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New research from Damon Runyon-Dale F. Frey Breakthrough Scientist Abigail E. Overacre-Delgoffe, PhD, and her lab at the University of Pittsburgh suggests that sucralose—the sugar substitute found in many “sugar-free” sodas, yogurts, and snack foods—may interfere with cancer immunotherapy. Their findings indicate that the widely used artificial sweetener changes the composition of the gut microbiome in ways that weaken patients’ immune systems and blunt the effectiveness of immune checkpoint inhibitors, a class of drugs that unleash T cells to attack tumors.
Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer globally, and treatment options for patients with advanced disease are limited.
Epithelial cells, which line the surfaces of the body, are fixed in place, while mesenchymal cells, which make up the body’s connective tissue, are loosely packed and can move around. During embryonic development and wound healing, cells can transform from epithelial cells into mesenchymal cells, a process known as mesenchymal transformation (MT). Unfortunately, MT is also a useful strategy for cancer cells, whose goal is to spread throughout the body.
Since the Food and Drug Administration approved the targeted therapy drug venetoclax in 2020, it has become a first-line treatment for acute myeloid leukemia (AML), a blood cancer. Unfortunately, some AMLs have proven resistant to venetoclax—including those caused by mutations in the RAS gene family, which account for 10-20% of all cases.
In 2022, the FDA approved the first therapy to target human leukocyte antigen (HLA), which has been implicated in a variety of cancers. (The approved drug, tebentafusp, treats uveal melanoma, an eye cancer.) Last year, another HLA-targeted therapy received FDA approval for the treatment of a sarcoma. There are now a plethora of clinical trials open to patients who are HLA-positive.
Enteroendocrine cells, which line the wall of the gut, secrete hormones that regulate glucose levels, food intake, and stomach emptying. Abnormal activity of these cells can cause gastrointestinal disorders, such as irritable bowel syndrome (IBS), as well as intestinal tumors.
Kheewoong Baek, PhD, of Dana-Farber Cancer Institute, has been named this year’s Damon Runyon-Meghan E. Raveis Fellow. This award honors former Damon Runyon Board Member Meghan Raveis, who tragically passed in a car accident in 2023.