THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER Cancer Institute News Vol. 1, Issue 1 • March 2013 Treatment, research, education growing in 2013 Dear colleagues, The Cancer Institute is experiencing a strong 2013 on all fronts. We have achieved U.S. News and World Report “best hospitals” status in cancer treatment, as we did last year. We have revamped our clinical trials programs and created a Protocol Review Committee that reviews available clinical trials for scientific merit, selects the ones best suited for Mississippi’s patient populations and prioritizes them. We have completed the first phase in recruiting world-class basic and translational cancer scientists from top institutions into three basic research programs: Molecular Cancer Therapeutics, Tumor Cell Biology and Cancer Genetics and Genomics. Now we are working on translating what we learn in research to the clinics and what we see in the clinics to Miele research. To help accomplish that, we created multidisciplinary translational interest groups in prostate cancer, obesity-related cancer and sarcomas. A breast cancer interest group also is in the works. Each includes physicians who treat patients and scientists seeking a cure for that type of cancer. These are challenging times for medical research funding. Yet, two of our newest recruits, Dr. Anait Levenson and Dr. Keli Xu, recently obtained competitive grants in prostate and breast cancer respectively, from the Department of Defense and National Cancer Institute. Levenson is collaborating with our Oxford colleagues to develop a novel phytochemical in prostate cancer, and Xu has discovered a new mutation that is common in highly aggressive “triple-negative” breast cancers. After the first three and half years of building critical mass and organizing infrastructure, we sought feedback from nationally renowned cancer experts, convening an External Advisory Board (EAB). This panel includes: • Dr. Ed Partridge, professor and director, University of Alabama in Birmingham Comprehensive Cancer Center. • Dr. William T. Beck, distinguished professor of pharmacology and molecular genetics and former Cancer Center director at the University of Illinois at Chicago. • Dr. Roy Weiner, Edward G. Schlieder chair of medical oncology and former Cancer Center director, Tulane University. • Dr. Susan Mooberry, professor of pharmacology and co-leader of the Experimental Therapeutics Program, University of Texas at San Antonio Cancer Center. • Dr. Ruth O’Regan, professor of hematology and medical oncology, Louisa and Rand Glenn Family Chair in Breast Cancer Research, Winship Cancer Institute, Emory University. • Dr. Kathryn Stein, senior vice president, MacroGenics, Inc. and former division director, U.S. Food and Drug Administration. • Dr. Debabrata Mukhopadhyay, professor of biochemistry and associate director, Mayo Clinic Comprehensive Cancer Center. • Dr. Ralph Weichselbaum, D.K. Ludwig Professor of Radiation and Cellular Oncology, Chair, Department of Radiation and Cellular Oncology, University of Chicago Cancer Center. The group met in Jackson and reviewed our basic research programs, core facilities, clinical programs, clinical research, institutional support and leadership team. They also received copies of our strategic plan. They provided invaluable insights during the meeting and soon we will receive their final written report. We asked them to highlight our strengths and weaknesses, and to offer suggestions on how to move to the next phase so we can compile a competitive application for NCI designation. As the year progresses, the Cancer Institute executive committee and I will review the EAB report, share it with faculty and institutional leadership, and incorporate its input into our strategic plan. Lucio Miele, M.D., Ph.D. Cancer Institute Director University of Mississippi Medical Center | 2500 North State Street | Jackson, MS 39216 | 601-815-6801 | CancerInstitute.umc.edu CLINICAL Teamwork essential to treat neurological cancers before any treatment recommen The foundation was there, dations are offered the family. carefully poured by Dr. Owen B. From 20 to 25 patients who Evans, former chairman of pediathave finished treatment attend a rics. Now Dr. Betty Herrington, the Brain Tumor Clinic each month for state’s only fellowship-trained pedifollow up testing or review. Some atric neuro-oncologist is working to come each month. Others, out of build and maintain the state’s only treatment longer, may come anpediatric neuro-oncology program. nually. Patients’ ages range from “We have everything in place 3 to 31, said Janie Criddle, an RN to take care of children with brain and clinic coordinator. or spinal cord tumors,” she said This team sees children from from the Children’s Cancer Center Some members of Children’s Cancer Care pediatric neuro-oncology around Mississippi, often providin Batson Children’s Hospital. “We team prepare to see patients recently. Team members include seated from left, brain clinic coordinator Janie Criddle, pediatric ing treatment for rare neurologihave good outcomes and we’re neuro-oncology care team director Dr. Betty Herrington; pediatric cal tumors and conditions. Team close to home for treatment.” neurologist, Dr. Bev Evans; standing from left, neuro-radiologist members also offer second The “we” is a crucial element. Dr. Todd Nichols; pediatric psychology fellow, Dr. Cynthia Karlson; The program built at the pediatric hematology/oncology fellows, Dr. Britni Hill and Dr. Jitsuda opinions for other centers. “Anna” Sitthi-Amorn; neurosurgery nurse practitioner Toni Harris; As a member of the Children’s University of Mississippi Mediand palliative care nurse practitioner Jackie Carrillo. Oncology Group, Children’s cal Center includes a weekly Cancer Center has access to and can contribute to the latest multi-disciplinary pediatric neuro-oncology conference, state medical treatment protocols and clinical trials available to the of the art treatment, follow up clinics and the ability to respond COG’s 220-member strong group of children’s hospitals, cancer to other patient needs. Today, this neuro-oncology team sees centers and universities in eight countries. That also gives this some 280 children and young adults annually for diagnosis, pediatric neuro-oncology team ties to specialists around the treatment and follow-up care. world should they need a review of an especially rare cancer. Children with brain and spinal cord tumors require multiple Treatment and the equipment used to offer it, from IV lines specialists. Patients may hear it called a multidisciplinary team. to a surgeon’s tools, is geared toward children. Children who This team includes Herrington, other pediatric oncologists, have to receive chemotherapy do so in rooms designed just for radiation oncologists, pediatric neurologists, pediatric neurosurthem and from pediatric nurses with medical oncology training. geons, clinical research nurses, pediatric psychologists, neuro Teachers help them keep up with school work. radiologists, neuro pathologists, pediatric ophthalmologists, This team also tries to relieve some of the stress for families. pediatric audiologists, pediatric oncologic nurses, palliative care Criddle works with parents to make appointments, coordinatspecialists, physical therapists, occupational therapists, speech ing times for imaging, lab tests and visits with specialists. Once therapists, counselors, teachers and more. at the clinic, medical providers come to the patient rather than Some parents think of it as having an army of aunts and families traveling from clinic to clinic on campus. uncles on call. In 2012 this group saw 25 new patients. They “Families love it and providers love it,” Herrington said. expect to see about 30 in 2013. Older children and young adults may come one day for imaging “Previously too many of these children had to go outside tests and lab work and another to see their team. The coordinathe state to get care,” Herrington said. “This is a comprehensive tor tries to make it a one-day trip for younger children, arranging program. We offer everything other comprehensive centers offer.” to have any needed imaging done in the morning and appoint Treatment close to home allows families to stay nearer their ments in the afternoon. support network, Herrington said. “It’s a long day, but it’s one day,” Herrington said. About 20 medical providers attend each week’s neuro Herrington and providers have another conference before oncology conference. The conferences also provide training for each clinic. They review images taken that day, blood work and medical students, residents and fellows from each discipline. other reports before they head to the rooms to see their patients. At conference, physicians review a new patient’s medical Criddle also is a patient’s answer finder. “Parents can call condition, images of their tumor, surgical findings and pathology her about any issue and she’ll find someone to respond,” Herand discuss treatment recommendations. The team deals with rington said. benign and malignant tumors. Herrington said this clinic is about finding answers for its Herrington said the team concept means multiple physipatients and their families. cians, nurses and other specialists are evaluating each child Cancer Institute Newsletter | March 2013 | PAGE 2 CLINICAL New technique offers hope for earlier lung cancer detection When research showed low Have a smoking history dose computed tomography (CT) of 30 or more pack-years. A screening could help detect lung pack year is equivalent to smokcancers earlier and save lives, the ing an average of a pack a day University of Mississippi Medical for one year. Center’s lung cancer care team Have no history of jumped at the opportunity to use cancer beyond basic skin equipment already available to try cancer. to help Mississippians. People who meet the crite “I want to save as many paria should talk to their primary tients as I can,” said Dr. Frederico physician about the low-dose CT Souza, the team’s radiologist screening or they may refer themMembers of University Cancer Care Lung Care Team include, seated and the physician who will review from left, lung cancer patient navigator Leigh Anne Lamm, RN; selves to this program. Souza most of the scans. “This is great said results will be reported to pathologist, Dr. Rhyne Flowers; hematology/oncology fellow, Dr. Linda for this population. We need to do Allee; and medical oncologist Dr. Calvin Thigpen; standing from left, their referring physician. pulmonologist Dr. Joe Pressler; pathologist, Dr. Jack Lewin; surgeon, it as the primary cancer center in “If they have no doctor, they Dr. Pierre de Delva; pulmonology fellow, Dr. Michal Senitko; radiation the state.” will be referred to one here,” oncologist Dr. Satyaseelan “Satya” Packianathan; radiologist, Dr. According to the American Souza said. Anson Thaggard. Not pictured are radiologist Dr. Frederico Souza and Cancer Society, lung and bron Screenings are performed at pulmonologist Dr. Trey Abraham. chial cancers are the most comthe University Physicians’ offices mon cause of cancer deaths nationwide for men and women, at Grants Ferry, 101 Lakeland Place, in Flowood, Miss., or at the followed by prostate and colorectal cancers in men and breast University of Mississippi Medical Center main campus. Screenand colorectal cancers in women. ings cost $150, which may not be covered by insurance. The ACS estimates that in 2013, some 2,630 Mississippians A screening includes a low-dose CT scan, a review by a will be diagnosed with lung cancer and 2,010 will die of it. The radiologist experienced in detecting lung cancer and a visit with key to reversing that trend, said Dr. Joe Pressler, a pulmonoloa pulmonologist on the University Cancer Care lung cancer care. gist on the team, is catching lung cancers earlier. Souza said if you are still smoking you also will be referred to a to “One of the biggest reasons the statistics are so drastically bacco cessation program headquartered on the UMMC campus. skewed towards death for lung cancer, as opposed to prostate, The ACT Center for Tobacco Treatment, Education and Recolon and breast cancers, is that it is so often diagnosed in the search offers free medications and counseling to Mississippians late stages when treatment options are much more limited,” who want to quit using tobacco. The center has sites throughPressler said. “Prostate, colon and breast cancers all have good out the state. (www.act2quit.com) screening programs, which is what we are trying to offer with “I see this program as an outreach to the community and this CT screening program.” the state in an attempt to bring more awareness to lung cancer Thoracic surgeon Dr. Pierre de Delva shares that frustration. and the dangers of smoking,” Pressler said. “Anything we “Surgery is most effective when lung cancer is diagnosed at an can do to continue to stress how dangerous smoking is to a early stage,” he said. “As a surgeon it is incredibly frustrating patient’s health and to offer opportunities to discuss smoking to see so many patients present with late stage disease and be cessation programs with the people of the state and the local limited in my ability to provide them life-saving therapy.” community is an opportunity that we can’t let slip by.” A National Cancer Institute study showed screening with If your scan shows any signs of lung cancer or other lung low-dose CT reduced lung cancer deaths by 20 percent among conditions, the pulmonologist will discuss this with you and your a high risk population. The population studied had a smoking primary physician. Your results also may be presented to the habit of 30 or more pack-years. The research was presented in University Cancer Care lung care team. the New England Journal of Medicine in August, 2011. Based on A recommendation for further testing or to repeat the scan the NCI research, the UMMC lung cancer care team is providing in a year needs to be based on information presented to the this screening to patients who may benefit from it. The NCI study lung care team and your physician’s knowledge of you. shows the screening is most effective for patients who: To find out if you qualify, call (601) 984-5650 and press 2. If Are 55 to 74 years old. you are eligible, the lung cancer care team will make an ap Are current or former smokers (a former smoker is pointment for you. Physicians who are interested in this for their someone who has stopped smoking within the past 15 years). patients, may call (866) UMC-DOCS (862-3627). Cancer Institute Newsletter | March 2013 | PAGE 3 CLINICAL Patient Resource Center seeks to answer cancer questions Visitors arriving at the University Cancer Care Patient Resource Center may see the hats and the smile first. The center, down a short hall from the Cancer Institute outpatient waiting area at Jackson Medical Mall, can become a haven for those seeking information about the diseases affecting them or their families. Janice Johnson, coordinator, makes sure it is. “I love helping people,” she said. The hand knitted hats? Volunteers make those for the adult patients. The smile? That’s Johnson’s standard welcome to all who visit. Providing information about the diseases patients or family members now must battle is a pursuit she’s embraced. The center opened in 2006 with a family’s gift to purchase materials for adult cancer patients. They made the donation in honor of the late Diane Powell, a hematology patient of Dr. Stephanie Elkins. Children’s Cancer Center provides similar information to parents of children with cancer. Johnson eagerly accepted the job. “I thought it was a neat thing to do because you are able to come in contact with all kinds of people and be helpful,” she said. “I cry with them and laugh with them,” she said. “Sometimes it’s pretty sad. Sometimes people are afraid. Sometimes they expect the worst and it may not be that bad.” Johnson, a Jackson native, lived in Houston for many years and worked at a facility for the mentally ill. Offering encouragement and love were big parts of that job and she finds they’re crucial to this one. “I try to supply information on any type of cancer and if I can’t find it here, I go to the Internet and get it,” Janice Johnson Some of her happiest moments occur when patients in remission and in clinic for a follow-up appointment, stop by with two simple words: “I’m here.” “It’s really rewarding,” she said. In a conversation sprinkled with memories of patients who didn’t defeat cancer, her phrases carry a similar theme: “Sweetest lady,” “nicest man,” “always made me laugh.” In some of those cases, a family member returns with a memento of their loved one. “She was so sweet,” Johnson said, fingering a laminated photo on a keychain. Johnson is a woman who believes that the little things matter, whether that’s a smile, a hug, a brochure or simply listening to someone vent. While she spends much of her day serving patients, she also works to try to prevent anyone from needing the Resource Center. With others at University Cancer Care, she attends several events each year to pass out materials on cancer prevention and screening. Materials may center on cancers that occur at higher than average levels in Mississippi, like breast, colon or prostate cancer, or may focus on a specific cancer a group has asked them to present, like skin cancers. Within the resource room, Johnson tries to keep pamphlets and brochures that provide information patients need. That information ranges from what to expect with chemotherapy and radiation therapy to how to talk to children about cancer. She tries to give each patient who enters basic materials that others have found helpful: things to ask their doctor, what to expect during treatment, a list of resources they might need or want and information on the cancer they’re Johnson battling. “I try to supply information on any type of cancer and if I can’t find it here, I go to the Internet and get it,” she said. Since University Cancer Care physicians see many people with unusual cancers, that’s a task at which she’s become proficient. The Resource Center offers brochures, books, pamphlets, DVDs and other materials on cancer and cancerrelated topics. It also includes a quiet reading room and computers for patients to use. Often, UCC patient navigators and social workers usher new patients there. But any adult patient or family member is welcome to come. The Resource Center is open from 8 a.m. to 4 p.m. Monday through Friday. Cancer Institute Newsletter | March 2013 | PAGE 4 RESEARCH CI group searches plants for cancer cures Dr. David Pasco makes it sound so simple. “We investigate plant extracts for promising anticancer compounds,” the director of the Cancer Drug Discovery Core in Oxford said of this collaborative venture with the Cancer Institute in Jackson. “When we find a compound that targets a signaling pathway important for supporting cancer, we can hand that off to someone in Jackson doing research on that signaling pathway.” Researchers in the Cancer Drug Discovery Core, located within the National Center for Natural Products Research at the University of Mississippi will work closely with their counterparts in the Cancer Institute at the University of Mississippi Pasco Medical Center in Jackson to develop natural product derived anticancer compounds. It’s a collaboration celebrated on both campuses. “One of the unique characteristics of the Cancer Institute in Jackson is this connection with us because not many other cancer institutes have this type of drug discovery program,” Pasco said. “That’s going to be a strength for the Cancer Institute.” The collaboration began several years ago. Today, the Cancer Drug Discovery Core occupies about 1,320 square feet of lab space in the National Center for Natural Products Research at the Thad Cochran Research Center at Ole Miss. Two principal investigators and four to five others work in those labs. Dr. Kounosuke Watabe, the CI’s associate director for basic science, embraces the collaboration. “The drug discovery core is a very important asset for us. We have to capitalize on it.” During the Cancer Institute’s first Research Day in October, 2012, Watabe described how the campuses can work Watabe together. While investigators in Oxford can find compounds that will act on cancer cells, they need the investigators in Jackson to take the next step to determine the mechanism of action, to test it in mice. Investigators in Jackson, who may find novel targets in cancer cells, need help from Oxford to find compounds that affect those targets. As the work progresses, pharmacological experts at Ole Miss in Oxford also may work with physicians to design a trial for humans. Pasco said for him it all starts with the plants. “We have various agencies around the world that collect plants and then they ship them to us,” he said. “We grind them up and we use an instrument that automatically makes extracts from that material. We have tens of thousands of plant extracts in our freezers.” Often research starts with extracts that may have shown some cancer prevention or cancer fighting properties previously. Then researchers may move to similar plants or extracts with similar chemical profiles. The testing is methodical and tedious. “We never know if it’s promising from the first round of in vitro tests,” Pasco said. “We may search for years to find one that works in people.” His interest in cancer started decades earlier, Pasco said. He did his graduate work at Roswell Park Cancer Institute in Buffalo, N.Y. Years later he heard about the NCNPR. “When I heard about this place 18 years ago I said, ‘This is what I want to do.’” “You need people with various types of experience. It’s a long, slow process. You can’t expect to find something and get it into humans in months or a few years. It takes a long time.” Dr. David Pasco While Pasco makes it sound simple, it’s never easy. “You really need a wide range of expertise to find a compound to use in humans,” he said. “You need people with various types of experience. It’s a long, slow process. You can’t expect to find something and get it into humans in months or a few years. It takes a long time.” For example, the NCNPR includes faculty from the departments of pharmacognosy, medicinal chemistry, pharmacology, pharmaceutics, pharmacy administration and pharmacy practice. The Cancer Drug Discovery Core widens that net to include investigators and physicians at UMMC. Pasco also continues to search for compounds that work better together than individually. It’s an idea, he said, that he shares with Dr. Lucio Miele, CI director. “We both believe that you’re never going to cure cancer with one compound,” Pasco said. “It’s my hope we’ll be able to use combinations of much less toxic compounds that target cancer cells and save normal cells.” Cancer Institute Newsletter | March 2013 | PAGE 5 RESEARCH Finding cancer signature brings hope for better treatment At first glance, the frames on the walls hold abstract art. On closer inspection, they’re models of the chemical compounds and images of the cells Dr. Anait S. Levenson studies to find a way to halt cancer. Her research, a collaboration with investigators at the University of Mississippi Medical Center’s Cancer Institute in Jackson and the Natural Products Utilization Research Unit in Oxford, focuses on hormone dependent cancers, primarily in breast and prostate cancer. “I’m trying to find strategies for prevention and treatment,” she said. “One goal is if we can find a prognostic marker that tells us if prostate cancer is going to be aggressive or if the patient is going to develop prostate cancer. The idea is we can treat the primary tumor but we can’t treat metastasis.” For now, Levenson and her colleagues have found an association between the protein MTA1 and prostate cancer metastasis in African American men. “We initially discovered MTA1 as a part of a ‘bone metastatic signature’ in prostate cancer,” she said. After reviewing more than 300 prostate cancer tissue samples, they found MTA1 was overexpressed in AfricanAmerican men who had aggressive cancers. Levenson and her colleagues also are searching for ways to halt MTA1 and therefore the metastasis. “This protein can work as a prognostic marker in the African-American population,” she said. That’s an important advancement since black men tend to have prostate cancer at a younger age and tend to have more aggressive forms of the cancer with an associated higher death rate from it. “It’s important to know who has an aggressive cancer,” she said. With a small tumor, surgery often provides a cure. Prostate cancer most often strikes older men and often is not aggressive. Some choose no treatment and most die of other causes. When prostate and breast cancer grow, they often spread to nearby bone. “Metastasis to the bone is very painful,” Levenson said. If this protein can indicate who has an aggressive prostate cancer, then doctors will know to offer more aggressive treatment earlier. Each question answered raised new ones. Now Levenson and her colleagues are: Trying to find out why MTA1 didn’t work as a prognostic marker for white men. In white men, it was high at all stages of prostate cancer. In African-American men, it showed up in high levels when they also had a high Gleason score. The Gleason score is the method physicians use to grade prostate cancer. They look at cancer cells under a microscope to see whether the tissue looks more like normal cells or is very different from normal cells. Scores range from 2 to 10 and higher scores mean the cancer is more advanced. Trying to find out if MTA1 can be used as a prognostic marker in other ethnic groups. Those haven’t yet been studied. Trying to find ways to halt MTA1 and promote the P53 tumor suppressor gene, one of the body’s natural defense fighters. Levenson In her previous work Levenson found that resveratrol, a compound found in red wine, can inhibit MTA1. In collaboration with Dr. Agnes M. Rimando, a chemist from the USDA and University of Mississippi’s National Center for Natural Products Research, they searched for similar, but more potent compounds and they found one in blueberries, pterostilbene, that is stronger. “It inhibits MTA1 seven times better than resveratrol,” she said. Now the two are seeking a way to make this compound stronger or find a way to combine it with other natural compounds to offer a more potent one, a kind of chemical power couple to fight cancer. In the recent experiments in mice, Levenson’s lab demonstrated that resveratrol and pterostilbene can inhibit prostate cancer progression and metastasis, pterostilbene with more potency. These studies provide a foundation for clinical trials in humans. “We hope to identify dietary substances and then find more potent compounds,” Levenson said. Resveratrol and pterostilbene are needed in such large quantities, people could not consume enough to affect the cancer so finding a way to boost its power or linking it with other similar cancer-fighting agents is one route they’re searching. “Chemotherapy is very toxic so we want to study how dietary compounds can help in therapy. My idea is if we have this kind of compound that inhibits MTA1, we can search for a compound to provide safer, less toxic targeted treatment,” she said. ———————————————— Levenson’s research is supported by funding from the University of Mississippi Medical Center, the Cancer Institute and the Department of Defense. She is among 13 Cancer Institute principal investigators researching for new ways to halt cancer. Cancer Institute Newsletter | March 2013 | PAGE 6 RESEARCH First Cancer Research Day deemed a success The Cancer Institute held its first Cancer Research Day in November. University of Mississippi Medical Center Cancer Institute investigators held a Cancer Research Day Nov. 19 to showcase their research, hear what others in the medical community are doing, to form new collaborative research efforts with colleagues and to information the community how research money is being spent. Investigators and students from UMMC, the University of Mississippi in Oxford and Tougaloo College were among those who attended. The day was designed to allow investigators to spotlight their work, receive feedback on it, form new partnerships with other investigators and learn of new equipment and procedures available in various labs, some on different campuses. Dr. Kounosuke Watabe, the Cancer Institute’s associate director of basic science, said the exchange generated a new level of excitement among those seeking a cure for cancer. Dr. Lucio Miele, Cancer Institute director, said it reinforced collaborations among Mississippi’s research entities. No one laboratory has the means to find a cure for cancer, so collaboration is essential to find cancer’s roots and then seek ways to halt it, he said. Investigators on the UMMC campus already work with counterparts at Ole Miss, Tougaloo, Jackson State University, Mississippi State University and the University of Southern Mississippi. More than 120 physicians, researchers, medical and doctoral students and community leaders attended the inaugural Cancer Research Day. Cancer Institute Newsletter | March 2013 | PAGE 7 RESEARCH Researchers, doctors work together to seek cure Researchers and physicians at the University of Mississippi Medical Center’s Cancer Institute are focusing on the cancers most deadly in Mississippi. Dr. Kounosuke Watabe, a biochemist and the CI associate director for basic science, said forming interest groups with physicians who treat cancer every day and researchers who seek to unravel cancer’s mysteries will help both sides. The Prostate Cancer Interest Group has started meeting and two more groups are being formed: one on breast cancer and one studying links between obesity and cancer. “I want to build a bridge between clinical and investigators,” Watabe said. “It’s very important.” He believes each side of this medical equation can learn from the other. Basic scientists, the investigators, can bring some of the latest research results to clinicians, what’s available or will be soon. Vijay “My goal is to put all these people together and create a spark that will ignite some very new ideas in research.” Dr. Srinivasan Vijayakumar Physicians can raise questions based on what they see among their patients every day. Sometimes that can help guide scientific investigations, help keep the basic scientists on track, he said. “I want to build a bridge between clinical and investigators . . . It’s very important.” — Dr. Kounosuke Watabe Watabe The Prostate Cancer Interest Group, which is meeting monthly, already is exploring those avenues and others. Dr. Srinivasan Vijayakumar, Dr. Vijay to most, who heads the University Cancer Care Department of Radiation Oncology, leads the prostate group. He has a long-time interest in solving the prostate cancer puzzle and conducts research into using radiation therapy more efficiently and safely. About a dozen physicians, basic scientists and others already have reaped the benefits of the meetings, he said. The group includes specialists from radiation oncology, pathology, nuclear medicine, bioinformatics, diagnostic radiology, cancer biology, pharmacology and genetics. “We have to make research multidisciplinary,” Vijayakumar said. “No one can really accomplish great things working alone. You need a lot of cross links in research.” He explains that gathering people from so many specialties gives all in the group a larger view of the puzzle they are trying to solve. The amount of information and knowledge is growing quickly and “is beyond the ability of one person to digest and keep up with,” he said. Sharing knowledge from each segment of treatment and research can offer patients big dividends in the long run. “My goal is to put all these people together and create a spark that will ignite some very new ideas in research,” he said. His hope is that the research leads to new ways to prevent prostate cancer or better ways to treat it. After just a few meetings, new collaborations were forming, Vijayakumar said. For example, four basic scientists now present their research at his faculty meetings and the group members recently critiqued a research paper for one member at her request. Watabe and Vijayakumar hope to accomplish results faster through the groups, lowering the deaths from prostate cancer in Mississippi or helping to find ways to prevent it. Cancer Institute Newsletter | March 2013 | PAGE 8 RESEARCH Research Recognition New associate members of Raucher receives patent the Cancer Institute include: Randy Wadkins, Ph.D., associate professor of chemistry and biochemistry at the University of Mississippi. Xinchun Zhou, M.D., Ph.D., assistant professor of pathology at the University of Mississippi Medical Center Kenneth Sufka, Ph.D., professor of psychology and pharmacology and research professor at the Research Institute of Pharmaceutical Sciences at the University of Mississippi. The Cancer Institute accepts physician and research members from UMMC and other institutions who contribute to its goals of research, education, patient care or community outreach. To receive details of membership criteria or to inquire about joining, call 601-815-6802 or email fturpeau@ umc.edu Raucher Dr. Drazen Raucher, a biochemistry profession and member of the Cancer Institute, was recognized in October for a patent he received this past fall. His patent for a cancer fighting therapy may reduce the amount of chemotherapy some cancer patients need. The method he and his research team found sends anti-cancer drugs directly into tumors. Now, Raucher and others will work to find out if it is safe and works in humans. <LINK: Centerview story: http://www.umc.edu/ News_and_Publications/Centerview/2012-10-08-04_Biochemistry_professor%e2%80%99s_invention_increases_ efficacy_of_tumor-targeting_cancer_treatment.aspx > Cancer Institute Newsletter | March 2013 | PAGE 9 RESEARCH Recognition Cancer Institute members work with many organizations worldwide. Many have been recognized for that work or tapped to serve on or lead boards within those groups. Members who have been recognized recently include: opment of Notch Inhibitors in Oncology” at the Bose Institute, named in honor of the Indian Novel Laureate H.C. Bose. Indian news media also attended the lecture. Dr. Chindo Hicks, associate professor of medicine, director of the Cancer Bioinformatics Core in the UMMC Cancer Institute and director of translational genomics and bioinformatics for the Children’s Cancer Center, has been selected by the National Cancer Institute to serve on the Review Board for the Specialized Programs of Research Excellence (SPOREs). The SPORE (P50) is a Specialized Center grant mechanism for the support of a multi-project, interdisciplinary and often multiinstitutional research program. The NCI SPORE program started through a special appropriation from Congress in 1992. It is the largest Specialized Center grant mechanism awarded by the NCI. Dr. Lucio Miele, Cancer Institute director, returned to his native Italy in November to receive the International Research Award, “Scuola Medida Salernitana,” from the Salerno School of Medicine, the oldest medical school in the world. The school, started in 900 AD, was closed by Napoleon in 1802 and reopened six years ago. The day before receiving the award for a lifetime of work in cancer research, Dr. Miele was asked to deliver the commencement address to the school’s first class to complete their medical studies after the reopening. Miele also received the Acharya P. C. Ray Gold Medal Award for Pioneering Research presented by the Indian Science News Association in December in Kolkata, India. The award is named in honor of Ray, considered the father of Indian chemistry. This year was the 150th anniversary of Ray’s birth and had special significance for the Indian science community. Prafulla Chandra Ray was the first Indian to receive a doctorate in chemistry (in Edinburgh) and returned to India to become the first Indian-born chemistry professor there as well as founding the first Indian pharmaceutical company. The award is given to internationally renowned scientists who show pioneering vision in starting new organizations and/or new fields of research. Miele also gave a lecture on “Devel- Hicks also was selected by the University of South Africa (UNISA) in the Republic of South Africa to serve as an external examiner. In this role, Hicks will assess and evaluate the Ph.D. theses for UNISA’s Ph.D. candidates in bioinformatics and make a report and recommendations to the Board of Examiners about the candidates’ fulfillment of the requirements for the doctoral degree in bioinformatics. Cancer Institute Administrator Stephen Roth was selected to serve on the Association of Cancer Executives’ Education Committee for 2013. Three Cancer Institute members received Excellence in Research Awards at the University of Mississippi Medical Center’s annual program to recognize investigators who receive significant extramural funding for their research programs. CI members who were recognized include: • Dr. Azeddine Atfi, professor of biochemistry and director of the CI Tumor Cell Biology Program, bronze award. • Dr. Radhika Pochampally, associate professor in the Department of Biochemistry and member of the CI Cancer Genetics Program, bronze award. • Dr. Thomas Payne, associate director of the ACT Center for Tobacco Treatment, Education and Research and member of the CI Cancer Epidemiology Program, gold award. Cancer Institute Newsletter | March 2013 | PAGE 10 RESEARCH Research Grants Cancer Institute investigators and clinicians receive grants and conduct research on a variety of topics. Activity in the final quarter of 2012 includes: Grants received: Cancer Institute researchers have received multiple national, regional and local grants, including many which provide research funding for multiple years. New grants they received October through December 2012 include: Dr. Drazen Raucher, $50,000 from the National Science Foundation to study thermo-responsive biopolymers for tumor targeted delivery. Dr. Kounosuke Watabe, $289,320 from the National Cancer Institute to study the functional role of tumor metastases suppressor gene, KAl1, in tumor progression. Dr. Kounosuke Watabe, $288,069 from the National Cancer Institute to study the mechanism of tumor metastasis suppression by Drg1. Dr. Seongbong Jo, $66,282 from Mississippi State University/National Science Foundation to study computational modeling-aided design, synthesis and optimization of redoxsensitive polymer nanoparticles with optimal colloid-forming and DT-diaphorase-substrate properties. Published research: Hand, W., Robinson, J. C., & Creel, E. (December, 2012). Ethical Issues Surrounding Weight Bias and Stigma in Healthcare. Online Journal of Health Ethics, 8(2). Resveratrol 2012, 2nd International Conference of Resveratrol and Health, Leicester, United Kingdom, Dec. 5-7, 2012, Invited Oral Presentation “In Silico Studies of Resveratrol Interaction with Nuclear Receptors.” Guri Tzivion: Tzivion G, Leicht DT, Balan V, Kaplun A (2012) Regulation of C-Raf kinase by phosphorylation and protein-protein interactions. Oral Presentation at the Conference on the “Biochemistry, Biology and Pathology of MAP Kinases,” Maale Hachamisha, Jerusalem Hills, Israel. Novel aspects of AKT regulation and function: Implications in cancer and lifespan control. Cancer Research Day, University of Mississippi Medical Center, Jackson, MS, Nov. 19, 2012. The nicotinamide-sirtuin axis: a new modulator of DNA damage response, longevity and metabolism. Department of Molecular Cancer Research, University Medical Center Utrecht, Utrecht, The Netherlands, Oct. 12, 2012. Keli Xu: Fringe-Modulated Notch Activation in the Triple Negative Breast Cancer. Cancer Research Day, University of Mississippi Medical Center, Nov. 19, 2012. Jennifer Robinson: Moore, M. M., Robinson, J.C., Rachel, M., & Boss, B. (2012). Poster. “Planning Phase of a Population-Specific Healthy Lifestyle Program.”5th Annual DNP Conference. St. Louis, Mo. Robinson, J. C. (2012). Invited Speaker. “Organizing for Scholarly Writing: Parts 1 & 2.” Advanced Practice Providers Council. University of Mississippi Medical Center, Jackson, Miss. Presentations: Anait Levenson: Research Symposium of UMMC Cancer Institute, Jackson, MS. “Mechanism-based preclinical studies with resveratrol and its potent natural analogue pterostilbene in prostate cancer,” Oral Presentation, November, 2012 Resveratrol 2012, 2nd International Conference of Resveratrol and Health, Leicester, United Kingdom, Dec. 5-7, 2012, Invited Oral Presentation “ Mechanism-based preclinical studies with resveratrol and its potent natural analogue pterostilbene in prostate cancer.” Cancer Institute Newsletter | March 2013 | PAGE 11 EDUCATION Speakers: October - December The Cancer Institute strives to bring physicians, educators and researchers who are leaders in their field to the university each month to offer their perspective in their fields. Other UMMC departments do the same. Visits for many speakers below were sponsored by the Cancer Institute. Mukhopadhyay Collins Dr. Debabrata Mukhopadhyay, professor of biochemistry and molecular biology and associate director of the Mayo Clinic Cancer Center, presented “Anti-angiogenesis Therapy: Past, Present and Future” on Oct. 3 in the Arthur C. Guyton Research Center Research Library. Dr. Francis Collins, director of the National Institutes of Health visited the campus Oct. 12 to hear from representatives of several state universities about NIH funded programs. Cancer Institute researchers, including those who hold NIH grants, were among those who heard Collins speak. Dr. Jamie Newman, research assistant professor at Louisiana Tech University presented a seminar, “Investigating the Role of Environment on Genome Structure and Function” on Nov. 27. Newman Dr. Fazlul Sarkar, professor of pathology at the Karmanos Cancer Institute and professor at the Center for Molecular Medicine and Genetics, Wayne State University, discussed “Deregulation of MicroRNAs and Their Targets by Natural Agennts: Translational Research” Dec. 3 in the Arthur Sarkar C. Guyton Research Center. The UMMC Cancer Institute sponsored his presentation. Cancer Institute Newsletter | March 2013 | PAGE 12 EDUCATION Outreach University Cancer Care physicians and staff at the University of Mississippi Medical Center participated in several events to raise money for cancer patients or research, to provide education materials to the public about cancer or discuss advancements in cancer detection and treatment with Mississippi physicians. Those included: Dental hygiene students sold “Passion for Prevention” T-shirts to support dental hygiene and breast cancer awareness efforts in October. Many also participated in the Oct. 27 Making Strides against Breast Cancer Walk in Jackson. The University Cancer Care breast care team held a survivor’s reception Oct. 2 to kick off its first survivor’s clinic, to encourage the women and men currently in treatment and to celebrate with those in remission. The clinic will provide followup care for breast cancer patients who are in remission. Held every three months, it is for those in remission for six months or longer. The University Cancer Care breast care team participated in the American Cancer Society’s Making Strides Against Breast Cancer walk. The UCC team, with 61 members, raised more than $5,000 for breast cancer education, screening and research. A second UMMC team, the Pink Panthers, with six participants, also participated in the walk. The teams helped raise funds or distributed educational information at the events. The UCC team also participated in the Jackson Public School’s fitness walk and the Central Mississippi Steel Magnolias Pink Tie Gala. The Steel Magnolias is a Susan G. Komen for the Cure affiliate. Dr. Tondre Buck, spoke to the Celgene Corporation in Ocean Springs. His topic was “Multiple Myeloma: A Focus on Mechanism of Disease.” Staff from the Cancer Institute and University Cancer Care handed out cancer education materials at the Mississippi State Fair in Jackson. UCC members, including Jimmie Wells and other 5 south staff members, Janice Johnson, Dacia Green and Kaylin Johnson worked at the UMMC booth, which also provided some health screenings. The UCC Patient Resource Center in recognition of Breast Cancer Awareness Month give out cupcakes, water, snacks and other small items along with breast cancer information to patients and their families. Patients, families and friends helping them also entered a drawing for a snack basket donated by Flowers by Cheryl. Janice Johnson, UCC’s Patient Resource Center coordinator, and Dacia Green, UCC oncologic dietitian, helped staff a UMMC booth and provided cancer information to participants at the 19th Annual Senior Health & Wellness Fair held at the Jackson Convention Complex. Johnson and Green also provided cancer information at Pastoral Care Week 2012 observances. UCC and other UMMC departments participated in “Giving Voice,” a Clergy and Clinicians Luncheon and Health and Education Fair at the Norman C. Nelson Student Union. Dr. Carolyn Bigelow discussed “Treatment of aHUS” at a lunch sponsored by Alexon at AJ’s Seafood and Steaks in Flowood. Dr. Roy Duhe’ and Elizabeth Nichols, a high school intern, were interviewed by WJTV for a segment on Breast Cancer Awareness. Click on the link to view it: http://video.wjtv. com/v/65303962/making-strides-for-research.htm?q=cancer ). Many members of the Cancer Institute and University Cancer Care enrolled in the American Cancer Society’s Cancer Prevention Study 3 (CPS3) with enrollment held at the medical center and Jackson Medical Mall. Dr. Gail Megason was a keynote speaker at the Leukemia & Lymphoma Society educational program, “Staying Connected: Facilitating the Learning Experience During and After Cancer,” held at the University of Southern Mississippi in Hattiesburg. Dr. Christopher Friedrich gave a presentation at the St. Dominic Hospital Tumor Board Conference in Jackson. His topic was, “Recognizing Patients at High Risk for Breast, Ovarian, Colon, or Endometrial Cancer.” Dr. Carolyn Bigelow gave a presentation at Dothan Hematology Oncology Center in Dothan, Ala. Her topic was “A New Perspective in the Treatment of Multiple: The Role of Subcutaneous Velcade (bortezomib).” Dr. Christopher Friedrich spoke on the topic, “The Association of Ideal Cardiovascular Health with Incident Cancer: The Atherosclerosis Risk in Communities Study” for Cancer Research Day at the UMMC Cancer Institute. Dr. Tondre Buck spoke at the Mint in Ridgeland, Miss. His topic was, “Multiple Myeloma: A Focus on Mechanism Disease.” Celgene Corporation sponsored the program. Dr. Christopher Friedrich was a presenter at the 2012 Mississippi Association of Public Health Physicians Conference in Jackson. His discussed “Recognizing Patients at High Risk for Breast, Ovarian, Colon, or Endometrial Cancer.” Dr. Truman Mark Earl gave a talk on “Cholangiocarcinoma” to physicians at the North Mississippi Medical Center’s tumor board meeting in Tupelo. Cancer Institute Newsletter | March 2013 | PAGE 13 COMMUNITY CI staff work to raise awareness, funds Faculty and staff at the University of Mississippi Medical Center participate in many area events to raise funds for cancer education, prevention, research or patient needs. Upcoming events include: April 6, 2013: 10th Annual Run from the Sun, sponsored by the Leonard E. Warren Melanoma Foundation, 5:30 p.m. starting at Baptist Health Systems on Highland Colony Parkway in Madison. See www.runfromthesun.com for more information. April 13, 2013: Susan G. Koman for the Cure, 14th annual Race for the Cure, sponsored by the Central Mississippi Steel Magnolias chapter. University Cancer Care Breast Services has a team in this race. To join or donate to this team, go to www.komencentralms.org and join the UCC Breast Services team. Or call Amy Surmeli at 601-984-2772 or email asurmeli@ umc.edu. April 23, 25, 26, 2013. The American Cancer Society will have more enrollment days for its Cancer Prevention Study-3 (CPS-3). The ACS hopes to enroll 300,000 people across the United States. Through the study, researchers hope to understand the role lifestyle, behavioral, environmental and genetic factors play in causing or preventing cancer. Participants complete a health survey and may be asked to update it online periodically. They also must attend one enrollments session. Enrollment will be held April 23 at the Mississippi State Capitol in Jackson and at Broadmoor Baptist Church in Madison; April 25 at Central Mississippi Medical Center in Jackson; and April 26 at Hinds Community College in Pearl. To find out more about the study, go to www. cps3jackson.org or call 888-604-5888. American Cancer Society Relay for Life teams have several walks and runs planned in the metro area beginning in April. Those include: • April 5, 2013: Brighton Park in Clinton • April 12, 2013: Richland High School in Richland. • April 19, 2013: Shiloh Park in Brandon. • April 19, 2013: Liberty Park in Madison. • April 26, 2013: Canton Square in Canton. • April 26, 2013: Northwest Rankin High School in Flowood. • April 26, 2013: Warren Central High School in Vicksburg. • May 3, 2013: Countrywoods Baptist Church in Byram. • May 4, 2013: McMillan Park in Carthage. • May 18, 2013: Gaddis Park Walking Track in Forest. • May 31, 2013: Renaissance in Ridgeland. • June 7, 2013: Smith Wills Stadium in Jackson. The Leukemia and Lymphoma Society raises funds through athletic endurance events. Teams from the metro area often participate. Upcoming events include: • April 28, 2013, Washington, D.C., Nike Women’s Marathon Half a Race to benefit the Leukemia and Lymphoma Society, a part of its Make Cures Happen program. • Team in Training. Mississippians train to walk or run a half or full marathon. Many Mississippi teams choose the Chicago marathon to conclude their training. • Aug. 3-4: Pass Christian Yacht Club, Pass Christian, Miss. Leukemia Cup Regatta. Cancer Institute Newsletter | March 2013 | PAGE 14 COMMUNITY Donations help patients, researchers, educators Mississippians have encouraged our patients, caregivers and staff with their generosity. Here are a few examples: More than 1,000 adults and children participated in the Jingle Bell Jog 5K and one-mile Fun Run held Dec. 1 in Pearl. The run, now an annual event, raised money for Children’s Cancer Center. Jackson Prep juniors Anna Grace Buchanan and Cara Lee Crawford raised money for cancer research by holding Pounding the Pavement for a Cure 5K in September at the Flowood YMCA. They later presented a check for $12,731.39 to Dr. Lucio Miele for cancer research. The UMMC Candlelighters held its 32nd annual Art Auction in October with some of the proceeds going to Children’s Cancer Center patients and families. In the coming months, University Cancer Care faculty and staff are asking for help in raising money for: Upcoming Needs Camp Rainbow in June. The five-day camp is for Mississippi children ages 6-16 who have or have had childhood cancer. About 60 volunteer counselors, including many who were once camper-patients, staff the camp and Children’s Cancer Center doctors and nurses staff the infirmary. A large sponsor had to drop out this year so Children’s Cancer Center is working to raise $50,000 to offer the camp to 80 to 85 campers, said Dr. Gail Megason, who heads the Children’s Cancer Center and is clinical medical director for the University of Mississippi Medical Center Cancer Institute. The cost of $600 to $625 per camper covers their full medical and camp activities for the week. “This is an opportunity for these patients to do normal camp activities with other children who have suffered the same life challenges that they have endured,” Megason said. “It is inspiring for many who need to see that there is life after cancer and a return to ‘normal.’” Camp Rainbow is a program of the American Cancer Society in Mississippi. It is held annually at the Henry S. Jacobs Camp in Utica, a campground accredited by the American Camp Association. Tax deductible donations may be made to Cure Kids Cancer Fund (please mark them for Camp Rainbow) at the Children’s Cancer Center or go to https://secureforms.umc.edu/forms/ cancerclinic.aspx. Sponsors also would appreciate in-kind donations of bottled water, sports drinks, snacks, T-shirts, and even a tree. Megason said that each year, the campers and staff have a tree planting ceremony to honor campers who died in the previous year. To offer in-kind donations, please leave a message for Children’s Cancer Center social worker LeAnne Howard at 601-815-6157. The Cancer Institute Support Fund, which provides small items for adult patients undergoing cancer treatment here. To donate funds, go to www.umd.edu/giveto/ and click on “donate now” to make a donation to the Cancer Institute Support Fund. Social workers in the adult outpatient treatment area also are seeking in-kind donations of bottled water, packaged snacks, adult diapers and scarves for the Appearance Room. Please call social worker Erin Campbell at 601-815-6761 if you are interested in supplying any of these items. Donors Area organizations such as the American Cancer Society and the Leukemia and Lymphoma Society consistently offer help to cancer patients here. The Cancer Institute and University Cancer Care thank them and the many other people and organizations who donated in the final quarter of 2012 to help cancer patients, to further education or to fund research. Donors include: Individuals: Benita Abraham Rhonda Aikens Marie Alexander Grace Applewhite Jack Armstrong Janet Bass Angela Bates Mary Laken Beardain Tiffany Beardain Gina K. Beasley Megan Bell Ernest Berney Ginger Berney Tina Bethany Barbara A. Bogy Amanda Boone Heather A. Borden Miranda Brown Amy Browning Patricia Buchanan Kayla Dean Cannon Merry Casey Carter Kristi Chambley Patricia B. Chance Dr. Martin Vesta Chaney David Clement Dana P. Cole Laura P. Coleman Derrick L. Davis Jayne K. Denson Dr. Sean Didion Kassie Dodson Mrs. W.B. Duggins Cindy Dumas Meghan Hinton Easley Micael C. Edwards John Q. Ehrgott Jr. Michelle Ellison Cancer Institute Newsletter | March 2013 | PAGE 15 COMMUNITY Donors continued Deborah Ely Lisa D. Fairchild Pamela Farris Kathryn J. Ferrell Kathy S. Fitch Erin Fleming Rachel Ford Dedra Fortenberry Norma Fulcher Lindsay Gho Mindy B. Gilmore Maggie B.Goad Jessica Green Donald K. Hammett, MD Allen A. Hayner Dr. Lisa A. Haynie Sarah M.Hearn Janet P. Henderson O. R. Henry Michelle Holliday Kelly D. Holly Dorothy Jean Horecky Leanne R. Howard Johnny Huffmaster Dr. R. Lee Humble Janis Jennings Breckin Skye Johnson Sherry M. Johnson Emily Jones Jenny Karel Donna Shearin Katzenmeyer Yeo-Hoon G. Koh Bonita L. Koufopoulos Dr. Van Lemuel Lackey Kelli Lafferty Leigh Anne Lamm Mary Elizabeth Lasseter Tonya H. Leamond Teri C. Lewis Sarah P. Little Candace Logan Jerry Love Rachel Lowery Charlie Marion Hazel Mason Traci McCary Effie McGowan Judy K. McKnight Dr. Gail C. Megason Susan B. Miley Frances Z.Miller Tena Mitchell BonnieMorehead Susan Morris Talitha Mosley Doris Nell Dennis Norris Jessica L. North Jennifer Ozborn Leslie R. Ozborn Elisabeth C. Parker Stephanie L. Parkman Bettye Payne Stefanie Pepper Susie B. Phillips Margaret Pickering Hannah Pittman Ersula K. Pollard Becky Pope Mr. and Mrs.Wayne Powell Ashley Lott Prendez Paula Pridgett Presley Gregory Price Dr. Jeanette Pullen Sara Lynn Rice Dana Rich Renee Robert Cheryl C. Roberts Jennifer Rollen Brittney Leigh Rood Ann Ross Kyoko J. Rule John F. Rushing Bridgforth R. Rutledge Amy Eliza Sarrett Lisa C. Schweitzer Sam Simkins Kimberly C. Simmons Heather Smith Rebecca Leigh Smith Debra F. Stafford Terry A. Stanton Sarah Elizabeth Starnes Sharon Stidham Pamela Strausser Saundra Strong Richard E.Stuart Renee Sumlin Allison Rae Sutterfield Vernon Adele Tate Erin Taylor Glenda O.Thomas Brentton W. Towne Dr. Ralph Brooks Vance Sr. Helen Ann Varner Carmen Marie Vaughn Kathryn Gholson Vaughn Anna F. Wade Jennifer M. Walker Teresa Walker Jeri Lynn Walker Tanya S. Ware Hannah R. Watts Shannon Weatherly Jerry Webb Donna Ivey Westerfield Rayford E. Wilbanks Amy Williams Katie Williams April C. Wogoman Renita Woods Jeanette Wroten Jeanne Wroten Businesses and organizations: Battlefield Discount Drugs Bond and Botes of Mississippi, P.C. Breithaupt Appraisal Service, LLC Broker Source LLC Canton Academy Caruthers HVACR, LLC Clinton High School EZPawn Store #20102 First Baptist Church in Richland Hallford Insurance Agency Helping Hands Pharmacy Hometown Medical LLC Jacob Stovall Memorial Fund Jingle Bell Jog Ladies Auxiliary VFW-MS Magnolia Lawn and Tractor, Inc Michael F. Nolan DDS LLC MSH B - 48 Murrah High School JROTC Mutual Credit Union Pediatric Dentistry of Brandon Phelps Dunbar, LLP Promise Hospital of Vicksburg, Inc. Security Ballew Holding Company Wealth Management Servpro of Vicksburg and Yazoo Simpson County Academy Activities Fund South Park Elementary School Team Joshua - Cancer Walk The Muirhead Agency, Inc. The Sports Center Vicksburg, LLC The Thomas Agency, LLC The Whitehead Foundation UMMC DIS Vicksburg Intermediate PTO Vicksburg Special Care Pharmacy and Compounding LLC Walker Foundation Yazoo River Towing, Inc. Cancer Institute Newsletter | March 2013 | PAGE 16