Emily's Entourage
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Emily's Entourage is a nonprofit organization that raises money and awareness to help find a cure for rare ("nonsense") mutations of
cystic fibrosis Cystic fibrosis (CF) is a genetic disorder inherited in an autosomal recessive manner that impairs the normal clearance of Sputum, mucus from the lungs, which facilitates the colonization and infection of the lungs by bacteria, notably ''Staphy ...
(CF), a genetic disorder that generally affects a person's lungs and digestive system. The foundation has raised over $1 million, largely from viral fundraising through universities and video campaigns. The organization also participates in exploratory research initiatives aimed at understanding and advancing towards a cure. Emily's Entourage is named after Emily Kramer-Golinkoff, a woman with CF, who has been the focus of an increased trend of patients participating deeply in research on and advocacy for their own conditions. She was honored at the
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as a ''Champion of Change'' for "harnessing data to take account individual differences in people's genes, environments, and lifestyles into account to improve patients' health."


Personal background

Kramer-Golinkoff was born on January 9, 1985. At six weeks old, she was diagnosed with CF. At a young age, her mother, Liza, would pound "on her chest for 45 minutes to loosen the mucus in her lungs." Today, her lungs function at about one third of the normal lung function. Emily undergoes a daily regimen of three to four hours of "airway clearance and breathing treatments" in addition to taking approximately 30 pills and four shots of
insulin Insulin (, from Latin ''insula'', 'island') is a peptide hormone produced by beta cells of the pancreatic islets encoded in humans by the insulin (''INS)'' gene. It is the main Anabolism, anabolic hormone of the body. It regulates the metabol ...
. Kramer-Golinkoff has a rare form of CF with a high prevalence among
Ashkenazi Jews Ashkenazi Jews ( ; also known as Ashkenazic Jews or Ashkenazim) form a distinct subgroup of the Jewish diaspora, that emerged in the Holy Roman Empire around the end of the first millennium CE. They traditionally speak Yiddish, a language ...
. Her mutation belongs to a larger category called
nonsense mutations In genetics, a nonsense mutation is a point mutation in a sequence of DNA that results in a ''nonsense codon'', or a premature stop codon in the transcribed mRNA, and leads to a truncated, incomplete, and possibly nonfunctional protein product. No ...
, which affect approximately 10% of CF cases worldwide and account for up to 30% genetic diseases more broadly. She graduated in 2003 from
Lower Merion High School Lower Merion High School is a public high school in Ardmore, Pennsylvania, in the Main Line suburbs of Philadelphia. It is one of two high schools in the Lower Merion School District; the other one is Harriton High School. Lower Merion serves ...
in
Ardmore, Pennsylvania Ardmore is an Unincorporated area#United States, unincorporated community and census-designated place (CDP) spanning the border between Delaware County, Pennsylvania, Delaware and Montgomery County, Pennsylvania, Montgomery counties in the U.S. ...
. She graduated
cum laude Latin honors are a system of Latin phrases used in some colleges and universities to indicate the level of distinction with which an academic degree has been earned. The system is primarily used in the United States. It is also used in some Sout ...
from the
University of Pennsylvania The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
's Annenberg School for Communication and then completed her master's degree in bioethics at the
University of Pennsylvania The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
Perelman School of Medicine The Perelman School of Medicine (commonly known as Penn Med) is the medical school of the University of Pennsylvania, a private, Ivy League research university located in Philadelphia. Founded in 1765, the Perelman School of Medicine is the olde ...
in 2009.


Emily's Entourage

Emily's Entourage was founded by Kramer-Golinkoff, her friends, and her family in December 2011 when Kramer-Golinkoff and her family sent a video to their friends and family and it raised over $40,000 in one week. College campuses around the country have joined the movement by forming official clubs on campus and throwing annual fundraising benefits. Local groups, such as
Lower Merion School District Lower Merion School District, or LMSD, is a public school district located in Montgomery County, Pennsylvania. The school district includes residents of both Lower Merion Township and the Borough of Narberth. Established in 1836, LMSD is o ...
often volunteer with Emily's Entourage. By May 2015, Emily's Entourage had raised over $1 million.


Research

Emily's Entourage has a Scientific Advisory Board to "set research priorities and vet, approve, and oversee research projects" for the organization. In January 2014 Emily's Entourage hosted a research symposium on nonsense mutations in CF with a focus on Kramer-Golinkoff's particular rare mutation with leading researchers from biotech, academia, pharma and the
Cystic Fibrosis Foundation The Cystic Fibrosis Foundation (CFF) is a 501(c)(3) non-profit organization in the United States established to provide the means to cure cystic fibrosis (CF) and ensure that those living with CF live long and productive lives. The Foundation pro ...
in partnership with the Penn Orphan Disease Center to spur discovery of new treatments for those with nonsense CF mutations. Kramer-Golinkoff also published "A Lesson in Participatory Research for a Rare Mutation of Cystic Fibrosis" in the ''
Journal of General Internal Medicine The ''Journal of General Internal Medicine'' is a monthly peer-reviewed medical journal established in 1986 and covering internal medicine. It is published by Springer Nature and is the official journal of the Society of General Internal Medicine. ...
''. For her work towards finding new cures, she was honored at the White House as a "Champion of Change". The honor focused on "work being done by patients, researchers, innovators, and advocates who are advancing our understanding of health and disease by harnessing data to take account individual differences in people's genes, environments, and lifestyles into account to improve patients' health." An NF1
clinical trial Clinical trials are prospective biomedical or behavioral research studies on human subject research, human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel v ...
is undergoing FDA approval. Kramer-Golinkoff said, "I realized I could wait on the sidelines and pray for a miracle or get into the game and try to make one."


Media

Kramer-Golinkoff and Emily's Entourage have received significant regional and national media coverage. The attention has driven donations as well research opportunities and public awareness. ''Philadelphia Magazine'' profiled Emily as a "Health Hero" in September 2015. Kramer-Golinkoff said, "My biggest motivations for working my hardest to stay as healthy as possible—even in the face of an advanced and progressing fatal illness—are my family and friends, this burning desire to do more things and see more places, and the unbelievable Entourage that rallied behind me to give me and so many others real, tangible hope for that chance." ''People'' magazine wrote, "Perhaps the most critical of Emily's Entourage's efforts has been its success in putting a beautiful face on an ugly issue. Case in point: The test tubes that fill the testing laboratories at USCF are all marked with random alphanumerical codes—except those marked with Emily's name." In ''
Philadelphia Style ''Philadelphia Style'' is a magazine pertaining to fashion, beauty, travel, philanthropy, entertainment, home décor, architecture, and real estate to readers in the metropolitan Philadelphia region. It is a guide to the business, people, places ...
'' magazine Kramer-Golinkoff emphasized her organization's personal approach: "We're trying to use my story to humanize the disease... People really respond to faces and stories and families in a way that's different. There are so many important causes out there, but we can touch people's hearts by making them feel like I could be anyone's daughter or sister or best friend." ''
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'' ''Health'' profiled Kramer-Golinkoff. She said, "My disease is progressing and our race is getting more urgent. We're doing some really groundbreaking work that is changing the paradigm of how research is done, what gets attention, who the players are, and what the pace of progress is. We are constantly pushing the envelope because I literally don't have time to wait."
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also profiled Kramer-Golinkoff.
University of Pennsylvania The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
Physiology professor Kevin Foskett said in the article, "Emily and her family want research focused on her mutation to be as focused and accelerated as possible. At one level, that sounds a little selfish, until you realize that her type of mutation, a 'nonsense' mutation ... is responsible for disease in many other genetically inherited forms of disease... Emily's story is compelling. If you've met Emily... you cant help but become engaged and energized." Kramer-Golinkoff said in that piece, "Obviously our prayer and dream is to have a breakthrough. But we also realize that it might not happen, or it might not happen in time for me. And I think that in the worst case scenario, even if it never could help me, there is a peace I get from at least knowing I'm doing everything I can, and it's not for lack of trying."


See also

* List of cystic fibrosis organizations


References

{{Channelopathy Cystic fibrosis organizations Health charities in the United States Lower Merion Township, Pennsylvania Medical and health organizations based in Pennsylvania Rare disease organizations 501(c)(3) organizations