Decisions
2003:
In
2003, we approved renewal of Drs. M. Freedman (Haematology/Oncology,
HSC),
Decisions 2002:
In 2002, we awarded three grants totaling
$80,220 as follows: 1) Drs. M. Glogauer (Dentistry,
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Decisions 2001: Following
successful peer review, a three year grant for $79,200 was awarded to Dr. Yigal Dror and his colleagues at The Hospital for Sick Children
in Toronto for a project titled "Abnormal Cellular Processes causing
Premature Cell Death (Apoptosis) of Marrow Cells of Patients with Shwachman-Diamond Syndrome: Implications for Bone Marrow
Failure." Dr. Dror and his colleagues have
previously shown that, as well as proliferating poorly, SDS bone marrow cells
undergo premature cell death (apoptosis). Dr. Dror
and his collaborators, Drs. Freedman & Abdelhaleem,
will be investigating further this process. This may ultimately lead to
improved treatments prolonging the blood cell life span, and improve bone
marrow transplantation outcomes. A grant of
$35,550 was awarded to Dr. Johanna Rommens and Dr.
Melvin Feedman for research to determine which genes play a role in the
deficiencies in the bone marrow stroma of SDS
patients and to determine what the consequences of the stroma
deficiencies might be. Previous studies by this group have shown that there
are two abnormal conditions in the marrow of SDS patients: 1) there are inadequate
numbers of "precursor" white blood cells; and 2) the "stroma" (i.e., the marrow environment) is abnormal
and cannot adequately support the growth of the precursor cells. The
researchers hypothesize "that these stromal
deficiencies lead to the reduced numbers of precursor cells and that this
disturbance causes the susceptibility to leukemia." The research plan is
to use "gene array" technology to analyze over 400 of the genes
known to be involved in the blood system to see which, if any, are abnormal
in the stroma of SDS patients. The stroma samples will be taken at the same time as the
routine bone marrow aspirates of SDS patients. Potential benefits include: 1)
by understanding the mechanism behind how the production of cells is altered
in SDS patients, it may be possible to identify which growth factors can be
safely used to increase blood cell counts in these patients; and 2) the
information from these studies may also lead to therapies to prevent leukemia
in people with SDS. A grant of
$25,311 was awarded to Dr. Peter Durie and his
colleagues for their
study on acinar cell function in SDS-patients. Acinar cells, which produce enzymes to digest food, can
be found in the pancreas and in the parotid gland. The parotid gland produces
saliva in the mouth. It is known that people with SDS have defective
pancreatic acinar cells. The researchers
hypothesize that people with SDS may also have defective acinar
cell function in the parotid gland. The parotid gland produces amylase (to
digest starch) in a form that is different from that produced by the
pancreas. The researchers' preliminary data to date suggests that people with
SDS have deficient blood levels of both the pancreatic and the parotid forms
of amylase. Their work aims to: 1) compare levels of blood concentrations of
pancreatic and parotid amylase in 3 groups of people: people with SDS, people
with CF and healthy people; 2) compare secretion of parotid fluid
electrolytes and enzymes in people with SDS, people with CF and healthy
people; 3) assessment of starch digestion in people with SDS. This research
could lead to diagnostic tests for SDS and, as well, could result in improved
treatments for starch maldigestion in SDS patients.
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