American Cancer Society Institutional Research Grant (ACS IRG) Awardees
Trisha Amboree, Ph.D.
Assistant Professor, Public Health Sciences
Mentors: Ashish A. Deshmukh, Ph.D., Kalyani Sonawane, Ph.D., Brian Orr, M.D., Britton Gibson, M.D., Elizabeth G. Hill, Ph.D., Jihad Obeid, M.D., Joni Nelson, Ph.D.
Project: An MUSC system-wide assessment of cervical cancer screening practices to enhance cervical cancer prevention in South Carolina
Cervical cancer is preventable, yet it remains a public health concern and a marker of disparity in South Carolina. Timely screening to detect and treat precancers is highly effective at preventing cervical cancer. To maximize the benefits of cervical cancer screening, it is important to reach high screening uptake, particularly using more sensitive screening strategies that test for human papillomavirus (HPV)—the virus that causes most cervical cancer.
Although primary HPV-based screening has been recommended for a while, many providers in the United States (US) have not adopted this strategy. MUSC Hollings Cancer Center is the only NCI-designated cancer center in South Carolina; therefore it is important to understand the health system’s approach to cervical cancer prevention (particularly evaluating the use of HPV-based screening tests and recommended screening strategies) and what barriers to screening exist for our patient population.
This project will conduct a MUSC system-wide assessment of current cervical cancer screening practices and identify potential barriers to screening experienced by our patient population. Additionally, as women with HIV (WHIV) have much higher risk of developing cervical precancer and cancer, and may experience unique challenges, this project will conduct a subpopulation assessment specifically focused on WHIV served by MUSC. The results of this study will be crucial to develop and implement targeted interventions to enhance cervical cancer prevention across MUSC, with the goal of reducing cervical cancers in the state.
Judit Jimenez-Sainz, Ph.D.
Assistant Professor, Biochemistry and Molecular Biology
Mentors: David Long, Ph.D., Kevin S. Hughes, M.D., Ozgur Sahin, Ph.D., Brian Neelon, Ph.D., Eduardo Caleiras, M.D.
Project: BRCA2 localization: Impact on cancer risk and treatment response
Each year in the U.S., approximately 20,000 breast and 3,000 ovarian cancer cases are linked to harmful BRCA2 mutations, often leading to poor long-term survival. While these mutations increase cancer risk, tumors with deleterious BRCA2 mutations typically respond well to platinum-based chemotherapy and PARP inhibitors.
However, genetic testing reveals that only about 25% of BRCA2 variants are classified as clearly harmful, while 40-50% fall into a gray area known as Variants of Uncertain Significance (VUS). These VUS, primarily missense variants, have unknown cancer risks and uncertain treatment responses.
BRCA2 is crucial for maintaining genomic stability by repairing damaged DNA through homology-directed repair (HDR) and protecting DNA replication forks. To function properly, BRCA2 must be located in the cell’s nucleus, where it helps repair DNA double-strand breaks.
Interestingly, research by Dr. Jimenez-Sainz has uncovered a paradox: when BRCA2 is mislocalized to the cytoplasm instead of the nucleus, cancer cells become more sensitive to targeted therapies like PARP inhibitors and platinum drugs—despite this mislocalization potentially contributing to cancer development.
Dr. Jimenez-Sainz’s project aims to define the cellular localization of BRCA2 and its partner protein RAD51 in gynecologic cancers and how specific BRCA2 missense mutations alter cellular pathways. By focusing on mutations in the DNA-binding domain and using proteomic analysis, this research seeks to establish BRCA2 localization as a potential diagnostic tool—paving the way for more precise cancer treatments and improved outcomes for patients with BRCA2 missense variants.
Souvik Seal, Ph.D.
Assistant Professor, Public Health Sciences
Mentors: Peggi Angel, Ph.D., Brian Neelon, Ph.D., Anand Mehta, Ph.D., Kristin Wallace, Ph.D.
Project: Bayesian pipeline for comprehensive analysis of spatial proteomics datasets
The proposal aims to develop a unified, platform-independent software suite to analyze spatial proteomics datasets, such as MALDI mass spectrometry and multiplex immunofluorescence imaging, effectively addressing the underlying spatial autocorrelation and multicollinearity between molecules. Along with already established bioinformatics tools, the software will feature new statistical methods for spatially informed differential expression and multimodal spatial co-expression analysis using hierarchical Bayesian models.