By Jennifer Fernandez
Finding a way to fight pancreatic cancer is personal for Kirsten Bryant.
She was studying cell biology at Cornell University and considering cancer research during the last year of getting her doctorate in 2013 when her father died from pancreatic cancer.
“After going through the process of treatment with him and realizing how few options there were for pancreatic cancer patients … I felt like I was in a position to potentially make a difference with the training that I had,” she said.
The five-year survival rate for pancreatic cancer is stubbornly low at just 13 percent, in part because it tends to be diagnosed only after it’s advanced. It has not been studied as vigorously as other cancers, many of which we have learned much more about — leading to the development of treatments that improve survival rates, Bryant said.
Federal grants helped her launch a pancreatic cancer research lab at UNC Chapel Hill’s Lineberger Comprehensive Cancer Center.
Cuts by President Donald Trump’s administration to the National Institutes of Health, which includes the National Cancer Institute that has funded much of Bryant’s research, have not touched her funding so far. But her lab has not gone unscathed. One of her researchers is waiting on confirmation of a fellowship award that would typically start this summer. Her cohort has been delayed twice already, Bryant said.
Bryant worries what will happen to research like hers when such critical support disappears.
She’s not alone.
UNC Chapel Hill has had 97 grants from federal and state agencies terminated, a spokeswoman told NC Health News in an email on May 12.
“We came to this field to be able to make a difference,” said UNC’s Vice Chancellor for Research Penny Gordon-Larsen, whose research focuses on the molecular and genetic underpinnings of severe obesity.
“We’re committed to getting diseases cured, and we want to do that work desperately,” said Gordon-Larsen, who is waiting on confirmation for expected funding to continue her own work. “So anything that gets in the way is very frustrating.”
Pancreatic cancer
The pancreas is a tadpole-shaped organ about six inches long that sits deep within the abdomen, between the stomach and the spine. It is considered a dual organ because it plays a role in two systems — producing enzymes that help digestion and making hormones that control blood-sugar levels.
More than 67,000 people will be diagnosed with pancreatic cancer this year in the United States, according to the Pancreatic Cancer Action Network.
The American Cancer Society estimates 51,980 people will die of pancreatic cancer this year. Of those, it’s estimated that 1,910 will be North Carolina residents.
Though pancreatic cancer is projected to make up only 3.3 percent of new cancer cases this year, it’s expected to cause 8.4 percent of all cancer deaths, the National Cancer Institute says.
It’s a type of cancer that mostly happens randomly, but smoking, obesity and age put people at a higher risk, according to the Pancreatic Cancer Action Network.
Pancreatic cancer is also difficult to diagnose. The gland’s position deep inside the abdomen makes tumors difficult to see or feel during routine exams. Tumors tend to be found by imaging technology such as MRIs.
In the early stages of the cancer, there aren’t any noticeable signs or symptoms. And once symptoms — which range from back pain to jaundice to weight loss — do appear, they present in a similar way to other illnesses.
The Pancreatic Cancer Action Network says diagnostic tests are “urgently needed” to find this type of cancer in the earliest stages.
More Coverage on federal funding cuts
Starving growth
Some researchers are working on early detection, while others, like Bryant, are trying to find better ways to treat pancreatic cancer.
Her team has been looking at a family of genes that, when mutated, can cause the disease. The vast majority of pancreatic tumors begin to form after a mutation in one particular gene, which creates a mutant protein that drives pancreatic cancer. This mutant protein is the focus of Bryant’s research.
After decades of investigation, therapies that successfully target and arrest these mutant proteins are relatively new. The first inhibitors were just approved for use three to four years ago, Bryant said.
There are currently very few targeted therapies for pancreatic cancer, and some approved therapies provide an average of only two more weeks of survival, she said. In contrast, this new therapy — which is in phase 2 trials that test effectiveness — showed a 14-month survival advantage.
However, there is still more work to be done, Bryant said, because resistance to the therapy eventually forms. She said her team can observe this in the lab, as well. They saw an increase in a metabolic process where cells seem to actually eat themselves. The team then created a treatment to stop that metabolic process, which is “almost like starving the cancer cells,” she said.
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