2023 Pilot Project Awards
Interdisciplinary Pilot Project Award:
Principal Investigators: Becky F. Antle, PhD, MSSW, LMFT
Co-Investigator: Luz Huntington-Moskos, PhD, RN, CPN
Title: Community Needs Assessment and Training to Address Health Disparities among Refugee/Immigrant Populations in Louisville
Description of Project: This project will assess the environmental health needs of two refugee/immigrant populations in the Louisville area through partnerships with See Forward Ministries (African populations), Backside Clinic/Learning Center and South Jefferson Neighborhood Place (Hispanic populations). Preliminary data from existing partnerships with these organizations shows community concerns regarding neighborhood safety and health, as well as overall challenges related to well-being indicators for these target groups. This project will conduct a needs assessment and develop training strategies for community members and providers to reduce health disparities and promote environmental justice.
Interdisciplinary Pilot Project Award:
Principal Investigators: Natalie DuPre, Sc.D.; Sandy Kavalukas, M.D.
Collaborators:Lu Cai, M.D., Ph.D.
Title: Lifetime Environmental Exposure to Metal Carcinogens and Colorectal Cancer: A Clinical Case-Control Study
Description of Project: This pilot project will directly measure known environmental metal carcinogens in blood and urine in Louisville residents with colorectal cancer and without colorectal cancer from a colorectal cancer surgical clinic at UofL Health. It is unknown whether environmental metal carcinogens increase risk of colorectal cancer. However, in prior work, we observed colorectal cancer hotspots within Louisville and observed that higher exposure to ambient arsenic and ambient cadmium was associated with residing in these colorectal cancer hotspot neighborhoods. This pilot study will compare levels of environmental carcinogens in urine and blood samples of Louisvillians with colorectal cancer (i.e., “cases”) and without colorectal cancer (i.e., “controls”). It will provide necessary information to: 1) demonstrate our ability to develop a clinical case-control study in our community, and 2) compare levels of environmental carcinogens in patients with colorectal cancer and patients without colorectal cancer.
Interdisciplinary Pilot Project Award:
Principal Investigator:Jiapeng Huang, M.D., Ph.D.
MPIs/Co-Investigators:Lu Cai, M.D., Ph.D. (MPI); Lihui Bai, Ph.D. (MPI); Xiaoyu Chen, Ph.D. (MPI); Yash Kothari, M.D. (Co-I); Luz Huntington-Moskos, Ph.D., RN, CPN (Co-I)
Title: Metallomics and Machine Learning to Improve Risk Stratification and Optimize Treatment in Pulmonary Arterial Hypertension
Description of Project: In Louisville Regional Community, there are thousands of patients who suffer pulmonary hypertension (PH) due to bad genes, industrial pollutions, smoking, or lung and heart diseases. PH happens when the pressure in the blood vessels leading from the right heart to the lungs is too high and the right heart eventually fails over time. There is not enough unoxygenated blood going to the lungs causing low oxygen levels. PH is not reversible, and most patients die within 2 to 3 years after the diagnosis. Many PH patients have severe trouble breathing even at rest with poor quality of life. There is no cure for PH because we do not understand what causes PH in many cases. Our team found several metals are significantly different in PH patients when compared to controls in a pilot study for the first time. Metals could directly cause PH or change levels when patients develop PH. This project will evaluate 25 metal levels in the world’s largest collection of PH patients’ data and samples from many hospitals across USA. This large sample size enables us to draw solid conclusions confidently. We will use cutting edge mathematical prediction tools and decision support systems to help diagnose PH earlier, treat PH better, and find new medications targeting metals. The sooner appropriate PH treatments are started, the better the patient will do.
Interdisciplinary Pilot Project Award:
Principal Investigators:Timothy O’Toole, Ph.D.
Co-I/Collaborators: Jingjing Zhao, Ph.D.
Title: Exposure to Polystyrene Microplastics Exposure and Cardiovascular Outcomes
Description of Project: Modern society produces large amounts of plastics, much of which is discarded in landfills and water systems. In these ecosystems, there is a gradual breakdown of larger plastics into small particles (microplastics), by natural erosion and chemical forces. These microplastics can find their way into water supplies and the food chain where human consumption is inevitable, as evidenced by their detection in human blood, breast milk, and urine as well as in some organs like the lungs. The consumption of microplastics will be an ongoing concern in the future, given that globally increasing temperatures and UV exposures can accelerate the breakdown of large plastics. Furthermore, microplastics consumption is of a particular concern to residents of the greater Louisville area, given that our drinking water derives from the Ohio River, and that high levels of larger plastics and microplastics have been found up-stream in the Pittsburgh and Cincinnati areas.
The incidence of diabetes and obesity are considerable global health problems. Significantly, the Louisville area, and Kentucky in general, have some of the highest rates of diabetes and obesity in the US. These disorders are risk factors for larger cardiovascular disease and increase the probability of developing atherosclerosis and the incidence of heart attacks and strokes. Understanding why our population is more susceptible to these outcomes is an important area of research. Thus, in this proposal we will determine if there is any association between microplastics consumption and increased cardiovascular disease. This will be done in a mouse model, where polystyrene beads are supplied to these animals in drinking water. After this feeding, we will measure several markers of cardiovascular disease and also determine if these exposures alter the identity and abundance of bacterial species in the gut, which may also contribute to adverse outcomes. Results from this proposal will shed insight as to if and how consumption of microplastic particles impacts our health.
Interdisciplinary Pilot Project Award:
Principal Investigator: Kenneth Palmer, Ph.D.
Collaborators: Daniel J. Conklin, Ph.D. and Anna Gumpert, Ph.D.
Title: Effects of Acrolein and Hypertension on COVID-19 (Sars-CoV-2) and Cardiopulmonary Injury in Mice
Description of Project: From early in the COVID-19 pandemic, the National network of twelve regional biocontainment laboratories (RBL), including the University of Louisville Center for Predictive Medicine for Biodefense and Emerging Infectious Diseases (CPM) facilitated many biomedical innovations including novel COVID-19 diagnostics, vaccines and antiviral therapeutics. Our RBL rapidly developed preclinical models of SARS-CoV-2 infection and made major contributions to several community-engaged research projects. This has led to targeted investment from NIH/NIAID in enhancing our facilities and equipment. Since the University of Louisville is recognized as a distinguished Center of Excellence in Environmental Research, Dr. Palmer and Dr. Conklin are working together to build collaborations between infectious disease researchers in the CPM and environmental health researchers in the CIEHS and affiliated centers to better understand how environmental conditions impact emerging infectious disease problems. The common environmental pollutant acrolein is toxic to the lungs, heart, and the circulatory system and increases cardiovascular disease risk. Given the reality that COVID-19 outcomes are worse in patients with underlying cardiometabolic disease, we propose that studies focused on understanding how acrolein exposure impacts the severity of SARS-CoV-2 infection in mice will be a useful way to start integrating environmental exposure studies with emerging infectious disease research.