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    NIH Supports DU Researcher's Work Toward a Nontoxic Cancer Fighter

    If cancer doesn't make you sick enough, cancer drugs can make you feel sicker.

    In 30-plus-years as a cancer researcher at Duquesne University, Dr. Aleem Gangjee has kept concerns about the toxicity of cancer medications and their impact upon normal cells top-of-mind.

    So he is understandably happy that, amid sequestered and reduced federal funding, he has received a $1.56 million, three-year R01 grant from the National Institutes of Health's National Cancer Institute to further develop his latest compounds-which promise not to harm normal cells.

    His research title is enough to make your eyes glaze: Purine Synthesis Inhibitors With Selective Folate Receptor Tumor Transport. But for anyone who has faced cancer or watched a friend or loved one struggle against the disease, Gangjee's work makes the pulse quicken.

    Growth is at the root of cancer's harsh impact, and DNA is at the root of cell growth. So Gangjee has chosen to develop compounds that target the basic building blocks of cancer cells' DNA.  That thought alone is not new. "There are several drugs that try to inhibit synthesis of DNA," Gangjee said. "But they are extremely toxic."

    He wanted his compounds to be more selective-so selective, in fact, that they would impact cancer cells alone, not normal cells. To do so, he focused on a specific system, called a transport system that is expressed only in select tumor cells. The system is not expressed in normal cells, so the mechanism itself precludes toxicity.

    This folate receptor alpha transport system shuttles chemicals from outside cancer cells to the inside of the cells, carrying Gangjee's tumor-fighting compounds like a Trojan horse, fighting cancer from the inside out. Additionally, his compounds fall into a category of "targeted therapies:" compounds that target cancer cells predominately- or exclusively- over normal cells.

    These compounds hitch a ride on a transport system special to certain types of ovarian, breast, liver, lung and colon cancers. Once they gain entry to the cancer cells, they selectively block the signaling systems involved in synthesizing DNA.

    "To our knowledge, this is the only type of targeted therapy that deals with transport into tumor cells using a folate transporter," Gangjee said. "The killing mechanism in these cells brings another advantage, that is, the compounds indirectly inhibit the signaling machinery called mTOR," the pathway that handles cellular emergencies regarding damage, growth and nutrition.

    The mTOR pathway, Gangjee said, is established for treating cancer. But by acting on two different levels, Gangjee's subversive compounds pack a double whammy for cancers. Plus, because multiple mechanisms are involved, cancer cells are not likely to become resistant to the treatment, as they might if this were a single-pronged attack.

    "It is wonderfully selective, exquisitely selective and very, very potent," said Gangjee, who previously had used a different transporter as his Trojan horse. "The beauty is we do this selectively in tumor cells only, because our drugs don't get into the normal cells."

    Duquesne University

    Founded in 1878, Duquesne is consistently ranked among the nation's top Catholic research universities for its award-winning faculty and tradition of academic excellence. The University is nationally ranked by U.S. News and World Report and the Princeton Review for its rich academic programs in 10 schools of study for nearly 10,000 graduate and undergraduate students, and by the Washington Monthly for service and contributing to students' social mobility. Duquesne is a member of the U.S. President's Higher Education Community Service Honor Roll with Distinction for its contributions to Pittsburgh and communities around the globe. The U.S. Environmental Protection Agency and the Princeton Review's Guide to Green Colleges acknowledge Duquesne's commitment to sustainability.