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UNMC College of Dentistry Builds Dental Research Program

UNMC cell biologists love of discovery Helps Build

UNMCs Dental Research Program, Find Answers to Oral cancer

The tenth floor of the Lied Transplant Center on the University of Nebraska

Medical Center campus in Omaha, is like a second home for UNMC cell biologists,

Margaret Wheelock, Ph.D., and Keith Johnson, Ph.D. The couple, who is married,

has a birdseye view of the research progress taking place at UNMC and clear

goals for how their research could someday help people with oral cancer.

They dont see patients. What theyre looking at cant be seen with

the naked eye.

Drs. Wheelock and Johnson are busy studying basic cell biology and conducting

new experiments with the goal of understanding things that arent understood

currently about the biological process of oral cancer. The professors from

the UNMC College of Dentistry, have several large funded grants from the

National Institutes of Health and the U.S. Department of Defense. Theyve

submitted three more grants and one was just renewed for four years.

Each year, more than 30,000 new cases of cancer of the oral cavity and

pharynx are diagnosed and more than 8,000 deaths occur due to oral cancer,

according the U.S. Centers for Disease Control and Prevention. The five-year

survival rate for these cancers is about 50 percent.  Methods used

to treat oral cancers  — surgery, radiation, and chemotherapy —

are disfiguring and costly.

The cause of oral cancers is associated with cigarette, cigar or pipe

smoking, use of smokeless tobacco, and excessive use of alcohol.

Drs. Wheelock and Johnson came to UNMC last year from Ohio, to spend

more time doing research.

Theyre extremely talented researchers and they really love research,

said John Reinhardt, D.D.S., dean of the UNMC College of Dentistry. Were

very lucky to have them.

We are trying to raise our level of research. Their presence enhances

the dental colleges research program and cements our research role at

UNMC. Few dental schools have as strong a connection to a major cancer

center, as we have here with the UNMC Eppley Cancer Center.

The goal is to put together a designated oral cancer center. We have

the right people. Thats exciting for the future.

 

Drs. Wheelock and Johnson are studying cadherins, which are involved

in the mechanism whereby cells recognize one another. They think cadherins

play a role in causing cancer to spread to other parts of the body.

They first discovered cadherins while studying cancer cell metastasis.

Metastasis of cancer cells makes cancer deadly.

If you can modify the information in the cells, maybe that will decrease

the cells metastatic potential, Dr. Wheelock said.

They hope they will ultimately find a clinical application for their

work. One of the goals is to help the clinical scientists identify tumors

that are likely to spread into the jaw bone.

Although most of their fellow dental colleagues are in Lincoln where

the UNMC College of Dentistry is based, they are collaborating with UNMC

head and neck surgeons, including Bill Lydiatt, M.D., and Dan Lydiatt,

M.D., in Omaha, as well as College of Dentistry oral pathology researchers,

Don Cohen, D.M.D., and Indraneel Bhattacharyya, D.D.S.

The clinicians have all these burning questions, Dr. Wheelock said.

If we could say this cell does this or that, the patient could be saved

a lot of trauma, for example, by not taking bone out unnecessarily.

Both researchers grew up on farms. Dr. Wheelock is a native of Cresco,

Iowa, and Dr. Johnson a native of Trimont, Minn. They met in 1977 while

in graduate school in Minnesota. Except for a year or two, theyve been

together since.