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Ovarian cancer is notoriously aggressive and hard to treat, evading even the most cutting-edge therapies. T cells reach ovarian tumors, but once they arrive they quickly are rendered unable to kill cancer cells; until now scientists weren’t entirely sure why.

In a new study, published in Nature, Dr. Juan Cubillos-Ruiz of the Meyer Cancer Center, discovered that ovarian tumors disable the immune system’s killer T cells—which protect the body by destroying infected or malignant cells—enabling the disease to flourish unchecked. The findings show that adverse conditions within ovarian tumors cause detrimental stress responses in T cells, a process that paralyzes them.

This illustrated model, T cells afflicted by harsh conditions inside the tumor experience endoplasmic reticulum (ER) stress, symbolized here by the “burning” ER (orange) surrounding the nucleus (purple and turquoise). Severe ER stress responses driven by IRE1a-XBP1 alter the function of mitochondria (blue-gray) and consequently limit optimal T cell responses to cancer cells (red). #OvarianCancer #Cancer #Discover #WeillCornellMedicine

A type of stem cell, newly discovered by investigators, is responsible for growing and healing the hard, outer surface of bone. The study, published in Nature, suggest that bones contain multiple populations of stem cells, each with their own unique roles and anatomic locations.

Senior author Dr. Matthew Greenblatt and colleagues at WCM and @nyphospital—including first author Dr. Shawon Debnath, Dr. Dan Landau, Jason McCormick and Dr. Tuo Zhang—were studying mice whose skeletal cells had been labeled by using genes known to be important in bone to express fluorescent markers. They discovered one gene called Cathepsin K broadly labeled cells on the outside of bone, suggesting they had found a new type of stem cell.

To pinpoint the source, they conducted a series of experiments, which found that the newly discovered periosteal stem cells only made bone and not cartilage, confirming that they were distinct from skeletal stem cells found inside the bone marrow that form both bone and cartilage.
Next, the investigators identified similar periosteal stem cells in human bone samples, finding that these human periosteal stem cells displayed the same characteristics as the periosteal stem cells discovered in mice. “We are the first researchers to identify these periosteal stem cells, a population of stem cells found on the outside of bones that is distinct from those found inside,” Dr. Greenblatt.

“Our population is becoming more diverse, but our healthcare professional population hasn’t kept up,” said Dr. Susana Morales, an associate professor of clinical medicine.

Drs. Monika Safford and Susana Morales have been awarded $2.7 million grant from the Health Resources and Services Administration to establish a Diversity Center of Excellence. The center will focus on a number of initiatives and priorities that strive to increase the number of minorities in healthcare.

Mentorship will be a key priority of the new center, which will facilitate mentoring opportunities at every level, from pre-medical students to medical students, residents and faculty members.

The center will also enhance programs that support minority trainees and physicians at all stages of their professional development, from medical school to residencies and fellowships to faculty appointments. To accomplish this, the center will work in collaboration with the Office of Diversity and Inclusion, Office of Diversity and Student Life, Diversity Council and other diversity programs at Weill Cornell Medicine.
Weill Cornell Medicine’s Diversity Center of Excellence will operate under the auspices of the Cornell Center for Health Equity, which was established at Weill Cornell Medicine and Cornell’s Ithaca campus in March to better understand why health outcomes vary among demographic groups.

#Diversity #Mentorship #WeillCornellMedicine

Driven by the desire to help older adults continue making important contributions to society, Dr. Sara Czaja has dedicated her career to helping people “successfully age.”

Dr. Erin Mills Iannacone chose to mend hearts as her career -- treating aortic aneurysms, repairing damaged arteries, replacing diseased valves and more. She’s also a trailblazer: the first female cardiothoracic surgeon at Weill Cornell Medicine and @nyphospital. Dr. Iannacone was aware of the very few women practicing cardiothoracic surgery, consisting of less than 5% of women in the field, but it was the only field she said she could imagine herself fulfilled.

“I wore scrubs on the bus to work and sensed that people felt I could step in if there were an emergency,” said first-year MD student Yende Grell. “But I wasn’t ready.” Now she is empowered to do just that after learning basic bleeding-control techniques on Aug. 20, the first day of orientation for the 106 medical students in the class of 2022. The workshop, which took place in the Weill Education Center and is part of the American College of Surgeons’ Stop the Bleed program, trained students on how to pack wounds, deliver continuous pressure and apply tourniquets to help people who have been injured and are bleeding severely. “The need for immediate help in a bleeding emergency can’t be overstated, whether the cause is an automobile or pedestrian accident, severe fall, gunshot or stab wound, or even a terrorist attack,” said Dr. Mayur Narayan, an assistant professor of surgery (interim) at Weill Cornell Medicine and a trauma surgeon @nyphospital who led the training. “This program is an outstanding tool for saving lives. We want to be the first medical school in the country where every student and faculty member is certified in this vital course.” In large, crowded cities such as New York, the average response time for first responders is 7-10 minutes, but a person who is seriously bleeding can die from loss of blood within five. So bystanders are often in the best position to take immediate action to preserve life until professional help arrives, Dr. Narayan said.

As a trauma surgeon, Dr. Narayan has seen the value of Stop the Bleed first-hand. Now, he’s taking it a step further, teaching physician trainees, nurses and the public how they can help.

1) Dr. Mayur Narayan, center, inspects a tourniquet first-year medical student Evan Honig, right, applied on the arm of classmate Friederike Buck during a Stop the Bleed training. 2) First year medical students Jez Marston, center, and Sarah Hanif, right, practice packing wounds on a mannequin during a Stop the Bleed training on Aug. 20.
Photo credit: Ashley Jones @roguewarrior

#WeAreWCM #StopTheBleed #TraumaCare #EmergencyMedicine #CareDiscoverTeach #WeillCornell Medicine

Our faculty and staff are in D.C. today as part of the 6th Annual Rally for Medical Research Hill Day to urge congress to continue prioritizing the @nihgov budget. We're proud to be one of the more than 300 institutions participating in #RallyMedRes to advocate for science, health and medicine #CareDiscoverTeach

Next week, join Ascensus as they host the launch of the latest issue of The WCM Journal of Humanities.
Ascensus is a student-led organization, established in 2012, that promotes the humanities by collecting and publishing works from members of the WCM/NYP/HSS/MSK/Rockefeller community. Medical and graduate students, administrators, clinicians, and researchers from the Upper East Side scientific corridor, as well as healthcare providers from across the city, have submitted visual, written, and mixed media works that together comprise the journal’s seventh volume, demonstrating the creative and humanistic side of the medical community.

The launch event is slated for 7:30 p.m. Sept. 11 in the Weill Greenberg Center, 1305 York Ave., in Weill Greenberg Rooms A/B on the second floor. Selected pieces from the journal will be on display, and there will be short performances as well. Admission to the event is free and there will be light refreshments.

Three distinguished WCM physician-scientists, have been inducted into the Association of American Physicians (AAP). The Association recognizes professionals for demonstrating excellence in the pursuit of medical knowledge and in the advancement of basic and clinical science discoveries and their application to clinical medicine. Congratulations to Drs. Daniel Fitzgerald, Virginia Pascual and Francis Lee who are now part of what is considered one of the top honors in the fields of health and medicine!

#CareDiscoverTeach #WeillCornellMedicine

#MeetTheStudents: Stephanie Azzopardi knew she was destined for a career in research since high school, when she would test the water quality of her school’s drinking fountains for a science fair project. “I like to ask interesting questions,” the 23-year-old Staten Island native said, “and then do detective work to figure out what the answers are.” That inquisitiveness took her to the Macaulay Honors College at @huntercollege, where she majored in biology and then applied what she learned as a student member of the laboratory of Dr. Nancy Du, an associate professor of pathology and laboratory medicine at Weill Cornell Medicine. After graduation, Azzopardi took two years off to study yellow fever and Zika with Dr. Charles Rice, the Maurice R. and Corinne P. Greenberg Professor in Virology, at The @rockefelleruniv, reinforcing her decision to pursue a career in research. But a summer experience at @sloankettering working with patients with genitourinary cancers got Azzopardi thinking about the possibility of medicine. “That was really the pivotal point for me,” she said. “I saw patients who were really running out of therapeutic options. There was such a sense of urgency. Once I had that experience I knew that I wanted to position my career in translational research to really help patients in the clinic.” And that’s exactly what she’s striving to do as a first-year student at the Tri-Institutional M.D.-Ph.D. Program, a partnership of Weill Cornell Medicine, The Rockefeller University and the Sloan Kettering Institute. “It’s a little overwhelming for me, that I have probably seven to eight years ahead of me in the M.D.-Ph.D. program,” Azzopardi said. “I am overjoyed that I’m on my way now, that I have all of the resources of the Tri-I community, to help me build this amazing career.” #WeillCornellMedicine #WCM2022 #CareDiscoverTeach #MedEd

#MeetTheStudents: Paul Walker, of Riverside, California, wasn’t even sure he wanted to attend college. But when the 23-year-old was a junior in high school, he participated in a pipeline program for minority students that paired kids with student mentors at @ucirvine, opening his eyes to his academic possibilities. Two years later, he returned to @ucirvine as a student himself.

In college, as Walker contemplated his future, he knew he wanted to do something that helped others, and two job opportunities ultimately pointed him towards medicine. In his second year, he started working as an EMT, where he was in and out emergency rooms and exposed to the inner workings of a hospital. “Seeing vulnerable people and being able to do something, even small, to help them was really fulfilling,” Walker said.

After a year as an EMT, he got a job as a medical scribe in the emergency department, where he was working directly under the doctors, writing up patient histories and performing other tasks. “This was probably the greatest experience of my life,” said Walker. “Being able to see how physicians interact with patients, not only on a physical level but on a mental level and as health educators. I felt like I was part of the system and doing something very rewarding. Those two experiences really sparked my interest in medicine as a career.”
Now as a first-year medical student at Weill Cornell Medicine, Walker hopes to continue helping others, focusing on health disparities in underrepresented communities and giving back to those communities by serving as a mentor and role model to others. “With medicine, not only can you help people that are ill, but you have the chance to educate and to advocate for people who don’t have a voice, and really change the outcomes of people’s lives in different ways.” #WeillCornellMedicine #WCM2022 #CareDiscoverTeach #MedEd

#Meet the Students: Nikki Pereira, 23, of Baltimore, was originally on a different career path. She was majoring in international studies and economics at the @univmiami when, in her junior year, she realized that the most defining experiences in her life were in service to others. In high school, Pereira had volunteered with an academic pipeline program for inner-city kids in Baltimore and later, in Miami, worked with an organization that helped victims of human trafficking.

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