Fishman, David
Open Protocols
Protocol Name | Investigatory Role | Biomarkers | Data Collections |
---|---|---|---|
National Ovarian Cancer Early Detection Program Blood and Genetics | Coordinating | 0 | 0 |
Closed Protocols
This person has no closed protocols at the present moment.Publications
Interests
- Ovarian Cancer
- Our Natioanl Ovarian Cancer Early Detection Program was specifically established to clinically apply the biochemical, genetic and molecular knowledge of ovarian carcinogenesis, invasion and metastasis to address the problem of detection of early rather than late stage epithelial ovarian cancer. The enhanced understanding of ovarian cancer biology has led to the identification and detection of specific genetic, molecular and serum biomarkers in women with ovarian cancer that may have clinical utility in the evaluation of women deemed at increased risk for the development of this disease. The metastatic process of cellular adhesion, migration, extracellular matrix degradation, invasion into host parenchyma, proliferation, and neovascularization (3-5) are influenced by numerous regulatory molecules, such as epidermal growth factor (EGF) and receptors (EGF-R/ErbB), urinary-type plasminogen activator (uPA) and receptor (uPAR), matrix metalloproteinases (MMP), telomerase and lysophospholipids (6-8). We recently found that EGFR activation regulates ovarian tumor cell adhesion, migration and upregulates proteinase expression and activation. Our preliminary data has found that lysophosphatidic acid (LPA) upregulates proteinase (uPA, MMP) expression and activation and enhances invasiveness. Using this broad scientific foundation we plan to evaluate serum and plasma for lysophospholipids (such as LPA, LPI and LPC), EGFR/ERB1, MMPs, and uPAR. The newly developed Ovarian Pap test will be performed on asymptomatic women at increased risk to provide cytological samples for pathological examination as well as molecular and genetic analysis and biochemical and cellular assays using organ culture techniques. Increased risk is assigned to those women with either a personal history of breast cancer (4X increase), a family history of affected first degree relatives (2-7x increase), membership within a recognized inherited malignancy syndrome (40-60% increase) or the presence of an inherited BRCA mutation (16-100%). The clinical application of this research proposal will be the evaluation of newly developed molecular, genetic and biochemical assays for the accurate detection of early rather than late stage disease in asymptomatic women at increased risk for the development of ovarian cancer.
To update protocols, publications, biomarkers, or science data, please contact the Data Management and Coordinating Center.
- Site
- Mount Sinai Medical Center
- Degree(s)
- M.D.
-
david.fishman@mssm.edu
- Person ID
-
1003
- EDRN Title
- EDRN Associate Member
- Note
- To update contact information, please visit the Data Management and Coordinating Center .