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Jeffrey Epstein, New York Philanthropist, Funds Pioneering Cancer Metastasis Research at Mount
Sinai Hospital.
It is well known that once a tumor metastasizes into the blood stream, the odds of combatting the cancer
decline sharply. Surgically removing a pre-metastic tumor however can actually stimulate metastasis. Such
is often the case with breast cancer. Removal of a pre-metastic tumor is necessary however to avert the
inevitable spreading of the tumor. So what should a surgeon do?
In pivotal new research conducted at Mount Sinai Hospital in New York City, surgeon Dr. Jess Ting,
breast oncologist, Dr. Kerin Adelson and molecular biologist, Dr. Doris Germain, are looking at how
metastasis is not necessarily intrinsic to the tumor but its environment. The shift in focus is critical explains
Dr. Ting because while extractions should not be averted, the tumor's micro-environment might be changed
to minimize metastasis from surgery and in general.
To obtain a breast tumor's micro-environment, Dr. Ting and his team are using the unique approach of
studying fluid emitted from a post-surgery wound site. To date, clinical analysis of a cancer's environment
has been the blood, a rich source of disease-related biomarkers. However, blood's complex composition,
amongst other factors, is a major challenge for biomarker assays. Other body fluids, including urine,
ccrcbrospina, bronchoalvcolar lavagc, synovial, amniotic, seminal plasma and interstitial fluids arc also
rich in disease biomarkers. However, these fluids are only informative in advanced metastatic cancer
patients and so their prognostic value in term of disease progression is limited.
Dr. Ting's team saw that wound fluid (emitted from a draining tube), contains all the proteins, growth
factors, cytokines and DNA transcription factors that are secreted by the cells around the cancer and
presented an ideal way of studying the microenvironment in vivo. Furthermore, wound fluid from a breast
cancer patient often has the tremendous advantage of having an exact control specimen since the non-
cancerous breast is often removed as a precaution and wound fluid from that breast can be compared.
Over the last year, Dr. Ting and his team have found some critical differences between cancerous wound
fluid and non-cancerous both in test tubes and in mice. As their research continues, they are looking to find
commonalities with other cancerous wound fluids, so as to not only identify patients at higher risk of
metastasis, but to ultimately to develop a targeted systemic approach to minimize metastasis from
occurring.
Jeffrey Epstein's foundation, the Jeffrey Epstein VI Foundation, has funded cancer research and cutting edge
science all over the world. In 2003, he founded the Program for Evolutionary Dynamics at Harvard University
with a $30 million dollar grant. Jeffrey Epstein is a former member of the Trilateral Commission, the Council on
Foreign Relations, the New York Academy of Science and a former board member of Rockefeller University.
He is actively involved in the Santa Fe Institute, the Theoretical Biology Initiative at the Institute for Advanced
Study in Princeton, the Quantum Gravity Program at the University of Pennsylvania, and also sits on the Mind,
Brain & Behavior Advisory Committee at Harvard University.
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