldin, Perry actually listens. He actively seeks input and advice. His main goal is to solve problems in ways that benefit the greatest number of people.

On June 26, the Democratic Primary will choose the candidate who will oppose Zeldin in November. We firmly believe Perry Gershon has the intellect, the skills, the fortitude, and the resources to beat Zeldin — a powerful combination that is not matched by any of the other primary candidates.

We ask you to support Perry Gershon, to take back Congress by removing the man who has become Trump’s mouthpiece and enabler — Lee Zeldin. On June 26, please stand with us in returning truth to our government’s decision making.

Sincerely,

Dr. Douglas Futuyma, Distinguished Professor, Ecology and Evolution, SBU

Dr. Nancy Goroff, Chair Department of Chemistry, SBU

Dr. Stephen Baines, Associate Professor, Ecology and Evolution, SBU

Dr. Barry McCoy, Distinguished Professor, CN Yang Institute for Theoretical Physics, SBU

Dr. Lorna Role, Distinguished Professor and Chair, Neurobiology and Behavior, SBU

Dr. Gene Sprouse, Distinguished Professor Emeritus, Physics and Astronomy, SBU

This post was updated June 19 to remove Dr. Jeff Keister as a signer and add Dr. Stephen Baines.