The Catalyst Issue 25 | September 2016 | Page 19

Mutations in the HRAS gene are linked to several cancers – including colon cancer, lung cancer, and pancreatic cancer – but prior to this study have not been linked to glioblastoma. “These results indicate the mutation is associated with tumor initiation in this family,” says Dr. Wang, who received two years of training in genomic analysis using the newest technologies during her post-doctoral work. Further, the team found two more gene mutations not previously associated with the development of glioblastoma tumors which are not part of the HRAS family. Now that the three new mutations have been identified, study must continue to determine what role they play in familial glioblastoma. “We will continue to research these mutations’ functions, seeking to understand what they do,” Dr. Wu says. “Possibly they will tell us more about the mechanisms of glioblastoma development.” Translational research: Working together as a team When a clinician like Dr. Fonkem collaborates with a laboratory researcher like Dr. Wu, they are practicing what is known as translational research. “The idea is taking something from the clinic to the lab,” says Dr. Fonkem. Translational research is an important practice at Baylor Scott & White Health, because it allows the sharing of ideas between the clinic and the laboratory. “What we’re trying to do is to have our researchers and clinicians working on projects simultaneously,” Dr. Fonkem says. It was this spirit of partnership that brought Drs. Wu and Wang to Baylor Scott & White Health. “This is definitely the ideal environment for us to do research,” says Dr. Wu. Translational research also puts the Neuroscience Institute on track to become a leader in tumor research, Dr. Fonkem says. “What makes us unique at Baylor Scott & White Health is we’re not just a healthcare system delivering clinical care, we’re “It became apparent to us all that these three family members could not have this disease just by coincidence.” —Ekokobe Fonkem, MD also on the forefront of delivering new knowledge.” This is evidenced by the gene mutation discovered to be present in the Dela Rosa members diagnosed with glioblastoma. “Collectively, we were able to describe these three new mutations which have never been described before,” Dr. Fonkem says. Working alongside clinicians such as Dr. Fonkem gives researchers access to patients, which helps translate their work from the theoretical to the practical, Dr. Wu says. The team approach allows participants to contribute their own expertise, as well. “Everybody has limited time and focused knowledge in their field. Nobody can do everything by themselves,” Dr. Wang says. “Our goal is to work together to get better diagnostic tools and better therapeutic strategies for glioblastoma patients.” In the past, Dr. Fonkem says, physicians and researchers generally had a more difficult time communicating, which resulted in duplicated efforts and longer times between medical breakthroughs. “It’s a pleasure to have these kinds of great scientists working alongside us in order to benefit the patient,” Dr. Fonkem says. Further efforts and the future The researchers still have much work to do before they are ready to publish their findings in a medical journal, says Dr. Fonkem, and have not yet answered their original question—why did glioblastoma affect three members of the same family? “That work is currently playing out in a lab; we’re trying to find out why,” he says. The team members all hope this research ultimately contributes to better therapeutic options for patients with glioblastoma. “We want to understand how these genes contributed to glioblastoma progress and initiation, so we can offer patients better options in the future,” says Dr. Wang. n sw.org | Fall 16 THE CATALYST 19