This revised proposal describes a 5-year training program for the development of an academic career in transplantation biology. The principal investigator has completed a research fellowship in transplantation biology. This program will afford the investigator resources to expand his research skills to develop into an independent investigator in transplantation immunology. David L. Perkins, M.D., Ph.D. will mentor the principal investigator's scientific development. Dr. Perkins is an established investigator with 20 years of research experience whose fellows have gone on to academic careers. The program will include the assistance of Gregory L. Stahl, PhD with expertise in Complement. An advisory committee of respected medical scientist will advise the investigator by providing scientific and career advice. The hypothesis is: Graft C1q provides crucial activating triggers via dendritic cells for the recipient T cell adaptive alloimmune response that mediates rejection. Research will focus on the role of Complement component C1q in transplantation graft rejection. Recent work by the Principal Investigator in Dr. Perkins's laboratory shows prolonged graft survival in Clq deficient transplants.
The specific aims i nclude: 1) Does C1q deficiency in the donor graft decrease recipient T cell responses? By application of in vivo cell trafficking via transgenic GFP mice to a murine model of heart transplantation in the absence of graft C1q, we will determine the effector function, activation, cytokine production and regulation of CD4 and CDS T cells infiltrating C1q deficient allografts. 2) Does C1q modulate dendritic cell activation and maturation following transplantation? Using a model of in vivo cell trafficking via transgenic GFP mice in murine heart transplantation in the presence or absence of graft C1q, we will determine if C1q is crucial component of the activation and maturation of dendritic cells. The location for this proposal, the Brigham and Women's hospital; provides an excellent setting and an established track record for the training of physician-scientists. The long-term goal is to train a physician-scientist that will succeed in the field of transplantation immunology.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08AI060881-04
Application #
7391242
Study Section
Allergy & Clinical Immunology-1 (AITC)
Program Officer
Prograis, Lawrence J
Project Start
2005-04-01
Project End
2010-03-31
Budget Start
2008-04-01
Budget End
2009-03-31
Support Year
4
Fiscal Year
2008
Total Cost
$128,520
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
Quraishi, Sadeq A; Litonjua, Augusto A; Elias, Kevin M et al. (2015) Association between pre-hospital vitamin D status and hospital-acquired new-onset delirium. Br J Nutr 113:1753-60
Quraishi, Sadeq A; Litonjua, Augusto A; Moromizato, Takuhiro et al. (2015) Association between prehospital vitamin D status and hospital-acquired Clostridium difficile infections. JPEN J Parenter Enteral Nutr 39:47-55
Amrein, Karin; Quraishi, Sadeq A; Litonjua, Augusto A et al. (2014) Evidence for a U-shaped relationship between prehospital vitamin D status and mortality: a cohort study. J Clin Endocrinol Metab 99:1461-9
McKane, Caitlin K; Marmarelis, Melina; Mendu, Mallika L et al. (2014) Diabetes mellitus and community-acquired bloodstream infections in the critically ill. J Crit Care 29:70-6
Quraishi, Sadeq A; Litonjua, Augusto A; Moromizato, Takuhiro et al. (2013) Association between prehospital vitamin D status and hospital-acquired bloodstream infections. Am J Clin Nutr 98:952-9
Lipnick, Michael S; Braun, Andrea B; Cheung, Joyce Ting-Wai et al. (2013) The difference between critical care initiation anion gap and prehospital admission anion gap is predictive of mortality in critical illness. Crit Care Med 41:49-59
McMahon, Gearoid M; Mendu, Mallika L; Gibbons, Fiona K et al. (2012) Association between hyperkalemia at critical care initiation and mortality. Intensive Care Med 38:1834-42
Mendu, Mallika L; Zager, Sam; Gibbons, Fiona K et al. (2012) Relationship between neighborhood poverty rate and bloodstream infections in the critically ill. Crit Care Med 40:1427-36
Braun, Andrea B; Gibbons, Fiona K; Litonjua, Augusto A et al. (2012) Low serum 25-hydroxyvitamin D at critical care initiation is associated with increased mortality. Crit Care Med 40:63-72
Braun, Andrea; Chang, Domingo; Mahadevappa, Karthik et al. (2011) Association of low serum 25-hydroxyvitamin D levels and mortality in the critically ill. Crit Care Med 39:671-7

Showing the most recent 10 out of 13 publications