Molecular Medicine Faculty Research Interests

Carmela R. Abraham, Ph.D.
Biochemistry

Our laboratory studies the mechanisms of normal brain aging and the etiology of Alzheimer’s disease (AD). The 40-42 amino acid amyloid beta peptide (Aß) is the major component of plaques that accumulate in the brains of AD patients. There is ample evidence that Aß causes irreversible neurodegeneration. Therefore, the formation and clearance of Aß are major therapeutic targets for the treatment of AD. Aß is a proteolytic fragment of the amyloid precursor protein (APP), a ubiquitously expressed and conserved protein with unknown function. We are studying the physiologic function of APP and its role in the brain and particularly, in AD. Aß accumulates in the AD brain likely as a result of aberrant clearance. In another project, we study a novel protease involved in the degradation of Aß. Studying the proteases that degrade this peptide is crucial for understanding the etiology of the disease and for the design of therapeutic compounds aimed at decreasing the Aß load in the brain. We also investigate normal human brain aging and use the rhesus monkey as a model. Rhesus monkeys develop cognitive impairment as they age. To our surprise, we could not detect cortical neuronal loss, but extensive changes were observed in the white matter volume and myelin, the insulating layer that surrounds nerve fibers and facilitates communication. We attribute these age-related changes to neuroinflammation. Specifically, we are interested in the expression of gene products that could contribute to the destruction of myelin. The myelin abnormalities may contribute to the cognitive deficits that are seen with normal aging. A gene we are currently focusing on is Klotho, an anti-aging gene that when deleted in mice leads to a premature aging phenotype and when overexpressed results in a 30% lifespan extension and resistance to oxidative stress. We are studying the role of Klotho in myelin formation and repair. To prove our hypotheses we use biochemical and molecular techniques, including microarray analyses, light, fluorescent and confocal microscopy, cell culture and animal models.

Kenneth H. Albrecht, Ph.D.
Molecular Medicine-Genetics

Mammalian gonadal sex determination is a powerful system for studying organogenesis, cell fate determination, and the evolution of sex chromosomes and developmental regulatory mechanisms. Besides basic scientific interest, mammalian sex determination also is of biomedical interest. Approximately one in 1000 infants has a gonadal or genital anomaly. Furthermore, many of the known genes involved in sex determination also are implicated in pathological processes such as tumorigenesis and primary adrenal failure, and have essential roles in the normal development of organs other than the gonads. We use the mouse as a model system for studying mammalian sex determination and gonadal and adrenal organogenesis and employ genetic, molecular genetic, genomic, cell biological and embryological techniques. Currently, there are two main projects underway in the lab. In the first, we are investigating the molecular mechanisms of three mouse models of human sex reversal and adrenal dysmorphogenesis. In the second, we are identifying and characterizing new genes important for gonad development using genetic and genomic approaches such as microarray analysis of gene expression during organogenesis. Our long-term goal is to understand the molecular mechanisms of gonadal and adrenal organogenesis and their role in human disease.

Deborah Anderson, Ph.D.
General OB/GYN

Sexually transmitted infections (STIs) are epidemic in the United States and worldwide, and have far reaching health, social and economic consequences. Each year more than twenty million men and women in the United States acquire an STI; the World Health Organization estimates the global annual incidence of curable STIs (excluding HIV-1 and other viral STIs) to be 333 million. Some STIs, such as those transmitted by the Human Immunodeficiency Virus Type 1 and high-risk human papilloma virus strains, can cause severe morbidity often leading to death. Others adversely affect fertility and neonatal health. Our current research is focused on the development of vaccines and topical microbicides for the control of sexually-transmitted pathogens including HIV-1. Towards this end, we are studying mechanisms of cell-associated HIV transmission and fundamental features of local immune defense functions at genital mucosal surfaces that affect HIV-1 pathogenesis and transmission.

Clinton T. Baldwin, Ph.D.
Pediatrics

Shalender Bhasin, MBBS
Endocrinology, Diabetes and Nutrition

Steven A. Bogen, M.D., Ph.D.
Clinical Pathology

Dr. Bogen’s research group focuses on applied (translational) projects in the area of cancer detection and diagnosis, with an emphasis on new technology development. The group is currently working with a new platform discovery technology called Epitope-Mediated Antigen Prediction (E-MAP). We developed a method to identify the antigen to which a patient’s serum antibody binds without any other clues as to the antigen’s identity. The method uses a peptide combinatorial library to test billions of different peptide combinations, to find the best fit to the antibody’s binding site. The sequence is then matched to peptide sequences in the protein database. This method provides important clues to the etiology of diseases of unknown origin, without requiring any pre-existing suspicion or clinical clues. The method was published in Molecular and Cellular Proteomics, February 2008. The group first applied this technology to the analysis of paraproteins from patients with multiple myeloma. Those findings were published in Blood, January 2008. E-MAP is expected to create new discovery insights and diagnostic opportunities in B-lymphoproliferative disorders, autoimmunity, certain granulomatous diseases of unknown origin, and infectious diseases.

Victoria Bolotina, Ph.D.
Molecular Medicine

Steven C. Borkan, M.D.
Nephrology

The Renal Research laboratory focuses on the pathogenesis of renal epithelial cell death in acute, ischemic renal failure. Ischemia is a common cause of human kidney injury and despite the advent of renal replacement therapy (dialysis), causes significant morbidity and death in nearly 50% of patients. There is presently no treatment for ischemia-induced renal injury partly due to a lack of insight into the mechanisms of cell death caused by ischemia. In this form of injury, the proximal tubule epithelial cell is major target of injury. Although early studies emphasized the role of cell necrosis in causing acute tubular injury (ATN), recent studies including our own emphasize the role of apoptosis in causing organ failure. We have extensively investigated the role of endogenous heat stress proteins (HSPs) in mediating cytoprotection by antagonizing apoptosis. We have concentrated on the anti-apoptotic functions of Hsp127 and Hsp70- the major inducible stress proteins. These studies have identified key kinases that mediate cell death, regulate members of the BCL2 family and contribute to sublethal injury of the cell architecture (cytoskeleton and cell contact sites). Our future studies will include discovery of the role of mitochondrial dynamics (fission and fusion) in renal cell injury, the role of hexokinase, a the rate limiting step in glycolysis in antagonizing Bax-mediated mitochondrial membrane injury and will identify key co-factors (e.g., nucleophosmin) that mediate attack by Bax, a major pro-apoptotic BCL2 protein. It is our hope that improved understanding of the mechanism of renal cell injury will ultimately provide new strategies for preventing and treating human acute renal failure.

Jerome S. Brody, M.D.
Pulmonary, Allergy and Critical Care

Our laboratory is involved in clinical and basic studies of lung cancer, the #1 cause of cancer death in this country. Over 160,000 people die of lung cancer each year in this country and 2 million die worldwide. While cigarette smoking is the major cause of lung cancer, only 10-20% of heavy smokers actually develop lung cancer; presently 50% of lung cancers now occur in former smokers. There are no effective ways of diagnosing lung cancer at an early stage before it has spread, and, as a result, 5 year survival is ~15%, virtually unchanged for the past 3 decades. We have 2 general projects that attempt to define individual susceptibility to the carcinogenic effects of tobacco smoke and explore fundamental genomic issues relating to lung cancer biology. Our ultimate goals are to identify “at risk” smokers and former smokers, to develop new lung cancer early diagnostic tools, and to apply modern molecular and bioinformatic approaches to understanding the varied biology of human lung cancer. Early diagnosis of lung cancer and of susceptibility to the carcinogenic effects of cigarette smoke. This project explores the potential of gene expression profiles of airway epithelial cells obtained from a bronchoscopy from intrathoracic airways or from buccal mucosa in the extrathoracic airways to identify smokers who are at risk for developing, or who already have, lung cancer. We are defining the normal airway transcriptome (all genes transcribed in airway epithelial cells obtained from both intra- and extra-thoracic airways) and how that transcriptome is altered by smoking or by cancer. The tools we use include gene expression profiling, bioinformatics, and computer programming. Parallel studies correlate patterns of airway gene expression with serum and airway, thus linking the airway and serum proteome to lung cancer. New approaches to understanding lung cancer biology This project will use lung cancer cell lines and cells from resected human lung cancers to produce lung cancer in mice. Our goal is to link tumor gene expression profiles to the biologic behavior of lung tumors, defining genetic signatures that link to tumor growth rate, metastatic potential, and prognosis. By transfecting cells with a fluorescent marker we will be able to follow the course of tumor dissemination in living mice and by adding various inducible genes to the cells we will explore the potential of altering the progress of the cancers. The tools we use include molecular biology and construction of transfectable vectors into cells, bioinformatics in mice, and biochemistry to examine the mechanisms by which mutant genes can affect tumor growth.

Wellington V. Cardoso, M.D., Ph.D.
Pulmonary, Allergy and Critical Care

Our research is focused on the mechanisms that regulate the development of the respiratory system in the mammalian embryo. This process initiates early in organogenesis with the establishment of respiratory cell fate in the foregut endoderm and formation of the lung and tracheal primordia. The lung then develops into a tree-like system of epithelial tubules intertwined with vascular structures, which ultimately gives rise to the airways and alveoli. We are investigating how respiratory progenitor cells are initially specified in the foregut and how they generate a wide diversity of cell types characteristic of the mature lung. We use functional mouse genetic approaches, organ and cell culture, genome wide screen, in situ hybridization and other strategies to study the role of specific pathways in the developmental programs of the lung. This research provides insights into basic mechanisms of lung development and stem cell/progenitor cell biology. These studies also have an impact on our understanding of the pathogenesis of conditions such as lung immaturity and pulmonary hypoplasia, and mechanisms of repair in the adult lung. Ongoing research projects (see also: http://www.bumc.bu.edu/Dept/Content.aspx?DepartmentID=63&PageID=13266):
- Retinoic acid signaling in lung development:
- Fgf10 regulation of lung progenitor cell expansion and bud formation
- Fgf-heparan sulfate interactions in lung epithelial morphogenesis:
- Notch signaling in lung cell fate

Catherine Costello, Ph.D.
Biochemistry

David M. Center, M.D.
Translational Research

Dr. Center is Boston University’s Associate Provost for Translational Research and the Director of the Clinical and Translational Research Institute funded by the NIH. As a result he directs Boston University’s efforts to facilitate translational research in all venues and leads a major effort in identifying new areas of development.

His own laboratory is interested in two major themes which revolve around roles for Interleukin-16, co-discovered with Bill Cruikshank in 1982. The first theme relates to the functions of IL-16 as a immunomodulatory cytokine. Over the past several years, in collaboration with Bill Cruikshank, he has studied the role of IL-16 in recruitment and development of Regulatory T cells and demonstrated that it plays a key role in tolerance to airborne allergens. Utilizing transgenic knockout and overexpressing mice his laboratory is involved in demonstrating the patterns of CD4+ T cell trafficking through lymph nodes and lung parenchymal in normal and immunologically challenged lungs and identifying potential therapeutic implications of altering recruitment patterns of Regulatory T cells.

The second major emphasis of his laboratory relates to the functional properties of the precursor protein for IL-16, Pro-IL-16 as a tumor suppressor gene. In these studies, along with Yujun Zhang he has shown that Interleukin-16 is synthesized as a precursor which is present in cytoplasm and nucleus of resting T cells. It contains a phosphorylation regulated nuclear localization motif and binds a nuclear chaperone hsc70 which is essential for transport to the nucleus where its presence induces arrest of the cell cycle at G0/G1. It inhibits the cell cycle by acting as a scaffolding protein that assembles a histone deacetylase complex targeted via binding to GA-BP to the Skp2 promoter using intermolecular PDZ binding motifs. Skp2 is an essential member of the ubiquitin ligase protein degradation pathway responsive for degrading the cell cycle cyclin dependent kinase inhibitor p27. In the presence of pro-IL-16, the complex inhibits Skp2 transcription, which in turn decreases p27 degradation resulting in rises in p27 levels and arrest of the cell cycle in G1. Current studies are directed at identifying mutations in Pro-IL-16 that predispose to T cell malignancies and determining its role is permissive exit from G1 in normal T cell activation and proliferation following antigen stimulation.
Links:
Boston University Pulmonary Center: Immunology Group
Boston University Asthma Clinical Center
Boston University Allergy Clinical Center
Boston University CTSI

Selected Publications:
1. Morgan, R, McAllister, B, Cross, L, Green, D, Kornfeld, H, Center, DM, and Cruikshank, WW. 2007 Histamine 4 receptor activation induces recruitment of FoxP3+ T cells and inhibits allergic asthma in a murine model. J. Immunol 178(12):8081-9.

2. McFadden, C, S, Green, D, Yamasaki, H, Center, DM, Cruikshank, WW. 2007 Preferential migration of T regulatory cells induced by IL-16. 2007. J. Immunol. 179: 6439-45.

3. Zhang, Y, Tuzova, M., Xiao, Z-XJ., Hanson, SK, Xie, H, Kornfeld, H, Cruikshank, WW, Center, DM. 2007 Pro-Interleukin-16 is a scaffold protein which targets Histone Deacetylase 3 to Transcription Factor GABP in the Skp2 Core Promoter. 2008 J. Immunol. 180:402-408.

4. Center, DM. 2007 Time to take the “Idio” out of Idiopathic Pulmonary Fibrosis: A call to arms. (Editorial). Am. J. Resp Crit Care Med 175(11):1101-2

David Chui, M.D.
Hematology and Medical Oncology

Herbert T. Cohen, M.D., Program Director
Nephrology

Dr. Cohen’s laboratory is addressing the molecular basis of renal cancer, renal cystic disease and renal development and offers special expertise in gene expression mechanisms, signal transduction, protein-protein interactions, transcription factors, and renal epithelial cell biology. The laboratory has identified the first member of new protein family, the Jade family of proteins, on the basis of its interaction with the von Hippel-Lindau tumor suppressor pVHL. pVHL protein is a key component of the cellular oxygen-sensing system. VHL is also the major renal cancer gene in adults. Jade-1 is a novel, growth suppressive plant homeodomain transcription factor that is the first protein found to be stabilized by pVHL. Jade-1 is also a ubiquitin ligase and key component of histone acetylation complexes. Interestingly, Jade-1 is stabilized by VHL protein in a manner that correlates with risk of renal manifestations in von Hippel-Lindau disease, which includes a cystic renal disease phenotype. A wider role for Jade-1 in renal cyst formation was therefore sought. Jade-1 is regulated by the product of the major gene for autosomal dominant polycystic kidney disease (ADPKD), polycystin-1, in a manner that is also disease relevant and physiologic. Importantly, Jade-1 serves as a critical ubiquitin ligase for the oncoprotein beta-catenin, which also plays critical roles in renal cancer, renal cyst formation and renal development. In part by controlling transcription and beta-catenin ubiquitination, Jade-1 and related family members are likely to be particularly important in many contexts. .

Techniques:
Cancer biology and epithelial cell biology approaches, advanced molecular biology approaches, protein-protein interactions, yeast 2-hybrid screening, protein ubiquitination assays, protein-DNA interactions, transcription assays, gene expression mechanisms including microarrays, confocal microscopy, transgenic and knockout mice.

Richard A. Cohen, M.D.
Cardiovascular Medicine

The research interests of the Vascular Biology Unit center around the biology and pathophysiology of nitric oxide (NO) in the setting of vascular disease. Areas of study are currently focused on novel signaling mechanisms that rely on ion channels and transporters. These include the regulation of intracellular calcium via NO-dependent inhibition of store-operated calcium influx by its ability to stimulate calcium uptake by sarcoplasmic/endoplasmic reticulum calcium ATPase. Levels of NO and its actions in diseased blood vessels are regulated by oxidants that both destroy NO and introduce post translational modifications of its protein targets. Thus, the calcium ATPase target of NO is inactivated by oxidants in diseased arteries. Levels of oxidants are increased in diseased arteries by endogenous enzymes. In hypertension, superoxide anion production by vascular NADPH oxidase is upregulated, and in diabetes, endothelial nitric oxide synthase becomes partially uncoupled, producing superoxide anion in addition to NO. NO and superoxide react to form peroxynitrite, a potent oxidant. Presence of this oxidant in vascular tissue is evidenced by tyrosine nitration of proteins, including the calcium ATPase and prostacyclin synthase. Inactivation of the latter enzyme leads to vasoconstrictor prostanoids responsible for adhesion molecule expression and apoptosis of endothelial cells. Inhibiting NADPH oxidase, over expression of superoxide dismutase, and antioxidants to prevent oxidative changes in vascular proteins all represent therapeutic interventions being investigated.

Wilson Colucci, M.D.
Cardiovascular Medicine

Dr. Colucci’s laboratory is studying the mechanisms that mediate myocardial remodeling and failure. A major focus is to understand the roles of reactive oxygen species in mediating myocyte phenotype via their effects on cell growth, gene expression and apoptosis. Recently, they have demonstrated that oxidative stress, mechanical deformation and catecholamines can induce both hypertrophic growth and apoptosis in cardiac myocytes. Parallel studies are being performed in vitro and in vivo using cultured cardiac myocytes and genetically-modified mice, respectively in order to determine the relationship between the molecular/cellular events involved in cardiac remodeling and alterations in physiological function that can be assessed at the single myocyte and whole heart level in transgenic and knock-out mice.

Barbara E. Corkey, Ph.D.
Molecular Medicine – Obesity

The main goal of work in the Corkey laboratory is to determine how fuels generate the signals to communicate among different organs in the body to modulate hormone and adipokine exocytosis, electrical activity, metabolism and gene expression. It involves assessment of the influence of metabolites and mitochondrial energy state on intracellular signal transduction in adipocytes, pancreatic ß-cells, liver and human fibroblasts. Recent emphasis has been on ion handling, respiration, the signaling consequences of cellular energy state, the influence of fatty acids on protein kinases and the role of fatty acids and long acyl CoA on signal transduction. Unique resources of the laboratory include imaging, fluorescence and amperometric techniques to measure responsiveness of living cells to various treatments and stimuli. Work is done in collaboration with scientists at Boston University School of Medicine, the BioCurrents Laboratory of the Marine Biological Institute, the Karolinska Institute, the Universities of Chicago, Montreal and Pennsylvania, and the Hamner Institutes for Health Sciences. Catherine Costello, Ph.D

Biopolymer structural studies based on development and application of mass spectral methods. The objective of our research is to establish the detailed structures of biopolymers in order to understand their structure-activity relationships as they influence or reflect biological processes related to health, growth and development, and disease. Our particular focus for new method development is on the needs of glycobiology, since carbohydrates and their conjugates (glycoproteins, glycolipids, etc.) are involved in targeting and immune system recognition, nervous system growth and development, infection, parasite response, carcinogenesis, and other critical processes. The techniques for full structural characterization of these complex molecules are much less developed than are methods for linear biopolymers (proteins and oligonucleotides). Our protein studies include determinations of post-translational modifications related to oxidative stress in cardiovascular disease and investigations of protein misfolding disorders. Recent introduction of new mass spectral ionization methods and rapid progress in means for mass separation and detection now make it possible to perform structural studies on low picomole amounts of samples even when they are complex mixtures. In our research program we are refining and extending the tools of mass spectrometry and are applying them to collaborative studies undertaken with colleagues at BUSM and other institutions around and outside the US. Our laboratory includes a Resource Center sponsored by the NIH National Center for Research Resources and the NIH National Heart, Lung and Blood Institute-supported Cardiovascular Proteomics Center.

William W. Cruikshank, Ph.D.
Pulmonary, Allergy and Critical Care

Current research in the lab addresses the physical as well as functional interaction between CD4 and its natural ligand, interleukin-16. The studies are designed to investigate this relationship at several different levels. The first is to identify the mechanism by which IL-16 associates with CD4. This includes identification of binding, and bioactive, sites for both IL-16 and CD4. The interaction between IL-16 and CD4 appears to differ in Th1 versus Th2 cells, and therefore a focus of these studies is to delineate this difference. A second set of studies addresses intracellular signaling resulting from IL-16 stimulation of CD4+ T cells. This involves identifying and differentiating pathways involved in the induction of migration versus the effect of IL-16 on cell cycle progression. In addition, studies have indicated that IL-16 stimulation induces receptor cross-desensitization of several of the chemokine receptors. The relationship between CD4 signaling and chemokine signaling is also under investigation. The final set of studies address the in vivo role of IL-16 in the pathogenesis of inflammation. The generation and use of IL-16 transgenic and IL-16 knockout mice have clearly indicated that IL-16 functions to modulate inflammation in a model of allergic asthma. The elevated presence of IL-16 in the lung results in less airway reactivity and less inflammation. A similar finding is seen in a mouse model of rheumatoid arthritis. The mechanism for this effect resides in the ability of IL-16, by virtue of it’s binding to CD4, to disrupt CD4 dimerization and subsequent contribution to T cell activation. The current hypothesis is that generation of IL-16 at sites of inflammation is a response mechanism that serves to limit the inflammatory response.

Karen T. Cuenco, Ph.D.
Molecular Medicine – Genetics

Shoumita Dasgupta, Ph.D. Chairperson, Qualifying Exams
Molecular Medicine – Genetics Program

Gerald V. Denis, Ph.D.
Hematology and Medical Oncology

All of the work in our lab is focused on the study of a novel transcriptional co-activator, the double bromodomain protein Brd2. This protein is related to the basal transcription factor TAF250; Brd2 binds to acetylated histones through its bromodomains, then recruits transcription factors and co-activators/co-repressors to chromatin. Through its association with the SWI/SNF complex, Brd2 helps remodel chromatin to regulate the transcription activity of many genes. This highly conserved and ubiquitous protein is essential for life; knockout of the gene is lethal in all organisms tested so far (mice, Drosophila, yeast). We have found that, in mammals, two key targets of Brd2 are the cyclin A locus, which controls cell cycle progression through S phase, and gene targets of the PPAR transcription factor, which controls adipogenic transcription. Brd2 is a positive regulator of cyclin A but a negative regulator of adipogenesis. In transgenic mice that constitutively express Brd2 in B cells, cyclin A is upregulated and the cell cycle is destabilized, leading to an aggressive non-Hodgkin’s lymphoma, which in humans is one of the major contributors to cancer death. We are developing new molecular profiling and therapeutic approaches to treat this malignancy. On the other hand, whole-animal knockdown of Brd2 in mice causes extreme, morbid obesity; dramatically illustrating a role for Brd2 in energy homeostasis. The unexpected role of Brd2 in energy metabolism has profound significance for human health: demographic projections warn of an enormous, worldwide increase in morbidity and mortality associated with obesity. The incidence of individuals with diabetes is expected to reach 366,000,000 by 2030; and these cases will be accompanied by numerous health complications. Much of the incidence Type 2 diabetes will be directly related to obesity. We are investigating human populations to understand Brd2’s involvement in obesity as well as hematologic cancers, and we are actively exploring Brd2 mechanisms of transcriptional control in collaboration with BUSM experts in diabetes and cancer.

Maria Isabel Dominquez, Ph.D.
Hematology and Medical Oncology

The canonical Wnt pathway is essential for proliferation and cell fate determination in adult tissues and during embryonic development. Our long-term goal is to characterize the mechanism of Wnt signaling and understand the role of the Wnt pathway in development and cancer. We are focusing our studies on the function, regulation and mechanism of action of two components of the Wnt pathway: the serine-threonine kinases CK2 and GSK3beta. To understand the role of these kinases in embryonic development, we utilize two model organisms: the frog Xenopus laevis and the mouse. In Xenopus laevis, we have implicated CK2 and GSK3beta in regulating maternal dorsal fate determination. Currently, we aim to determine how these two kinases are regulated endogenously during early frog Xenopus laevis development. In the mouse, through the study of CK2alpha ablated embryos, we have implicated CK2 in regulating cellular differentiation and morphogenesis of the heart. We are pursuing biochemical, molecular and genetic approaches to determine the downstream targets of CK2 during heart development. Concomitantly, we are using Xenopus and cell culture to understand the molecular mechanism of action of CK2 and GSK3beta in Wnt signaling. Understanding how the Wnt pathway is normally activated is a prerequisite to understand its dysregulation displayed in cancers. Utilizing Xenopus embryos, we have shown that CK2 is sufficient and necessary for canonical Wnt signaling. Ongoing studies focus in determining the mechanism of regulation of Wnt signaling by CK2, and in the development and testing of novel CK2 inhibitors in vivo in Xenopus and in vitro in breast and colon tumor cell lines.

Thomas A. Einhorn, M.D.
General Orthopaedic Surgery

Research focus on the molecular mechanisms of skeletal repair. Specific areas of investigation include an understanding of the molecular genetics of fracture healing, cartilage repair, and bone regeneration. Studies are performed in vitro and in vivo. Both normal and genetically manipulated animal models are utilized including knockout, conditional knockout, novel binary systems, and siRNA knockdown protocols. The roles of peptide signaling molecules, pro-inflammatory cytokines, pharmaceuticals and angiogenic agents on bone and cartilage repair and regeneration are investigated.

Douglas V. Faller, M.D., Ph.D.
Hematology and Medical Oncology

A major focus of Dr. Faller’s laboratory is the study of the basic molecular and cellular biology of virus- and oncogene-transformed cells and tumors. He determines the mechanisms by which retroviruses and their oncogenes cause tumors, by defining the ways in which oncogenes control host cell gene expression. A special interest of his laboratory involves viral regulation those cellular genes encoding proto-oncogenic molecules and cytokines. Dr. Faller analyzes the molecular mechanisms by which oncogene-transformed cells become autonomous of growth factor requirements. This work involves the elucidation of growth-factor signal transduction pathways and cell cycle control in normal and trans-formed mesenchymal and lymphoid cells, and study of the ways in which this signaling pathway and cell cycle checkpoints are disrupted or circumvented in tumor cells. This work has resulted in new information regarding the transduction of growth factor signals by second messenger systems in both normal and transformed cells. His laboratory also studies the role of oncogenes in programmed cell death, and how this can be exploited for therapeutic intent. A related area of his research is the interaction of retroviruses and the tumors they induce with cellular immune defense mechanisms. The means by which virus- or tumor-specific cytotoxic T lymphocytes, natural killer cells and monocytes recognize and destroy infected cells and tumors is under investigation, as are the molecular mechanisms by which tumors escape from immune surveillance. The mechanisms of aberrant control of Class I Major Histocompatibility Antigen gene expression in oncogene-transformed cells, retrovirus-infected cells and naturally-occurring tumors are being determined. A new transactivation property of murine leukemia viruses has been elucidated, which controls the expression of genes in the host cell important to the leukemogenic process. His laboratory also has a translational research program which develops molecular cancer therapeutics derived from his basic research, and tests them in clinical trials.

Lindsay A. Farrer, Ph.D.
Medicine – Genetics Program

Dr. Farrer is Chief of the Genetics Program and a Professor of Medicine, Neurology, Genetics & Genomics, Epidemiology, and Biostatistics at Boston University Schools of Medicine and Public Health. He has served as served as the dissertation advisor or primary mentor for many pre-doctoral and postdoctoral trainees who have embarked on successful research careers. His laboratory is focused on identifying the genetic basis of several complex diseases and developing genetic mapping methods for locating modifiers for disorders whose primary defects are already known, but account for only a small portion of the phenotypic variation. Such modifier genes will probably be more amenable than the primary structural genes to strategies for delaying or modulating expression. Working together with other BU researchers, his lab is leading efforts to identify genes for hypertension and severe asthma, and genes influencing severity and expression of sickle cell anemia. In collaboration with researchers at other academic institutions, they are conducting genome scans to uncover genes conveying susceptibility to substance dependence and macular degeneration. In 2005, they identified a functional genetic variant in the complement factor H gene which accounts for approximately 50% of the attributable risk for macular degeneration, the leading cause of progressive vision loss and blindness in the elderly. Dr. Farrer’s major research focus is Alzheimer disease (AD). He directs the MIRAGE Project, a multi center study of AD funded since 1991 by the National Institute on Aging which has a long term goal of identifying genetic and environmental risk factors for AD. This study was the first to demonstrate that genetic factors have a major role in the development of AD. His team has also shown that the ε4 variant of apolipoprotein E (APOE), the strongest AD risk factor identified thus far, is more weakly associated with disease in men and persons older than 75 years. The aim of the currently funded project is to compare variations in genes related to vascular functioning with disease risk and pre-clinical changes evident on MRI scan of the brain in 1000 White and African American AD families. In 2007, Dr. Farrer co-directed an international study which demonstrated in that neuronal sortilin-related receptor SORL1 is genetically and functionally associated with AD. Currently, his lab is conducting genome wide association studies for AD in Caucasian and African American families in the MIRAGE Study and in an inbred Israeli Arab community with an extraordinarily high prevalence of the disorder.

Alan Fine, M.D.

Pulmonary

Knowledge about the identity, localization, and biology of lung stem/progenitor cells has lagged behind what is known for other organ systems. This state-of-affairs is a direct result of a variety of technical issues such as a deficiency of informative markers that can be used to precisely characterize putative stem cell populations in the lung. Advancements in the field have also been limited by impediments imposed by the unique biology of the lung, including its marked cellular complexity and slow cell turnover. One additional fundamental limitation in our knowledge base is an uncertainty over the extent and mechanisms involved in adult lung regeneration.

The Fine laboratory is addressing these broad themes in a variety of experimental contexts, including mouse lung development and adult lung injury repair. Using these model systems, they seek to identify reparative and progenitor cell lung populations, and the genetic programs that control their fate. One particular interest involves understanding how differentiated mesenchymal elements, such as bronchial and pulmonary artery vascular smooth muscle evolve and differentiate during embryogenesis and during the early post-natal period. Clarification of these issues has broad implications for understanding the basic biology of the lung and also for the design of therapies for a variety of lung diseases, including asthma, pulmonary hypertension, and interstitial pulmonary fibrosis.

An extension of these studies involves defining the interactions between the developing lung and the developing hematopoietic system. These interactions are necessary for establishing a local and functional innate immune system prior to birth. This work is focused on elucidating how the embryonic lung locally controls differentiation of myeloid progenitors that the Fine lab found localized to the primitive fetal lung mesenchyme. They are also pursuing studies that will determine how certain distinct classes of hematopoietic cells regulate development of the lung’s arterial system in utero.

Jane E. Freedman, M.D.
Cardiovascular Medicine

Susan K. Fried, Ph.D.
Endocrinology, Diabetes and Nutrition

Lisa Ganley-Leal, Ph.D.
Infectious Disease

Human schistosomiasis, caused by three main species of tissue invasive parasitic trematodes, currently affects over 207 million individuals and remains a significant cause of morbidity in developing countries. Vaccine development for this disease has been hampered by a poor understanding of the mechanisms involved in protective immunity in humans. A relatively consistent finding in field-based studies is a correlation between high serum concentrations of parasite-specific IgE and resistance to reinfection following curative chemotherapy. However, the role(s) of putatively protective IgE remains elusive. In collaboration with the Centers for Disease Control and Prevention and the Kenyan Medical Research Institute, the correlates of immunity to schistosomiasis in an occupationally hyper-exposed group of Kenyan laborers are being investigated. Our preliminary data suggests that increased expression of the IL-4-induced IgE receptor found on B cells, CD23 (FcRII), is strongly associated with a history of resistance against S. mansoni in the occupationally-exposed population. We are currently dissecting the role of CD23/IgE complexes in eliciting protective immunity to schistosomes by correlating field-based clinical studies with our in vitro model system to further vaccinology efforts for this disease.

Another focus of my laboratory involves the beneficial relationship between parasitic worms and the human immune system. While some parasitic worms induce significant pathology, such as schistosomes, others have co-evolved with humans and appear to immunomodulate the immune system in a favorable manner. Thus, the “hygiene hypothesis” is based on the premise that lack of exposure to helminths predisposes certain individuals to immune-mediated disease, such as inflammatory bowel disease (IBD). In collaboration with Dr. Francis Farraye and Dr. Barbara Nikolajczyk, we have found that B cells from patients with IBD are chronically activated and that parasitic helminths demonstrate the unique ability to downregulate this inflammatory response. This portion of my research therefore focuses on defining the host-parasite interaction between inflammatory B cells and worms with the ultimate goal of developing naturally-derived anti-inflammatories to treat patients with IBD and other chronic inflammatory diseases, such as diabetes.

Caroline Attardo Genco, Ph.D.
Infectious Disease

Dr. Genco’s laboratory is interested in the characterization of specific bacterial virulence factors produced by the mucosal pathogens Neisseria gonorrhoeae, N. meningitidis, and Porphyromonas gingivalis, and the underlying molecular mechanisms by which these factors enable these organisms to cause disease. She is particularly interested in mechanisms utilized for colonization and in particular in the ability of environmental factors to modulate bacterial gene expression. Her laboratory has defined the mechanisms of iron transport in both N. gonorrhoeae and P. gingivalis, characterized several outer membrane receptors required for transport and utilization of iron. Dr. Genco’s laboratory is particularly interested in how virulence genes are expressed in vivo and the role of iron in gene regulation in vivo. Iron starvation is used as a signal by many pathogens that they are in a host environment resulting in the expression of virulence factors that are transcriptionally regulated by iron through the ferric uptake regulator protein, Fur. Dr. Genco’s laboratory has defined the Fur-regulon in N. gonorrhoeae, N. meningitidis and in P. gingivalis. Her studies have established that the transcriptional regulatory protein Fur controls the expression of numerous genes that are required for the virulence of N. meningitidis and N. gonorrhoeae. Her laboratory as also recently identified a novel mechanism for Fur-mediated regulation through small regulatory RNAs. Current studies are aimed at examining the regulation and expression of Fur-regulated genes in vitro, and in vivo directly in clinical specimens. Several different model systems are used to examine the interactions of bacteria with the host. These include animal models for gonococcal infection and P. gingivalis oral infection. Her laboratory also utilizes epithelial and endothelial cells to study the interactions of N. gonorrhoeae and P. gingivalis with host cells, which are permissive for these pathogens. Currently the laboratory is examining the interactions of N. gonorrhoeae expressing GFP (green fluorescent protein) with endocervical, ectocervical and vaginal cell lines. Using these cell lines they have demonstrated distinct proinflammatory responses in different compartments of the female lower genital tract. Furthermore she has also utilized these cells to demonstrate that infection with N. gonorrhoeae inhibits the apoptotic response of these cells. Thus N. gonorrhoeae may establish infection in women by inhibiting the apoptotic response to infection, thereby resisting killing from both the host cell and the innate immune response. Furthermore, prolonged survival of the host cell potentially allows the bacteria to successfully invade cervical tissue, eventually transcending to the upper genital tract. Another area of interest in Dr. Genco’s laboratory is the development of vaccine candidates to prevent P. gingivalis induced periodontal disease. Using several different animal models her laboratory has demonstrated that the P. gingivalis cysteine proteases (gingipains), major virulence factors of this organism, function in a protective manner in animal models following P. gingivalis challenge. Finally, an exciting area of new work in Dr. Genco’s laboratory is examining the specific cellular and molecular mechanisms by which infectious agents contribute to chronic inflammation and specifically the role of the innate immune response in atherosclerosis. Dr. Genco has established that P. gingivalis accelerates atherosclerotic plaque accumulation and that is mediated by innate immune recognition to invasive bacterial infection. Her laboratory has established that P. gingivalis infection and inflammation in endothelial cells is mediated through fimbriae signaling through Toll-like receptors. Finally her laboratory has established that TLR2 plays a critical role in the atherosclerotic inflammatory response that is independent of dietary lipids. Current studies are focused on other chronic infections such as that caused by the respiratory pathogen Chlamydia pneumoniae in well-defined models of atherosclerosis and defining the role of the innate immune bacteria with the host. These include animal models for gonococcal infection and P. gingivalis oral infection. Her laboratory also utilizes epithelial and endothelial cells to study the interactions of N. gonorrhoeae and P. gingivalis with host cells, which are permissive for these pathogens. Currently the laboratory is examining the interactions of N. gonorrhoeae expressing GFP (green fluorescent protein) with endocervical, ectocervical and vaginal cell lines. Using these cell lines they have demonstrated distinct proinflammatory responses in different compartments of the female lower genital tract. Furthermore she has also utilized these cells to demonstrate that infection with N. gonorrhoeae inhibits the apoptotic response of these cells. Thus N. gonorrhoeae may establish infection in women by inhibiting the apoptotic response to infection, thereby resisting killing from both the host cell and the innate immune response. Furthermore, prolonged survival of the host cell potentially allows the bacteria to successfully invade cervical tissue, eventually transcending to the upper genital tract. Another area of interest in Dr. Genco’s laboratory is the development of vaccine candidates to prevent P. gingivalis induced periodontal disease. Using several different animal models her laboratory has demonstrated that the P. gingivalis cysteine proteases (gingipains), major virulence factors of this organism, function in a protective manner in animal models following P. gingivalis challenge. Finally, an exciting area of new work in Dr. Genco’s laboratory is examining the specific cellular and molecular mechanisms by which infectious agents contribute to chronic inflammation and specifically the role of the innate immune response in atherosclerosis. Dr. Genco has established that P. gingivalis accelerates atherosclerotic plaque accumulation and that is mediated by innate immune recognition to invasive bacterial infection. Her laboratory has established that P. gingivalis infection and inflammation in endothelial cells is mediated through fimbriae signaling through Toll-like receptors. Finally her laboratory has established that TLR2 plays a critical role in the atherosclerotic inflammatory response that is independent of dietary lipids. Current studies are focused on other chronic infections such as that caused by the respiratory pathogen Chlamydia pneumoniae in well-defined models of atherosclerosis and defining the role of the innate immune response in accelerated atherosclerosis. These studies employ in vitro model systems for platelet, endothelial cells, and macrophages. The common theme of these studies is to examine the role of infection and the innate immune response in early events associated with atherosclerosis in well-defined in vitro and in vivo systems.

Genco Laboratory Website

Louis C. Gerstenfeld, Ph.D.
General Orthopaedic Surgery

All of our studies focus on bone repair after trauma or surgical treatment. All of our ongoing research is translational and has adapted human surgical techniques to small animal models to address our research goals. We use a combination of state of the art assessments tools to examine fracture and bone repair in vivo including micro-computer assisted tomography (CT) biomechanical testing for strength and material property and novel tools of three dimensional tissue reconstruction of sequential histological specimens. We use cell based models of primary cultures isolated from the bone marrow and fracture callus and several skeletal cells lines to compliment our animal studies. We use all forms of state of the art molecular analysis both in vivo and in vitro including transgenic animal models, retroviral knock down strategies and various approaches of mRNA expression analysis from RT-PCR to large scale transcriptional profiling.
1) We have numerous ongoing projects covering a diverse set of pre-clinical trials of biological compounds, small molecule pharmaceuticals and cell based therapies that are directed at enhancing fracture healing. Our pre-clinical trials of compounds and drugs involve studies of Bone Morphogenetic Protein (BMPs), VEGF and PTH as therapeutics for improvements in bone healing. We also use cell based stem cell therapies to promote healing.
2) Our basic research studies in fracture healing focus on three project areas. One set of projects examines the role of the innate immune system as a primary initiator in bone regeneration after injury and have primarily focused on the role of tumor necrosis factor (TNF) and Fas mediated cell apoptosis. A second project area is focused on the VEGF signaling during fracture healing. Our final set of projects focuses on the role of inherited genetics in bone and variations in stem cell populations that give rise to repair tissues during fracture healing. This project makes use of inbred strains of mice that have definable variations in bone quality as defined by variation in geometric characteristics and material property intrinsic to mineral and matrix properties. This projects specifically examines how genetic variations effect fracture healing.

Frank C. Gibson III, Ph.D.
Infectious Disease

Dr. Gibson’s primary research interests focus into the mechanisms underlying microbial pathogenesis and gaining better insight into both host-specific and pathogen-specific activities/structures affecting diseases of the oral cavity. The principal organism studied in the Gibson lab is the anaerobic pathogen Porphyromonas gingivalis. Ongoing research interests in the Gibson lab include defining the properties of the capsular polysaccharide of P. gingivalis that influence disease caused by this organism. Dr. Gibson is interested in the defining the impact of chronic infections such as periodontal disease on the progression of systemic diseases including atherosclerotic cardiovascular disease. In addition, the Gibson lab has initiated studies to identify the influence of aging on the host inflammatory response directed at P. gingivalis. Genetic techniques, molecular approaches, as well as cell and animal modeling are routinely employed in the Gibson lab to better characterize novel host-pathogen interactions.

Jianlin Gong, M.D.
Molecular Medicine – Obesity

Dr. Gong’s research work is focused on the development of dendritic cell (DC)-based tumor vaccine. One of the DC-based tumor vaccine pioneered by her group is through the use of fusion between DC and tumor cells. The fusion of DC with tumor cells represents in many ways an ideal approach to deliver, process, and subsequently present tumor antigens to the immune system. DC-tumor fusion vaccine is effective in the elimination of established pulmonary metastases in the animals. Coculture of cancer-patient-derived T cells with the fusion vaccine induces CTL against autologous tumor cells. These studies have culminated in a phase I clinical trial of DC-AML fusion vaccine for patients with acute myelogenous leukemia (AML) in BMC organized by her and Dr. Adam Lerner in the division of Hematology/Oncology. In studying the molecular basis of DC-tumor fusion vaccine, her laboratory has identified that the tumor-antigen peptides chaperoned by heat shock protein may be the therapeutic component of DC-tumor fusion cells. This finding could potentially be the basis for a vaccine for clinical use. Her laboratory has several transgenic murine models, including a mouse (MMT) with expression of polyomavirus middle T oncogene and development of spontaneous mammary carcinomas. This murine model mimics breast cancer development in humans and thus is highly relevant to the study of human breast cancer. MMT mice are being crossed with mice deficient in telomerase, the biologic clock that controls cell division, to determine the role of telomerase in the tumorigenesis of breast cancer.

Diddahally R. Govindaraju, Ph.D.
Neurology

Robert C. Green, M.D., M.P.H.
Neurology

Dr. Green is the Associate Director of Boston University’s Alzheimer’s Disease Clinical and Research Program, and is the Clinical Director of the NIA-funded Alzheimer’s Disease Center. Dr. Green’s research interests are in early and preclinical detection, treatment and prevention of Alzheimer’s disease. His current research studies have both a clinical and genetic focus. Dr. Green is Principal Investigator and Director of the REVEAL Study (Risk Evaluation and Education for Alzheimer’s disease) a multi-center project funded by the National Human Genome Research Institute and the National Institute on Aging to develop genetic risk assessment strategies for individuals at risk for Alzheimer’s disease. Dr Green also serves as a consultant on the NIH-funded Cache County Memory and Aging Study and is the Boston site director of the NIH-funded ADAPT Study (Alzheimer’s Disease Anti-Inflammatory Prevention Trial), one of the first large-scale intervention trials to prevent the development of Alzheimer’s disease in at-risk family members. Dr. Green is the author of over 120 publications, serves on a number of advisory, editorial and grant review boards, and is immediate past President of the Society for Behavioral and Cognitive Neurology. He has been voted one of America’s “Best Doctors” by his peers.

James A. Hamilton, Ph.D.
Physiology and Biophysics

Dr. Hamilton’s laboratory is developing and applying novel physical approaches to study of obesity, metabolic syndrome, and cardiovascular disease. 13C NMR methods pioneered in his laboratory have been used to describe the interactions of fatty acids and drugs with binding sites on albumin, and new studies are currently correlating important details predicted by NMR with recent x-ray crystal structure. His laboratory has determined the complete solution structure of several intracellular fatty acid binding proteins (FABP) by multi-dimensional NMR and is studying the molecular details of ligand binding to FABP. New fluorescence approaches have been developed to characterize the diffusion of fatty acids into adipocytes and evaluate the effects of drugs and inhibitors on fatty acid uptake.

A newer focus of research is the application of magnetic resonance imaging (MRI) to examine fat tissue and atherosclerosis. These studies extend from animal model systems (mouse and rabbit) to humans. The work emphasizes interactions of different disciplines on translation of basic biophysics to human disease aspects. Our study of subjects with metabolic syndrome and obesity explores the hypothesis that a unifying feature of metabolic syndrome is enhanced deposition of lipids throughout the body outside of the normal adipose stores. These inappropriate stores include hepatocellular triglyceride, perivascular and pericardial triglyceride. MR imaging will identify and quantify site-specific abnormalities in obese patients such as cardiac functions.

In our animal studies of atherosclerosis, imaging of live mice allows us to follow diseases and therapies in a single animal over a long period of time. A rabbit model of the acute event of atherosclerosis, plaque rupture and thrombosis is being studied to develop MRI for prediction of unstable and high risk plaques. In humans with advanced carotid atherosclerosis who are undergoing endarterectomy, we will use MRI to determine evidence of inflammation and plaque vulnerability and perform in vivo and ex vivo to enhance the application of MRI to carotid plaque characterization

Andrew J. Henderson, Ph.D., Journal Club
Infectious Disease

Effective strategies for eradicating HIV infection will depend on purging virus from cellular reservoirs that harbor transcriptionally latent HIV provirus. How HIV latency is established and maintained is poorly understood since studies on HIV transcription repression have been hindered by the rarity and inaccessibility of latently infected cells. The primary focus of the Henderson lab is developing approaches to investigate how cellular signals regulate HIV transcription and replication. Current projects include examining signal transduction pathways that impact HIV replication, including repression of provirus transcription. We have characterized both positive and negative signaling pathways that impact multiple steps of the HIV replication cycle. In addition, we have gained insights into how latent provirus is induced providing potential new therapeutic targets for HIV. These studies have provided a better understanding of the factors that limit HIV expression in different cell populations.

Victoria Herrera, M.D.
Molecular Medicine – Obesity

Our research work focuses on the molecular genetic basis of hypertension and its target organ complications such as increased susceptibility to coronary artery disease and stroke with particular attention to gender-specific issues and fetal basis of these susceptibilities. Work also focuses on the investigation of the role of the dual endothelin-1/angiotensin II receptor (Dear) on cardiac and vascular network development. The investigation of molecular mechanisms underlying hypertension-coronary artery disease interaction involves a) the dissection of pathways involved in vulnerable plaque development and destabilization using an integrated approach spanning histopathology, transcription profiling, biomarker identification and in vivo pathway testing using transgenic rat models, and b) identification of genetic modifiers of hyperlipidemia relevant to gender and genetic background differences through total genome search for putative quantitative trait loci in F2 intercross hybrids. The investigation of the molecular mechanisms underlying hypertension-stroke interaction and dissection of gender-specific issues and fetal basis of adult-onset hemorrhagic stroke involves a) modeling in transgenic rats addressing both gender-specific issues and fetal basis mechanisms, b) investigation of disease course changes in cellular and molecular events in the neurovascular unit, and c) investigation of mechanism-based biomarkers predictive of risk or onset of hemorrhagic stroke. The investigation of the role of a unique dual-ligand receptor, Dear, in cardiac and vascular development involves tissue-specific gene-targeting experiments in mouse models as well as development of in vitro experimental systems, based on initial observations identifying Dear as a key player in cardiac and vascular network formation.

Michael F. Holick, M.D., Ph.D.
Endocrinology, Diabetes and Nutrition

Our research focuses on how sunlight provides humans with their vitamin D requirement and explores the multitude of roles that vitamin D has for health. Dr. Holick’s laboratory has several mouse models that evaluate the importance of vitamin D nutrition as a chemopreventive agent for human prostate and colorectal cancers. His laboratory is evaluating several novel vitamin D analogues that have the potential for treating colorectal and prostate cancer. Investigations into the mechanism of action as to how vitamin D regulates genes responsible for cellular and proliferation have provided insights into the importance of vitamin D for cancer prevention. A study is underway to evaluate the effect of giving a pharmacologic dose of vitamin D to men with prostate cancer to determine what its impact is on their prostatic specific antigen (PSA) levels as well as quality of life. In addition, a group of men with prostate cancer will be receiving ultraviolet irradiation to determine whether the skin’s production of vitamin D and its photoproducts have any additional benefit for controlling the rise in PSA level and improving quality of life. Studies are underway to better understand how exposure to sunlight affects both human cultured keratinocytes and melanoma cells in culture. The goal is to determine which genes are being regulated by ultraviolet irradiation and how this affects the proliferation and differentiation of the skin cells. Dr. Holick’s laboratory has been investigating the role of parathyroid hormone related peptide (PTHrP) in skin and hair proliferation and differentiation. Studies have shown that PTHrP receptor agonists inhibit skin cell proliferation and induce terminal differentiation and have been effective in treating psoriasis. PTHrP receptor antagonists enhance epidermal and hair follicle keratinocyte proliferation resulting in stimulating in both skin and hair growth. A study is underway to evaluate the potential clinical application for the use of a PTHrP receptor antagonist for mitigating alopecia in women undergoing chemotherapy for breast cancer.

Robin Ingalls, M.D.
Infectious Disease

Over the last decade, a new appreciation for the innate immune system has emerged in the immunology field. The innate immune system is the first line of defense against invading pathogens, and is required to optimize the more specialized adaptive immune response. Our laboratory is interested in understanding the innate immune recognition of pathogenic bacteria at mucosal surfaces. The mucosal surface, once described by the late Charles Janeway as the frontier of the immune system, is a complex biosystem providing physical, chemical and cellular defenses against pathogens while tolerating a host of commensal bacteria. One of the main projects of the laboratory is to understand the role of innate immune receptors, adaptor proteins and soluble mediators in driving responses to the sexually transmitted bacterial pathogens, Neisseria gonorrhoeae and Chlamydia trachomatis. In particular we are interested in understanding mucosal immune response in the upper and lower female reproductive tract, as these infections disproportionately impact on women, leading to the complications of tubal infertility, ectopic pregnancy, and chronic pelvic pain. We have established in vitro and in vivo (mouse) models to study both the protective immune response as well as the complications associated with infection. In addition to our long-standing studies on sexually transmitted infections, we have recently started a project to compare the mucosal immune response in the respiratory tract with that of the genital tract, using the mouse pathogen C. muridarum and the human pathogen C. pneumoniae. Finally, related to the C. pneumoniae respiratory studies, we have also started to investigate the role of innate immunity in mediating the chronic inflammatory plaque formation associated with C. pneumoniae infection.

Mark Klempner, M.D.
Infectious Disease

Dr. Klempner’s research includes investigations into the basic molecular biology and pathogenetic mechanisms of the Lyme disease spirochete, Borrelia burgdorferi, patient-based clinical research on prevention, diagnosis and treatment of Lyme disease and novel molecular methods for detecting, identifying and quantitating microorganisms. Dr. Klempner began his research in the area of host defenses against infection with particular emphasis on the biology of human neutrophils. After basic studies on pathways of signal transduction for secretion and the respiratory burst in neutrophils, as well as clinical studies on the intracellular penetration of antibiotics into these cells, Dr Klempner’s research into Lyme disease naturally began with investigations of host defenses against this spirochete. His laboratory has studied how borrelia are killed by human neutrophils, how pathogenic strains resist neutrophil bacteriocidal activity, neutrophil chemotactic factors in synovial fluid of patients with arthritis due to Lyme disease, the ability of borrelia to penetrate and persist in human fibroblasts, and the acquisition of host proteases by borrelia which lead to tissue destruction and invasiveness of Borrelia burgdorferi. Recently his laboratory has cloned and characterized the oligopeptide transport (permease) system in borrelia and is currently investigating how borrelia adapts its nutrient capture to the particular environments that the bacteria encounters (e.g. tick, mouse, human). Using in vitro and in vivo models Dr. Klempner’s laboratory is also studying the role of matrix metalloproteinases (which are made in response to Borrelia exposure) in the pathogenesis of Lyme disease. Methods employed in these studies include the generation of knockout mice deficient in matrix metalloproteinase and proteinase activators (e.g. plasminogen). Dr. Klempner’s patient based studies focus in two general areas: vaccine protection and post-treatment chronic Lyme disease. In the vaccine studies Dr. Klempner participated in the human efficacy studies of the Osp A vaccine and was the principal investigator in studies of the consistency of manufacture of the vaccine. He is currently investigating the basis for loss of vaccine efficacy in the elderly (immune senescence) using the OspA lipoprotein vaccine as a model system. With regard to the clinical studies on patients with post-treatment chronic Lyme disease the Klempner research team is studying, in a double blinded placebo controlled trial, whether intensive antibiotics are beneficial to these patients, whether evidence for persistence of the spirochete can be found in these patient, whether chronic Lyme disease symptoms are due to co-infections with other tick borne pathogens, the utility of novel diagnostic tests in these patients, and the development of a predictive model for patients who might benefit from treatment. His team has recently published the results of the treatment trial which determined that 90 days of antibiotics were not better than placebo and that evidence of persisiting borrelial infection could not be found in these patients. The Klempner team also described the presence of a novel 130 kd matrix metalloproteinase in the CSF of some patients with post treatment chronic Lyme disease and the absence of sCD14 in these patients’ serum (unlike patients with untreated chronic Lyme disease symptoms). A separate area of research in the Klempner lab is focused on the development of a novel system to detect and identify microorganisms that uses phage display libraries and microsensors. As part of an NSBRI/NASA funded initiative his laboratory has begun the development of “fingerprinting” phage display libraries which can detect, identify, quantify and discriminate bacterial and fungal species in environmental and biological specimens. Arrays of phage displayed peptides and antibody fragments are applied in a microarray to the surface of a microsensor to demonstrate the microarray microbial fingerprint response to selected bacterial and fungal species using optical readout and electronic MEMS resonator arrays. These response patterns are then used for the development of algorithms from the microarray response for the real time identification and discrimination of microbial species.

Darrell Kotton, M.D.
Pulmonary, Allergy and Critical Care

The remarkable capacity of stem cell populations (such as adult hematopoietic stem cells and embryonic stem cells) to indefinitely self-renew or differentiate into multiple lineages has generated considerable excitement in the scientific and lay communities alike. Although stem cells hold enormous promise for the field of regenerative medicine, our approach is based on the long-term goal of understanding how stem cells recapitulate normal developmental milestones as they self-renew and differentiate. Because appropriate recovery of the lung epithelium after injury involves reactivation of early developmental pathways, understanding how embryonic stem cells differentiate and develop into lung epithelial lineages is likely to reveal how the lung recovers from injury and disease.

For our studies we employ a murine embryonic stem cell line engineered to express three knock-in reporter molecules (Brachyury-GFP, Foxa2-hCD4, and Titf1-hCD8). Sequential expression of these reporters indicates the sequential differentiation of ES cells through a primitive streak-like stage into multipotent endodermal precursors followed by early lung epithelial progenitors. Thus, this novel tool should allow us to precisely quantify and purify cells progressing through early stages of endoderm and lung development. Currently we are able to efficiently derive multipotent definitive endoderm in 66% of cultured ES cells after activin A stimulation. These endodermal precursors may be purified by flow cytometry and possess the capacity to undergo further lineage specification into early liver, pancreas, and lung epithelial precursor phenotypes. In contrast to undifferentiated ES cells, which form teratomas in mice if transplanted, our purified endodermal precursors derived from ES cells may be transplanted under mouse kidney capsules where they do not result in teratomas but rather form organized luminal structures with a highly organized epithelium. We are currently focused on the derivation of Titf1+ lung epithelial progenitors from ES cells using a combination of growth factors (e.g. Activin A and FGFs) designed to mimic early in vivo development. Our plan is to test the in vitro and in vivo developmental potential of our ES cell-derived putative lung epithelial progenitors in a variety of ex vivo assays as well as in mouse models of lung injury.

We believe the ES cell system provides an ideal platform to model the early developmental steps involved in lineage specification and differentiation of the lung epithelium from multipotent endoderm. Little is known about the mechanisms that control these early developmental cell fate decisions. We propose approaches designed to evaluate candidate mechanisms controlling lineage specification of lung epithelium from multipotent endodermal precursors. These approaches are designed to test mechanisms for which there is support in the literature as well as in our preliminary data. For example, focused gene expression data obtained by analyzing ES cell-derived endoderm as well as microarrays prepared from the primordial lung field of developing embryos suggest that the transcription factor GATA6, the canonical wnt signaling pathway, and chromatin remodeling proteins (Brm, Brg1, and Suz12) all play important roles in specifying lung lineage in the developing endoderm

Robert A. Lafyatis, M.D.
Rheumatology

The research of Dr. Lafyatis centers on understanding the pathogenesis of systemic sclerosis (also know as scleroderma). Scleroderma is a systemic autoimmune disease that leads to fibrosis of skin and internal organs and to vascular complication including pulmonary hypertension. The Boston University rheumatology section has a large clinical interest in scleroderma with the largest patient population in the New England area. The clinical program carries out multiple early and later phase clinical trials, providing many opportunities for patient related, translational studies. Closely coordinated with these studies and utilizing this patient population, Dr. Lafyatis is investigating biomarkers of disease activity thorough immunohistochemical studies of marker genes and microarray analyses of skin biopsies in collaboration with Dr. Michael Whitfield at Dartmouth Medical Center. These studies are designed to define biomarkers of disease activity and progression in patients with scleroderma. Dr. Lafyatis also directs the laboratory effort investigating scleroderma in collaboration with several investigators in the section and other investigators in the immunology program, the pulmonary center and the biochemistry department. We have a long-standing interest in fibrosis. Dr. Lafyatis and co-investigator Dr. Raphael Lemaire have particularly studied the tight skin (Tsk) mouse model of dermal fibrosis, and over the last several years made several critical observations. Mice with this phenotype develop tight skin caused by a mutation in the fibrillin gene. We have linked the phenotype in these mice closely to this mutation by showing that several proteins known to interact with fibrillin, microfibril associated protein-2 and fibulin-2, are increased in the hypodermis of these mice and may stimulate other matrix proteins. More recently we have found that two genes involved in intercellular signaling, the Nov (CCN3) and Wnt2 genes, are highly upregulated in these animals and we are currently investigating the roles of these regulators in mediating the effect of fibrillin on Tsk and scleroderma skin fibrosis. In addition, Dr. Lafyatis has been studying autoimmunity in scleroderma sparked by clinical/translational observations they made recently, showing that interferon-regulated genes are upregulated in white blood cells from scleroderma patients, as they are in several other diseases, including systemic lupus erythematosus. These continuing investigations have been greatly aided by a close collaboration with Dr. Jean van Seventer in the Boston University School of Public Health. We are currently investigating the roles of innate immunity and, in particular, toll-like receptor-mediated regulation of interferons in scleroderma by nucleic acid-containing immune complexes. This work is in collaboration with Dr. York (Rheumatology section), Dr. Ann Marshak-Rothstein (Microbiology Department) and Dr. Ian Rifkin (Nephrology Section) at the Boston University Medical Center. The goal is to extend observations made in systemic lupus erythematosus to scleroderma, regarding the association of autoantibodies to nucleic acids as potential activators of innate immunity to the pathogenesis of scleroderma vasculopathy and fibrosis.

Adam Lerner, M.D.
Hematology and Medical Oncology

My laboratory studies two topics: cyclic nucleotide-mediated apoptosis in lymphoid malignancies and the role of a novel family of focal-adhesion-associated proteins in breast cancer anti-estrogen resistance. With regards to the first topic, we have shown that PDE4 cyclic nucleotide phosphodiesterase inhibitors inhibitors selectively induce apoptosis in chronic lymphocytic leukemia (CLL) cells. Such PDE4 inhibitors are already in clinical trials as antiinflammatory medications for asthma and COPD. We are interested in determining the mechanism by which such drugs kill CLL cells and the best way to take advantage of this activity in clinical trials in CLL. We are also studying EPAC, a cAMP-activated Rap1 GDP exchange factor that is activated in CLL cells following treatment with PDE4 inhibitors. Remarkably, CLL cells are the only circulating hematopoietic cells that appear to express functional levels of EPAC. As EPAC activation is anti-apoptotic when it occurs in the absence of concomitant PKA activation, we are interested in whether EPAC may be a novel therapeutic target in CLL. A second area of interest is AND-34, a novel p130Cas-associated protein that activates Rac and Cdc42 in breast cancer cell lines and in B lymphocytes. Over-expression of AND-34 or p130Cas induces anti-estrogen resistance in human breast cancer cell lines and, at least for AND-34, this appears to occur in a Rac-dependent fashion. We are examining the mechanism by which AND-34 activates Rac and what “upstream” signaling pathways initiate such AND-34-mediated Rac activation in breast cancer cells.

Jining Lu, Ph.D.
Pulmonary, Allergy and Critical Care

miRNA are small regulatory RNAs that modulate gene expression by translational suppression and degradation of it target mRNAs. miRNAs play an essential role in development and diseases, such as cancer, cardiac hypertrophy and fibrosis. We are interested in the roles of miRNAs in lung development and diseases.

Roles of miRNAs in Shh or Tgfb signaling pathways in early lung development. Both Shh (sonic hedgehog) and Tgfb pathways play critical roles in lung development, however, little is known about the roles of miRNAs in these pathways. Our strategy is to profile miRNA expression in early lung explants in which Shh or Tgfb pathway activities are selectively inhibited. Then, we will study the function of miRNAs whose expression levels are influenced by Shh or Tgfb activity using in vitro or in vivo approaches.

The function of Tnrc6 gene family members in mouse lung development. This gene family encodes three members of the trinucleotide repeat containing 6 proteins, including Tnrc6a (GW182), Tnrc6b and Tnrc6c. These proteins associate with RNAs and Argonaute proteins in a cytoplasmic body called GW-body or P-body. In vitro assay has revealed their important roles in RNAi and miRNA induced gene silencing. Our objectives are to understand their roles in lung development in vivo using genetic approaches.

miR-129 in cell cycle regulation. It has been reported that miR-129 expression is down-regulated in tumor cell lines or primary tumors derived from neural or gastric or colorectal tissue, however its role in cell proliferation is unknown. We have found that over-expression of miR-129 arrests the growth of multiple tumor cell lines originated from different organs. Currently we are studying the mechanism of miR-129-mediated cell growth arrest. We are also interested in the role of miR-129 in lung development and in homeostasis of adult lung in vivo.

miRNA in lung fibrosis. We will profile laser-captured samples from IPF or normal subjects to identify miRNAs that are significantly altered in some specific features of the IPF, such as fibrotic foci. We will study their roles in fibrosis using in vitro or in vivo approaches. We are also interested in the function of miRNAs downstream of Tgfb pathway in lung fibrosis, such as the role of miR-29 in this disease process.

Weining Lu, M.D.
Nephrology

The primary research interests in my laboratory focus in the kidney development and the molecular basis of congenital anomalies of the kidney and urinary tract (CAKUT). CAKUT is family of diseases with a diverse anatomical spectrum, including kidney anomalies (e.g. renal dysplasia, duplex kidneys, renal cystic diseases, hydronephrosis), and ureteric anomalies (e.g. vesicoureteral reflux, megaureter, ureterovesical or ureteropelvic junction obstruction). As many as 2% of human fetuses have renal and urological anomalies which is the primary cause of kidney failure in young children. These patients may present later in life with reflux or obstructive nephropathy, a condition that manifests with low nephron numbers, secondary focal and segmental glomerulosclerosis (FSGS), proteinuria, and hypertension.

My research program has adopted combined human and mouse molecular genetics approaches to identify a number of different developmental genes (e.g. ROBO2, NFIA) to the study of kidney development and CAKUT. The first human molecular genetics approach is to study individuals with CAKUT and apparent chromosomal defects, with the aim of using chromosomal translocations as signposts to identify these critical genes (reverse genetics). Thereafter, molecular identification and analysis of candidate genes as well as mutation studies in affected individuals with a familial pattern of CAKUT will be carried out (forward genetics). The second approach is to study temporal and spatial expression patterns of candidate genes in human and mouse. Meanwhile, we will generate and study knockout and transgenic mouse models of candidate genes to elucidate more fully their role in kidney and urinary tract development. Once these candidate genes (e.g. ROBO2, NFIA) have been identified, we will take a multidisciplinary approach to gain further mechanistic insights in vivo and in vitro on the role of these genes in normal and abnormal developmental processes of the kidney and urinary tract, and on the pathogenesis of CAKUT. This multidisciplinary approach includes the application of human and mouse molecular genetics, developmental biology, renal physiology, molecular biology, and biochemistry. The ultimate goal is to provide new knowledge of disease mechanisms underlying developmental antecedents of CAKUT and to identify potential therapeutic interventions.

Zhijun Luo, M.D., Ph.D.
Endocrinology, Diabetes and Nutrition

Protein phosphorylation is an important regulatory process that controls almost all cellular programs including cell proliferation, differentiation, survival, apoptosis and metabolism. It is a process in which kinases catalyze the transfer of phosphate from ATP to target proteins at tyrosine, serine or threonine residues, thereby regulating their functions. Mutations of responsible kinases and their activators have been frequently found to associate with unrestrained growth of cancer cells. Thus, our overall research interest is to understand how protein phosphorylation regulates cell metabolism and growth and how its alteration causes functional abnormalities such as malignancy and the metabolic syndrome. Specifically, our current research projects include the following: (1) regulation and function of Raf kinase, an important effector of Ras and an upstream kinase of Erk and (2) regulation of cell metabolism in cancer cells by AMPK.

Joseph P. Mizgerd, Sc.D.
Pulmonary, Allergy and Critical Care

Acute lower respiratory tract infections cause a terrible public health burden. The development, progression, and outcome of these infections is determined by innate immune responses such as neutrophil recruitment and activation, necessary for host defense but also contributing to lung injury. Innate immune responses in the lungs require the coordinated expression of mediators including adhesion molecules, chemokines, colony stimulating factors, and cytokines that are absent or present only at low levels in uninfected lungs, but are expressed at high levels during infection. Similar mediators are induced during most lung infections, although individual mediators can have different roles during different infections. The coordinated expression suggests programs of gene regulation. NF-kappaB transcription factors are critical to the gene expression program directing innate immunity in the lungs, with RelA inducing innate immunity genes mediating host defense and p50 counteracting this gene induction to prevent lung injury. Other transcription factors are also important, such as STAT3 which both facilitates host defense and limits lung injury. These transcription factors have cell-specific roles during infection. Finally, expression of innate immunity mediators is regulated post-transcriptionally as well. An improved knowledge of the molecular mechanisms directing innate immunity in the lungs will provide new directions for preventing and curing acute lower respiratory tract infections.

Monty Montano, Ph.D.
Infectious Disease

The Montano laboratory is broadly interested in host-pathogen genomics, muscle stem cell biology and aging research. The role of immune factors in determining muscle growth versus muscle atrophy is relevant to many disease states such as HIV associated wasting, muscular dystrophy and aging associated sarcopenia. My laboratory is currently engaged in an NIH funded study to investigate immuno-myogenic interactions in the context of muscle stem cell proliferation, lineage commitment and differentiation. Experimental systems include muscle stem cell isolation and monocyte co-culture using human and rodent cells. Experimental methods include flow cytometry, multiplex protein profiling, microarray analysis, retrovirology and cell and molecular biology. We are also using the model organism C.elegans in aging research of candidate longevity genes.

Gustavo Mostoslavsky, M.D., Ph.D.
Gastroenterology

John R. Murphy, Ph.D.
Molecular Medicine

The Biomolecular Medicine Unit: Research in the Unit of Biomolecular Medicine in the laboratory of Dr. John R. Murphy has continued to focus on the development of diphtheria toxin-based fusion protein toxins as experimental probes for cellular biochemistry, the genetic and structural analysis of the diphtheria toxin repressor (DtxR), and metal ion homeostasis and gene regulation in Bacillus anthracis. Studies on the molecular mechanism by which the catalytic domain of DAB389IL-2, a diphtheria toxin-based interleukin-2 receptor targeted fusion protein toxin, is specifically translocated from the lumen of early endosomes to the cytosol of target eukaryotic cells has clearly demonstrated that a cytosolic translocation factor complex is required for toxin entry (atts et al., J. Cell Biology, 2003; 160: 1139-1150). These studies have demonstrated that translocation of the toxin catalytic domain is dependent upon this complex of factors which include Hsp90 and thioredoxcin reductase. Current studies are focused on the transmembrane domain of the fusion protein toxin and the characterization of a putative 12 amino acid “entry motif” required for membrane translocation. Additional studies in the laboratory are focused on the molecular mechanism(s) and structural basis by which the diphtheria toxin repressor (DtxR) undergoes a transition metal ion-dependent transition from the inactive apo-form to the metal ion-bound active form of the repressor. These studies has shown that the src homology 3-like domain of the diphtheria toxin repressor, DtxR, modulates repressor activity through interactions with the ancillary metal ion binding site (Love et al., J. Bacteriol, 2003; 185:2251-2258). Since DtxR has provided the paradigm for the understanding of metal ion control of virulence gene expression in pathogenic gram positive bacteria, these studies have been recently extended to the molecular analysis of AntR, the DtxR homolog found in B. anthracis. The structural gene encoding AntR has been cloned, and the repressor has been expressed and purified from recombinant E. coli. AntR structure function is currently being analyzed by molecular genetic and biophysical methods.

Richard H. Myers, Ph.D.
Neurology

Research interest is focused upon the application of genetic research methods for the investigation of adult onset diseases with complex etiology (Parkinson’s disease, coronary heart disease, Alzheimer’s disease, osteoarthritis, osteoporosis etc.). He has a long-standing interest in Huntington’s disease and has participated in a wide range of research investigations for this disease. He was a member of the New England Huntington’s Disease “Center Without Walls” since its inception in 1980. His HD studies may best be characterized as ‘Neurobiological Studies’ in that they include studies into the mechanisms disease expression, including complex genetic modifier studies and a series of neuropathological studies of effects of disease expression in the brain. He has been involved in a number of studies in positional cloning. From 1980 to 1993, he participated in the cloning of the gene for Huntington’s disease. He then initiated the genome scan project in the Framingham Study, and initiated an NIH funded project for a genome scan in Parkinson’s disease. Since 1993 he have participated in genetic linkage studies for hypertension (the HyperGEN study, one of the NHLBI Family Blood Pressure Program Project studies), and the genome scan in the NHLBI Family Heart Study.

Caryn L. Navarro, Ph.D.
Medicine – Genetics Program

Molecular motor activity is important for the execution of many biological processes such as cell division, organelle positioning, intracellular transport, vesicle sorting and intracellular pathogen targeting. The dynein motor complex, which travels along the microtubule network carrying cargos of various sorts in a minus end directed fashion, plays a major role in all of these processes. The importance of this complex is seen in the dramatic phenotypes exhibited by most organisms when members of the dynein complex are mutated. For example, loss of function of the dynein associated protein Lissencephaly 1 (Lis-1), leads to neurodegenerative disease due to a lack of neuronal migration. Lis-1 is important for RNA localization, cell division and nuclear migration in the Drosophila ovary, as well as neuronal migration in the mammalian nervous system. Therefore, an understanding of how this complex recognizes its cargos, how directionality of movement arises and what cellular processes regulate complex movement will provide insight into the nature of diseases such as cancer and neurodegeneration.

My research uses the Drosophila to understand the mechanisms of dynein directed molecular transport and how intracellular transport is affected by mutations in piRNA (piwi-interacting) pathway components. Drosophila provides a good model system to address these questions since directional transport is important for the establishment of oocyte fate and polarity as well as epithelial cell polarity and neuroblast fate, and many of the genes important for this process are conserved between Drosophila and higher eukaryotes. Furthermore, these processes can be visualized in vivo, and the well-established genetics of Drosophila makes this system easy to manipulate.

Barbara S. Nikolajczyk, Ph.D.
Microbiology

My lab is interested in understanding inflammation in type 2 diabetes and inflammatory bowel disease patients. Inflammation is strongly implicated in the most dire complications of type 2 diabetes, including cardiovascular disease and stroke. We are focusing on two cell types that promote inflammation in these patients: monocytes and B cells. Monocytes are well known to produce significant amounts of pro-inflammatory cytokines. We are specifically interested in how IL-1 beta, a cytokine at the apex of multiple pro-inflammatory cascades, is hyper-expressed by monocytes from type 2 diabetics. We have defined a “poised promoter architecture” for the IL-1 beta locus in normal monocytes. This structure is characterized by a constitutively accessible promoter and constitutive transcription factor association. Current work is aimed at understanding how this structure is changed in patients to result in IL-1 beta hyper-production. A second focus of the lab is to understand how B cells contribute to type 2 diabetes and inflammatory bowel disease through production of pro-inflammatory cytokines. We have found B cells in type 2 diabetes patients are fundamentally altered such that they unexpectedly respond to inflammatory stimuli. Ongoing analyses are characterizing these responses as well as the underlying molecular mechanisms driving them. These studies are aimed at identifying targets for alleviating the over-production of pro-inflammatory cytokines generally associated with the devastating complications of systemic inflammatory diseases.

Gwynneth Offner, Ph.D.
Gastroenterology

Dr. Offner’s laboratory has had a long-standing interest in the structure, function and regulation of epithelial mucins. During the past decade, cloning studies on epithelial mucins have identified at least twenty distinct mucin genes, which can be divided into two groups: membrane-associated and secreted gel-forming mucins. Recent studies in her laboratory have focused on the former, specifically on MUC1. MUC1 is overexpressed in many cancers, including breast, colon, pancreatic and lung. Using RNA interference, her laboratory has shown that suppression of MUC1 gene expression leads to changes in cell phenotype and a decrease in the metastatic potential of cells. MUC1 is also expressed in normal cells, where it functions in epithelial cell protection. Dr. Offner’s hypothesis is that membrane bound mucins interact with secreted mucins to enhance the epithelial protective barrier. She has identified specific domains in the secreted mucin MUC5B which interact with a domain at the amino-terminal end of MUC1. Currently, she and her colleagues are investigating the binding of other proteins to the mucin scaffold, which could modulate mucin function in different cell and tissue types. The integrity of the mucin scaffold may have particular relevance to the pathogenesis of inflammatory bowel disease and this is a current focus in the laboratory.

Caroline Panhuysen, M.D., Ph.D.
Medicine – Genetics Program

Dr. Panhuysen’s research interests focus on the genetic epidemiologic analyses of complex traits. The use of these analytical methods such as analysis of familial correlations, segregation analysis, and linkage analysis, are designed to unravel evidence for the genetic basis of the disease with the purpose to get a better understanding of the etiology of the disease. Dr. Panhuysen has been actively involved in a genetic epidemiological study of a cohort of Dutch asthma families for the past 10 years. She is currently involved in genetic studies on Inflammatory Bowel Disease, Substance dependencies, Uterine Leiomyomata (fibroids) and Age-related Macular Degeneration (AMD).

Susan P. Perrine-Faller, M.D.
Pediatrics

Paul F. Pilch, Ph.D., Associate Director
Biochemistry

The modern Western diet coupled with a sedentary lifestyle has led to an epidemic of obesity, a consequence of which is a dramatic rise in the incidence of type II diabetes, a malfunction in insulin-regulated metabolism. The objective of my research is to describe the biochemical and cell biological details of the signaling pathway between the insulin receptor and its intracellular targets, principally the tissue-specific glucose transporter GLUT4. We study the following specific areas. We wish to determine how insulin regulates vesicular trafficking and protein targeting with regard to GLUT4 and the insulin receptor. We are characterizing the protein content of GLUT4-containing vesicles and we are trying to identify the organelles through which they pass on their way to and from the cell surface and to determine their characteristic components. The signal transduction pathway(s) components specific to insulin signaling remain incompletely described, and we are trying to fill in gaps in this process. The regulation of glucose uptake by insulin is tissue specific, and therefore, we study gene expression in muscle and fat relevant to this process. As part of this, we have examined signaling pathways leading to muscle differentiation and the expression and regulation of the muscle specific mitochondrial uncoupling protein, UCP-3. The expression of this protein, and insulin independent regulation of Glut4 by exercise, is mediated by AMP-dependent protein kinase whose substrates we are seeking to identify. Finally, we also study the functions of caveolae, invaginations of the plasma membrane that are particularly abundant in adipocytes and in muscle that may function in these tissues in aspects of signal transduction and/or nutrient uptake.

Vasan Ramachandran, MBBS, M.D.
Preventive Medicine & Epidemiology

Maria I. Ramirez, Ph.D.
Pulmonary, Allergy and Critical Care

The main focus of my research is the differentiation of lung epithelial cells during mammalian development. We study two developmental events at the molecular level: the initial determination and specification of the endoderm to become lung epithelium and the differentiation of alveolar type I cells to form the air-blood barrier perinatally. Molecular mechanisms that initiate lung formation from the embryonic foregut: Using extremely sensitive methods for dissection of small tissues and analysis of gene expression, we have identified new and known genes expressed during differentiation of endoderm cells into lung epithelial cells. Chromatin remodeling and DNA methylation genes significantly change their expression level coincident with the formation of the lung primordium. Based on these findings and the importance of chromatin modifications in the regulation of cell fate decisions in other developing systems, we are evaluating whether chromatin modifications and DNA methylation participate in initiation of lung development by establishing patterns of gene expression in the embryonic foregut, inducing lung cell fates. Lung alveolar type I cell morphogenesis: The extensive distal lung gas-exchange surface that supports respiration at birth forms in the last 2-3 days of gestation in mice. This process requires differentiation of epithelial type I and type II cells, vascular remodeling and thinning of the mesenchyme. During lung development, progenitor cuboidal epithelial cells remodel their apical and basolateral plasma membranes and cytoskeleton resulting in cell flattening, thinning and spreading. These processes, to which we refer collectively as cell flattening, are a hallmark of type I cell differentiation and are required for alveolar sac enlargement perinatally, and for repairing the lung epithelium after injury in the adult. We are studying epithelial type I cell flattening during development using models of normal and altered lung epithelial morphogenesis, focusing in the membrane enlargement and cytoskeleton reorganization that take place to increase the surface area covered by epithelial type I cells 25-100 fold during type I cell morphogenesis.

Katya Ravid, DSc., Ph.D.
Biochemistry

The mechanisms that regulate lineage commitment and the subsequent steps of cellular maturation of bone marrow stem cells are poorly understood. In the platelet lineage, the early committed cells undergo a unique cell cycle leading to the formation of polyploid cells prior to fragmenting into platelets. Our goal is to study the genetic and signaling factors that control lineage commitment and the regulation of the cell cycle during this process. Studies focus on cell cycle regulation and its impact on the regulation of transcription of lineage specific genes, including in vascular smooth muscle cells. The systems used include: primary bone marrow cultures and cell lines as well as transgenic and knock out mice.

Ian R. Rifkin, MBBCh, Ph.D.
Nephrology

The overall goal of my research is to better understand basic mechanisms involved in the pathogenesis of systemic autoimmune disease in general and systemic lupus erythematosus (SLE) in particular. There are two main projects in the laboratory, both involving the use of murine models of lupus. The first project focuses on the identification and cloning of autoreactive T cells, testing the pathogenicity of the cloned T cells in-vivo, and studying their in vivo regulation and activation. The second project focuses on i)the role of autoantigen itself (DNA/protein or RNA/protein complexes) in activating the innate and adaptive immune responses characteristic of SLE through engagement of Toll-like receptors in dendritic cells and autoreactive B cells and ii) the development of strategies to inhibit this activation in vivo with a view to identifying novel therapeutic targets in autoimmunity. In addition to the murine studies, collaborations have been established to test whether similar pathogenic pathways are important in human SLE.

Jennifer Rosen, M.D.
Surgery

Carol L Rosenberg M.D., Director of Admissions
Hematology and Medical Oncology

This lab investigates the molecular and genetic alterations that are important early in human breast carcinogenesis. Our overall goal is to identify the abnormalities characterizing early cancer development, even before the tissue is histologically fully malignant. We hypothesize that these genetic abnormalities are biologically meaningful and clinically relevant. In testing this hypothesis, we (and others) have shown that cancer-related abnormalities can be present in hyperplastic lesions and even in histologically normal epithelium. We study primary human tissues, and we ask questions and employ techniques suitable to that material, including laser capture microdissection, loss of heterozygosity and copy number alteration, mRNAand miRNA expression [measured by microarray and quantitative PCR], and immunohistochemistry. Since we attempt comprehensive genetic analyses of the data, the work is multidisciplinary, and collaborations with pathologists, geneticists, surgeons and bioinformaticians and biostatisticians are crucial. In addition, we have projects ongoing with organizations both inside and outside BUMC, including the Framingham Heart Study and the Nurses’ Health Study-Benign Breast Disease Substudy. Identifying and understanding the landscape of molecular and genetic abnormalities in premalignant and histologically normal tissue should generate novel markers of breast cancer risk, uncover mechanisms implicated early in cancer initiation and progression, and identify new targets for cancer prevention and treatment.This work has been supported by funds from the NCI, the Department of Defense, the LaPann Fund and the Susan G Komen, Mary Kay Ash and Avon Foundations.

Thomas L. Rothstein, M.D., Ph.D.
Hematology and Medical Oncology

Sayon Roy, Ph.D.
Endocrinology, Diabetes and Nutrition

We are working on projects related to the pathogenesis of diabetic microangiopathy, in particular, vascular complications in diabetic retinopathy and diabetic nephropathy. One of the projects involves applying a novel gene therapeutic strategy to normalize altered gene expression in the retinal capillary cells with the goal of preventing characteristic lesions of diabetic retinopathy. A second project, aims at understanding the role of gap junction intercellular communication in the development of retinal vascular lesions associated with cell death in early diabetic retinopathy. In this project we are investigating whether high glucose alters the expression of endothelial specific connexins (Cx37, Cx40, Cx43), and connexin phosphorylation. A third project attempts to unravel the mechanism(s) underlying blood retinal barrier breakdown in diabetic retinopathy. Because tight junction serves as the permeability barrier we are currently investigating whether the synthesis of occludin and ZO-1, and other endothelial tight junction proteins are altered by high glucose condition in vitro and in retinal capillaries of diabetic rats. A fourth project attempts to identify a biochemical link between the pathogenesis of diabetic retinopathy and diabetic nephropathy in terms of altered ultrastructure and function of the retinal and glomerular capillaries from the perspective of high glucose-induced overexpression of extracellular matrix proteins.

Neil B. Ruderman, M.D., Ph.D.
Endocrinology, Diabetes and Nutrition

Dr. Ruderman’s research deals with the effects of insulin, exercise, and fuels on cellular metabolism, signal transduction, and most recently, gene expression. Its focus in the past 10 years has been on a malonyl CoA fuel sensing and signaling mechanism described by his laboratory and its regulation by AMPK. His group has proposed that dysregulation of this mechanism, leading to increases in fatty acid esterification and/or the generation of reactive O2 species, plays a causal role in the pathogenesis of many forms of insulin resistance in skeletal muscle and the early endothelial cell damage that antedates atherosclerosis in diabetes. Their research also examines the notion that activation of AMPK prevents this dysregulation and, perhaps independently, later events that it causes (e.g., NFB-mediated gene expression). Some of the investigators in his unit and their fellows work primarily with skeletal muscle (Saha), some with cultured
vascular cells (Ido), and still others with adipocytes (Luo). Thus, from a conceptual perspective, mechanisms worked out in one system are often tested in others. The techniques employed by the Ruderman laboratory include reporter gene assays, adenoviral gene transfer (cultured vascular cells), immunofluorescence microscopy, protein separation, enzyme analysis, and metabolite determination by spectrophotometric and chromatographic methods. The models used include incubated tissues, cultured cells, intact rodents and, in some collaborative efforts, humans. Many program faculty are co-investigators and/or advisors in this work, as are individuals from other institutions. The latter include Drs. Marc Prentki, University of Montreal (malonyl CoA regulation); E.W. Kraegen, Garvan Institute, Australia (insulin resistance in rodents in vivo); Guenther Boden, Temple University (insulin resistance in humans); and David Carling, Hammersmith Hospital, U.K. (molecular biological approaches to study AMPK action in vascular cells).

Joshua D. Safer, M.D.
Endocrinology, Diabetes and Nutrition

Diseases of cutaneous proliferation and differentiation are poorly treated. Among the elderly, chronic wounds cost $8-12 billion dollars annually in medical costs and more in to lost productivity. Current wound healing agents are expensive and have been associated with increased scarring. In addition, hyperproliferative skin diseases like psoriasis afflict 1% of the human population and result in further financial toll.

Although skin is the largest organ in the body, the role of thyroid hormone metabolism in epidermal proliferation has not been investigated with rigor. In the thyroid research unit we endeavor to establish mechanistic pathways integral to thyroid hormone action on adult skin. The research attempts to provide possible therapeutic targets for enhancing or suppressing the proliferative response of skin in such diverse conditions as psoriasis, burn injury, and wound healing. The laboratory has been developing a research program to demonstrate that local manipulation of thyroid hormone economy would prove a novel and cost-effective strategy for the treatment of cutaneous pathology.

The active thyroid hormone, T3, is necessary for both growth and differentiation of skin cells. Previously we have found that epidermal proliferation is diminished in hypothyroid mice, that topical T3 can stimulate epidermal proliferation and that topical T3 can accelerate wound healing. The major circulating pro-hormone, T4 is converted to T3 by intracellular thyroid hormone deiodinases. Part of the research done in the lab relates to establishing thyroid hormone deiodinase expression and activity in order to highlight the potential to target the deiodinases in order to treat skin disease.

Current projects in the lab include the following: 1. Immunohistochemistry to demonstrate the tissue locations of the thyroid hormone deiodinases in a murine model. 2. Western protein analysis and rtPCR analysis of cultured cells for protein and gene expression 3. Cultured cells to quantify deiodinase activity in the cells found to express the protein and RNA.

In addition, projects in the lab include making use of a murine model where thyroid hormone, thyroid hormone analogs, and thyroid hormone antagonists can be topically applied to murine epidermis. Biopsies of the epidermis are taken and subject to investigation. The investigation includes immunohistochemistry, rtPCR, and BrdU incorporation into RNA. We supplement the in vivo experiments with a combined culture model in which a cell type can be evaluated after exposure to another cell type.

David J. Salant, M.D.
Nephrology

The focus of Dr. Salant’s laboratory is on the immune basis of glomerular diseases with particular regard to the humoral mechanisms of glomerular cell injury in order to elucidate the mechanisms by which antibodies alter the function and morphology of glomerular visceral epithelial cells (podocytes). Experimental models of immunological glomerular diseases resembling those seen in man are used to obtain a fundamental understanding of the immunopathogenetic mechanisms of injury. Specific interests include: The structural biology of the podocyte and alterations that lead to the development of proteinuria. The effects of antibody- and complement-mediated podocyte injury on the podocyte cytoskeleton and slit-diaphragm protein complex. The role of complement regulatory proteins in limiting complement-mediated podocyte injury. The role of the notch family of signaling receptors in glomerular development and response to injury. Identification of the target antigen/s in human membranous nephropathy.

Jennifer J. Schlezinger, Ph.D.
Environmental Health

Humans receive significant ambient daily exposures to multiple environmental contaminants, including aromatic hydrocarbons (by-products of combustion), phthalate esters (plasticizers used in manufacturing PVC) and organotins (antifouling agents). These types of contaminants induce a suicide program (i.e. apoptosis) in developing B lymphocytes within the bone marrow. We want to know how synthetic chemicals override the naturally occurring cellular processes to induce death. We investigate multiple processes in the cell that may be altered by these chemicals, particuarly how chemicals interact with receptors such as the aryl hydrocarbon receptor (AhR) and the peroxisome proliferator activated receptors (PPAR). Our newest research is focused on how activation of PPAR in the bone marrow may alter the bone marrow microenvironment, potentially adversely effecting lymphopoiesis. Further, as real-world exposures, such as those at Superfund sites, typically involve complex chemical mixtures, we want to investigate how chemicals within the mixtures may interact to enhance deleterious effects. Understanding these pathways is important because loss of B lymphocytes could potentially impair the ability to mount an immune response to infections. On the other side of the coin, our understanding of death pathways and mixture interactions potentially may be put to use in the development of new chemotherapeutics.

Faina Schwartz, Ph.D.
Molecular Medicine – Genetics Program

I am interested in molecular genetics of complex disorders. Presently, several approaches are being pursued in search of genes and genomes involved in hypertension – an age-related disorder afflicting a large proportion of the adult US population. One project, funded by the National Institute on Aging, is designed to assess the role of the mitochondrial genome in hypertension (HTN). Over the past few years, we developed a novel method for the detection of mitochondrial involvement in complex disorders and applied it to the hypertension data set from 350 Caucasian and 98 African American pedigrees ascertained through the HTN clinics at Boston Medical Center and collaborating clinical sites. Remarkably, we found the fraction of families potentially due to mtDNA mutations to be ~55% (95% CI, 45%-65%). Sequence analysis of the entire mitochondrial genome in 10 African American and 10 Caucasian hypertensive probands from families with suspected mitochondrial involvement lead to the identification of several novel, as well as previously reported, mutations with a likely pathogenic effect. Presently, we seek to confirm our findings in an independent cohort, the Framingham Heart Study (FHS) participants, and to further assess the role of mtDNA variants in BP homeostasis. Our strategy combines epidemiologic and molecular genetic approaches and, to the best of our knowledge, is the first comprehensive study of the role of mitochondrial genes in hypertension and associated BP phenotypes conducted to-date. The major strengths of the study, that include the wealth of clinical and genetic data available for FHS subjects and the ability to perform longitudinal association analyses; the large number of DNA samples available through the BU SCOR program and the FHS resource that provide good power to detect association with common and rare mtDNA variants; the availability of two independent study samples for result confirmation; and the team of experienced collaborators with complementary areas of expertise, are bound to enhance our present understanding of the genetic determinants of blood pressure homeostasis. Another ongoing project, conducted in collaboration with Dr. Haralambos Gavras, is aimed at genome-wide gene expression profiling of organs in experimental animal models of hypertension using the method of Serial Analysis of Gene Expression (SAGE). We used the SAGE method to analyze the global transcriptional changes in the kidney, heart, and brain of mice that developed hypertension in response to chronic Angiotensin II administration, and identified several novel targets of Angiotensin II regulation. We plan to extend the methods established in our laboratory to the study of other complex phenotypes, such as longevity and a spectrum of aging-associated disorders.

John H Schwartz, M.D.
Nephrology

Renal epithelial cells are highly polarized. This polarization is required to perform biochemical work (transport) and to maintain the integrity of the epithelial tubular membrane. I have interest in two different aspects of the polarity phenomena. The first deals with the molecular basis for the targeting and fusion of vesicles that are involved in the shuttling of aquaporin-2 and H+-ATPase to and from the apical membrane of renal collecting duct cells. We have demonstrated that the same subset of proteins involved in polari’zed exocytosis in neurons, SNARE proteins, are involved in the targeting in renal epithelial cells. We are currently identifying the signal cascade that regulates the activation of these SNARES. The second area of interest deals with the effect of ischemia on the maintenance of junctional complexes in renal epithelial cells. Ischemia disrupts these complexes and induces a loss in the functional polarity of tubular epithelial cells. We have begun to identify the sequence of regulatory changes that induces the loss of ZA and the intermediate effect of the liberation of cateninsfrom the ZA.Expertise: Renal Physiology; acid-base homeostasis; ion transport; epithelial cell biology; ischemic renasl disease

David C. Seldin, M.D., Ph.D.
Hematology and Medical Oncology

My laboratory has two major areas of research on the molecular basis of human disease. One is on kinase pathways in tumorigenesis: we study the regulatory serine-threonine kinase protein kinase CK2 (casein kinase II), a kinase that is upregulated in leukemic cells and other tumors. We have shown that overexpression of CK2 in transgenic mice leads to tumors in tissues (lymph node, mammary gland) where it is mis-expressed, proving that CK2 has the potential to serve as an oncogene. Ongoing research in the laboratory is aimed at identifying the targets of CK2 in lymphomagenesis and breast cancer. Recent work suggests that the stability/proteosome susceptibility of critical transcription factors, including the myc oncoprotein, is regulated by CK2 phosphorylation. We have also linked CK2 activity to the Wnt pathway, a signaling pathway whose elements include the adenomatous polyposis coli gene product APC and beta-catenin; one or the other of these is mutated in many human cancers. CK2 stabilizes beta-catenin, augmenting its activity as a transcripitional co-factor for TCF and LEF, and promoting expression of myc and cyclin D1. To study the essential roles of CK2 in cells, we have knocked out the catalytic subunits individually be gene targeting, and shown that the alpha subunit is required for heart development, and the alpha’ subunit is required for male germ cell development. The other major area of research in the laboratory are the systemic amyloidoses. These are a set of diseases of protein misfolding in which polymers of protein form fibrils that are deposited in tissues, leading to organ failure and death. Of particular interest is AL or primary amyloidosis, which is due to deposition of clonal immunoglobulin light chains. We are studying the sequence and structure of these light chains and developing animal models of disease, in the hopes of developing targeted small molecule or immunotherapies to complement or replace the role of chemotherapy in treatment of the disease.

Jacqueline Sharon, Ph.D.
Pathology and Laboratory Medicine

The current research goals of the laboratory are to develop immunotherapies and elucidate the mechanisms of protective immunity against inhalational tularemia, an acute lethal infectious disease. Tularemia is caused by the gram-negative intracellular bacterium Francisella tularensis, which has been classified as a Category A Select Agent – a likely bioweapon. The high virulence of F. tularensis and the threat of engineered antibiotic resistant variants warrant the development of new therapies to combat this disease. We are developing antibody-based therapies for post-exposure treatment of tularemia and testing them in an inhalational mouse model of tularemia.

Richard Sherva, Ph.D.
Molecular Medicine – Genetics Program

Orian S. Shirihai, M.D., Ph.D.
Molecular Medicine – Obesity

Satish K. Singh, M.D.
Gastroenterology

Paul Skolnik, M.D.
Infectious Disease

Dr. Skolnik is Professor of Medicine at the Boston University School of Medicine. He is the Director of the Center for HIV/AIDS Care and Research (CHACR) at Boston University Medical Center. Dr. Skolnik has a substantial record of serving as mentor for successful basic and clinical research trainees on NIH-funded T32 training grants and K08 awards. His current basic research interests include HIV-related innate immune responses in the lung, and modeling of cytokine and chemokine networks in the lung. Patient-derived samples are used in these studies whenever possible to most closely mirror the in vivo situation. He also has expertise in clinical HIV/AIDS research design and methodology, and is site PI for the AIDS Clinical Trials Group (ACTG) at Boston University Medical Center. Dr. Skolnik has carried out many clinical trials of investigational new immunotherapeutic and antiretroviral drug therapies for HIV infection, and especially studies the immunologic effects of these anti-HIV therapies.

Gail E. Sonenshein, Ph.D.
Biochemistry

The major research goals of my laboratory are to elucidate the mechanisms of activation and roles of the NF-kappaB (NF-kB) transcription factor family in breast cancer and other malignancies. Our laboratory showed that NF-kB factors are aberrantly activated in breast cancer, promote survival, growth and transformed phenotype of the cancer cells. Several oncogenes that have been implicated in breast cancer, including Her-2/neu and Ras, induce NF-kB. A major effort in the lab is to identify the signaling pathways and kinases mediating aberrant activation of NF-kB, including a new transcriptional pathway termed de novo RelB synthesis. We have prepared animal models to study the roles of the NF-kB, including the NF-kB c-Rel subunit, in breast cancer and mammary gland development. Using an MMTV-c-Rel mouse model, we showed that the NF-kB c-Rel subunit, which is activated in ~85% of human breast cancers, can play a causal role in mammary tumorigenesis. We have more recently shown that bitransgenic MMTV-c-RelxCK2 mice develop highly invasive mammary tumors, and implicated the aryl hydrocarbon receptor and master regulator Slug in this phenotype. We have also elucidated a new mechanism for the late onset of the tumors that appear in the MMTV-c-Rel, which involves activation of PKCtheta and release of repression of c-Rel by estrogen receptor signaling. Studies are in progress to further identify the roles of NF-kB in neoplastic transformation induced by environmental carcinogens, and of a new kinase IKKi implicated in invasive breast disease, and the anti-carcinogenic effects of the green tea polyphenol EGCG. We have also identified an inhibitor of activation of NF-kB by Her-2/neu and Ras in breast cancer: the pro-peptide domain of the enzyme lysyl oxidase (LOX-PP). More recently, LOX-PP has been found to inhibit pancreatic and lung cancers. Studies to test the efficacy of these inhibitors in vivo and to elucidate their mechanisms of action are in progress. The overall goals are to aid in the development of improved treatment modalities for cancer.

Martin H. Steinberg, M.D.
Hematology and Medical Oncology

A single beta-globin gene mutation causes sickle cell anemia. Nevertheless, the exceptional phenotypic variability of this disease suggests that other genes could modulate its phenotype. We have discovered that polymorphisms in some genes were associated with discrete subphenotypes of sickle cell anemia, stroke for example, and with disease severity estimated by a more comprehensive analysis of laboratory data and clinical subphenotypes. In some of our studies we have learned that networks of interacting gene polymorphisms or SNPs and laboratory variables can predict the likelihood of stroke in sickle cell anemia with great accuracy, and also foretell the likelihood of near-term death. In genome-wide association studies of about 2,000 sickle cell anemia patients and 1500 centenarians, we hypothesize that independent studies of these groups will provide extensive information about disease predisposition. Using novel analytical methods we hope to facilitate a model of age-associated disease predisposition that transcends population origin effects and thus, represents the key genetic factors affecting disease predisposition that are inherent to all humans. With contemporary association analysis and novel bioinformatics we will compare associations with clinical features of sickle cell anemia including blood pressure, survival, stroke, osteonecrosis, priapism, leg ulcers and an integrated measure of disease severity that reflects pathophysiological elements of this disease. In centenarian subjects, using centenarian offspring vs. controls, we are studying genetic associations with clinical features including physical function, disease prevalence and age at onset of age-related conditions including hypertension, stroke, cardiovascular disease and dementia. We will use novel advanced network modeling techniques to suggest genes and pathways that play crucial roles in aging-related disease, such as stroke and hypertension.
We are studying gene expression in mononuclear cells and blood outgrowth endothelial cells from patients with sickle cell pulmonary hypertension and controls in studies founded on our observations that inflammation and genes of the TGF-beta/BMP pathway seem to be associated with several disease subphenotypes. Finally, we are examining whether the serum proteome and oxidatively modified proteins in plasma are associated with sickle pulmonary hypertension.

Progressing from genome-based studies, through gene expression, to the serum proteome, these integrated genomic studies will further illuminate our understanding of the pathophysiology and genetic modulation of sickle cell disease, and bring us closer to our ultimate goal of discovering new therapeutic targets.

Sam Thiagalingam, Ph.D.
Molecular Medicine – Genetics Program

Research focuses on the use cancer genomics and molecular biology, employing primarily breast and colon cancers as model systems. We hope to contribute to the elucidation of the multi-modular molecular network (MMMN) cancer progression models as the road map to dissect the complexity inherent to cancer through these studies. Our approach to achieve this overall goal is to undertake research under the following topics: (i) The Smad signaling connection to colon cancer metastasis; (ii) The Smad signaling connection to breast cancer metastasis/bone metastasis; (iii) Development of therapeutic approaches to breast cancer by targeting TGF-beta signaling events; and (iv) hBub1 is a suppressor of p53 mediated cell death. Recently, we have also become interested in the role of epigenetics in the pathogenesis of major psychiatric disorders such as schizophrenia (SCZ) and bipolar disorder (BD). Because of the overwhelming evidence for the role of environmental factors in the presentation of the major psychiatric disorders, we hope to decipher a direct correlation between the altered epigenome and SCZ and BD. Our pioneering studies analysing the LOH frequencies of colon cancer showed that SMAD4 is the major target tumor suppressor gene localized to the minimally lost region on chromosome18q. As a follow up of these studies, we are working to unravel the molecular basis of SMAD4 inactivation in advanced metastatic colon cancer. Furthermore, overactivation of the signaling cascade mediated by increased levels of TGF-beta has been implicated in high incidence of breast cancer metastases. We have devised an inter-disciplinary research strategy to test the inhibitors of TGF-beta signaling as potential therapeutic agents for advanced breast cancer. We have also continued to maintain an interest in understanding the connection between genomic instability and cancer at the molecular level. Our genetic and epigenetic studies of lung cancer and the examination of the literature have enabled us to propose an academically simplified scheme to explain the complexity in cancer progression as a process that consists of various alterations in a multi-modular molecular network (MMMN) defined by a cascade of modular events encompassing multiple targets within each module. We are in the process of developing strategies to validate the MMMN model for breast cancer with the hope of paving the way for developing similar models for other cancers as well as the other complex diseases. Furthermore, in a series of preliminary studies on post-mortem brain samples, by investigating DNA methylation and polymorphisms of COMT and RELN in bipolar disorder and schizophrenia, we demonstrated that differential epigenetic modification of these genes play a significant role in the pathogenesis. We plan to extend these preliminary observations to establish a logical relationship between epigenetic changes and schizophrenia and bipolar disorder by analyzing candidate genes and a wide spectrum of genes.

Gregory Viglianti, Ph.D.
Microbiology

Worldwide, heterosexual transmission accounts for most HIV-1 infections. Clearly, controlling heterosexual transmission of HIV-1 would be a significant step toward eliminating this global epidemic. To achieve this goal, it will be important to delineate the cellular and molecular events that affect virus transmission. Although both inflammatory and ulcerative sexually transmitted infections (STIs) enhance sexual transmission of HIV-1, the underlying mechanisms leading to this enhancement have not been fully elucidated. Enhanced susceptiblilty to infection may be due to a number of factors, including the disruption of the integrity of the cervicovaginal epithelial barrier, recruitment of HIV-1 target cells such as Langerhans/dendritic cells (LC/DC), macrophages (MØ)‚ and T lymphocytes to sites of inflammation, and direct activation of target cells by STIs. A common feature of STI pathogens is that they encode ligands for members of the Toll-like receptor (TLR) family of pattern recognition receptors and these ligand-activated TLRs can both activate HIV-1 target cells and induce local inflammatory responses. Ligand-activated nuclear receptors (NR), including peroxisome proliferator activated receptor (PPAR), liver X receptor (LXR), glucocorticoid receptor (GR), and estrogen receptors (ER) are potent inhibitors of TLR-induced inflammatory gene expression in MØ, LC/DC, and epithelial cells. In addition, retinoic acid receptor (RAR) and PPAR ligands have been shown to repress HIV-1 gene expression while estrogen has been shown to block vaginal transmission of SIVmac. A goal of our laboratory is to determine the role of TLR-signaling in augmenting HIV-1 infection of target cells that are found in the cervicovaginal mucosae. Our major, and long-term goal is to examine the potential role of ligand-activated NR as inhibitors of HIV-1 transmission. We hypothesize that ligand-activated NR act by: 1) directly repressing HIV-1 transcription, and 2) by limiting the TLR-induced inflammatory microenvironment that favors HIV-1 replication. We are currently focusing are efforts to 1) evaluate the impact of NR/TLR crosstalk on HIV-1 replication and inflammatory gene expression in primary LC, DC, and MØ, 2) examine the effects of NR/TLR crosstalk on HIV-1 infection of target cells and inflammation in vaginal and cervical tissue explants and in an organotypic model of the human vagina, and 3) determine the molecular mechanism(s) of TLR-modulated HIV-1 transcription and how it is regulated by NR signaling.

Kenneth Walsh, Ph.D.
Cardiovascular Medicine

Research in the Walsh laboratory is focused in three areas. The major project investigates the signaling- and transcriptional-regulatory mechanisms that control both normal and pathological tissue growth in the cardiovascular system. Many of these studies involve analyses of the PI3-kinase/Akt/GSK/Forkhead signaling axis. This pathway is of critical importance in the regulation of organ growth and body size. Signaling through this pathway controls cellular enlargement (hypertrophy), cell death (apoptosis), and blood vessel recruitment and growth (angiogenesis). We have shown that the PI3-kinase/Akt/GSK/Forkhead signaling axis regulates multiple steps critical in angiogenesis including endothelial cell apoptosis, differentiation, nitric oxide production and migration. We have also shown that some of these signaling steps are important for cardiac hypertrophy during normal postnatal development, and that they regulate myocyte survival in models of heart disease. The second project investigates the role of the immune system in vascular disease. These studies focus on the Fas/Fas ligand system. Fas is a death receptor that mainly functions to downregulate inflammatory reaction. Aberrations in Fas-mediated apoptosis can contribute to a variety of vascular disorders including atherosclerosis. Current research employs transgenic mouse models to assess the interrelationships between vascular and autoimmune diseases. The third project explores the molecular mechanisms by which amyloid proteins are toxic to cells. The insoluble aggregates of the amyloid proteins A40 and A42 are the predominant components of the inclusion bodies and plaques characteristic of the vessels and neuronal tissues of the Alzheimer’s diseased brain. Cerebral amyloid angiopathy, a disease that affects the brain in half of elderly individuals, is also characterized by amyloid deposition in blood vessels. Our experiments are attempting to elucidate how amyloid proteins induce apoptosis and design strategies to ameliorate the toxicity of amyloid aggregates once they are formed in vascular smooth muscle cells.

H. Christian Weber, M.D.
Gastroenterology

The major thrust of Dr. Weber’s laboratory focuses on cell and molecular biological studies of mammalian bombesin receptors in human cancer and obesity. This family of G protein-coupled receptors comprises the gastrin-releasing peptide receptor (GRP-R), the neuromedin B receptor (NMB-R), and the orphan bombesin receptor subtype-3 (BRS-3). The human GRP-R is found ectopically expressed in human cancers of the colon, stomach, and prostate thereby mediating potent mitogenic properties through ligand specific receptor activation. Our research is directed towards the understanding of molecular mechanisms of aberrant GRP-R expression in epithelial cells and intracellular signaling pathways relevant in GRP-R dependent cell proliferation. Furthermore, it has now been clearly established that GRP-R and BRS-3 play a significant role in the regulation of feeding behavior, obesity, and glucose homeostasis. Consequently, laboratory investigations are aimed at the elucidation of ligand-activated intracellular signaling events and molecular mechanisms by which bombesin receptors regulate energy homestasis.

Lee M. Wetzler, M.D.
Infectious Disease

Dr. Wetzler’s laboratory investigates innate and adaptive immunity and microbial pathogenesis, especially in regards to vaccine development. One major aspect of this work centers on the pathogenic Neisseria, Neisseria gonorrhoeae and Neisseria meningitidis. He has found that the major outer membrane protein of these organisms, the Neisserial porin PorB, can work as an immune adjuvant due to it recognition by the pattern recognition receptor TOLL-like receptor (TLR) 2. He has found that antigen presenting cells, including B cells, dendritic cells and macrophages, are activated by PorB in a TLR2 , TLR1 and MyD88 dependent manner, inducting upregulation of class II MHC, costimulatory molecule CD86 and other markers of activation. Moreover, MAPK signaling events are required for the upregulation of the expression of these markers, as well as production of pro-inflammatory cytokines. Moreover, using an in vivo peritoneal mouse model of inflammation, we have shown that both PorB and intact N. meningitidis induce a significant cellular infux and pro-inflammatory cytokine production, which is also TLR2 dependent. However, we also found that mast cells are activated during this process, which may be in a TLR2 independent manner, along with a significant influx of eosinophils, indicative of induction of a TH2 type cellular response. Studies are continuing to investigate the mechanisms of these phenomena.

We are also investigating the use of this TLR2 ligand, PorB, as a vaccine adjuvant using classic antigens like OVA and more relevant antigens like bacterial capsular polysaccharide. This work has also been extended to investigate the adjuvant activity and mechanism of immune stimulation of the B subunit of cholera toxin. We have found that CTB induces antigen presenting cell stimulation via the lipid raft ganglioside GM1 via induction of a cell-signaling program ending in NF-kB and CREB activation and gene transcription. This work is still on going.

Finally, a new major thrust of the Wetzler lab is investigating the immune response and natural history of Francisella tularensis pulmonary infection in mice and using this data to aid in developing vaccines towards this potential bio-terrorist agent. We have found that using PorB as an adjuvant and Francisella LPS as an atigne, we can enhance protection in these mice, which is likely due to induction of antibodies and improved immunity (potentially both innate and adaptive immunity. It appears that induction of IL-1beta may be more associated with survival bith during natural infection and after vaccination, while IL-6 and IL-17 may have the opposite effect, being more associated with death after pulmonary infection. Finally we have recently found that induction of bronchial associated lymphoid tissue (BALT) after vaccaitnion also appears to be associated with protection. These iBALT structures are long lasting and may be due to persistent antigen stimulation, which we are currently investigating.

M. Michael Wolfe, M.D.
Gastroenterology

The major interest in Dr. Wolfe’s laboratory has always revolved around the physiological and pathological significance of gastrointestinal regulatory peptides. His lab has been conducting investigation aimed at determining the molecular mechanisms and intracellular pathways involved in mediating the trophic effects of gastrin in colorectal cancer and other malignancies of the gastrointestinal tract. These studies have indicated that gastrin exerts its effects, at least in part, through induction of the cytoplasmic protein, β-catenin and its downstream oncogenes and trophic factors, such as cyclooxygenase-2, cyclin D1, and PCNA. He and members of his lab have most recently reported that gastrin is a potent inhibitor of the tumor suppressor PPARγ. They are also examining the relationship between gastrin and cyclooxygenase-2 (COX-2) and are using both cell lines in culture and novel animal models to determine the specific role of gastrin in gastrointestinal carcinogenesis. Other current research interests include the physiological and pathological significance of glucose-dependent insulinotropic polypeptide (GIP). In addition to its acid inhibitory effects in the stomach, which was Dr. Wolfe’s original area of interest, GIP is a potent stimulant of insulin release by pancreatic islet β-cells when administered in physiological doses. His laboratory has successfully synthesized a GIP-specific receptor antagonist and is using it to determine the precise role of GIP both physiologically and under pathological conditions. Presently, the lab is investigating the role of GIP in lipid homeostasis using isolated and perifused adipocytes, differentiated 3T3-L1 cells, and various animal models. Members of his lab are also performing studies to examine the intracellular pathways by which GIP exerts its properties and the relationship of GIP to insulin in the fat cell. Finally, he and his collaborators have initiated studies using transgenic mice and other methods aimed at determining the developmental factors and pathways involved in the differentiation of intestinal stem cells and precursors into mature GIP-producing K-cells.

Benjamin L. Wolozin, M.D.
Pharmacology and Experimental Therapeutics

Our laboratory investigates the pathophysiology of neurodegenerative diseases. The research on Parkinson Disease pathophysiology of genetic factors implicated in Parkinson’s disease, including LRRK2, -synuclein, parkin, DJ-1 and, LRRK2. We hypothesize that genetic mutations linked to Parkinson’s disease converge onto two main cellular pathways, mitochondrial function or management of misfolded proteins We perform the studies using genetically modified cells (e.g., primary neuronal cultures or cell lines) or genetically modified animals (principally C. elegans, but also mouse or human tissue from carriers), and apply the tools of molecular biology, immunochemistry and biochemistry. We have recently demonstrated that LRRK2 binds to MKK6, a kinase that lies upstream of p38 and regulates the stress response. Our studies in mammalian cells demonstrate that LRRK2 regulates membrane localization of MKK6, as well as of small GTPases, such as rac1. Using C. elegans lines expressing human LRRK2 (WT or mutant) we demonstrated that LRRK2 modulates the stress response. Knockdown of the C. elegans homologues of MKK6 or p38 blocks the effects of LRRK2 in C. elegans, demonstrating the requirement of MKK6 for the actions of LRRK2. We have recently begun to examine the pathophysiology of Amyotrophic Lateral Sclerosis. This work focuses on a protein, TDP-43, that was recently shown to be the predominant protein that accumulates during the course of the disease. Our work in cell culture demonstrates that TDP-43 aggregates in response to stress, and suggests that TDP-43 functions in the stress granule pathway. Finally, our work on Alzheimer disease focuses on the interaction between the proteins that produce -amyloid (amyloid precursor protein, presenilins and BACE) and the genes that regulate cholesterol metabolism. Our current work focuses on the mechanism by cholesterol regulates production of -amyloid and processing of its precursor protein, APP, with a particular focus is on oxysterol binding proteins, which are regulated by oxysterols, the major cholesterol catabolite in the brain. A second line of research in my lab uses epidemiological approaches to identify promising drug candidates for therapy of Alzheimer’s disease. We are using large databases to analyze the effect of every FDA approved medication on the incidence of Alzheimer disease, and then studying the relevant medications in the laboratory to determine the putative mechanism through which the medications might exhibit their protection.

Zhi-Xiong Xiao, Ph.D.
Biochemistry

Inactivation of the tumor suppressor proteins p53 and retinoblastoma protein (Rb) plays a key role in cancer development. We are interested in signaling cascade that regulates p53 and Rb in response to a variety of cell stress signals, particularly in breast, lung and liver cancers. We have discovered that DNA damages induce p53 phosphorylation and protein conformation changes that lead to p53 activation, cell cycle checkpoint and apoptosis. Additionally, we identified an interplay between the IGF signaling and the p53 pathway with regard to cell survival and cellular senescence. We also demonstrated that the E3 ubiquitin ligase MDM2 interacts with Rb and promoted Rb protein degradation. Currently, we are studying (1) the growth factor signaling (IGF1, AKT, mTOR and GSK3b) in regulation of p53 and Rb pathways during cell proliferation, apoptosis, muscle/neuronal cell differentiation, cellular senescence and aging; (2) regulation of proteasome-mediated degradation of Rb and p53; (3) function of p53-related p63 in epithelial stem cell biology and cancer metastasis.

Mohammad H. Zaman, PhD.
Biomedical Engineering

Research in our lab is focused at the interface of cell biology, mechanics, systems biology and medicine. We are interested in understanding and decoupling the integrated chemical, biological and mechanical basis of tumor invasion that precedes metastasis. We utilize computational and experimental tools rooted in cell biology, chemistry, mechanics and imaging to ask how cells process external information and use it to develop specific responses in native like 3D environments. Our work is also aimed at developing multi-scale models, integrating both first principle and data driven approaches to quantify cell signaling, adhesion and motion in 3D environments.

The second main thrust of our research is focused on developing computational and experimental tools to improve the quality of life, education and the practice of medicine in the developing world. In this regard, we are working closely with the Center for Global Health and various medical schools and engineering institutions around the globe to develop cheap, robust and easy to use solutions to develop improved diagnostics and tools for data analysis.

Mengwei Zang, M.D., Ph.D
Vascular Biology Unit

The main goal of Dr. Zang’s laboratory is to investigate the physiological regulation of novel signaling molecules important in energy homeostasis and their impact in diabetes and cardiovascular complications. Better understanding of these molecular mechanisms will provide a great opportunity for the development of novel therapeutic strategies for metabolic syndrome and cardiovascular disease. A major focus is to determine how protein kinases or signal transduction pathways modulate glucose and lipid metabolism in hepatocytes by their effects on phosphorylation, protein-protein interactions and gene expression, and their implication for pathological dysregulation in insulin resistance and diabetes. Recent studies focus on the role of key energy sensors, such as AMP protein kinase (AMPK) and the NAD-dependent deacetylase (SIRT1), in the regulation of cell metabolism and diabetes. These studies have demonstrated that AMPK is required for metformin, one of the most widely prescribed type 2 diabetes drugs in the world, to prevent hepatocyte lipid accumulation caused by high glucose. Importantly, she has identified AMPK activation as a molecular mechanism for the beneficial effects of nature products, such as polyphenols including resveratrol, present in red wine, on hepatic lipid accumulation, hyperlipidemia and atherogenesis in type 1 and type 2 diabetic LDL receptor deficient mice. She and her colleagues have also defined SIRT1 as an upstream effector responsible for activating the LKB1/AMPK signaling pathway that explains the ability of polyphenols to inhibit high glucose-induced hepatocyte lipid accumulation. Our findings point to SIRT1 and AMPK as sharing a common pathway and functional consequence, providing major therapeutic targets for the treatment of diabetes. Parallel studies are being performed using in vitro cultured cell models and in vivo genetically-modified mice, to dissect the relationship between the cell signaling and alteration in cell metabolism that can be assessed from molecular and cellular levels that are integrated in diabetic mouse models. Current research is attempting to elucidate how these critical signaling pathways influence disease states, including fatty liver, dyslipidemia, and atherosclerosis in obesity, insulin resistance and type 2 diabetes. The ultimate goal is to provide new insight into the mechanism of insulin resistance and diabetes and to identify potential therapeutic interventions.

Vassilis Zannis, Ph.D.
Molecular Medicine

Dr. Zannis’ research focuses in two directions. The first direction is the structure and function of apolipoproteins A-I and apolipoprotein E and their role in the pathogenesis in cardiovascular disease. In addition, we are investigating the role of apoE in Alzheimer’s disease. For these studies we have developed methodologies for high level of expression of variant apolipoprotein forms and their purification from the culture medium. The variant apoA-I forms are analyzed for their ability to bind to lipids an lipoproteins to bind to the scavenger receptor BI (SR-BI) and to activate LCAT. The variant apoE forms are analyzed for their ability to bind to amyloid peptide  (A) and to apoE receptors present in the brain (VLDL receptor E receptor II). The second direction is the role of the apoCIII enhancer on the transcriptional regulation of the human apoA-I CIII gene cluster. In particular we are focusing on the role of hormone nuclear receptors which bind to proximal and distal sites as well as the role of the SP1 which binds to the apoCIII enhancer on these genes using transgenic animals and antisense methodologies.

Primary teaching affiliate
of BU School of Medicine