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Nowak at his promotion to blue belt
Nowak at his promotion to blue belt in Brazilian jiu-jitsu in 2013. From left to right, Nick Safar, Nick Serra, Dawid Nowak, Mike Piccolomini, Matt Serra.

Movember: Fighting for health in the Lab and the gym

Even considering that he’s faced pro fighters while training in jiu-jitsu, prostate cancer is by far Dawid Nowak’s most formidable opponent. In the lab of Lloyd Trotman, he’s using an incredibly powerful new genetic engineering tool and an extremely sensitive sequencing technique to take prostate cancer down.

In a fight, strategy sometimes proves stronger than brute force. As a novice practicing Brazilian jiu-jitsu in a gym with pro fighters, Dawid Nowak has learned that being a big guy isn鈥檛 enough to take down an opponent who is small but incredibly shrewd. As a postdoc in prostate cancer researcher Lloyd Trotman鈥檚 lab, he faces a very small and extremely shrewd opponent.

鈥淚 always think in terms of strategies: what is your next move? You start to think about cancer as your opponent and try to predict its next mutation,鈥 Nowak says.

In Trotman鈥檚 lab, Nowak is learning how prostate cancer operates with advanced genetic sequencing techniques so sensitive that they can detect mutations in a sample that contains just one tumor cell. This is important because it鈥檚 new genetic mutations that allow cancer cells to spread from one part of the body to another, a process called metastasis. Patients don鈥檛 often die of the primary prostate tumor itself鈥攖he spread of the cancer from the prostate to other parts of the body, like the bones, usually delivers the knockout blow.

Among men, prostate cancer is the . Younger men often ignore this risk since the illness is much more prevalent among older men, but Nowak stresses that 鈥減eople will be living longer and longer in the future, so this will only become more and more problematic.鈥 Being overweight adds to the risk, too, which is particularly worrisome considering the current obesity epidemic.

prostate cancer facts
Credit: Movember Foundation

Excessive weight is a risk factor for many ailments, from diabetes to heart attacks. That鈥檚 why the Movember Foundation calls November, men鈥檚 health awareness month, MOVEmber instead. Maintaining an active lifestyle is critical to health鈥攂oth men鈥檚 and women鈥檚鈥攂ut keeping up with exercise can be challenging. MOVEmber is an effort to motivate men to form healthy habits by creating a fun and friendly opportunity to get started.

After an injury, Nowak actually had to stop swimming, running, and other physical training. He put on a lot of weight, and getting back into the flow of working out wasn鈥檛 easy. But knowing how important exercise and body weight are to health, he made an effort to rebuild his workout regimen.

Between raising a toddler, developing new techniques for studying prostate cancer, and applying for assistant professor positions, Nowak hasn鈥檛 had as much time to get to the gym as he鈥檇 like. So running 100 kilometers a month through gorgeous Caumsett Park, just minutes from the Lab, has become his primary source of exercise.

Caumsett park LI
Caumsett Park in Long Island, Nowak鈥檚 favorite spot for running. (Credit: Mike Durkin | Flickr CC)

Nowak knows he can and must make time for exercise, but he, like the rest of the team in Trotman Lab, is intensely focused on the life-and-death problem before him. When he began working at the Lab, Trotman and colleagues were developing a way to model metastasis in mice. In the past, researchers could cause mice to develop prostate cancer, but the tumor did not spread to other parts of the body as it so often does in people. Nowak became involved in the collaborative effort to genetically engineer a mouse, which the team dubbed RapidCaP, to mimic this critical aspect of the illness.

With the new and improved mouse model, Nowak is now focusing on using a revolutionary new genetic engineering tool called CRISPR to insert into mice the same genes seen in prostate cancer patients. This enables the team to see how the cancer progresses and find the best targets for treatment.

鈥淵ou get a beautiful way of looking at how the tumor can evolve,鈥 Nowak explains.

Outsmarting prostate cancer is going to take serious determination. But Nowak knows from jiu-jitsu that one expert move can change the game.

鈥淲hat I think about is not giving up,鈥 he says. 鈥淓ven if there is a situation that looks totally hopeless, maybe there can still be a move that can be the winning move.鈥

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