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UM Today | Rady Faculty of Health Sciences | Breast Cancer Quest

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June 12, 2023 — 

When Yvonne Myal [M.Sc./83, PhD/89] was a young child in Trinidad, she was distressed by seeing an elderly neighbour in terrible pain.

“She was dying of breast cancer at home,” Myal recalls. “I asked my mother, ‘Why don’t they take her to the hospital?’ But they couldn’t do anything for her. That really made an impact on me. Breast cancer has touched so many of our lives.”

Myal immigrated to Manitoba in her late teens and completed an honours degree in biology at the University of Winnipeg. She then came to UM to earn her master’s and PhD under the mentorship of Dr. Robert Shiu, a breast cancer researcher. She was greatly inspired by the potential of laboratory science to unlock the mysteries of the disease.

“I thought, ‘I can make a contribution here,’” the molecular biologist remembers. “This has been my life, and I’m still excited about doing the research.”

Now a professor of pathology who is cross-appointed in physiology and pathophysiology, Myal recently marked 25 years as a principal researcher in the Max Rady College of Medicine. She is also a senior scientist at the CancerCare Manitoba Research Institute.

For a quarter-century, her lab has worked to pinpoint and isolate biomarkers that are specific to breast cancer and to understand their role in the progression and metastasis of the disease.

Her research is currently funded by the Natural Sciences and Engineering Research Council, the Cancer Research Society and the Canadian Institutes of Health Research (CIHR). Since 2016, she has served as the UM delegate to the CIHR.

Myal’s long-term focus has been on two proteins that play roles in breast cancer. Notably, her lab has been a world leader in studying the human prolactin inducible protein (PIP).

“The gene expression of PIP occurs in more than 90 per cent of breast cancers,” she says. “Our lab is particularly studying it in triple negative breast cancer, a type that is very aggressive and has no current treatment.”

Myal was a doctoral and postdoctoral researcher, then a research associate, from the mid-1980s to the mid-1990s – a period when cloning genes (isolating them and determining their sequence) was a laborious “from scratch” process. Still, she has wonderful memories of that era.

Her mentor, Shiu, had himself been mentored by Henry Friesen [B.Sc. (Med.)/58, MD/58, D.Sc./98], a renowned scientist who had discovered prolactin, a hormone involved in breast development and lactation.

Friesen’s lab, which was just down the hall from Shiu’s, had a huge team of postdocs from all over the world. “It was like one big research family,” Myal says. “Every day was an adventure.”

Myal became the first scientist in the world to clone the gene that produces PIP – a project that took her four years. Then she and Shiu were the first to develop a transgenic mouse model for PIP, meaning that they successfully manipulated the genes of lab mice for experimental purposes.

Myal and her team went on to genetically engineer the first knockout mice (mice with an inactivated gene) for studying PIP. More recently, they used CRISPR gene-editing techniques to create additional mouse models.

One of Myal’s important discoveries was that PIP plays a positive role in the immune system, defending the body against invading organisms. “We were the first to show that in saliva, PIP binds to invading bacteria and inhibits their spread in the mouth,” she says.

She went on to demonstrate that PIP inhibits the growth of primary tumours in the breast.

“But when breast cancer cells that have PIP leave the breast and travel to the lungs – which happens in triple negative breast cancer – they divide rapidly, compared to the cancer cells that don’t have PIP.

“We showed that in the lungs, the body’s immune system no longer has any impact on the multiplication of these cancer cells. PIP actually makes the cancer spread faster in the lungs. There are still so many questions to be answered about this protein.”

Looking back on the 1980s, Myal says many women in science faced difficult choices. At UM, grad students were strongly encouraged to move to more “prominent” universities for their postdoctoral work. But Myal’s husband had a career in Winnipeg, they planned to have children (their son and daughter were born in 1993 and 1995), and they decided to stay in the city.

When a tenure-track professorship opened up in the pathology department, Myal didn’t think she was qualified. “You kind of feel you’re not good enough because you didn’t go elsewhere,” she remembers.

Fortunately, a mentor urged her to apply. She got the job and founded her lab as a principal investigator in 1997. She has been recognized with many honours, including a 2011 YMCA-YWCA Women of Distinction Award in the category of science, technology and the environment.

Myal’s lab team has always been small and highly collaborative.

“Teamwork, mentorship and collaboration have served me so well,” she says. “Every time we get a paper published or one person has some success, we celebrate as a team. That’s the philosophy I’ve passed on to my students.

“I’m so proud of the accomplishments of my trainees. Many of them are excelling in health care, research, industry, and being recognized nationally and internationally.”

Having spent 40 years in Bannatyne campus labs since her master’s days, Myal values the university for its supportive research environment and its intergenerational chain of mentors and mentees.

“I’ve been very privileged with the great opportunities that U of M has afforded me,” she says.

 

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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