IRP Discoveries

Bringing Out the Big Guns Against Blood Cancer

IRP Research Shows Benefits of More Intensive Treatments for Certain Patients

woman receiving chemotherapy treatment

Fate can be cruel, especially when it comes to a rare, highly fatal blood cancer called acute myeloid leukemia (AML). Even when months of intensive chemotherapy appear to cause a complete remission of the disease — meaning doctors cannot detect any remaining cancer cells in a patient’s body — roughly half of those patients see the cancer return within two years, or even as soon as six months. Sadly, most of them don’t survive their second bout with the disease.

As a medical student, IRP senior investigator Christopher Hourigan, M.D., D.Phil., thought this outcome was unfair. More than that, he thought it indicated that the standard ways doctors determined if an AML patient was in remission were inadequate, and that remission might not even be the right goal. That’s why he has focused his career on finding ways to detect, prevent, and treat AML recurrence, known in his field as ‘relapse’.

“I was a scientist before I became a doctor, and it was really eye-opening to me, when I started to practice medicine, how difficult some of the treatment decisions were and how limited the information available was to inform those decisions,” Dr. Hourigan says.

Teaming Up to Tackle Engineering Challenges

Innovation Awards Accelerate Development of New Research Techniques

scientist working with a robotic arm

Scientists spend years, even decades, intensely studying a specific disease or biological system, an approach that yields unrivaled knowledge. However, many important scientific questions require a deep understanding of several subjects. As a result, the IRP has numerous programs dedicated to encouraging scientists with different areas of expertise to work together.

One such program is the NIH Director’s Challenge Innovation Awards, which funds innovative, high-impact projects that require the cooperation of researchers in more than one of NIH’s Institutes and Centers. This year, the program selected six promising proposals with one foot in the disciplines of biology and medicine and another in engineering or the physical sciences.

Overzealous Immune Cells Hamper Healing

Study Points to Treatment Targets for Impaired Healing Due to Diabetes

patient having his foot examined

Whether we’ve nicked a finger while chopping vegetables or wiped out riding a skateboard, we tend to take for granted that our injuries will eventually mend themselves. However, for a type of wound that often plagues patients with diabetes, healing is no sure thing. IRP researchers recently identified why certain immune cells shift from helpful healers into saboteurs in those injuries.

Neuroimaging Study Supports Two-Stage Theory of Recall

Results Suggest Dual Functions for Memory-Related Brain Area

photos spread out on bedspread

Scientists studying memory have been closely scrutinizing a brain structure called the hippocampus ever since a man named Henry Molaison — better known as ‘patient H.M.’ — lost his ability to create new memories after surgeons removed that portion of his brain as a last-ditch treatment for his unrelenting epileptic seizures. For the most part, that research has treated the hippocampus as one homogenous structure. However, a recent IRP study lends support to the growing recognition that recall is a multi-stage process in which different parts of the hippocampus play different roles.

Mosquitos With Human Gene Hinder Malaria Transmission

Genetically Modified Insects Could Help Curb Infections

transgenic mosquitos with blue, red, and green eyes

“Scientists create genetically modified mosquitos” sounds like the plot of a bad sci-fi movie, but it’s actually the reality in labs all around the world. Researchers are producing these ‘transgenic’ mosquitos in the hopes that the bugs could help combat the scourge of malaria, and in a recent study, IRP scientists demonstrated that their unique strategy in this realm has strong potential to accomplish that goal.

African Ancestry May Influence Immune Response to Prostate Cancer

IRP Study Could Help Explain Racial Disparities in Disease Outcomes

black man getting blood drawn by nurses

Even as advances in therapy are extending the lives of many cancer patients, there are still stark differences in how likely patients of different races and ethnicities are to die from the disease. A recent IRP study suggests that a weaker immune response against cancer could explain the worse clinical outcomes for Black men with prostate cancer, pointing to potential strategies that could help close this gap.

Mining Medical Data to Improve COVID-19 Treatment

Study Reveals Medications Associated With Lower Odds of Severe Infection

doctor typing on laptop

Many researchers studying COVID-19 have spent the past two years poring over test tubes and isolated cells. However, large troves of data about people’s interactions with the healthcare system can also be a rich source of useful insights. Using one such database, IRP researchers found that older adults taking certain medications were less likely to catch COVID or experience severe repercussions from the virus.

Treating Parkinson’s Disease with Pinpoint Precision

Drug Candidate Could Slow Progression and Reduce Side Effects

dartboard with dart in the bullseye

If you know someone with Parkinson’s disease, you’re probably familiar with the progressive tremors and movement difficulties it causes. Unfortunately, the most common treatment for the disease — a drug called levodopa, or L-DOPA for short — can make some movement problems worse when taken for long periods of time. That’s why IRP senior investigator David R. Sibley, Ph.D., and postdoctoral fellow Amy Moritz, Ph.D., have taken on the challenge of discovering new drugs that could be given to patients in conjunction with existing treatments to more effectively slow the disease’s progression while reducing side effects.

Therapeutic Strategy Protects Heart From Diabetic Damage

Mouse Study Points to Approach for Preventing Diabetes-Related Heart Failure

diabetic man testing his blood sugar

Our cells love to lap up sugar from our blood, but as is often the case, too much of a good thing can cause problems. In people with diabetes, chronically high blood sugar can harm organs, including the heart. In an effort to combat this life-threatening problem, IRP researchers demonstrated in mice that activating a specific biological pathway in heart cells can reduce diabetes’ damaging effects on the vital organ.

Leveraging Turncoat Immune Cells to Combat Cancer

IRP Researchers Develop Drug to Recapture Immune Cells Hijacked by Tumors

macrophage

In the 1958 cult classic The Blob, a giant gelatinous creature from outer space lands on Earth and begins engulfing a small town and everything in it. While that may sound far out, a similar entity within our bodies does much the same thing, but for good instead of ill. These Pac-Man-like blobs are called macrophages — Greek for ‘big eaters’ — and they serve a vital role in keeping us healthy by clearing away dead cells and digesting foreign invaders like bacteria and cancer cells.

However, cancer cells aren’t content to just let themselves be eaten. They have evolved ways to overwhelm and commandeer the immune system, redirecting immune cells to support tumor growth rather than suppress it. Although highly personalized ‘immunotherapies’ that reboot the immune response and harness it to fight cancer have made significant advances in treating some forms of the disease, most cancers do not respond to these treatments. Fortunately, reinforcements are on the way: IRP senior investigators Udo Rudloff, M.D., Ph.D., and Juan Marugan, Ph.D., have identified a way to reclaim the loyalty of macrophages that are aiding and abetting tumors, turning them back into the cancer-consuming gluttons they were meant to be. Importantly, this approach may be effective on a broader array of cancers than other immunotherapies.