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Dr.
Berish Rubin Fights for a Cure
"I
thought he would have wild, crazy hair and big bushy
eyebrows. Orange and out to here," Rebekah Lieberman said
as she stretched her arms out on either side of her head.
Rebekah, a ten-year-old child with Familial Dysautonomia,
(FD) had an opportunity to meet Dr. Berish Rubin, the man
dedicated to finding a cure for her disease. She visited
Dr. Rubin at his Fordham University biology laboratory in
August. And, after all, what would a scientist
named "Berish" look like in the imagination of a
ten-year-old child? Rubin presents a very different
picture to those who meet him. Not a "mad" scientist at
all, but rather a good-natured, quiet man who conveys a
genuine sense of love for his work, and a driving passion
to help those affected by a debilitating disease.
The Vision
Rubin's goal is to help children
and adults who suffer from FD. Along with his colleagues
at Fordham University, Rubin co-authored an article
announcing the discovery of the gene for Familial
Dysautonomia. This discovery allows potential carriers of
the FD gene to be tested. This will help reduce the number
of children born with the devastating complications of FD.
Rubin's contribution to medical science was enormous, and
would have been enough for some. But Dr. Rubin has yet to
rest. The Fordham laboratory is busy around the clock, as
Rubin and fellow researchers continue their quest to find
a treatment and cure for FD. He says they will not stop
until they achieve their goal. Indeed, the interview for
this article was conducted between ten and eleven p.m., as
the doctor was just leaving work for the night.
The Beginning
Rubin
did not begin his career with the study of FD, but he has
always been interested in science. His eighth grade
yearbook is a testament to the single-minded interest of a
curious young man, as he cites his future profession as
"scientist." He grew up in the Washington Heights section
of Manhattan in an ultra orthodox, Chasidic home. His
mother is a Holocaust survivor from Hungary, and his
father escaped from Germany in 1939 with his life and
little else. So, Rubin shares a page of history with the
patients and families affected by FD, all of whom are able
to trace their ancestry back to the 1700's as Jews in
Eastern Europe. With a doctorate in research biology from
the City University of New York, Rubin spent six years as
a researcher at Sloan Kettering Cancer Center. He
continued to study interferons at the New York Blood
Center for about six years, as a director of that center.
In 1989, Fordham University recruited Rubin to continue
his work on interferons under their auspices. Rubin
mentions his colleague, Sylvia Anderson, with whom he has
worked for close to two decades, emphasizing his
conviction that none of their work would have been
accomplished without Andersen's talent and dedication. He
credits her for their continued professional growth, and
states Anderson was the driving force in the lab's
development of expertise in molecular biology, which he
believes prepared them for the mission of finding the FD
gene.
The Challenge to Find the Gene
With a successful career in the
field of cancer research and interferons, what motivated
Rubin to suddenly shift gears to study the FD gene? "Two
important forces came together and made me decide to put
our research aside, at least temporarily, and try to find
the gene." First, Rubin's closest friend, whose nephew had
FD, came to him seeking a test for the gene. Two of this
child's older brothers each also had children with FD.
Rubin witnessed first hand the devastation of the disease.
In seeking to help his friend, Berish realized that there
was no test for FD because the gene had not been
identified. Rubin was approached by a prominent figure in
the orthodox community who asked him to apply his
expertise to the search for the gene, citing the anguish
of families in the Jewish community who continued to lose
children to FD each year.
Rubin considered the request and
declined at first since another prominent research
facility was already working on this project. A year
later, however, the team had still not discovered the
gene, so when approached again, Rubin said "yes." "At
first everyone thought I was nuts!" Rubin said. "But, I
asked them to give it two or three months and see how far
we could progress." Within two weeks, Rubin says it was
clear this was a project his dedicated team could handle.
The Discovery
"Once it started to give up its
mystery, it took on a life of its own," he said. Well
prepared by years of training and work in innovative areas
of microbiology, the team was ready to use a newer, novel
approach to finding the FD gene. The Fordham lab, under
Rubin and Anderson's direction, examined the RNA of FD and
non-FD individuals that hadn't been done before by FD
researchers. This is much less time consuming, but Rubin
acknowledges the "incredible" determination of his
colleagues whose work at all hours moved this project
along more quickly than seemed possible. With the
discovery of the gene, patients and families have begun to
feel cautious optimism. It allows testing to determine if
someone is a carrier. Prenatal testing is also available.
What has been the motivating factor in Rubin's decision to
continue his research toward improving the lives of
patients living now with FD? The patients themselves.
A Personal Connection
To date, close to two dozen
children and adults with FD have visited the Fordham lab
and met with the staff. The relationship to the kids,
Rubin says, is not abstract. Photographs of children and
adults with FD fill a bulletin board in the office. "They
are magnificent human beings. They're all wonderful
children. Despite any hardships, or maybe because of them,
these children love life, and are friendly, outgoing, and
warm." Rubin said. Many of the research team members are
affected personally by the knowledge that a child has had
a set-back, or has made progress. "They are our
inspiration," Rubin said. As for the families, the
researcher describes a deep respect for parents who,
despite their different choices concerning their
children's care, have in common the focused drive to do
what is best for their kids.
The Sacrifice is Worth it
Rubin himself has given up a lot
for FD research, but is happy to do it. "I have no
personal life right now," he said. In the future, he would
like to get back to the things he loves. He misses time
with his wife, Malka, and their three sons. He longs to
get back to projects at their Rockland County home,
working with his hands in the yard and gardens. "My house
is falling apart, everything is in disrepair. I look
forward to getting my life back, but not until our work is
done," Rubin said. "I would love to be able to put this
thing away, but I won't do it until I am certain that
children with FD are no longer suffering." With Rubin,
Anderson, and their team working to help children with FD,
there truly is hope for the future.
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