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  • AD_________________

    Award Number: W81XWH-05-1-0229

    TITLE:

    Development of Meharry Medical College Prostate Cancer Research Program PRINCIPAL INVESTIGATOR:

    Flora A. M. Ukoli CONTRACTING ORGANIZATION:

    Meharry Medical College

    Nashville, TN 37208 REPORT DATE:

    March 2010. TYPE OF REPORT:

    Annual PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: X Approved for public release; distribution unlimited

    The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation.

  • REPORT DOCUMENTATION PAGE Form Approved

    OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS.

    01-03-2010 1. REPORT DATE (DD-MM-YYYY)

    Annual Report 2. REPORT TYPE

    1 MAR 2009 - 28 FEB 2010. 3. DATES COVERED (From - To)

    Development of Meharry Medical College Prostate Cancer Research Program

    4. TITLE AND SUBTITLE

    W81XWH-05-1-0229

    5a. CONTRACT NUMBER

    5b. GRANT NUMBER

    5c. PROGRAM ELEMENT NUMBER

    6. AUTHOR(S) Flora A. M. Ukoli Robert J. Matusik LaMonica Stewart Robert S. Dittus Ben Ogunkua Jay H. Fowke Derrick Beech

    Rodney Davis

    5d. PROJECT NUMBER

    5e. TASK NUMBER

    5f. WORK UNIT NUMBER

    Meharry Medical College 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)

    Nashville, TN 37208

    8. PERFORMING ORGANIZATION REPORT

    NUMBER

    9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES)

    U.S. Army Medical Research and Materiel Command, Fort Detrick, MD 21702-5012.

    10. SPONSOR/MONITORS ACRONYM(S)

    11. SPONSOR/MONITORS REPORT NUMBER(S)

    12. DISTRIBUTION / AVAILABILITY STATEMENT

    Approved for public release; distribution unlimited

    13. SUPPLEMENTARY NOTES

    A prostate cancer (PCa) research program has been established at Meharry Medical College. There is substantial urology, oncology, epidemiology, nutrition and other expertise at Meharry and Vanderbilt addressing issues of PCa disparities, and 4 program investigators have maintained partnerships with VU mentors, and established viable community network ties. Dr. Stewart and Dr. Ogunkua continue to develop their research laboratories with great success. They have independent funding and their laboratory continues to grow to include both graduate and undergraduate mentees. They are actively involved in the Meharry Prostate Cancer Group. Dr. Derrick Beech, Dr. Hargreaves, and Dr. Patel collaborate with Dr. Ukoli to run two PCa education programs in Nashville (CMS funded) and Memphis (R03). Ukolis lycopene pilot study has completed recruitment of study participants from the Nigerian site, controls from Nashville, and has extended collaborative ties with Matthew Walker Comprehensive Health Center to access potential PCa to meet the recruitment goal, at which time additional samples will be shipped for lycopene analysis. Program funding will end without the benefit of renewal as the Department of Defense no longer provides funding under this mechanism.

    14. ABSTRACT

    Prostate cancer, Dietary risk factors, Lycopene, Genetic predisposition, African-Americans, Cancer research training, Quality of life, Community outreach, Recruiting study participants, Cell line inhibition, Animal studies, Prostate cancer screening.

    15. SUBJECT TERMS

    16. SECURITY CLASSIFICATION OF: 17. LIMITATION

    OF ABSTRACT 18. NUMBER OF PAGES

    19a. NAME OF RESPONSIBLE PERSON

    Ua. REPORT

    Ub. ABSTRACT

    Uc. THIS PAGE UU 71

    19b. TELEPHONE NUMBER (include area code)

    Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std. Z39.18

    Brittany.JacksonTypewritten TextUSAMRMC

  • 3

    Table of Contents

    Introduction...................................4 Body..5 Key Research Accomplishments....12 Reportable Outcomes.13 Challenges.13 Conclusions.........14 References.14 Appendices.15

    Appendix 1. Ukoli et al. Ethnicity & Disease Publication.16

    Appendix 2. Ukoli et al. JHCPU publication....24

    Appendix 3. Patel et al. JHCPU publication. .....45

    Appendix 4. Ukoli et al. Infectious Agents and Cancer publication. ....58

    Appendix 5. Student Posters (Three)......63

    Appendix 6:

    MMC IRB continuing review application..67

  • Annual Report March, 2010

    4

    INTRODUCTION: [Narrative that briefly (one paragraph) describes the subject, purpose and scope of the research.]

    The re ason for A frican-Americans ( AA) be ing di sproportionately af fected by pr ostate cancer (PCa) may include biologic tumor differences, genetic predisposition, differential exposures, limited ut ilization of pr eventive he alth c are s uch a s prostate s pecific a ntigen (PSA) te sting, and inadequate access to health care. The paucity of minority PCa investigators and low accrual of AAs in c linical t rials a lso c ontribute t o t he l ack of p rogress i n r educing t his di sparity. T his pr oposal includes research initiatives to study the genetics, pathogenesis and epidemiology of PCa disparity among AA men. The genetic similarity between AAs and Africans, disparity in the degree of racial admixture, differences in dietary style and body fat patterns provide the unique opportunity to study genetic and environmental causes of PCa in black men. The PCRP now has 9(75%) members of its initial me mbership at M eharry, all thr ee c ollaborators a t the U niversity of B enin in Nigeria, and each o f the pi lot project P Is at Meharry continue to retain there mentors/collaborators at VUMC, working on overlapping PCa topics at the genetic, molecular, clinical and epidemiological levels.

    The pr ogram r eceived a one year non -cost e xtension to meet the s pecific goal of the community-based lycopene and PCa risk pilot project, and has requested another non-cost extension to pr ovide oppor tunity t o a ssay t he s amples a lready c ollected a nd t o i ntensive e fforts t o m eet recruitment of PCa cases in Nashville.

    The program goals are to: 1). Develop a n O utreach C ore t o s ustain c ommunication ne twork w ith A A c ommunities i n

    Nashville, address PCa needs and facilitate r ecruitment into PCa ear ly detection programs and research studies.

    2). Develop a P Ca r esearch t raining pr ogram f or j unior f aculty, ne w P Ca i nvestigators, and

    graduate students. 3). Conduct pi lot projects, accumulate pr eliminary data, s ubmit i ndependent pr oposals, a nd

    generate new research ideas to sustain the PCRP at the completion of this DOD award. The scientific aims of the program are to: 1). Conduct r esearch of b iomarkers a nd l ifestyle risk f actors o f P Ca de velopment a nd

    progression in African-Americans and Africans. 2). Study t he r ole of s pecific ge nes, gene-gene i nteractions, gene-environment i nteractions i n

    PCa initiation and progression in these populations. 3). Conduct i nvestigator-initiated clinical tr ials with emphases on nutritional interventions and

    molecular therapeutics. 4). Use mass spectrometry and proteomic-based approaches to identify predictive factors of PCa

    aggressiveness, treatment r esponse and metastasis and develop molecular cl assifications and/or biomarkers of aggressive PCa.

  • Annual Report March, 2010

    5

    BODY: [This section of the report shall describe the research accomplishments associated with each task outlined in the approved Statement Of Work. Data presentation shall be comprehensive in providing a complete record of the research findings for the period of the report. Appended publications and/or presentations may be substituted for detailed descriptions but must be referenced in the body of the report. If applicable, for each task outlined in the Statement of Work, reference appended publications and/or presentations for details of result findings and tables and/or figures. The report shall include negative as well as positive findings. Include problems in accomplishing any of the tasks. Statistical tests of significance shall be applied to all data whenever possible. Figures and graphs referenced in the text may be embedded in the text or appended. Figures and graphs can also be referenced in the text and appended to a publication. R