The submitted application for a K01 Mentored Scientist Career Development Award will afford Dr. Nicole Nugent formal and tailored training essential for her programmatic line of research in genetic predictors of psychiatric functioning (e.g., depression, anxiety, substance abuse), health behaviors (e.g., medication adherence, sex risk), and health outcomes (e.g., CD4/CD8 lymphocytes, HIV-1 plasma RNA levels, cytokines, and natural killer cells) in youth living with HIV (YLH). Given that YLH evidence levels of non- adherence to antiretroviral regimens expected to result in drug resistance and virologic failure, thereby increasing likelihood of transmission of drug-resistant strains to others, the public and patient health relevance elucidating factors that may influence health behaviors is substantial. Select genetic variants may influence patient health outcomes via their effects on synergistic neurobiological and psychobehavioral processes. Genetic samples and longitudinal data collected through the Reaching for Excellence in Adolescent Care and Health (REACH) Project provide a unique, cost-effective opportunity to examine these aims. Additionally, the proposed research is ideally suited to Dr. Nugent's career and training goals to: (1) obtain sufficient training in molecular genetics to permit informed multidisciplinary research collaborations with molecular genetics and other scientists, (2) gain expertise in advanced statistical modeling of genetic variants influencing human behavior and psychiatric conditions, (3) obtain familiarity with genetic influences on HIV transmission and post-infection disease progression, (4) further sensitivity to ethical considerations in genetic research and research with stigmatized populations, and to establish herself as a contributor within the psychiatric genetic and adolescent HIV scientific fields. These training goals will be achieved through a combination of formal coursework and workshops, applied training experiences using REACH and mentor data, and ongoing close mentorship. This K01 award will permit training and research findings to support future planned ROIs and programmatic line of innovative research with YLH.
Although antiretroviral therapy has afforded marked health gains in YLH, these benefits are limited by patient adherence. Non-adherence results in emergence of drug-resistant strains of HIV. Identification of factors that may contribute to health outcomes in YLH via their effects on psychobehavioral and/or neurobiological processes will permit the development of informed behavioral and pharmacologic interventions for YLH.
|Nugent, Nicole R; Goldberg, Amy; Uddin, Monica (2016) Topical Review: The Emerging Field of Epigenetics: Informing Models of Pediatric Trauma and Physical Health. J Pediatr Psychol 41:55-64|
|Dunn, Erin C; Brown, Ruth C; Dai, Yael et al. (2015) Genetic determinants of depression: recent findings and future directions. Harv Rev Psychiatry 23:1-18|
|Palmer, Rohan H C; Brick, Leslie; Nugent, Nicole R et al. (2015) Examining the role of common genetic variants on alcohol, tobacco, cannabis and illicit drug dependence: genetics of vulnerability to drug dependence. Addiction 110:530-7|
|Delahanty, Douglas L; Gabert-Quillen, Crystal; Ostrowski, Sarah A et al. (2013) The efficacy of initial hydrocortisone administration at preventing posttraumatic distress in adult trauma patients: a randomized trial. CNS Spectr 18:103-11|
|Tolou-Shams, Marina; Houck, Christopher D; Nugent, Nicole et al. (2012) Alcohol Use and HIV Risk among Juvenile Drug Court Offenders. J Soc Work Pract Addict 12:178-188|
|Nugent, Nicole R; Lally, Michelle A; Brown, Larry et al. (2012) OPRM1 and diagnosis-related posttraumatic stress disorder in binge-drinking patients living with HIV. AIDS Behav 16:2171-80|
|Nugent, Nicole R; Koenen, Karestan C; Bradley, Bekh (2012) Heterogeneity of posttraumatic stress symptoms in a highly traumatized low income, urban, African American sample. J Psychiatr Res 46:1576-83|
|Maccani, Matthew A; Delahanty, Douglas L; Nugent, Nicole R et al. (2012) Pharmacological secondary prevention of PTSD in youth: challenges and opportunities for advancement. J Trauma Stress 25:543-50|
|Amstadter, Ananda B; Nugent, Nicole R; Yang, Bao-Zhu et al. (2011) Corticotrophin-releasing hormone type 1 receptor gene (CRHR1) variants predict posttraumatic stress disorder onset and course in pediatric injury patients. Dis Markers 30:89-99|
|Brown, Larry K; Nugent, Nicole R; Houck, Christopher D et al. (2011) Safe Thinking and Affect Regulation (STAR): human immunodeficiency virus prevention in alternative/therapeutic schools. J Am Acad Child Adolesc Psychiatry 50:1065-74|
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