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Cancer Prevention Newsletter

Spotlight on Dr. Lorraine J. Gudas

Dr. Lorraine J. Gudas is the Revlon Pharmaceutical Professor of Pharmacology and Toxicology and Chairman of the Department of Pharmacology, Weill Medical College and Graduate School of Medical Sciences of Cornell University. Her work is focused on understanding the molecular actions of vitamin A (retinol) in the regulation of cell proliferation and cell differentiation. Dr. Gudas’s laboratory was one of the first to identify "target genes" that respond to the addition of vitamin A and/or its related metabolites, such as retinoic acid, by increasing their rate of transcription, the production of mRNA molecules from the gene template. Retinoic acid interacts with intracellular proteins, the retinoic acid receptors (RARs), to elicit its effects on its target genes and thereby on cell differentiation. Because vitamin A regulates normal cell differentiation and the process of carcinogenesis is often associated with defects in cell differentiation, higher pharmacological doses of vitamin A have been utilized to augment the intracellular levels of vitamin A in premalignant cells, thereby inhibiting the development of some types of cancers. Retinoic acid is also currently used in the treatment of some types of cancer, including renal cancer and acute promyelocytic leukemia.

As the RARs (RARa, RARb, RARg) appear to play key roles in the mediation of vitamin A and retinoic acid action, it is reasonable to assume that the cancer preventive actions of retinoids are also mediated by the RARs. However, the expression of the various RAR types changes during the progression of cells from the premalignant to the malignant state. For instance, analyses of carcinomas of various types by the Gudas laboratory and other laboratories have revealed that the RARb gene, but not the RARa and RARg genes, is frequently expressed at abnormally low levels in human squamous cell carcinomas as compared to normal epithelial cells. Dr. Gudas's laboratory is now focusing on understanding the mechanism by which RARb gene expression is reduced during the process of carcinogenesis. Her laboratory is also in the process of identifying specific, key target genes of RARb. Drugs which maintain elevated levels of RARb in normal and premalignant cells could then be used as cancer chemopreventive agents. Alternatively, if the utility of vitamin A and retinoic acid analogs as cancer prevention agents is limited because of abnormalities in retinoic acid receptor functions associated with the progression to malignancy, then it should be possible instead to focus on key target genes of the retinoic acid receptors, and in particular RARb, for the development of cancer prevention agents in the future. The area of retinoid pharmacology is currently very exciting and further research should result in improved approaches for cancer prevention. In the future, cancer preventive approaches, similar to those now accepted in cardiovascular medicine to prevent disease, should become a reality.

Dr. Gudas has held many positions in national organizations concerned with cancer prevention and treatment. She was the Scientific Program Director for the annual American Association for Cancer Research (AACR) meeting in Washington, DC in 1996, attended by more than 8,000 researchers. From 1998 through 1999, she was the Chair of the Charles F. Kettering Award Committee of the General Motors Cancer Research Foundation. Dr. Gudas was also a member of the National Cancer Institute's Cancer Centers and Program Projects Parent Committee from 1995 through 1999. After serving a 3-year term on the Board of Scientific Counselors of the National Heart, Lung, and Blood Institute (NHLBI), Dr. Gudas was selected as the Chair of this Board in 1999; her term as Chair ended in June 2001. Her current work on behalf of the NHLBI involves membership on the Data and Safety Monitoring Board for the "Feasibility of Retinoids in the Treatment of Emphysema" (FORTE) clinical trials. After serving as a Councilor, a member of the governing body of the Association for Medical School Pharmacology (AMSP), from 1996-1998, Dr. Gudas was elected Secretary of the organization in 2000. The AMSP, an association of pharmacology department chairmen, sponsors teaching workshops, continually revises and updates lists of drugs for medical school teaching, and represents pharmacology within the Association of American Medical Colleges. Dr. Gudas was later elected in 2000 to a term on the AACR Board of Directors, and was also honored by the AACR with its 1999 Women in Science Annual Award for Scientific Achievement. 

In addition to her current and/or past membership on many national committees, Dr. Gudas serves on numerous academic external advisory or review boards for institutions including the University of Vermont Cancer Center, the University of North Carolina at Chapel Hill Lineberger Cancer Center, and the University of Maryland Cancer Center. She was also a co-author on an article summarizing trends and opportunities in cancer prevention research titled, "Prevention of Cancer in the Next Millennium: Report of the Chemoprevention Working Group of the American Association for Cancer Research" (1).

  1. Alberts, D.S., Colvin, O.M, Conney, A.H., Ernster, V.L., Garber, J.E., Greenwald, P., Gudas, L.J., Hong, W.K. (Co-Chairperson), Kelloff, G.J., Kramer, R.A., Lerman, C.E., Mangelsdorf, D.J., Matter, A., Minna, J.D., Nelson, W.G., V., Pezzuto, J.M., Prendergast, F., Rusch, V.W., Sporn, M.B. (Co-Chairperson), Wattenberg, L.W., and Weinstein, I.B. Prevention of cancer in the next millennium: report of the chemoprevention working group of the American Association for Cancer Research. Cancer Res. 1999, 59: 4743-4758