United States-East Africa HIV-Associated Malignancy Research Center (USEAHAMRC) for Career Development and the Prevention, Early Detection and Efficient Linkage to Care for Virus-related Cancers

美国-东非艾滋病毒相关恶性肿瘤研究中心 (USEAHAMRC)，致力于职业发展以及病毒相关癌症的预防、早期检测和有效护理联系

• 批准号: 10669166
• 负责人: Andrew Ddungu Kambugu
• 金额: $ 95.1万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-13 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10669166
• 关键词: AIDS related cancer; Address; Africa; Africa South of the Sahara; African; Award; Back; Biometry; California; Caring; Clinical; Clinical Research; Collaborations; Communicable Diseases; Country; Development; Diagnosis; Diagnostic tests; Disease; Early Diagnosis; Early treatment; Face; Foundations; Funding; General Hospitals; General Population; HIV; HIV Infections; Health; Home; Incidence; Individual; Institution; Junior Physician; K-Series Research Career Programs; Kaposi Sarcoma; Kenya; Knowledge; Lead; Leadership; Life Cycle Stages; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Massachusetts; Mediating; Medical Research; Mentors; Modeling; Patients; Performance; Persons; Pilot Projects; Prevention; Prevention strategy; Primary Prevention; Principal Investigator; Prognosis; Program Development; Public Health; Qualifying; Research; Research Institute; Research Personnel; Research Project Grants; Research Training; Resource-limited setting; Resources; San Francisco; Science; Scientist; Screening for cancer; Secondary Prevention; Shoulder; Structure; Tanzania; Training; Translational Research; Uganda; United States; United States National Institutes of Health; United States National Library of Medicine; Universities; Viral; Work; advanced disease; anticancer research; career development; cervical cancer prevention; clinically relevant; data management; epidemiology study; experience; improved; interest; novel; operation; programs; prospective; response; screening; tool; virus related cancer

In the field of HIV-associated malignancies, East Africa faces three intersecting problems common to resource-limited settings. First, East Africa lacks effective primary and secondary prevention strategies for cervical cancer and Kaposi’s sarcoma (KS), two of the most common cancers not only among HIV-infected persons but in the general population. Survival for both malignancies is poor due to multiple factors including lack of screening, advanced disease stage at presentation, suboptimal diagnostic tests and fragile linkage to care. Second, there is a paucity of local principal investigators to lead research related to HIV- associated cancer. Third, there are no robust research networks to study primary and secondary prevention of HIV-associated cancers in the region. To address this, eight institutions in the U.S. and East Africa will: Aim 1. Create a collaborative network of U.S.-based and East African-based scientists and institutions — the United States-East Africa HIV-Associated Malignancy Research Center (USEAHAMRC) — focused on career development and the performance of research related to prevention, early detection and efficient linkage to care for virus-related cancers; Aim 2. Support the career development of emerging African principal investigators, U.S.-based junior investigators and others in the USEAHAMRC in the performance of HIV and other virus- related cancer research; and Aim 3. Conduct novel research — led by our emerging African principal investigators — related to the prevention, early detection and efficient linkage to care for virus-related cancers. The USEAHAMRC will build on prior work in U54 CA190153 to create a network of scientists from 4 U.S. institutions (UCSF, Duke, Massachusetts General Hospital, and the National Library of Medicine) and 4 African institutions in 3 East African countries (Infectious Diseases Institute in Uganda; Moi University in Kenya; Kenya Medical Research Institute; and Muhimbili University in Tanzania) (Aim 1). We will model our career development activities after NIH-sponsored institutional mentored career development programs (Aim 2). Managed by a Developmental Core, these activities will include professional enrichment to all interested junior scientists at our participating institutions, mentoring of a select group of African and U.S.- based junior scientists to compete for career development awards, and a Pilot Project program to attract new junior scientists. Our African junior investigators will also lead two research projects (Aim 3): Project 1, A Public Health Approach to Cervical Cancer Prevention in East Africa; and Project 2, Rapid Case Ascertainment as a Tool for Epidemiologic Investigation and Efficient Linkage to Care in HIV-infected Patients Diagnosed with Kaposi Sarcoma in East Africa. A Data Management and Biostatistical Analysis Core (DMBAC) will support all of the science. Finally, an Administrative Core will oversee all operations.

在与艾滋病毒相关的恶性肿瘤领域，东非面临着三个共同的交叉问题 首先，东非缺乏有效的一级和二级预防战略。 宫颈癌和卡波西肉瘤（KS）是两种最常见的癌症，不仅存在于艾滋病毒感染者中 但由于多种因素，这两种恶性肿瘤的生存率都很低。 包括缺乏筛查、就诊时处于晚期疾病阶段、次优诊断测试和脆弱 其次，缺乏当地主要研究人员来领导与艾滋病毒相关的研究。 第三，没有强大的研究网络来研究一级和二级预防。 为了解决该地区与艾滋病毒相关的癌症问题，美国和东非的八个机构将： 目标 1. 创建一个由美国和东非科学家组成的合作网络 机构 — 美国-东非艾滋病毒相关恶性肿瘤研究中心 (USEAHAMRC) — 专注于职业发展和相关研究的表现 预防、早期发现并与病毒相关癌症的护理有效联系； 目标 2. 支持驻美国的非洲新兴首席研究员的职业发展 USEAHAMRC 的初级研究人员和其他人员在艾滋病毒和其他病毒的表现方面 相关癌症研究；以及 目标 3. 由我们新兴的非洲首席研究员领导进行新颖的相关研究 预防、早期发现和有效联系与病毒相关的癌症的护理。 USEAHAMRC 将在 U54 CA190153 之前的工作基础上创建一个由来自 4 个美国国家的科学家组成的网络。 机构（加州大学旧金山分校、杜克大学、马萨诸塞州总医院和国家医学图书馆）和 4 3 个东非国家的非洲机构（乌干达传染病研究所；乌干达莫伊大学） 肯尼亚；肯尼亚医学研究所；坦桑尼亚穆辛比利大学）（目标 1）。 NIH 资助的机构指导职业发展计划后的职业发展活动 （目标 2）由发展核心管理，这些活动将包括丰富所有人的专业知识。 我们的参与机构中感兴趣的初级科学家，指导精选的非洲和美国团队- 初级科学家竞争职业发展奖，并开展试点项目计划以吸引 我们的非洲初级科学家还将领导两个研究项目（目标 3）：项目 1、 东非宫颈癌预防的公共卫生方法；以及项目 2，快速案例 确定作为流行病学调查和与艾滋病毒感染者护理的有效联系的工具 东非诊断为卡波西肉瘤的患者数据管理和生物统计分析。 核心 (DMBAC) 将支持所有科学工作。最后，管理核心将监督所有操作。