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Many surgeons and physicians have been considering that the Whipple procedure is only a palliative therapy. In their opinion, the results are not good enough to suggest that the Whipple procedure should be offered to patients. Although they realize that without undergoing surgery, the mean survival is only 6 months, these doctors say that most of the patients with pancreatic cancer are quite advanced in their age and therefore they should not be operated on.

No previous research has focused attention to the patients' perspective. As physicians, we recommend some treatments because they are the only available potential way to cure. Despite the fact that the Whipple fails for the majority of our patients, we are able to cure a few of them. Is that sufficient to support surgery for everyone? We don't know. The interest of this study is to find out.

Funded by: CCPCS

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In the laboratory, it has been established that a surface protein called p11 is an essential element in allowing cancer cells to become invasive and reach the blood stream eventually leading to metastasis. Depleting cancer cells from p11 causes a dramatic reduction in their invasive potential. To date, the role of p11 in pancreatic cancer is not established. It is known that human pancreatic cancers have elevated levels of p11 potentially providing a needed advantage for this cancer. Supported by our previous work on p11 and by promising preliminary results, we propose that p11 plays an important role in maintaining cancer growth and metastasis in pancreatic cancer. For this purpose, we will be utilizing cellular and molecular approaches to study how p11 regulates protease activity and contributes to the invasive potential of pancreatic cancer cells. It will ultimately help us define if p11 is a “druggable” target for metastasis-preventing treatments.

Funded by: CCPCS & BHCRI 

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This study looks at a group of patients who developed PC in Nova Scotia over the past ten years and examines the treatment of these patients. The information from this study will lead to future research that will further examine the healthcare resources used by PC patients. This may allow us to use these resources for PC patients to improve their quality of life and potentially prolong their survival.

Funded by: CCPCS & BHCRI

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A current challenge for the treatment of pancreatic cancer is its early detection in high-risk populations. We currently do not have effective screening methods that allow this disease to be consistently detected early enough to allow appropriate treatment and a chance at a cure. Current testing for pancreatic biomarkers (red-flags that indicate the presence of pancreatic cancer) requires invasive techniques, like a biopsy. Our approach will apply our novel technology for the capture of small packages of information from the blood (called extracellular microvesicles) to the detection of existing pancreatic cancer biomarkers. We will also use our technology to discover new, better biomarkers for pancreatic cancer.

Funded by: NBHRF & CCPCS

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Research in the Bearne Lab focuses on developing a better understanding of how enzymes of therapeutic interest mediate cellular activities, and how they interact with chemotherapeutic agents. Specifically, the research examines the interaction of the drug gemcitabine with the chemotherapy target cytidine 5′- triphosphate synthase (CTPS). Information gained from these studies helps determine how gemcitabine inhibits CTPS and mediates its tumour-killing effects, and provides insight into how to overcome acquired chemoresistance. These studies will be significant because they will inform future drug design and strategies for overcoming resistance to gemcitabine, which often occurs with pancreatic cancer.

Funded by: BHCRI & CCPCS

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The main treatment for many types of cancer is surgery. In fact, more than half of all people with cancer will have some type of surgery to remove as much of the tumour as possible. Unfortunately, because the trauma of surgery can weaken the immune system, sometimes cancer is more likely to spread after surgery. Currently there is nothing being done routinely to boost a patient’s immune system to prevent cancer from spreading after surgery. Dr Auer has developed a vaccine containing oncolytic (or cancer-killing) viruses. Oncolytic viruses are designed to safely travel through the body to seek out and destroy cancer cells while leaving normal cells intact. Dr Auer has chosen to focus her research on pancreatic cancer because, despite surgical removal, the cancer almost always comes back, leading to one of the lowest survival rates of any cancer. She is hopeful that her research will lead to new therapies within as little as 5 years.

Funded by: CCS, NPCF, QEII & CCPCS

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This project is focused on combining activation of natural killer T (NKT) cells with viruses that specifically target tumor cells called oncolytic viruses. The oncolytic virus this project works with is known as Vesicular Stomatitis Virus or VSV. The project is also currently working on creating VSV strains that express various cytokines that will increase the NKT cells anti-tumor immune response and lead to increased tumor death. These studies are important because they provide a novel therapeutic route for cancer patients with less side effects than traditional treatment options.

Funded by: BHRI & CCPCS

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Some cancers, but not healthy cells, overexpress a protein called folate receptor alpha (FRa), which can act as a flag for the immune system. Pancreatic cancer is highly deadly, and current cancer treatment approaches do not work well. Some pancreatic cancers express the FRa “flag”, and this study aims to determine how to use it to teach the immune system to target them. This study also looks at natural killer (NK) white blood cells, which can tell the difference between healthy and unhealthy cells, to see what the characteristics are between NK cells that succeed against cancer and those that don't in the hope of designing new and effective strategies to treat patients with pancreatic cancer.'

Funded by: BHRI & CCPCS

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Each person with pancreatic cancer has a unique tumour, but each person has a unique immune system too. Dr Jeanette Boudreau and her team are studying how the immune system and the tumour interact, work together and oppose each other in order to decide whether the tumour will continue to grow or be eliminated by the immune system. Dr Boudreau plans to use this information to teach every pancreatic cancer patient’s immune system to effectively eliminate their tumour.

Funded By: CIHR, CCS, & CCPCS

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Dans le cadre de ce projet, le Dr Michael Pollak et son équipe évalueront une nouvelle approche du traitement du cancer du pancréas avancé, une maladie pour laquelle les options de traitement actuelles sont limitées. Ils évalueront un nouveau médicament candidat qui, selon eux, bloquera sélectivement la synthèse de protéines particulières dont les cellules cancéreuses ont besoin pour se comporter de manière agressive. Cette approche n'a pas été évaluée auparavant dans le cancer du pancréas en laboratoire. Ils ont donc établi une collaboration qui leur permettra de tester le candidat médicament dans un modèle murin qui ressemble étroitement à la maladie humaine. Ils auront un aperçu de cette thérapie non seulement en surveillant les taux de croissance tumorale, mais aussi en surveillant la synthèse des protéines qui, selon eux, seront influencées par le médicament.

Financé par : IRSC, CCS et CCPCS

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Ce projet vise à identifier les marqueurs que les cellules cancéreuses du pancréas utilisent pour tromper les cellules NK (globules blancs tueurs naturels qui peuvent combattre le cancer), puis à utiliser ces informations pour choisir des populations de cellules NK qui ne seront pas arrêtées par les cellules cancéreuses. Si nous pouvons établir un modèle fonctionnel de mort tumorale induite par les cellules NK en identifiant ces marqueurs chez les patients, nous pourrons mieux comprendre comment les cellules NK peuvent être utilisées pour cibler les tumeurs. Grâce à cette information, les études futures pourront envisager de créer des plans de traitement axés sur les besoins de chaque patient et ciblant le profil tumoral spécifique de ce patient.

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Financé par : BHRI et CCPCS

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Cette dernière publication fait suite à des travaux publiés dans Cell Reports, où les auteurs ont démontré que les cellules mourantes libèrent des composés qui ralentissent la génération de réponses immunitaires, ce qui pourrait être largement applicable à des maladies, y compris le cancer et les affections précancéreuses, où l'immunosurveillance (activité du système immunitaire) est essentielle pour contrôler le développement du cancer et son taux de croissance.

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La publication ci-dessus décrit comment isoler les facteurs libérés par les cellules mourantes ; en la publiant, les auteurs espèrent mobiliser de nombreuses équipes de recherche pour tester l'impact des cellules mourantes dans leurs systèmes modèles, afin d'éclairer les méthodes de contrôle et de direction de la réactivité immunitaire, y compris chez les patients atteints de cancer.

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Leah MacLean et Emily Carter sont actuellement stagiaires du Programme de formation en recherche sur le cancer de l'Institut de recherche sur le cancer Beatrice Hunter, grâce à des fonds versés par le Crease Endowment for Cancer Research Foundation (DMRF) de la Dalhousie Medical Research Foundation (DMRF) à Emily. Sarah Nersesian et Adam Nelson sont diplômés du CRTP. Adam a reçu le soutien de la Craig's Cause Pancreatic Cancer Society.

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La Dre Jeanette Boudreau est une scientifique principale du BHCRI.

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