2011 Annual Report Turning Today’s Discoveries Into Tomorrow’s Cures wpinstitute.org Table of Contents About the Institute................................................3 Mission............................................................................... 4 President’s Report............................................................. 5 With Special Thanks........................................................... 7 Discovery..................................................................9 Bioinformatics................................................................. 10 Infection and Immunity................................................... 10 Inflammation................................................................... 10 Researchers...................................................................... 11 Translation........................................................... 14 Translational Research and WPI.................................... 15 Hope Fund......................................................................... 16 Education............................................................... 17 Promoting Neuro-Immune Disease Medical Education. 18 Engagement.......................................................... 19 Public Engagement.......................................................... 22 Donor and Bequester Engagement................................. 27 Sustainability....................................................... 28 Organizational Chart..................................................... 29 Board of Directors.......................................................... 29 Scientific Advisory Board................................................ 29 Clinical Advisory Board.................................................. 29 2011 at a Glance............................................................... 30 Statement of Income and Expense................................... 32 Grants and Gifts.............................................................. 33 Assets................................................................................ 34 Legislative Actions........................................................... 36 Unevx................................................................................ 37 WP Bio.............................................................................. 38 Supporters and Donors................................................... 40 Friends of the Institute................................................... 41 WHITTEMORE PETERSON INSTITUTE for Neuro-Immune Disease University of Nevada, Reno 1664 North Virginia Street • MS 0552 Reno, Nevada 89557 (P) 775-682-8250 (F) 775-682-8258 wpinstitute.org anida.co Twitter: http://twitter.com/#!/WPInstitute Facebook: https://www.facebook.com/pages/Whittemore-Peterson-Institute/154801179671 Blog: http://wingsofhopefornid.blogspot.com/ 2 About the Institute The reception desk in the administrative offices at Whittemore Peterson Institute, located in the Center for Molecular Medicine on the University of Nevada, Reno campus. 3 Mission Whittemore Peterson Institute (WPI) exists to bring discovery, knowledge, and effective treatments to patients with illnesses that are caused by acquired dysregulation of both the immune system and the nervous system, often resulting in life long disease and disability. Leadership Goals ••Facilitate and advance patient care ••Research the pathophysiology of neuro-immune diseases such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), fibromyalgia, atypical multiple sclerosis (MS), and autism ••Develop therapeutics, diagnostics and prevention strategies for this spectrum of diseases Research Themes Annette Whittemore President and CEO Carli West Kinne Sr. Vice President and Legal Counsel INFECTIOUS PATHOGENS | CHRONIC INFLAMMATION | IMMUNE DYSREGULATION Vincent Lombardi, Ph. D. Director of Research Research is the key to understanding the causes of complex neuro-immune diseases. WPI is creating a network of dedicated scientists and doctors to aid WPI in its search for answers. WPI researchers are engaged in research studies surrounding infectious pathogens, adverse immune responses, and genetic susceptibility to chronic diseases. Debi Blades Chief Financial Officer Key Objectives ••Identify pathogens associated with chronic diseases ••Identify genetic susceptibility to neuro-immune diseases ••Identify inflammatory markers of disease ••Identify subgroups of patients within disease ••Translate research to medical treatment ••Develop diagnostic markers of disease ••Advance and support medical education and physician training Discovery to make discoveries that will lead to a clearer understanding of chronic disease Translation to use those discoveries to create biological markers of disease leading to improved diagnosis, prevention and treatments Education to facilitate learning in the laboratory and encourage students to seek greater knowledge through continuing education in medical research Engagement to engage with our community and encourage support of the institute’s mission Sustainability to build support for the entire institute to sustain our future Michael Hillerby Vice President of Governmental and Public Affairs Angelina Gordon Director of Marketing and Events 4 President’s Report Although the institute has only been fully operational as a translational research institute for one year, it has already achieved two of this field’s most important milestones, confirming the critical need for additional research funding by educating the world about the severity of neuro-immune disease and opening the first medical research institute dedicated to neuro-immune disease. Both have been achieved despite having to overcome many obstacles. The first milestone was to bring awareness to the world that ME/CFS is a very real and seriously debilitating disease affecting tens of millions of people around the world. By making a significant commitment to the creation of a dedicated home for diseases such as ME/CFS, Gulf War illness and atypical MS in the state of Nevada, the world began to see these diseases from a new perspective. The significant levels of private and state funding made a statement to the world that these diseases are being taken seriously and deserve increased attention through research and discovery. The second milestone was the opening of our new state-of-the-art research and medical facilities. This 15.5 million dollar institute within the much larger Center for Molecular Medicine (CMM) took years of hard work, hundreds of individuals, and a major financial commitment from private donors, the State of Nevada and the federal government. Now, researchers, doctors and many others have begun the work to bring novel discovery and effective treatments to millions who are without answers. We realize, however, that research is not a straight or easy road to travel, as we learned from the story of xenotropic murine leukemia virus-related virus/murine leukemia viruses (XMRV/MLVs). when so much is at stake for so many. The possibility of a retrovirus being associated with ME/CFS brought many outstanding researchers to this field. Many have continued to work in this area despite inherent difficulties that have been encountered along the way. Those difficulties have taught us all to be more circumspect when making discoveries, but have not dampened WPI’s will to understand the roll pathogens play in this and other similar neuroimmune diseases. Giving up the pursuit of knowledge is not an option We have learned that those who continue to persist in the face of difficulty most often succeed. Although there will always be those who remain skeptical, there are millions more who believe in our vision and who are counting on WPI to find the answers to their illness. We are thankful for the individuals who celebrate our successes and encourage us when we fail. They are the ones who make it worth the sacrifice and hard work and give us the courage to continue the search for answers. WPI scientists have followed an ambitious agenda surrounding the fundamental discovery of biomarkers of disease. Dr. Vincent Lombardi was recently named the principal investigator of the institute’s 1.5 million dollar National Institutes of Health (NIH) grant. The last two years of the grant will be geared towards immune dysregulation and genetic susceptibility in those with ME/ CFS. Immune dysfunctions in those who suffer from ME/CFS is an area of science that Dr. Lombardi has been studying since his graduate days at Temple University with Dr. Robert Suhadolnik studying the antiviral RNaseL Pathway. In addition, he and Svetlana Khaiboullina, M.D.,Ph.D., have developed a similar set of experiments to create a better understanding of the pathogenesis of Gulf War illness under a four hundred thousand dollar, two year, Department of Defense grant. We are proud that both granting agencies have given high marks to the WPI research team. By working with experienced researchers from virology and immunology to bioinformatics and enjoying the use of high tech research tools at the University of Nevada, the institute has created a valuable synergy between it and University researchers. To 5 bring even greater capacity to our work, WPI and the University are pursuing next generation sequencing at the genomics core of the University. This highly technical equipment promises to create a vital mechanism for rapid discovery and quicker translation to more effective patient treatments. One of the most difficult challenges that we face in this field is the lack of effective research-based treatments. In addition, there are too few doctors and too many different opinions of what constitutes appropriate treatment. Working closely together, physicians and researchers at WPI are dedicated to translating basic research to practical treatments for patients. Our dream to find answers for patients who suffer from neuro-immune disease is well underway. However, efforts to prevent disease, develop diagnostics and provide new treatments are costly. WPI is proud to have encouraged other groups to join us in this effort. If we are all to succeed, the United States government and the ME/CFS community are going to have to increase their support of health and medical research. We are grateful to our many supporters who have been highly successful in helping us fundraise over the past two years. In 2011, we were fortunate to raise a total of over $500,000.00 from the I Hope You Dance gala, corporate donations, online campaigns such as Vivint Gives Back and Chase Community Giving, and individual donors in support of the institute’s important work. Results of our work have inspired new federal research grants and the establishment of several research foundations. WPI is growing and thriving despite universally difficult financial times. We are adding expertise and leadership to the institute in a responsible manner as we grow and mature. We are truly grateful for the support of our government and our donors each year. We thank all of you for being a part of the WPI family and know that when you see what has been achieved and understand what can be achieved in the future, you will take pride in the role that you have played in our success. The first institute in the world dedicated to neuro-immune disease integrating patient treatment, basic and clinical research, and medical education. 6 With Special Thanks Remembering President Milton Glick 07/30/1937 - 04/16/2011 15TH PRESIDENT OF THE UNIVERSITY OF NEVADA, RENO Dr. Milton Glick, or “Milt” as he insisted everyone call him, became a close friend and mentor to the entire Reno community during his five-year stint as the President of the University of Nevada, Reno. He and his wife Peggy often carved out time to discuss their concerns for both the University and the institute with WPI’s President. His love for education and all students who attended the University was evident as he routinely strolled across the campus to engage in lively discussion. Prior to his coming to Nevada, Dr. Glick served as the Executive Vice President and Provost of Arizona State University for 15 years after being employed as the Dean of the College of Arts and Science at Wayne State University. Milt was an exemplary administrator and close friend, whose commitments included personally donating to WPI at the annual I Hope You Dance gala fundraiser while sharing a University-sponsored table with his colleagues. His lifelong support of biomedical research culminated in the successful completion of three major medical science buildings on the University of Nevada, Reno campus: the Davidson Math and Science Center, the Center for Molecular Medicine and the William Pennington Medical Education Building. Those of us at WPI will be forever thankful for his wise leadership and sincere friendship. 7 Remembering Governor Kenny Guinn 08/23/1936 - 07/22/2010 THE BIRTH OF THE INSTITUTE Governor Guinn was a champion for those who are the most fragile in our society; the elderly, children and those who are disabled. Acting on his dedication to these goals, he agreed to a request in 2005 to support the combined research and medical facility on the medical school campus at the University of Nevada, Reno, called the CMM. He placed the ten million dollar budget item in his budget for the state and after presentations by the University and concerned private citizens, Senate Bill 105 was passed unanimously by the Legislature. Thus, the CMM and WPI were on their way to becoming realities. WPI will be forever grateful to the Guinns, who remained strong supporters of the institute and personally attended every fundraiser and donated tens of thousands of dollars in support of the work of WPI. The Kenny and Dema Guinn patient resource center at WPI was named in their honor in 2008. Kenny’s own words from his 2001 State of the State Address explain his definition of success -- “I believe we must measure success by how we are able to care for the most fragile of our citizens - our children, our elderly, and those who are disabled. We cannot afford to do everything, but there are some things we can’t afford not to do.” Remembering Dr. John Diamond 03/28/1948 - 12/06/2009 DEDICATED TO INTEGRATING EASTERN AND WESTERN MEDICINE William John Diamond, M.D., world expert in Integrated Medicine, pioneered a new class of patient treatment incorporating Western and Eastern medicine. With absolute confidence that he could, Dr. Diamond traveled four continents, read mountains of books, traded thoughts with countless fellow healers, and treated tens of thousands of patients over forty years to discover just how the human body truly works. Dr. Diamond dedicated his life to the service of his fellow human beings so that we could all live healthier and more fulfilling lives. He did it all with humor and style. Dr. Diamond assisted University of Nevada, Reno and WPI researchers by donating samples as well as his expertise for various research studies. He helped inspire WPI to create a holistic and integrated approach to treating patients. Dr. Diamond was a dedicated physician who served thousands of patients many of whom suffered from neuro-immune diseases. 8 Discovery 9 Discovery Bioinformatics Bioinformatics is the use of computer science, mathematics, and information theory to model and analyze biological systems, especially systems involving genetic material. This work is essential to deciphering biological pieces of information for the purpose of discovery into the causes and possible genetic susceptibility of disease. WPI is working with the University of Nevada Bioinformatics Department on WPI research projects. Infection and Immunity Infection is defined as the invasion of the body by microorganisms including bacteria, fungi, protozoans, viruses and worms. Once inside the body, pathogenic microorganisms multiply, producing tissue injury and progress to disease through a variety of cellular or toxic mechanisms. As a part of the defense mechanism, the immune system was formed to fight infectious microorganisms. The immune system is a network of cells, tissues, and organs that work together to defend the body against attacks by “foreign” invaders. Immunity is the stage of defense which protects one from infection and maintains health. Immunity is a function of the immune system which acts through two branches: innate and acquired immunity. Innate immunity is fast and nonspecific to a particular pathogen. On the contrary, acquired immunity acts slowly and is pathogen specific. Both branches of the immune system should work in unison to provide fast and effective defense and to develop immunity for future protection.1 The fact that the majority of ME/CFS patients report flu-like symptoms prior the disease, led researchers to believe that ME/CFS is caused by a pathogen. Also, an acute onset and several documented epidemics of the disease are pointing to an infectious causality of ME/CFS. However, despite decades of research, an infectious agent causing this disease remains elusive. Many infectious Natural killer cell (yellow) agents have been studied as potential causative agents for ME/CFS, including EBV, HHV-6 and 7, targeting a tumor cell (red) for Parvo B 19, and enteroviruses. The majority of these pathogens are ubiquitous in the human apoptosis. population, and they generally remain in check by those with competent immune systems. Therefore, frequently observed viral reactivation and failure to recover from infection suggests an incompetent immune system in these patients. Many studies have been done in an effort to understand the immune dysfunctions in those with ME/CFS. Suppressed function of natural killer (NK) cells together with low NK cell counts is the most consistent finding in patients with ME/CFS. Since NK cells play a major role in antivirus defense, it has been suggested that impaired function of NK cells may hinder the ability of the immune system to control latent infection or protect an individual from acute infection. Additionally, it appears that the interferon type I defense system is dysregulated in ME/CFS patients. Understanding mechanisms of this dysregulation may help solve some of the mysteries in the pathogenesis of ME/CFS. Inflammation Inflammation is defined as a complex response of tissue to harmful stimuli such as pathogens, toxins or trauma. Acute inflammation is a protective reaction, and it is essential for healing. In fact, without inflammation, wounds and infections would never heal. Acute inflammation involves immune cells removing dead cell and debris before tissue repair begins. In some cases, acute inflammation will evolve into chronic inflammation, which is characterized by a different subset of immune cells and tissue destruction. Chronic inflammation can lead to an array of diseases including hay fever, atherosclerosis, rheumatoid arthritis, cancer, etc. Cytokines and chemokines are molecules orchestrating inflammation via recruiting and activating immune effector cells. Depending on the type of cytokines/chemokines present at the site of injury or infection, such inflammation could result in recovery and complete functional restoration or development into chronic inflammation leading to loss or impairment of normal immune system functionality.2 Elevated levels of pro-inflammatory cytokines are a consistent finding in ME/CFS patients. Increased serum concentration of IL6, IL8, and TNF-α have been documented in many studies including a recent publication authored by WPI researchers, In Vivo (Lombardi et al., 2011). Elevated serum cytokines may cause chronic inflammation, which is one of the well documented findings in those with ME/CFS. 1 2 Description derived from multiple resources Description derived from multiple resources 10 Discovery Researchers Vincent C. Lombardi, Ph.D. Vincent C. Lombardi, Ph.D. began his work in ME/CFS in 1992, characterizing T-cell populations in ME/CFS patients, in collaboration with Dr. Daniel Peterson, a pioneer in the treatment of ME/CFS. He later continued to work in ME/CFS-related research in the laboratory of Dr. Robert Suhadolnik at Temple University, studying the interferon regulated RNase L antiviral pathway and its involvement in ME/CFS. Dr. Lombardi completed his graduate degree at the University of Nevada, Reno receiving his Ph.D. in Biochemistry in 2005. The primary focus of his Ph.D. thesis was the isolation and characterization of novel diuretic neuro-peptides. In addition to his academic research, Dr. Lombardi has also developed specialty clinical diagnostic tools in collaboration with eminent ME/CFS physicians such as Dr. Kenny DeMeirleir. These diagnostic tests have clearly helped ME/CFS physicians identify and treat areas of deficiency. Upon joining WPI in July 1, 2007, Dr. Lombardi’s research effort focused on the inflammatory component of ME/CFS and its relationship to the development of lymphoma in ME/CFS patients. It was at this time that Dr. Lombardi established his collaboration with Robert Silverman, Ph.D., of the Cleveland Clinic, the world’s leading authority regarding the RNase L antiviral pathway. Dr. Lombardi’s research on the association of the RNase L pathway in ME/CFS patients and discussions with Dr. Silverman prompted WPI to begin the search for retroviruses in ME/CFS. The leader of WPI’s research team, Dr. Lombardi continues to focus his research efforts in neuro-immune diseases and the innate immune system, including potential pathogens and their involvement with the interferon system and RNase L antiviral pathway. Professional Qualifications EDUCATION ••University of Nevada, Reno Degree: Ph.D. Biochemistry, 2006 ••Temple University Graduate Student, Ph.D. Candidate, 1999-2000 ••Sierra Nevada College Degree: Bachelor of Arts in Science with an emphasis in Biology, 1995 PROFESSIONAL TRAINING Business Finance Project Management Virology/Microbiology Biochemistry Clinical Diagnostics Molecular Biology MSDS and Safety Officer Protein Chemistry PROFESSIONAL EXPERIENCE 2011 – Present Research Director • Whittemore Peterson Institute 2006 – Present Assistant Clinical Professor of Microbiology & Immunology AND Assistant Clinical Professor of Pathology • University of Nevada, Reno 2007 – 2010 Postdoctoral Fellow – Research Focus: Cytokine and Chemokine Response in Chronic Fatigue Syndrome • Whittemore Peterson Institute 2004 – 2007 Director of Operations/Lead Scientist for Product Development • Redlabs, Reno, Nevada 2001 – 2005 Graduate Student/Doctoral Candidate • University of Nevada, Reno 1999 – 2000 Graduate Student/Doctoral Candidate • Temple University 11 Discovery Svetlana Khaiboullina, M.D., Ph.D. Prior to joining the WPI team in 2010, Svetlana Khaiboullina, M.D., Ph.D. worked as a Research Assistant Professor in Department of Microbiology and Immunology at the University of Nevada, Reno for 15 years. Dr. Khaiboullina’s research was focused on investigating various aspects of hantavirus genetics, molecular epidemiology, diagnostics, and specific prophylaxis of hantavirus disease. Dr. Khaiboullina’s research was not limited to the understanding of hantavirus pathogenesis; indeed, she was involved in collaborative studies on various potentially fatal human pathogens including dengue virus, yellow fever virus, papilloma virus, cytomegalovirus and E coli 0157:H7. She has authored and coauthored 28 peer-reviewed publications and has received two patents. Dr. Khaiboullina was awarded her medical degree and Ph.D. at the Bashkortostan State Medical Institute, Russia. Her postdoctoral educational training includes molecular biology, immunology, and vaccine development. Her present contribution to WPI includes basic research in innate immune activation and development of diagnostic assays. Professional Qualifications EDUCATION ••Bashkortostan State Medical Institute Degree: M.D., Internal Medicine, 1988 ••Chelyabinsk Medical Institute Degree: Ph.D., Pharmacology, 1990 Thesis: “Study of immunotropic properties of 3-cyclohexyl aminometylazolo [3,2-a] benzimidazol dihydrochloride” PROFESSIONAL TRAINING Pharmacology Immunology Cell Biology Vaccine Development Virology/Microbiology Molecular Biology PROFESSIONAL EXPERIENCE 2010 - Present Senior Researcher • Whittemore Peterson Institute 2001 - 2010 Research Assistant Professor • Department of Microbiology, University of Nevada, Reno; part-time instructor at TMCC and WNC; part-time Research Associate at GenQuest LLC 1997 - 2001 Postdoctoral Fellow • Department of Microbiology, University of Nevada, Reno 1996 - 1997 Visiting Fellow • Cell and Molecular Biology Program, University of Nevada, Reno 1994 - 1997 Senior Researcher • Department of Virology, Mechnikov Research Institute for Vaccines and Sera, Ufa, Bashkortostan, Russia 1992 - 1994 Junior Researcher • Department of Virology, Mechnikov Research Institute for Vaccines and Sera, Ufa, Bashkortostan, Russia 1988 - 1991 Junior Researcher • Department of Pharmacology #1, Bashkortostan State Medical University, Ufa, Bashkortostan, Russia 12 Shanti Rawat, M.S. Discovery Shanti Rawat, M.S. brings her extensive experience in microbiology to the WPI research team. Shanti holds a bachelor’s degree in Biology along with a master’s degree in Zoology from Lucknow University. Shanti went on to receive a second master’s degree in Microbiology from the University of North Dakota. Mrs. Rawat has worked at the University of Nevada, Reno for twenty-three years in several research laboratories including Dr. Ellen Baker, Dr. Jeff Seamen, Dr. W.T. Gerthoffer and Dr. Cherie Singer. During her tenure at the University, Shanti has supervised graduate and undergraduate students using her knowledge of molecular biology techniques. Shanti also managed the Invitrogen and Promega onsite freezers and refrigerators for the entire University. As a member of WPI’s research team, Shanti’s expertise in cell culture, molecular biology, and Western blot techniques have been instrumental to WPI’s research projects. Professional Qualifications EDUCATION ••Lucknow University, Lucknow India Degree: Bachelor of Science, Biology, 1974; MS, Zoology, 1976 ••University of North Dakota, Grand Forks Degree: MS, Microbiology, 1987 PROFESSIONAL TRAINING Cell Biology Microbiology Molecular Biology Pharmacology PROFESSIONAL EXPERIENCE July 2011 - Present Research Associate • Whittemore Peterson Institute 1998 - 2011 Research Associate • University of Nevada Reno, Department of Pharmacology, Reno, NV 89557 1996 - 1998 Lab Technician • University of Nevada, Reno, Department of Biochemistry 1988 - 1996 Lab Technician • University of Nevada, Reno, Department of Biology Discovery consists in seeing what everyone else has seen and thinking what no one else has thought. ~Albert Szent-Gyorgi , 1937 Nobel Prize in Physiology and Medicine 13 Translation 14 Translation Translational Research and WPI Translational research involves sharing knowledge between the physician’s office and the basic research laboratory and back again to the physician for the benefit of the patient. It has been called the “bench to bedside” approach to discovery. In areas of medicine, where there is so little existing biological information, this approach can form the foundation for discovery of diagnostic tools and effective treatments. The Center for Translational Medicine (CTM) The second floor of the WPI encompasses approximately 15,000 square feet of space and includes patient exam rooms, doctor’s offices, a large nurse’s station, procedural room, infusion suite, imaging suit, and billing offices. In addition, the third floor includes planned space for two allied professional offices for psychological and nutritional counseling and a future patient resource center. The CTM opened its doors in 2011 with two physicians, Dr. Robert Fredericks and Dr. Cyrus Pourzan, who work in concert with WPI researchers. Each physician brings his unique observations and years of experience to bear on the WPI research program. Meet the Doctors Patient waiting room at the Center for Translational Medicine. Robert Fredericks, M.D. The CTM opened with Dr. Robert Fredericks, a board certified endocrinologist who has had a special interest in patients with neuro-immune disease since the mid-1980s. He received a degree in cellular and organismal biology from UC Santa Barbara, and then proceeded to the University of Southern California, Keck School of Medicine. After earning his M.D. and serving in an internal medicine residency at Huntington Memorial Hospital in Pasadena, Dr. Fredericks returned to the USC clinical research center for a fellowship in endocrinology and metabolism. Dr. Fredericks believes that personalizing the translation of basic science to clinical care requires the integration of multiple disciplines and the recognition of the causal relationships that influence health. Cyrus Pourzan, M.D., H.M.D. Dr. Cyrus Pourzan is a board certified medical physician with a passion to find “medicine that works.” In his practice, he combines his experience and knowledge of Western medicine with alternative therapies and natural medicines. This allows him to tailor treatments to the individual. For the past 12 years of his 31-year medical career, he has been treating patients with neuro-immune disease and brings this experience to the CTM. Dr. Pourzan obtained his medical degree from the University of Cincinnati and went on to complete a residency at UCLA in Emergency Medicine. He has been board certified in emergency medicine since 1984. Aware of the limitations of Western medicine, he began to expand his education into complementary and alternative therapies. He pursued this path by obtaining additional licensure in homeopathic medicine and medical acupuncture (UCLA) in 2002. 15 Translation Hope Fund (Help Our Patients Everywhere) The Hope Fund is being created to assist patients who are struggling just to get by and have little means to pay for medical care. We named this program the Hope Fund because it will give those who are struggling, a reason to hope. The money in this fund will provide qualifying patients assistance with medical expenses at the CTM. In the future this fund will be used to assist CTM patients who are enrolled in clinical trials. WPI’s state-of-the-art infusion suite. 16 Education 17 Education Promoting Neuro-Immune Disease Medical Education WPI is committed to supporting individuals who are seeking careers in medicine and science. Since its inception as a research institution, the institute has been responsible for providing a place for students to work side by side with experienced researchers. Their laboratory experiences have helped each of them gain a better understanding of the underlying abnormalities associated with patients who suffer from neuro-immune disease. In five short years, four of our student researchers have gone on to medical school and two have committed to Ph.D. research programs. WPI is proud to have played a role in their education and hope that these individuals will find a way to help those who are impacted by neuro-immune disease. Student Researchers Amanda McKenzie Amanda McKenzie is a recent graduate of the University of Nevada, Reno, preparing for medical school. As a Biology major, WPI provided Amanda a platform from which she took the knowledge she learned in the classroom and applied it in the laboratory. WPI provides her the unique opportunity to learn, observe, discover, and explore intrinsic processes that she might not otherwise experience. This position has also given her experience in other realms of the medical field. By providing her with hands on experience in medical research, Amanda’s clinical skills with patients will be immeasurably improved. Currently, Amanda is involved in a research project studying activity of natural killer (NK) cells in ME/CFS patients. NK cells play a primary role in protection against viruses and defense against cancer. Numerous reports have shown that the activity of NK cells in ME/CFS patients is lower compared to healthy individuals. Therefore, understanding mechanisms down regulating NK activity in ME/CFS will help to develop biological markers for the disease. These markers could be used for diagnosis and evaluation of treatment efficacy. Cassandra “Cassie” Puccinelli Cassandra Puccinelli came to WPI in December of 2009 as a volunteer research technician during her undergraduate work at the University of Nevada, Reno. During her time as a researcher for WPI, she learned various cell culture techniques, protocols for processing human blood samples, flow cytometry techniques, and basics of genetic analysis. Cassie was primarily responsible for detection of infectious pathogens. She also conducted cytokine and chemokine assays to provide data for WPI researchers’ continued investigation of immune system function and dysregulation in patients with neuro-immune disease. Cassie started medical school at the University of Nevada School of Medicine in August 2011. Cassie’s experience at WPI has given her the opportunity to become intimately involved in translational research. Max Pfost Max Pfost was hired at WPI in the summer of 2008 after interning in the lab of Dr. Ken Hunter at the University of Nevada, Reno. He completed his combined Bachelors and Master’s degree in Biotechnology with honors, in 2010. Max has been instrumental in WPI’s research laboratory doing extensive work on PCR technology, tissue culture, and viral isolation. Max is pursuing his Ph.D. in Laboratory Medicine at the University of Alberta in Edmonton, Alberta, Canada. 18 Engagement 19 Engagement Scientific and Medical Community Engagement ••Pathogens in the Blood Supply Tuesday, March 29, 2011 The New York Academy of Sciences •• 6th Invest in ME International ME/CFS Conference 2011 Friday, May 20, 2011 Westminster, London, United Kingdom •• “Microbe Hunting”, Presented by Dr. W. Ian Lipkin Friday, June 24, 2011 Whittemore Peterson Institute, Reno, Nevada ••IACFS/ME Conference September 22-25, 2011 Ottawa, Ontario, Canada Invest in ME On May 20, 2011, Invest in ME held its 7th annual international biomedical conference, The Way Forward for ME – A Case for Clinical Trials. Dr. Malcolm Hooper introduced WPI President Annette Whittemore as the key note speaker, she presented “Translating Scientific Research into Patient Care: Challenges and Opportunities.” Invest in ME is an independent UK charity campaigning for biomedical research into Myalgic Encephelomyelitis (ME) as defined by World Health Organization (WHO) – ICD-10-G93.3. Its aim is to bring together like-minded individuals and groups to campaign for research and funding to establish an understanding of the causes, harmful effects and pattern of distribution of disease through a population of ME/CFS patients. IACFS The International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFS/ME) biennial conference was held in Ottawa, Ontario, Canada, September 22-25, 2011. The conference was hosted by the National ME/FM Network (Canada). Integrative conference themes focused on fatigue, pain, sleep, pediatrics, cognition, and brain function in ME/CFS, fibromyalgia, and related illnesses (e.g., cancer fatigue). In addition, several sessions addressed advances in assessment and treatment (from biological to behavioral), as well as new developments in virology, immunology, and neuroendocrinology. Attendees were primarily biomedical and behavioral professionals, including clinicians, researchers, and educators. WPI President Annette Whittemore also delivered a compelling case for additional support to the ME/CFS community entitled “Translating Evidence into Practice.” 20 Engagement Federal Advocacy WPI’s legislative mission is focused on federal research funding to improve treatment and ultimately a cure for neuro-immune disease. Advocacy efforts are directed to three specific areas: 1) ensuring that the federal commitment to neuro-immune disease research is increased; 2) ensuring that a positive legislative environment exists for integrated neuro-immune disease research efforts; and 3) advocating for support of clinical centers to provide optimum medical care for those who suffer from neuro-immune disease. WPI is working on the following key advocacy issues at the federal level. Special Program for Neuro-Immune Disease Federal funding in the U.S. is crucial to the continued progress of research. The many extraordinary opportunities on the horizon for those with neuro-immune diseases can only be achieved with the support of this funding. We are committed to the concept of a special neuro-immune disease research program dedicated exclusively to neuro-immune disease research through federally supported research efforts across many different NIH institutions and extramural partners like WPI. Comprehensive Systems Biology Research Project at WPI Basic and clinical research at WPI is accelerating the availability of new biomarkers of disease and effective treatments for patients who suffer from neuro-immune disease. These advances can revolutionize patient care and dramatically improve the lives of people with neuro-immune disease. WPI is supportive of the rapid translation of new discoveries from the research lab to the patient. Program for Non-HIV Retroviral Research Retroviruses are small RNA viruses that integrate into the DNA of its hosts, resulting in lifelong infection, often causing chronic immune deficiencies, cancer and neurological disease. Human retrovirology is an exciting field that holds great potential for finding new treatments for a variety of human diseases. Federal government support for non-HIV retroviral research is vital to giving our nation’s scientists and researchers the resources they need to fully explore this promising area of medical research. Clinical Centers of Excellence Neuro-immune disease places a tremendous burden on the nation’s economy and the quality of life of those individuals who are impacted by chronic infection and immune deficiencies. Studies have shown that effective antiviral and immune supportive therapies can reverse the symptoms of disease and allow individuals to lead more productive lives. The federal government and WPI recognize this and are making commitments to novel research, which can improve the lives of those with neuro-immune disease by preventing or delaying the onset of complications, as well as moving closer to our goal of a cure. However, until there is a cure, better management of disease is needed to complement the research effort and mitigate the escalating costs and burden on individuals with neuro-immune disease and the nation’s economy. Best practices for medical management of disease can be determined through support of clinical centers by providing a resource for both patients and doctors to try different methods of treatment and assess their effectiveness. 21 Engagement Public Engagement I Hope You Dance Much of the work of WPI is supported by generous public donations from friends, acquaintances and family members who are committed to helping those who suffer with neuro-immune disease. WPI’s largest fundraiser of the year is the annual I Hope You Dance gala. This fundraising event has raised over 1.8 million dollars for research and development during the past seven years since it began in 2005, allowing WPI to create the single largest onsite neuro-immune disease research program in the world. The theme of the annual gala comes from the popular song, I Hope You Dance, by Lee Ann Womack. This song is not about dancing in the literal sense, but about being able to participate fully in life. It is especially meaningful for those who are impacted by neuro-immune diseases such as ME/CFS, fibromyalgia and Gulf War illness, diseases that often cause lifelong disability and suffering. It is the dream of the institute that one day patients may be able to fully participate in all the activities and joys that life has to offer as they become well again. Each year WPI brings local community members together with advocates, patients, government leaders and medical professionals to celebrate our past accomplishments and to share our vision of the coming year. It is a night filled with musical entertainment, socializing and heartwarming stories of the struggles and triumphs of those who are working to bring hope and answers to those who suffer. 2011 Gala Chairs, Senator and Mrs. William Raggio with Annette and Harvey Whittemore. Our gala has grown every year, spreading the truth about neuro-immune disease and creating a community of support for the work of the institute. Each year WPI celebrates those who have worked tirelessly, advocating within the patient community on behalf of ME/CFS. Last year, WPI honored Chris Cairns, the father of a long time ME/CFS sufferer. To this day, he continues the fight for medical care and research for those who are the most severely impacted. Each year WPI also honors one outstanding individual or group of individuals who have generously LIfe Time Achievement Honoree, R&R Partners. supported the work of the institute throughout the years. WPI is proud to have honored such distinguished individuals as the late, Nevada State Senator William Raggio, United States Senator Harry Reid, and our outstanding partners and friends at R&R Partners. We are proud to honor those who believe in WPI’s mission and the importance of giving to others who are in need. They are truly making a difference in the lives of millions. UNR Chairman of Microbiology and Immunology, Greg Pari and guest during our 2011 gala. Rising star, Suzi Oravec, sings I Hope You Dance at the 2011 gala. A History of Honorees 2011 R&R Partners 2010 Nevada Supreme Court Chief Justice Ron and Leslie Parraguirre 2009 State Senator Bill and Dale Raggio 2008 Governor Kenny and Dema Guinn 2007 Senator Harry Reid 2006 Daniel L. Peterson, MD & Robert J. Suhadolnik Ph.D. 2005 Dharam Ablashi, Ph.D. 22 Engagement Walk N Roll WPI celebrated the month of May as Neuro-Immune Disease Awareness Month in an effort to increase support and raise awareness for the vital work of WPI. “When we started this journey six years ago, we wanted to help the millions of people whose lives are impacted every day by these often debilitating illnesses,” said Annette Whittemore, President and CEO of WPI. NeuroImmune Disease Awareness Month provided many opportunities for people to get involved in the fight against neuro-immune disease, including a new community walk. On Saturday, May 28, 2011, WPI held the first annual Walk N Roll on the University of Nevada, Reno campus. Patients and advocates came from as far as Sacramento to participate. Some patients came in wheelchairs and with caregivers who were willing to walk in support of those suffering with neuro-immune disease. We look forward to celebrating May Awareness 2012 and have plans for more fun and informative activities. Participants walked to raise awareness for neuro-immune disease on May 28, 2011, on the University of Nevada, Reno campus. 23 Engagement Advocates for Neuro-Immune Disease WPI is building an international network of Advocates for Neuro-Immune Disease Awareness (ANIDA) who are dedicated to finding a cure for neuro-immune disease. We are all working together to advance the search for a cure faster and more effectively. WPI created ANIDA to provide individuals with the tools necessary to advocate for neuro-immune disease. Awareness and education are essential to a fundamental outreach program. ANIDA explains how an advocate can participate in a variety of activities that can help bring worldwide awareness of debilitating acquired diseases that impact the lives of millions around the world. Advocates can join the movement by visiting www.anida. co and signing the official guestbook. Tours of the Institute Tours of WPI are encouraged and are typically led by the President or Donor Relations Department. By providing tours to specialized groups and/or individuals, we hope to educate participants on the concept of translational medicine and the goals of WPI. In 2011, we conducted numerous tours, the largest being the tour for The American Association of University Women. Dale Tierney and Jim West of the Fraternal Order of Eagles with WPI President Annette Whittemore in the research lab at WPI. WPI Celebrates a One Year Anniversary UNR President Marc Johnson, volunteer Andrea Goad, and WPI President Annette Whittemore at WPI’s First Anniversary. August 2011 marked WPI’s first anniversary in our new building on the campus of the University of Nevada, Reno. As a thank you to the many generous people who helped to make this dream a reality, we held our first anniversary reception at the institute. Over the past several years, it has taken many talented people to create this inspirational institute that WPI calls home. The anniversary reception was an opportunity to share our successes with community and University leaders, legislators, friends and family. Some of our greatest supporters came to celebrate these achievements. The future of WPI will be marked by great accomplishments in the world of neuro-immune disease research and treatments. Thank you for making our first year in our new home a wonderful and memorable experience. 24 Engagement Holiday of Hope WPI launched the first annual Holiday of Hope project in December, utilizing generous donations made to WPI through Nevada’s Big Give campaign. Patients who currently reside in Nevada were selected from our interest list and then winners were drawn randomly to receive gift baskets. We were also able to reach out to Northern Nevada FM/ CFS Network and include some of their members in the gift giving. The administrative staff at WPI worked together to create gift baskets with a personal touch. With the help of Jill Justiss, who donated gourmet snacks, the baskets included homemade CDs with inspirational and soothing music, cozy socks, delicious snacks and teas, notecards, a coffee mug, and other Christmas-related items. In 2012, we hope to expand this project to communities all over the United States. “What a wonderful surprise to find upon my porch the most thought filled Christmas basket, with a plethora of meaningful ingredients to make such a joyful Christmas. Truly, the CD of tranquil , quieting music has played in our home since it arrived. Its calming effect waves through my body with soothing thoughts. It takes me to faraway places where health abounds and energy soars. I have enjoyed my new socks... each day and the array of other gifts imposed cheer filled tears. What a feast of treasures you brought to me. I am so grateful to know such love is out there breeding goodness and hope. When I saw the WPI sticker in the Christmas basket, a powerful thought arose.... Patients won’t ever have to face what Andrea and I did at the earliest stages of knowledge on ME/CFS. There is an institute now... enormous and gallant, symbolizing hope for all of those that suffer around the globe. There will no longer be the degree of struggle with doubt or unfamiliarity that Andrea and I and our innocent families faced twenty plus years ago. I am grateful patients won’t endure such confusion and pain the creation of the institute has positively changed the course for others forever. It is because of the unyielding work and heroic dedication of a woman and her family who made the serious choice to never quit.” “You show this community commitment and passion and you have my support and encouragement to keep up the fight. Thank you for all the kindness you have shown me over the years.” 25 Engagement Online Giving and Social Media In 2009, WPI began reaching out to people who suffer with chronic illness through Facebook, Twitter, and other social media venues. With the assistance of R&R Partners, we implemented WPI’s Facebook page followed by our first Cause page, Cure 4 ME. Followers were encouraged to support our Cause and donate to the institute. The latest addition to our social media program is Hootsuite. Hootsuite allows WPI to reach out in a new way. Individuals who are bedridden now feel they can be part of the movement to create awareness and funding by re-tweeting or copying a link and reposting it to Facebook. WPI’s Facebook page has been visited an astonishing 6,000,000 times. We have gained over 4,400 fans on Facebook and 600 followers on Twitter. In 2011, via social media, we raised over $165,000. In addition to donating to our Causes, our fans voted online daily and encouraged their friends to vote through the Chase Community Giving and Vivint Gives Back charity campaigns. Facebook Causes Cure 4 ME was established to raise biomedical research funds for those who suffer with ME/CFS, fibromyalgia, autism, atypical MS, and chronic Lyme disease. Since its inception, Cure 4 ME has raised over $34,000, with 6,541 active members. Other Facebook Causes that have established WPI as their beneficiary are Blue Ribbons for ME/CFS, Cure for Neuro-Immune Disease, ANIDA, and Count ME In. Many of our supporters have elected to utilize Facebook Causes in order to promote a “Birthday Wish” or a “Holiday Wish”. Birthday and Holiday Wishes help raise awareness and funds to benefit WPI by giving an individual a tool to share their Wish with their own friends and family. Together these Causes have raised several thousand dollars and helped create awareness all around the globe. Chase Community Giving WPI won $65,000 in grants from JPMorgan Chase in its annual charity give away in May. The Spring 2011 Chase Community Giving program provided an opportunity for local charities to compete for a share of $5.5 million in grants. This innovative charitable campaign allowed Facebook fans of Chase Community Giving to vote for their favorite charity to help determine which nonprofit organization would receive the top donation of $500,000. WPI was among the top 100 nonprofits to win $25,000 in the first round of voting. Fans of WPI voted tirelessly in round two of the Facebook campaign to put WPI in 12th place, winning an additional grant for $40,000. “We are delighted that Chase will make a contribution to these worthy causes,” said Kimberly Davis, president of the JPMorgan Chase Foundation. “We continue to be inspired by the number of outstanding charities that choose to participate in the Chase program and the millions of fans who visit the Facebook page and vote for them.” Vivint Gives Back WPI President Annette Whittemore visited Vivint’s Corporate Headquarters in Salt Lake City, Utah to accept the Vivint Gives Back award. WPI received $100,000 as a regional winner in the 2011 Vivint Gives Back Project, an online charitable campaign that benefited non-profit organizations throughout the United States and Canada. Through 10 weeks of daily voting, fans of the WPI Facebook page secured a first place win for WPI in the Pacific region. Vivint, a Utah based home automation company, awarded a total of $1,250,000 to nonprofit organizations. The contest generated additional donations during several matching periods during which Vivint matched supporters’ donations. WPI was awarded a total of $123,630.00. 26 Engagement Donor and Bequester Engagement There are a variety of ways to become involved in the work being done at WPI, from monthly donations and annual gifts to volunteering. Donations are critical to the daily operations of our research lab, patient services and institute operations. Leaving a Legacy: Planned giving is a very charitable way to ensure that your legacy lives on. You can make a commitment today that will benefit WPI in the future. There are a variety of charitable gifts and estate planning options for you to choose from. Naming Opportunities: Naming opportunities are an excellent way to show your generous support. A variety of naming opportunities are available at WPI. These opportunities include: the medical clinic, the patient reception area, patient exam rooms, and infusion suite, etc. Volunteering: At various times during the year, we need volunteers to help with our fundraising events and for conferences that are held in the Reno area. Volunteering is a great way to help support the work of WPI. Memorial and Honorary Contributions: A memorial donation to WPI is a meaningful and hopeful way to honor someone special in your life. An honorary donation offers you a way to celebrate a special loved one or occasion. Honorary donations also offer donors the opportunity to raise money by asking others to give to WPI on your behalf, in lieu of gifts for birthdays, graduation, weddings, anniversaries, etc., while supporting the mission of the WPI, bringing discovery knowledge and effective treatments to those with neuro-immune disease. Memorial and honorary donations to WPI totaled $20,188 in 2011. A Father’s Love In 2011, WPI’s Outstanding Advocate, Christopher Cairns, raised over $14,000 for the institute in honor of his daughter, Alexis. Alexis inspires Christopher year after year, enabling him to raise awareness and funding for this debilitating disease. “Recently Nicholas, my older son, at 35 years old, two years younger than Alexis, had a baby boy named Theo. I got to visit Theo in Baltimore last week and he is a marvel. Although I need no reminding, I watched Theo and Nicholas and was reminded of when Alexis arrived in the world and what she did to transform my life into something very far beyond what it had been prior to her birth. Alexis brought me so much and 2011 Outstanding Advocate, Christopher Cairns, with still brings me so much. I WPI President Annette Whittemore. am not going to leave her behind. Some friends say I should take more care for myself that I should pull back from this situation. I say no, I have decided to move in closer, closer to this illness, and try to figure it out. My life, at this point, is devoted to making Alexis better. Certainly my former life is shattered but Alexis is my daughter. What happens to me in the process is insignificant, as long as I can stick around long enough to make her better. If I am lucky I will be able to get back to my former life, but, at this point, I am not counting on this. I had a fine enough life prior to her getting sick and now is the time to help her. That is how I feel and that is 2011 Outstanding Advocate, Christopher Cairns the decision I have made - to move in closer.” ~ Christopher Cairns accepting his award. 27 Sustainability 28 Sustainability Board of Directors Billy Vassiliadis Annette Whittemore Peggy Sullivan Sam Shad Scientific Advisory Board Kenneth S. Hunter, Sc.D., SAB Chair, UNSOM Nam Hoang Dang, M.D., Ph.D., Deputy Chief, University of Florida Petar Lenert, M.D., M.Sc., Ph.D., University of Iowa Greg Pari, Ph.D., Chair UNSOM Microbiology and Immunology Clinical Advisory Board Joseph Brewer, M.D., CAB Chair, Infectious Disease David Bell, M.D., Pediatrics Jack Burks, M.D., Neurology Robert Fredericks, M.D., Endocrinology Cyrus Pourzan, M.D., H.M.D Eric Gordon, M.D., Family Practice Organizational Chart UNEVX VP of Research & Medicine Director of Research Board of Directors President WP Bio VP of Public Relations & Governmental Affairs Sr VP of Institute & Legal Affairs Center for Translational Medicine Director of Finance Grants Administration Director of Marketing & Events Director of Development Social Media 29 Sustainability 2011 at a Glance Whittemore Peterson Institute 2011 Income 1% 6% 4% Business Development $990,000 12% 36% Donations $599,502 Legislative Funding $510,000 NIH R01 Research Grant $315,790 Royalties $33,248 19% Service Contract Income $156,825 Capital Equipment Funds $101,344 22% 30 Sustainability Whittemore Peterson Institute 2011 Expenses 1% 6% 7% Research $713,040 35% 9% Management and General $311,614 Scientific IP Development $274,996 CMM Building Operations $264,534 13% Direct Fundraising Costs $184,808 Medical Practice $141,237 14% 15% Education and Outreach $118,663 Grant Administration $19,541 31 Sustainability Statement of Income and Expense REVENUES 2011 2010 Government revenue Research grant - R01 315,791 Research - subcontract NV Legislative funding 303,167 36,880 510,000 550,000 825,791 890,047 156,825 133,266 33,248 114,895 Other revenues Contracted services Royalties Business development 990,000 Donations 599,503 650,342 1,779,577 898,503 2,605,367 1,788,550 101,345 1,138,050 2,706,712 2,926,600 Research laboratory 713,040 833,699 Education and outreach 118,663 24,644 Scientific IP development 274,996 198,119 19,541 2,390 Total revenue for operations Capital equipment reimbursement Total revenues EXPENDITURES Program services Grant and contract administration Medical practice 141,237 1,267,477 1,058,852 Fundraising 184,808 127,646 Administration 311,614 334,665 Building rent and operations 264,534 41,954 760,955 504,265 2,028,432 1,563,117 678,280 1,363,483 742 2,340 (213,279) (115,974) 465,743 1,249,850 Supporting services Total expenditures Total surplus (deficit) from activities Interest Income Depreciation expense NET ANNUAL ACTIVITY 32 Sustainability Grants and Gifts National Institutes of Health “R01” WPI is pleased to announce that the NIH approved our request to appoint Dr. Lombardi as the principal investigator (“PI”) on the NIH R01 grant entitled New Strategies to Decipher the Pathophysiology of CFS. After a thorough site review and evaluation of Dr. Lombardi’s research plans, the NIH determined that WPI could accomplish the aims of the grant under Dr. Lombardi’s guidance as PI. Department of Defense Grant to Study Gulf War Illness WPI was recently awarded a $403,050.18, two-year grant from the Department of Defense (DOD) Gulf War illness (GWI) Research Program of the Office of Congressionally Directed Medical Research Programs. WPI will work with the VA Sierra Nevada Health Care System to identify potential pathogenic agents and immune markers in a cohort of patients with GWI. The main goal of the project is to identify significant differences in immune parameters and any underlying pathogens potentially contributing to the origination and development of GWI. NV Energy Foundation Approves Grant for WPI The NV Energy Foundation, which distributes charitable contributions throughout its northern and southern Nevada service territory, granted a two-year, $100,000 total commitment to WPI to help support its comprehensive research program to bring answers to those who suffer from neuro-immune diseases. “The Whittemore Peterson Institute is conducting world-class research right in our own backyard,” said Michael W. Yackira, President and CEO of NV Energy. “We are proud to support their efforts to help improve the lives of those suffering from neuro-immune diseases.” Fraternal Order of Eagles On July 12, 2011, the Fraternal Order of Eagles, Comstock Aerie #523, kindly presented two $5,000 grants to Annette Whittemore, President and CEO of WPI. One grant was designated to provide necessary medical equipment and was used to purchase an AED machine for the CTM. The second grant is designated for outreach and will be used to provide promotional and educational materials to benefit those with neuro-immune disease. The grants from the Fraternal Order of Eagles not only benefit the Nevadans in our community, but reach internationally. The motto of the Fraternal Order of Eagles is “People Helping People.” President Annette Whittemore and Donor Relations Annie Beard accept two - $5,000 grants from the Fraternal Orders of Eagles on July 12th. 33 Sustainability Assets The second largest financial commitment of WPI involves the purchase of research equipment and medical furnishings for the institute. Like other major universities around the U.S., WPI sought and received federal grants for the University and WPI to equip research laboratories and medical and administrative offices at the institute. Sharing resources with the University enhances the research capabilities of both institutions. University of Nevada, Reno / Whittemore Peterson Institute Equipment Investment University Laboratories LSR II Flow Cytometer - under Doug Redleman’s supervision Caliper Life Sciences - Lumina - under Ian Buxton’s supervision University Labs Total Assets $622,091 Medical Practice, Infusion Center and Administration Offices Infusion Center and patient treatment rooms AED Medical Practice - 12 exam rooms, offices, records storage Treadmill/Bike Diagnostic equipment Business Offices, Allied Health offices Electronic Medical Records Software System Hplus Pro Medical Practice Management System MX Secure Medical Records Retention System Orchard Clinical Records and Billing System Medical Practice, Infusion and Administration Total Assets $912,967 WPI Clinical and Research Laboratories BioRad Gel Doc EZ with tray BioRad Gradient-Enabled Mycycler Cepheid PCR Luminex 21 CFR Dual Chamber CO2 Incubator Zeiss Inverted Microscope 3500 Genetic Analyzer for resequencing 5430 Keypad, Rotor and plate Balance Prec 320GX Expl-Proof Freezer 120/60 Hitachi LX 100 Hood and Filter Liquid Nitrogen Storage Magmax Express Particle Processor Missonx Sonicator 34 Sustainability Nuaire Infrared CO2 Incubator Perkin Elmer Victor 4 plate reader Racks for 16.2BX Racks for Freezer Research offices Furniture and Fixtures Shaker Model 50001 Analytical balance Autoclave Beckman Superspeed Centrifuge Biosafety Cabinets (hoods) Benches, shelving, lighting Fluorescent Inverted Microscope Gamma Counter-Perkin Elmer HERA 150I CO2 SST Ice machine Imager Luminex and software Microcentrifuge Minus 80 degree Freezer Mirco 21 R Particle Counter Perkin Elmer Victor 5 plate reader Pipetting System- Fisher Real Time PCR Thermacycler- Bio Rad Shaking Incubator Shaking Water bath Sorvall Legend XTR TC Swinging Bucket Rotor Thermacycler Gradient Thermo Nonodrop Water Purification System WPI Labs Total Assets TOTAL INVESTMENT IN ASSETS AND EQUIPMENT $695,676 $2,230,734 35 Sustainability Legislative Actions 2005 In 2005, the Nevada Legislature unanimously passed Senate Bill 105, which appropriated $10,000,000 to the University of Nevada School of Medicine, the Nevada Cancer Institute and WPI to support a partnership “to expand research, treatment, education and teaching opportunities in Nevada”. This appropriation was the catalyst that made construction of the CMM possible. The Center is the first new medical research building constructed on the campus in more than 20 years, and now houses several research departments of the School of Medicine, WPI and the Sanford Center for Aging. 2007 In 2007, Senate Bill 443 approved an appropriation from the State of Nevada in the amount of $2,000,000 “for the construction of, and furnishings, and equipment for, a facility relating to the research and treatment of neuroimmune disorders.” This funding was critical to finalize construction of the WPI space in the center and to help equip the state-of-the-art labs used by WPI researchers. Dr. Daniel Peterson, Annette Whittemore, Governor Jim Gibbons, UNR President Milton Glick, and Dean of the Medical School Dr. John McDonald. In addition, the 2007 Nevada Legislature included continuing operational funding for WPI in the state budget. 2009 - 2011 Governors Jim Gibbons and Brian Sandoval have continued this vital support of the institute. These state funds have been instrumental to the institute’s successful ongoing operations, providing one-third of WPI’s annual budget. Annette Whittemore, Senator Randolph Townsend, and Senator Bernice Martin-Mathews. UNR President, Milton Glick and Annette Whittemore. Dr. Vincent C. Lombardi and Dr. Greg Pari at the 2007 Legislative Reception. Annette Whittemore speaks at the 2007 Legislative Reception. 36 Sustainability Unevx Scientists affiliated with Unevx Clinical Laboratory have been unraveling the biochemical and molecular mysteries surrounding ME/CFS, GWI and many other related chronic immune diseases. These efforts have resulted in the creation of a number of objective clinical laboratory assays that can assist the physician in not only making the diagnosis of these diseases, but can also help in establishing their severity and monitoring the course of any chosen therapy. Tests offered include: heavy metal sensitivity profile (HELP), natural killer (NK) enumeration and functional profile, cytokine and chemokine profile, Lyme C6 B. burgdoferi ELISA with PCR confirmation, intestinal dysbiosis profile, human herpes viruses, Lyme disease, and mycoplasma species detection by PCR. The heavy metal profile test detects proliferation of antigen induced lymphocytes caused by previous exposure to heavy metals. A positive result suggests previous exposure and persistent lymphocyte sensitivity to heavy metals. The heavy metal test can be used for diagnosis of heavy metal exposure as well as a tool for evaluation of treatment efficacy. NK enumeration and functional profile tests provide broad evaluation of NK cell function. The NK profile addresses NK cell counts as well as NK cell ability to kill the target cell. NK cells are critical components of the anticancer and antiviral innate immune response. Decreased number and/or impaired function of NK is a hallmark of many chronic diseases as well as malignancies. NK enumeration and functional profile tests can be used for diagnosis of disease and as a tool for evaluation of treatment efficacy. The cytokine and chemokine profile test detects changes in patient’s serum/ plasma levels of cytokines and chemokines. Currently, two cytokine/chemokine profiles are available: pro-inflammatory cytokine panel and Th1/Th2 cytokine profile. Cytokine/chemokine profiles include up to 25 different cytokines, which can be measured simultaneously in a single serum specimen. Both cytokine panels are valuable tools for diagnosis of acute and chronic diseases. WPI researchers developed a cytokine signature which shows a specificity of 93% and sensitivity of 96% in diagnosing ME/CFS. We believe that additional cytokine/chemokine signatures could be developed for many chronic and acute diseases. Therefore, cytokine and chemokine profile tests have much potential in future application. The Lyme C6 B. burgdoferi ELISA with PCR confirmation test is designed to detect B. burgdoferi, which is a causative agent for Lyme disease. ELISA is a serology test utilizing a specific and highly immunogenic synthetic peptide derived from B. burgdoferi. This peptide has low cross-reactivity with antibodies developed to other species of Borrelia. Positive ELISA results are subsequently confirmed by PCR. The combination of ELISA and PCR methods provides high accuracy in detection of B. burgdorferi as 37 Sustainability compared to the conventional Western blot method. The intestinal dysbiosis profile test is an immunoglobin screening assay for detection of secreted (IgA and IgM) antibodies specific for intestinal pathogens. In a healthy person, gut-associated pathogenic bacteria are relatively rare, and, therefore, serum antibody titers to these bacteria are low. However, with pathogenic bacteria overgrowth, substantial amounts of IgA is produced and some will be found in the circulatory system. In cases where intestinal integrity is compromised, bacterial antigens may appear in the bloodstream leading to IgM production. Therefore, high titer of IgM specific to intestinal bacteria is an indicator of increased intestinal permeability. The intestinal dysbiosis profile test is useful for initial diagnosis as well as to follow antibiotic and probiotic treatments. Human herpes viruses and mycoplasma species detection by PCR are tests designed for detection of members of herpes virus family and various mycoplasma species. Human herpes virus infection profile includes Epstein-Barr virus (EBV or HHV-4), human cytomegalovirus (HCMV), human herpes virus 6 (HHV6), and human herpes virus 7 (HHV7). Infection with human herpes viruses has been demonstrated to cause suppression of the immune response and leads to chronic immune dysfunction. Mycoplasma are a group of the smallest organisms associated with a variety of pathologies in a broad range of hosts. Infection with mycoplasma can cause pneumonia, arthritis, mastitis, or urogenital disease. In addition, certain mycoplasma species have been demonstrated to be co-factors in the progression of HIV-1 infection to AIDS by inhibiting cell proliferation and inducing programmed cell death (apoptosis) and concomitant fragmentation of cellular DNA. UNEVX recently added a new soluble CD14 test to its laboratory test menu panel. Soluble CD14 levels correlate with presence of LPS (Lipopolysaccharide), which is suggestive of bacterial infection. Therefore, increased levels of CD14 could be used as an indicator of on-going bacterial infection. Soluble CD14 are stable and reproducible diagnostic markers for the presence of LPS as compared to measuring LPS levels directly in patient’s serum. WP Bio WPI desires to obtain the greatest public good from the products of its research by generating license revenues to help fund WPI’s translational research program and operations. To accomplish this goal, WPI established a wholly owned subsidiary, WP Biotechnologies LLC (“WP Bio”). WP Bio is the exclusive licensee of all commercially viable technology resulting from WPI’s research, and is responsible for identifying, assessing, and marketing this technology. WP Bio acts as the point of contact for industry and entrepreneurs wishing to access WPI’s intellectual property. WP Bio negotiates, manages, and monitors research, option and licensing agreements on behalf of WPI. Additionally, WP Bio actively seeks to protect WPI’s intellectual property (through patents and other means) as appropriate. 38 39 Supporters and Donors Donations: $50,000 and up NV Energy JP Morgan Chase & Co Vivint Anonymous Donations: $10,000 and up The Mathewson Foundation Fraternal Order of Eagles R&R Partners The Davidson Group Donations: $5,000 and up Barrick Gold Lewis & Roca Ellen Whittemore & Jeff Patterson Victoria Fertitta Glen & Lamise Carano Atlantis Casino Resort Spa Donations: $1,000 and up Abowd Enterprises, LLC Albert Stunkard Armstrong Teasdale Autism Coalition of Nevada Barry Stubbs Beatrice Harris Senator Bernice Mathews Brett Roselli Bruno & Edna Benna Cash America/SuperPawn Chris & Kim Aramini The Lodge at Vail Renown Health David Hagen & Peggy Sullivan Emma Rose Martin Garrett Wilkinson Helen McInerney Jasbir & Param Gill Joe & Joann Steranka Lionel, Sawyer & Collins Margaret Maurin Whitney Lofrano Design MGM Resorts International Michael & Moniqua Lee Mike & Robin Ford 7-Up Bottling Lakeshore Paddleboard Co Indian River Community Found Paul & Sandy Goad Margaret Nabors Phoenix Rising Rita Berman Deborah O’Brien Daniel Horwitz Paul Todd & Lynn Gores Phoenix Rising Pro Health, Inc. Robert & Donna Harris Robert & Susan Montgomery Royal Farms Dairy Ruvo Family Foundation Samuel Lionel SNR Denton US LLP Stephen Hecht Ancora West Vibeke Vind Wells Fargo William & Dale Raggio UNSOM Michael Atherton Clark J Guild Jr Charitable Fnd 40 Friends of the Institute A AND H INSURANCE ADAM & KATIE PORATH ADAM RONZONI ADAM WEST ADVANCED MICROSCOPY GROUP ALETTE JANSEN ALEX YOUNG ALEXANDRA GUIMARAES ALEXANDRA MILOPOULOS ALEXIS NUSSBAUM ALISON WOLANSKI ALLEN & WINDSOR FREEMYER ALLEN COX ALVIN MAUPIN ALYSON LAMPRECHT AMANDA VANDERVENTER AMY BURKETT AMY KESHEN AMY LUXON AMY MANDEL AMY RAEHSE AMY’S FLOWERS & GIFTS ANDREW BOKELMAN ANDREW CUTLER ANGELIQUE CALLEGARI ANITA BURGESS ANN CAVANAGH ANNA-LENA ANDERSSON ANNE DANIEL ANNE NEEL KEITH ANNE PFLUGER ANNE QUINN ANNE-CATHRINE RODRIGUEZ ANNETTE BARCLAY ARWEN HUTT BARBARA FIFIELD BARBARA SANTORA BARBARA STANLEY BARBARA TOBIAS BEA WALDO BEATE SKJRESTAD BEHAVIORAL MEDICINE ASSOCIATES BELINDA TILLEY BERNARD MAYER BERNARD VISSER BETH SCHUMAN BETTY BONA BETTY BOWKER BEVERLY TERWILLIGER BHASI KAITHAMANA BILL & MARYANNE PAGANETTI BILL & PATRICIA BURGER BILL CAHILL BING & JOYCE SEITZ BOB & BEVERLY LARSEN BOB NEBLING BOYD & SHARON COX BRAD & CHRISTINA MAMER BRETT & NANCY SILVERS BRETT PETERS BRIAN & ANDREA GOAD BRIAN DONEGAN BRIGHTON COLLECTIBLES, INC. BRUCE COLBURN BRUCE INGRAM BRYAN & RONDA AUSTIN CADEMARTORI CALI HALL CARL & JILL SAVELY CARL & PAULA RUECKL CARLEY SULLIVAN CARMEL MONSOUR CAROL OLSEN CAROL PRIDDIN CAROLE HOELSCHER CAROLINE FIELD CAROLINE LINDSLEY CAROLYN CLINE CAROLYN MCKAY CAROLYN PATTEN CASSIE SISTRUNK CATHERINE PASTOREK CATHERINE ROBERTSON CATHRYN STRONG CATHY BENNA TRACHOK DAN BROWN DAN HARDING DANA TIGANI DANIEL GAISFORD DANIEL KLAICH DARLYNE SULLIVAN DAVE & MONA TALIAFERRO DAVID & JILLAINE GEDDES DAVID HOLCOMB DAVID REVELLE DAVID VAN COURT DAVID WADE DEAN & SHARON RHOADS DEBBIE DEBOO DEBORAH DOBBINS DEBORAH O’BRIEN DEBORAH SAWYER DEKKER PERICH SABATINI DEL & KAREL RICE DENNIS & SUSAN BANKS DIANA PETERSON “At times our own light goes out and is rekindled by a spark from another person, each of us has cause to think with deep gratitute of those who have lighted the flame within us.” ~ Albert Schweitzer CATHY MULLEN CATHY O’KEEFFE CHARLES & SUSIE JEANNES CHARLES ALAN WHITTEMORE CHARLES LIBBY CHARLES SUEHS CHERYL GATES CHRIS CAIRNS CHRIS NIESTEPSKI CHRIS WEST CHRISTINA PEDERSEN CHRISTINE PUCHNER CHRISTOPHER CROSS CHRISTOPHER WHITE CINDY CARANO CINDY NAGEL CIRCUS CIRCUS RENO CLAIRE WINTERS CLAUDIO MUSSNER CLIFF LEDE VINEYARDS CLINT & ELIZABETH WRIGHT COLEY GALLAGHER CONNIE SIMKINS CORAZON IBARRA, M.D. CORDULA BERLET CORINNE KELLEY-TWOMEY CRAIG & NANCY LOGAN CRAIG MAUPIN CURVES CYNTHIA SCHMALZRIED CYNTHIA WOODS CYRINA ABOWD DAN & MEGAN BOWEN DIANE MARTIN DICK & NORMA GAMMICK DOMINION OF CANADA GENERAL INSURANCE DON WIEGANDT DONNA COOK DOROTHY HUDIG, PHD. DOUBLE DIAMOND ATHLETIC CLUB DOUG & MIRZA HATCHER DOUG DAVIS DOUGLAS BYINGTON DOUGLAS O’BRIEN EBERHARD ESCHLAUER-HEFTER ED & KATHY FRAZER EDIE TYLER EIKE DURIN ELDORADO RESORTS LLC ELISABETH BRYENTON ELISABETH SIMON ELIZABETH COLLEDGE ELIZABETH MARTIN ELIZABETH SCHROEDER-REITER ELIZABETH SHAW ELIZABETH WADE-CAIRNS ELLEN PIRO EMBASSY SUITES SACRAMENTO EMMY EDMONDSON ERIC CODY ESTELLA CHAN ETEL BARBORKA EVA HAVIK EVA STORMORKEN EVELIEN VAN DEN BRINK FANNIE MAE BRADLY 41 FELICITY THANX FERNANDO PENA FIONA DAVIS FIONA MACDONALD FORREST HILL FRANCINE MANNIX FRANCIS MCCARTHY FRANZ & JANET WEBER FREDERICK WALL G. J. EGRY GABOR MENCZELESZ GARRETT & ANGELINA GORDON GARY LARSON GAY LYON GENE & FRANCESCA ROCHBERG GENE & RUTH POSNER FOUNDATION, INC. GEOFF ALLEN GEORGE & NANCY GHUSN GEORGE MCKINNEY GEORGIA INTL. ROAD SKATING ASSOCIATION GERTRUD & TITO PATRI GETHIN BERMINGHAM GIOVANNA D’AGATA GLENN HARP “Thank you for being another bright light and a window of hope for the future.” Friend of WPI GORDON HINKEL GORDON MEDICAL GRAND SIERRA RESORT GREGG & LU ANN ZIVE GREGG TEEHAN GREGORY BURGE GUNDER SNSTEBY GUNN BREIEHAGEN GWEN GUGLIEMLMI GWENDOLYN SHIPLEY H DEHEER HANS & JUDY WYSS HANS KLEIN HANS WIKER HANSJOERB STERN HAROLD & ANNA MARIA HOLDER HARRY & JENNIFER ROSSER HARVARD KORSMO HARVEY & NANCY FENNELL HAWKINS FAMILY TRUST HAYWARD & PAT HAND HEATHER OAKLEY HEIDI LOEB HELEN WATKINSON HENK FUNK HENRIK GIERTLER HENRY RICHARDSON HEWLETT-PACKARD HILARIE JOHNSTON HILARY CULLEN HOWARD KITE HP COMPANY FOUNDATION IAIN BUXTON IGAL GIEBEL INGER FRELAND INNER PIECES GALLERY IN-N-OUT BURGER INTERNATIONAL ME ASSOCIATION INVEST IN ME ISABEL BARAO-GALS J MCGLOIN J. SCOTT BOVITZ JACKIE HALLADAY JACKIE NAUGHTON JACKIE SLATTEN JACOB & VALERIA LANGELOTH FOUNDATION JAKE WIRTSCHAFTER JAMES & HEATHER MURREN JAMES & JANET JOHNSON JAMES & MARILYN MINOR JAMES & MARILYN SWENSON JAMES & SUSAN MILLS JAMES & VERA SWOFFORD JAMES BLANCO JAMES DIPASQUALE JAMES ENGLAND JAMES HALL JAMES MILLIKEN JAMES ROSS JAMIE GONZALES JANE CLOUT JANE FARMER JANET HAMMER SUGGS JANET LAVERICK JANICE CARAVANTES JANNIFER COHEN JAY & SHELLY ALDEAN JAY SPERO JD COLLIS JEAN GRANT JEAN HARRISON JEAN LUTTERMAN FOUNDATION JEAN MELTZER JEFF BYRNES JEFF PISCIOTTA JEFFREY & MELISSA LEWIS JEFFREY MELTZER JEN RYAN JENNIFER ROBINSON JENNIFER ROSSER JENNIFER SAAKE JENNIFER SMITH JEROME GRAND’MAISON JERROLD SPINHIRNE JERRY & ANNA SCOLARI JERRY BUSELL JERRY MAYNARD JESSE AMAR JILL CHIN JILL JUSTISS JIM & DIANA EARDLEY JIM & GINGER WALSH JIM & KARLENE WEBSTER JIM & MARY ELLEN BAHAN JIM & RENEE HARRIS JIM DEVOLLD JIM MILLER JOAN GROBSTEIN JOAN INGRAHAM JOAN MCPARLAND JOANN BEHRMAN-LIPPERT, PH.D. JOANNE HERZOG JOEL LUBRITZ, M.D. JOEL R. LOWENTHAL, M.D. JOHN & JOY NICHOL JOHN & GAIL SANDE JOHN & KATHERINE BEARD JOHN & MARILYN MORREY JOHN & MARY URSU JOHN & VIRGINIA WILLIAMSON JOHN CARROLL JOHN CHRISTIAN JOHN DAUGHTON JOHN IRELAND JOHN MARKLEY JOHN NAYLOR & EMILIA CARGILL JOHN STEFL JOHN THAYER JOHN WEBSTER BROWN JONATHAN ADDELSTON JONATHAN CHEY JONES VARGAS - LAS VEGAS JONES VARGAS - RENO JOVITA POLINSKI JOYCE WASEY JUDITH ROGET JULE PECOR JULIA PATEK JULIE CASTRO JULIE MILTON JULIE SOWERBY JUN TSUTSUMI KAREN CAMPBELL KAREN GRIEVE KAREN HERSCH KAREN JENKINS KAREN NEWTON KAREN RAVITZ KAREN STERN KATHLEEN & JOHN DEVLEMING KATHLEEN KEATING KATHLEEN VARACALLO-MANGANARO KATHRYN STEPHENS KATHY CLIFFORD KATI DEBELIC KATIE WALTEMYER KATIE WEATHERFORD KELLY PETERSEN KENDALL PRICE PHOTOGRAPHY “Because of you we have hope, because of you we have validation, because of you dreams may someday be fullfilled. Because of you we have a reason to keep fighting. Words can not express the gratitude we have for you and your efforts to find a cure. On behalf of the millions of patients out there, we wanted to take this opportunity to say a heartfelt thank you.” Friend of WPI 42 KENDRA HALE KENNETH & KATHLEEN SMITH KENT HECKENLIVELY KERRY NEWNHAM KETTY HANSEN KEVIN MAYER KEVIN TUTTLE KIM GOODHARD KIM LEMOON KIMBERLY BOEHNER KIRK & MARY KAY KINNE KRISTEN BERGLIE KRISTIE NANES KRISTIN COLAMERI KRISTIN LINDAHL KRISTIN SMITH KRISTINA PICKERING LA FAMIGLIA LA VONNE PECK LAKESHORE PADDLEBOARD CO LARRY & HARRIET KOREN LARRY GILMAN LARS BORNOLD MARGARET DONEGAN MARGARET NABORS MARGARET SCALES MARGARET SCHLOEGEL MARGARET SHUTTLEWORTH MARGARETH TARACH MARIA MCGOEY MARIAN LEMIE MARILYN HAGGERTY MARK & JOHANNA CHEHI MARK ELMORE MARK MILLER MARK PAWSON MARK PUCHNER MARLY SILVERMAN MARY GUINAN, M.D. MARY HENDRICKS MARY KIRK-WILKINSON MARY MARTIN MARY MCNAMARA MARY ROMINGER MARY WEBBER MARYBEL BATJER “Its good to know warm, considerate people who try to help others in all that they do, people whose lives show the meaning of kindness. Its so good to know special people like you.” ~Anonymous LAURA BOWMAN LAURA JUDD LAURA WILLOUGHBY-SNOW LAUREN LOGAN LAURIE MILLER LAWRIE TIMBERG LEE INGRAM LEE KANES LEE SEVISON LEONARD MADSEN LESLEY DAVIES LESLIE NASSAU LESLIE ORLANDO LILY & MARILYN CHU LINDA LIPTON LINDA REEVES LINDA WISH LINDSEY LAWRENCE LINE GAGNON LISA KITZMILLER LISA PERKINS LISA SMITH LOIS D’ANNUNZIO LOREN ENSTAD LORI KOLBERT LORIE GEHRKE LOWELL & SUSAN EDMUNDS LOYOLA SYLVAN LS KANES LUC VAN DE VELDEN LUKE SKAFF LYNN HAGEN LYNN RIVARD MAI MENKERUD MARAH WARHAFTIG MARCIA TURNER MATTHEW & LAUREL THOMAS MATTHEW GREEN MELISSA HECKSCHER MELISSA SEEGMILLER MELODY PATELIS MENA SPODOBALSKI METTE SCHOYEN MGW SHAW MICHAEL & BONNIE WEBER MICHAEL & CARRIE HILLERBY MICHAEL & CONNIE WEST MICHAEL & GERTRUDE ROSE MICHAEL & PAULA STANKO MICHAEL & RENEE YACKIRA MICHAEL & TAMMY DERMODY MICHAEL OLESON MICHAEL SMITH MICHELLE BEYER-GILLEN MICHELLE CALVERLEY-ROWLAND MICHELLE O’NEILL MICHELLE ROY MICKY & ROXANNE DOYLE MIGUEL DIAZ-MARTINEZ MINDY KITEI MOANA NURSERY MOLLY LINDSAY MONIQUE MARTENS MORGAN PLANT NAI ALLIANCE NANCY MCCARTHY NANCY PARKER NATASHA NELSON NATIONAL LANDSCAPE NELCHA CROSS NEVADA NEWSMAKERS NICHOLAS CAIRNS NICHOLAS POLUHOFF NICOLA OPDYCKE NORIKO UEDA-LANG O.A.R.S OAKLEY BIESANZ OLLIE CORNES P.A.N.D.O.R.A PAT & CATHY PETTINARI PAT BADT PAT FERO PAT KESHEN MAYER PAT LUNDVALL PATRICIA RENFRO PATRICK & DEBORAH ELLIS PATTY PENCE PAUL & STACIE LEE PAUL KAYES PAUL WILLSON PENELOPE BOURDON PETE & CARLI KINNE PETER CAIRNS PETER CLOUT PETER KEMP PETER SCHMALZ PHILIP & ALEXANDRA SHEA PHILIP ALLEN PHILLIP & SUSAN DOWDS POETRY INN PORTOFINO’S PRISCILLA LING RACHAEL VICKERS RALPH & MEREDITH TODDRE RALPH BELDEN RANDALL BELL RANDOLPH & ROBYNE TOWNSEND REBECCA ANDERSON REBECCA HANSEN RECONSTRUCTIONIST RABBINICAL COLLEGE REIER PYTTE RENO ACES BASEBALL CLUB RENO AIR RACING ASSOCIATION RENO DIAGNOSTIC CENTER RICH & TERESA BARCELO RICH CARSON RICHARD & ANN BARNARD RICHARD & DEE DEE JOSEPH RICHARD & DIANA VANKONYNENBURG RICHARD & SUSAN BOWLES RICHARD BERTRAND RICHARD KAYES RICHARD KUGLER RICHARD O’CONNOR RICHARD WORTHINGTON RICK SHAMHART RING FAMILY FOUNDATION RITA BERMAN ROBERT & LINDA FAISS ROBERT & MARY BARGAR ROBERT COURTNEY ROBERT KELLAR ROBERT LOVE ROBERT MILLER ROBERT ROSE ROBERTA PATTERSON RODNEY & EVELYN SMALLWOOD ROGER PEACEY 43 ROGERS COWBOY SUPPLY RON & LESLIE PARRAGUIRRE RON & MARIA LORD RON & SANDY LASH RONALD BAILEY RONALD JACOB RONAN HURLEY ROSALEE FLECK ROSALYN SARVER ROSE ANNE CLIFFORD ROSEMARY HUMBY ROXANNA NAKAMURA ROYAL MINES AND MINERALS RSCVA RUDY & COLLEEN PETRE RUEDY & ALLYSON EDGINGTON RUSS & KAREN BRADSHAW RUSS & MARGIE DAVIDSON RUTH BROWN RUTH MARTIN SABINE CANNON SABRINA MELANIE SALLY JONES SAM & BONNIE SHAD SAN FRANCISCO BAY ADVENTURES SANDI HARRINGTON SANDRA CLARK SANDRA HAMBURG SANDRA LANFORD SANDY ZUNDEL SARAH EGAN SARTINI ENTERPRISES SAVVY BOUTIQUE SCANDIA FAMILY FUN CENTER SCOTT & KAY SCHERER SCOTT & KRISTIN WHITTEMORE SCOTT BETZ SCOTT FORSGREN SCOTT HENDERSON SEAN SCHAEFFER SHANE PFANNES SHANNON ROSOFF SHANTI & BANMALI RAWAT SHARON HINCK SHARON PERLMAN SHARON STAPLETON SHARON STEWART SHARON WALKER SHEENA HEWITT SHEILA CAMPBELL SHEILA DARBYSHIRE SHEILA HORTON SHELLEY LAUER SIERRA INTERNAL MEDICINE SILVER OAK SIMON WELSH SISTER SANDRA DUMA SKIP & KRISTEN AVANSINO SKYE GARMAN SKYLO & CATHY DANGLER SOUNDMATTERS ASIA SOUTH MEADOWS STARBUCKS SOUTHERN WINE & SPIRITS STANLEY LEONG STATE FARM INSURANCE STEPHEN COOPER STEPHEN HAMILTON STEPHEN HECHT STEPHEN ROSENBLUM STEVE POLIKALAS STEVEN & ANN SCOLARI STEVEN & ROWENA CHODOROW STEVEN LARSON STEVEN LUBET STOWELL DAVISON SUE PARIHAR SUE SCALZO SUNBELT COMMUNICATIONS SUSAN LANDRY SUSAN LEE DODSON SUSAN MAGOWITZ SUSAN O’KEEFFE SUSAN SWENSON SUSANNA AGARDY SUZANNE PETERSON SUZANNE SPEARING SWOON BRIDAL SYBIL WHITTEMORE SYLIVA TOMPKINS SYLVIA LINDSAY SYLVIA YOUNGBLUT TADHG O’MEARA TALKINGFOX STUDIOS TOM & AIMEE GILLER TOM & KATHY COLLINS TOM FALLON TOM OCONNOR TOM SOLVANG TOM WICKENHAUSER TRINA MARIE MAGGIO TROND AURE UNITED STUDIOS OF SELF DEFENSE VAN BRENNER VANESSA MITCHELL VIBEKE VIND VICKI SWENSON VICKIE SELLECK VICKIE TAYLOR VICTOR MITCHELL VIKKI WALKER VINCENT ANANIA VINEY SINGAL W. IAN LIPKIN WADE ASHBY WALTER HALL WARD KARNS WARREN MEYER WASHINGTON STATE WINE COMM. WESTERN NEVADA COLLEGE WHITNEY APPLEGATE WILD ISLAND “How wonderful it is that nobody need wait a single moment before starting to improve the world.” ~Anne Frank TAREK & DIANE HASSOUN TEAM UK TED SWENSON TENLEY MILLER TERESA BOUDREAU TERESA KOFSKI TERESA SIMMONS THE FERRARO GROUP THE HAGGERTY FAMILY FOUNDATION THE HAWKINS FAMILY TRUST THE MELTING POT THE ORGANIC CANINE THOMAS & FERNE WALTEMYER THOMAS GRIESER THOMAS JARRETT THOMAS VOGT TIM & LISA TARON TODD & NATALIE OKESON TODD FARENHOLTZ WILL FRAZER WILLIAM & BARBARA LYONS WILLIAM & JILLY EVANS WILLIAM & RUTH GOAD WILLIAM & TERI CORDARO WILLIAM BRASSIL WILLIAM GAYLOR WILLIAM JEFFCOCK WILLIAM ROSENBLITT WILLIAMSON REVOCABLE LIVING TRUST WORKMAN PUBLISHING GROUP YARON SHUKRUN YOLANDA BASTERRECHEA YVETTE VAN DE WALLE YVONNE CEDERHOLM ZOE COUGHLIN 44