The Omental Fat Band As an Immunomodulatory Microenvironment For
The Omental Fat Band as an Immunomodulatory Microenvironment for Ovarian Cancer Courtney Alicia Cohen Dissertation submitted t o the faculty of Virginia Polytechnic Institute and State University in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Biomedical and Veterinary Sciences Paul C. Roberts, Chair Eva Marie Schmelz William S. Swecker David R. Bevan Liwu Li April 30th, 2013 Blacksburg, VA. Keywords: omentum, ovarian cancer, metastasis, microenvironment, parity, IL-12 The Omental Fat Band as an Immunomodulatory Microenvironment for Ovarian Cancer By Courtney Alicia Cohen (Abstract) Cancer research is evolving. Historically concerned with the mechanisms by which malignant cells circumvent cell death signaling and maintain unchecked proliferation, focus has shifted to the complex interactions between the tumor cell and the surrounding microenvironment. Ovarian cancer has one of the highest incidence-to-death ratios of all cancers, and is typically asymptomatic until the later stages, often resulting in metastasis prior to discovery. Naturally occurring phenotypes like lactation and child-bearing (parity) reduce ovarian cancer incidence, but the mechanisms are not understood. As the primary site for ovarian cacner metastasis, and a secondary lymphoid organ capable of mounting potent innate and adaptive immune responses, we believe the omental fat band (OFB) provides a unique opportunity to study complex interactions within the tumor microenvironment. Additionally, we hypothesize that once understood, leukocyte populations within the OFB could be modulated to disrupt the pro-tumorigenic cascade. Using fluorescence-activated cell sorting (FACS) and quantitative realtime PCR (qRT-PCR), we comparatively evaluated the changes in the compositional immune profile of the OFB as a result of parity and cancer.
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