University of Pittsburgh Faculty Research Information
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Cuneyt M. Alper, MD Professor of Otolaryngology University of Pittsburgh School of Medicine Children’s Hospital of Pittsburgh of UPMC Division of Pediatric Otolaryngology Director, Pediatric Otolaryngology Fellowship Program Children’s Hospital of Pittsburgh of UPMC 4401 Penn Avenue Faculty Pavilion, 7th floor Pittsburgh, PA 15224 Phone: 412-692-8577 Fax: 412-692-6074 Email: Cuneyt.alper@chp.edu Email: alperc@pitt.edu Links: CV: Cuneyt M. Alper, MD Research Description: Ear, Middle Eustachian Tube Otitis Media Otitis Media with Effusion Otitis Media, Suppurative Common Cold Respiratory Tract Infections Page 2
Education: MD., Hacettepe University, Ankara, Turkey Residency, Kartal Training and Research Hospital, Istanbul, Turkey Fellowship, Children’s Hospital of Pittsburgh, Division of Pediatric Otolaryngology Recent Publications: Alper CM, Kitsko DJ, Swarts, JD, Martin B, Yuksel S, Cullen Doyle BM, Villardo RJ, Doyle WJ. Role of the mastoid in middle ear pressure regulation. Laryngoscope, 2011; Feb:121(2): 404- 8. Silva RC, Simons JP, Chi, DH, Yellon RF, Alper CM. Endoscopic treatment of plastic bronchitis. Arch Otolaryngol Head Neck Surg, 2011; Apr:137(4): 401-403. Swarts JD, Alper CM, Mandel EM, Villardo RJ, Doyle WJ. Eustachian tube function in adults without concurrent ear disease. Ann Otol. Rhinol Laryngol, 2011Apr:120(4): 220-5. Doyle WJ, Swarts, JD, Banks J, Yuksel S, Alper CM. Transmucosal O2 and CO2 exchange rates for the human middle ear. Auris, Nasus, Larynx. 2011 Dec:38(6) 684-91. (Epub 2011 Feb 16). Alper CM, Losee JE, Mandel EM, Seroky JT, Swarts DJ, Doyle WJ. Post-palatoplasty Eustachian tube function in young children with cleft palate. Cleft Palate Cranio J, 2011 Jul 8 (Epub ahead of printing). Page 3
Carey D. Balaban, PhD Professor of Otolaryngology, University of Pittsburgh Professor of Neurobiology, University of Pittsburgh Professor of Communication Sciences and Disorders, University of Pittsburgh Professor of Bioengineering, University of Pittsburgh Director, Center for National Preparedness, University of Pittsburgh Co-Director, Consortium for Integrative Scientific Convergence, University of Pittsburgh and Potomac Institute for Policy Studies Academic Fellow, Potomac Institute for Policy Studies, Arlington, VA Eye & Ear Institute Suite 107 203 Lothrop Street Pittsburgh, PA 15213 Phone 412.647.2298 Fax 412.647.1080 Email: balabancd@upmc.edu Links PubMed: NIH RePorter: CV: Carey Balaban, PhD Research Description: Anatomy, neurophysiology, and neurochemistry of vestibular function. Research theme: Behavioral/Systems/Cognitive Areas of concentration: Balance and Vestibular Function; Molecular Responses of Inner Ear to Toxin and Blast Injury; Psychophysics, Simulation and Modeling The primary goal of Dr. Balaban's research has been to develop a rational basis for understanding the neurobiology of the vestibular system so that new therapies for vestibular disorders can be designed. This goal is approached by: (1) identifying the organization of central vestibular circuits that mediate autonomic and somatic motor responses to vestibular stimulation; (2) Page 4
identifying neurotransmitters and intracellular signal transduction proteins that are important in these brain circuits; (3) examining the role of these biochemical constituents in responses to challenges from toxins and mechanical (blast) injury; and (3) identifying contributions of these mechanisms to the clinical linkage among balance disorders, anxiety disorders (panic with agoraphobia) and migrainous vertigo. These studies have a strong translational component through interactions with Drs. Joseph Furman (Otolaryngology), Rolf Jacob (Psychiatry), Dawn Marcus (Neurology), Susan Whitney (Physical Therapy, SHRS), John Durrant (Communication Sciences & Disorders, SHRS) and Mark Redfern (Bioengineering). Current studies include: (1) analysis of connectional and neurochemical parallels between ascending vestibular and nociceptive pathways, (2) proteomic, lipidomic, genomic, neurochemical and histopathological analyses of repair processes after blast-induced mild traumatic brain injury that explain headache and dizziness in patients, (3) studies of changes metabolic protein and mRNA expression in the inner ear ganglion cells after chemical challenges to the inner ear; (4) quantitative modeling studies genetic and neural bases for human subjective responses to pain and (5) translating neural principles into operations research and neurotecnological approaches for homeland security and defense applications (through the Center for National Preparedness, Potomac Institute for Policy Studies and collaborations with the corporate sector). Trainees in Dr. Balaban's laboratory will have the opportunity to apply a variety of anatomical, neuropharmacological, electrophysiological and cellular/molecular methods to study vestibular function. These methods include state-of-the-art tract tracing methods, immunohistochemical methods, quantitative PCR, in situ hybridization, computer, electrophysiology, and a variety of standard and non-standard mathematical modeling and signal analysis methods. Intellectual training includes exposure to regular group meetings that discuss translation of basic findings into clinical practice and other cross-disciplinary applications. Education PhD, University of Chicago (1979) Postdoctoral, University of Tokyo, (1979-1982) Recent Publications McCandless CH, Balaban CD. Parabrachial nucleus neuronal responses to off-vertical axis rotation in macaques. Exp Brain Res 202(2): 271-90, 2010 Ahn SK, Balaban CD. Distribution of 5-HT1B and 5-HT1D receptors in the inner ear. Brain Res. 1346:92-101, 2010. Balaban CD, Jacob RG, Furman JM. Neurologic bases for comorbidity of balance disorders, anxiety disorders and Migraine: neurotherapeutic implications. Expert Rev Neurother.11:379- 394, 2011. Jeffrey S. Mogil*, Robert E. Sorge, Michael L. LaCroix-Fralish, Shad B. Smith, Anny Fortin, Susana G. Sotocinal, Jennifer Ritchie, Jean-Sebastien Austin, Ara Schorscher-Petcu1, Kara Melmed, Jan Czerminski, Rosalie A. Bittong, J. Brad Mokris, John K. Neubert, Claudia M. Campbell, Robert R. Edwards, James N. Campbell, Jacqueline N. Crawley, William R. Lariviere, Page 5
Margaret R. Wallace, Wendy F. Sternberg, Carey D. Balaban, Inna Belfer, and Roger B. Fillingim. Pain sensitivity and vasopressin analgesia are mediated by a gene-sex-environment interaction, Nature Neuroscience, doi:10.1038/nn.2941 , 2011. Vardit Rubovitch, Meital Ten-Bosch, Ofer Zohar, Catherine R.Harrison, Catherine Tempel- Brami,, Elliot Stein, Barry J. Hoffer, Carey D. Balaban, Shaul Schreiber, Wen-Ta Chiu, Chaim G. Pick. A Mouse Model of Blast-Induced mild Traumatic Brain Injury, Experimental Neurology, 232:280-289, 2011 Page 6
Charles D. Bluestone, MD Distinguished Professor of Otolaryngology Past Eberly Professor of Otolaryngology and Director of Pediatric Otolaryngology Department of Otolaryngology Children’s Hospital of Pittsburgh of UPMC Department of Pediatric Otolaryngology Children’s Hospital Drive 45th and Penn Ave. Faculty Pavilion 7th Floor Pittsburgh, PA. 15201 Phone 412-692-5902 Fax: 412-692-6075 Email bluecd@chp.edu Links PubMed NIH RePorter CV: Charles Bluestone, MD Research Description: Dr. Bluestone is currently involved with the role evolution plays in diseases and disorders of infants and children, primarily otitis media. (See below, Recent Publications) He is also involved with Eustachian tube testing of children and adults in the Eustachian tube function laboratories at the Children’s Hospital of Pittsburgh of UPMC. Another ongoing research project involves a potential animal model, Cavalier King Charles Spaniel, which has a greater than 50% incidence of chronic otitis media effusion. Research being conducted with his colleagues in this animal involves histopathology of the middle-ear cleft in cadavers, and Eustachian tube function tests in live animals, conducted at the Ohio State University School of Veterinary Medicine in Columbus Ohio. He also is involved with his research colleagues in measurements of crania from the American Museum of Natural History in New York City, which is attempting to determine if there are osteological differences in the skull base and Eustachian tube bony landmarks, as well Page 7
as mastoid evidence of otitis media in the morphology of the mastoid gas cell system, in different racial groups in which there has been reported to be varying degrees of incidence of otitis media. Some aspects of his current research described above could be potential projects for residents. Education: University of Pittsburgh, BS (1954) University of Pittsburgh, MD (1958) Residency in Otolaryngology University of Illinois School of Medicine (1962) Recent Publications Lim DJ, Bluestone CD, Casselbrant ML, eds. Recent Advances in Otitis Media: Report of the Eighth Research Conference. Ann Otol Rhinol Laryngol 2005;194(No.1;Part 2) ( Supplement 194):1-160. Bluestone CD. Impact of evolution on the Eustachian tube. Laryngoscope. 2008;118(3):522-527. Bluestone CD. Galapagos: Darwin, Evolution and E.N.T. Laryngoscope, 2009;119(10):1902-5. Casselbrant ML, Mandel EM, Rockette HE, Kurs-Lasky M, Fall PA, Bluestone CD. Adenoidectomy for otitis media with effusion in 2-3 year-old children. Int J Pediatr Otorhinolaryngol 2009;73(12):1718-1924. Bluestone CD. Swarts JD. Human evolutionary history: consequences for the pathogenesis of otitis media. Otolaryngol Head Neck Surg. 2010 Dec;143(6):739-44.Epub 2010 Oct 25. Page 8
Margaretha L. Casselbrant, MD, PhD Eberly Professor of Pediatric Otolaryngology University of Pittsburgh School of Medicine Director, Division of Pediatric Otolaryngology Children’s Hospital of Pittsburgh of UPMC Children’s Hospital of Pittsburgh of UPMC 4401 Penn Avenue Faculty Pavilion, 7th Floor Pittsburgh, PA 15224 Links CV: Margaretha L. Casselbrant, MD, PhD Research Description: Dr. Casselbrant’s main research interest is focused on otitis media and she has conducted numerous clinical trials and studies assessing the efficacy of medical and surgical treatments for otitis media. Dr Casselbrant has also performed balance studies in children to obtain normative age related rotational and posturography data and assess the effect of otitis media on balance by following a group of children with documented history of otitis media longitudinal from 3 years through 9 years of age with yearly examinations. Dr. Casselbrant has also investigated the genetic aspects of otitis media. The first study which enrolled mono- and dizygotic twins demonstrated a significantly higher concordance rate for the MZ twins compared to the DZ twins with a very high hereditary estimate (74). A genome-wide linkage scan in 500 families with two children having had tympanostomy tube inserted has been just been completed, which demonstrates evidence of susceptibility loci within the 17q12 and Page 9
10q22.3 regions for otitis media. We are in the progress of submitting a RO1 to further evaluate the genetic contributions in otitis media Dr. Casselbrant is the PI on the ongoing study “Eustachian Tube Growth and Development: Anatomy/Function’ which is a part of Dr Doyle’s Program Project entitled “Middle Ear Pressure Regulation in Health and Disease”. This longitudinal study will test the hypothesis that age- related changes in the ET-paratubal muscle vector relationships are reflected in more efficient ET-function and, by consequence, a reduction in otitis media risk. The children are examined with non-invasive anthropometric measures, cephalometrics and MRI (in subset). ET-function will be assessed in a pressure chamber if the tympanic membrane is intact. Dr. Casselbrant is also a Co-I on the ongoing study “Social and Psychological Risk for Infectious Illness” (PI Dr Cohen), which uses an upper respiratory infectious disease paradigm as a model to investigate the potential influence of psychosocial factors (stressful events, social networks and support, interpersonal conflicts and strains, and social disposition) on infections, viral induced inflammatory processes and disease expression. The subjects (adults) are followed prospectively for assessment of their social environment and they are also “cloistered” for inoculation with a virus that causes a mild common cold. During this time they are closely monitored for infections and illness expression. Education: BA University of Lund, Lund, Sweden, 1964-1965 MD University of Lund, Lund, Sweden, 1969-1973 PhD University of Lund, Lund, Sweden, 1975-1979 Internship University of Lund, Malmo, Sweden, 1973-1974 (18 months) Residency University of Lund, Malmo General Hospital, Malmo, Sweden, 1975-1978 Fellowship University of Pittsburgh School of Medicine, Children’s Hospital of Pittsburgh, Pittsburgh, PA, 1980-1982 Recent Publications: Rodriguez KD, Sun GH, Mandel EM, Casselbrant ML, Pike F, Chi DH. Post-tonsillectomy bleeding in patients with von Willebrand disease. Otolaryngol Head Neck Surg 2010; 142(5):715-721. http://www.ncbi.nlm.nih.gov/pubmed/20416462 Davidson HC, Stapleton AL, Casselbrant ML, Kitsko DJ. Perioperative incidence and management of hyponatremia in vWD patients undergoing adenotonsillectomy. Laryngoscope 2011; 121(7):399-403. http://www.ncbi.nlm.nih.gov/pubmed/21647890 Sale MM, Chen WM, Weeks DE, Mychaleckyj JC, Hou X, Marion M, Segade F, Casselbrant ML, Mandel EM, Ferrell RE, Rich SS, Daly KA. PLoS One 2011; 6(8):e22297. http://www.ncbi.nlm.nih.gov/pubmed/21857919 Casselbrant ML, Mandel EM, Seroky JT, Swarts JD, Doyle WJ. A pilot study of the ability of the forced response test to discriminate between 3-year-old children with chronic otitis media with effusion or with recurrent acute otitis media. Acta Otolaryngol 2011; 131(11):1150-4. http://www.ncbi.nlm.nih.gov/pubmed/21846295 Page 10
Cohen MS, Mandel EM, Redfern MS, Furman JM, Sparto PJ, Casselbrant ML. Tympanostomy tube placement and vestibular function in children. Otolaryngol Head Neck Surg 2011; 145(4):666-672. http://www.ncbi.nlm.nih.gov/pubmed/21676943 Page 11
David H. Chi, MD Assistant Professor of Otolaryngology University of Pittsburgh School of Medicine Director, Hearing Center Division of Pediatric Otolaryngology Children’s Hospital of Pittsburgh of UPMC 4401 Penn Avenue Faculty Pavilion, 7th floor Pittsburgh, PA 15224 Phone: 412-692-8577 Fax: 412-692-6074 Email: david.chi@chp.edu Links CV: David H. Chi, MD Research Description: Interests are in the evaluation and treatment of pediatric sensorineural hearing loss. Basic science research interest encompasses understanding the mechanisms of neural circuit development in auditory neuropathy Education: BS, Biomedical Sciences/Sociology, University of Michigan MD., University of Michigan Surgical Internship, University of Virginia Page 12
Residency, Otolaryngology, University of Virginia Fellowship, Children’s Hospital of Pittsburgh of UPMC, Division of Pediatric Otolaryngology Recent Publications: Kitsko DJ, Chi DH. Coblation removal of large suprastomal tracheal granulomas. Laryngoscope 2009 Feb;119(2):387-9 Cohen MS, Zhuang L, Simons JP, Chi DH, Maguire RC, Mehta DK. Injection laryngoplasty for type 1 laryngeal cleft in children. Otolaryngol Head Neck Surg. 2011 Feb 4 [Epub ahead of print] Silva RC, Chi DH. Successful management of a tracheo-innominate fistula in a 7-year-old child. Int J Pediatr Otorhinolaryngol. 2010 Aug;74(8):946-8. Rodriguez KD, Sun GH, Pike F, Mandel EM, Casselbrant ML, Chi DH. Post-Tonsillectomy bleeding in children with von Willebrand disease: A single-institution experience. Otolaryngology – Head and Neck Surgery, 2010 May;142(5):715-21 Dunklebarger J, Branstetter B, Lincoln A, Sippey M, Cohen M, Gaines B, Chi DH. Pediatric Temporal Bone Fractures: Current trends and comparison of classification schemes. Laryngoscope. Accepted. Silva RC, Simons JP Chi DH, Yellon RF, Alper C. Endoscopic Management of Plastic Bronchitis. Archives of Otolaryngology-Head & Neck Surgery. 2011 Apr; 137(4): 401-3. Page 13
Joseph E. Dohar, MD, MS, FAAP, FACS Professor of Otolaryngology University of Pittsburgh School of Medicine Clinical Director Pediatric Voice, Resonance, & Swallowing Center RESEARCH DESCRIPTION: Dr. Dohar is actively involved in research efforts to improve healing of the skin and mucosa of the ear, nose and throat. As a collaborator of the ENT Wound Healing Research Program, Dr. Dohar is working with talented graduate students, residents and postdoctoral fellows and has a close collaboration with other faculty members, notably Patricia A. Hebda, Ph.D., the Director of the ENT Would Healing Research program and research partner. The goal of their research team is to establish a multifaceted program encompassing preclinical and clinical projects. The fundamental purpose is to develop new, biologically driven therapeutic modalities to promote and optimize wound healing and tissue regeneration of the upper aerodigestive system. To achieve this goal they have ongoing projects based on: characterization of regenerative, or scarless, fetal wound healing cell therapy and tissue engineering for laryngotracheal mucosa animal and tissue culture model systems for airway injury Another component of their research involves characterization of the fibrotic fibroblast phenotype as exhibited in connective tissue scars, such as keloids and hypertrophic scars in the skin and stenoses of the airway. The group is pursuing this study of fibrotic healing with scar formation in children and adults in contrast to the scarless regenerative healing of fetal connective tissues of skin and airway mucosa. The group is also investigating the role of inflammation in the pathogenesis of Otitis media, focusing on the adverse effects of middle ear fluid evoked by Eustachian tube dysfunction and resultant negative pressure. Even in the absence of bacterial or viral infection, the fluid produced in response to negative pressure contains inflammatory mediators that can induce structural changes over the course of weeks and months. As Medical Director of the Pediatric Voice, Resonance, & Swallowing Center, Dr. Dohar maintains the oldest clinical research registry in the nation. A variety of retrospective and prospective clinical investigations pertaining to pediatric dysphonia, dysphasia, and velopharyngeal insufficiency are ongoing. Also, pediatric secretion control and salivary aspiration are focused areas of clinical investigation. Finally, Dr. Dohar has a long clinical-standing interest in the management of chronic suppurative otitis media and otorrhea. Current ongoing clinical investigations include epidemiology, natural history, microbiologic changes, and new ototopical antimicrobial drug development. Page 14
Umamaheswar Duvvuri, M.D., Ph.D. Assistant Professor of Otolaryngology, Division of Head and Neck Surgery University of Pittsburgh School of Medicine Director, Robotic Head and Neck Surgery, VA Pittsburgh Health System Suite 500 EEI 200 Lothrop Street Pittsburgh, PA 15213 Phone: 412-647-2117 Email: duvvuriu@upmc.edu Fax: 412-647-2080 Links PubMed NIH RePorter CV: Umamaheswar Duvvuri, M.D., Ph.D. Research Description: Dr. Duvvuri is currently investigating novel oncogenic pathways in head and neck squamous cell carcinomas. We use a variety of molecular and imaging modalities to address these questions. Active research projects include investigations of: The role of a novel calcium-activated chloride channel (ANO1) in SCCHN The signaling pathways activated by PlexinB1/Semaphorin4D in SCCHN The interaction(s) between mesenchymal stem cells and SCCHN Clinical & Translational Projects Transoral anatomy three dimensional anatomy of the oropharynx and infra temporal fossa Retrospective review of outcomes of robotic head & neck surgery Page 15
Education: B.S.E., University of Pennsylvania, Bioengineering, 1996 M.S.E., University of Pennsylvania, Bioengineering, 1996 M.D., University of Pennsylvania, Medicine, 2002 Ph.D., University of Pennsylvania, Biophysics, 2002 Internship, General Surgery, University of Pittsburgh Medical Center, 2003 Residency, Otolaryngology, University of Pittsburgh Medical Center, 2006 Fellowship, Head & Neck Surgery, UT MD Anderson Cancer Center, 2008 Recent Publications: Duvvuri U, Simental AA, Johnson JT, Ferris RL, Myers EN. (2006). Selective neck dissection for the management of the N+ neck. Annals of Otolaryngology 115(11), 846-849. Carrau RL, Kassam AB, Snyderman CH, Duvvuri U, Mintz A, Gardner P. (2006). Endoscopic transnasal anterior skull base resection for the treatment of sinonasal malignancies. Operative Techniques in Otolaryngology 17(2), 102-110. Folbe A, Herzallah I, Duvvuri U, Bublik M, Sargi Z, Snyderman C, Carrau R, Casiano R. Endoscopic endonasal resection of esthesioneuroblastoma: A multicenter study; 2009 January- February, Vol. 23, No. 1:91-95. Duvvuri U, Myers JN. (2009). Contemporary management of oropharyngeal cancer: Anatomy and physiology of the oropharynx. Current Problems in Surgery; 2009, February: 46(2), 119-84. Rivera-Serrano CM. Terre-Falcon R. Duvvuri U, “Combined approach for extensive maxillectomy: technique development and cadaveric dissection.” Laryngoscope. 120 Suppl 4:S178, 2010. Page 16
Ann Marie Egloff, PhD, MPH Assistant Professor Department of Otolaryngology University of Pittsburgh School of Medicine W953 Biomedical Science Tower 200 Lothrop Street, Suite 500 Pittsburgh, PA 15213 Phone 412.648.9545 Fax 412.383.5409 Email egloffam@upmc.edu Links PubMed http: //www.ncbi.nlm.nih.gov/pubmed?term=Egloff%20AM NIH RePorter http://projectreporter.nih.gov/reporter.cfm CV: Ann Marie Egloff, PhD, MPH Research Description: Overview The goals the Dr. Egloff’s research are to identify molecular characteristics including genetic variants and acquired tumor alterations that contribute to the development and progression of upper aerodigestive cancers with the ultimate aim of assessing risk, improving early disease detection and identifying effective targeted therapies. Projects Genetic Polymorphisms and Head and Neck and Lung Cancer Risk: The epidermal growth factor receptor (EGFR), the gastrin-releasing peptide receptor (GRPR) and estrogen receptors (ER) are aberrantly overexpressed and activated in head and neck squamous cell carcinoma (HNSCC) and lung cancers. Identifying EGFR, GRPR and/or ER genetic variants Page 17
that are associated with either HNSCC or lung cancer is a primary focus of ongoing research. Identifying variants associated with these cancers will help to define patients who have increased risk for these cancers and will provide important insights as to how these signaling components contribute to the development and progression of these cancers. A large HNSCC case-control cohort has been genotyped for candidate polymorphisms, and specific polymorphisms in EGFR and ER have been identified to be associated with HNSCC. Similarly, candidate polymorphisms have been evaluated in the EGFR-GRPR-ER signaling axis in lung cancer patients and cancer- free controls and specific disease-associated polymorphisms identified. The laboratory is now working to define the functional consequences of these cancer-associated variants. HNSCC Tumor Alterations and Patient Prognosis: Dr. Egloff’s laboratory is investigating clinically important relationships between inherited genetic variation, tumor mutations and epigenetic alterations and patient survival. The laboratory is working to define correlations between inherited genetic variants, altered tumor expression profiles of EGFR-GRPR-ER signaling axis components and patient clinical outcomes. Molecular studies of clinical specimens provide the underpinnings for these studies. Hypotheses stemming from these studies can be further investigated using preclinical models of head and neck cancer. This integrated approach using both clinical and preclinical research avenues provides for the thorough investigation of clinically relevant hypotheses. HNSCC Tumor Alterations and Response to Targeted Therapies The EGFR-targeted antibody therapeutic, cetuximab, has been approved for the treatment of HNSCC. Response rates to cetuximab in clinical trials have been modest, and as yet, tumor or patient characteristics that identify tumors that will respond to cetuximab are undefined. In addition to identifying tumor molecular characteristics that define tumors most likely to respond to therapeutics in clinical development, the lab is working to identify effective combinations of therapeutics and their predictive biomarkers. The Src family kinases, which are involved in the EGFR-GRPR-ER axis cross-talk and downstream signaling events, are a focus of these studies. A Phase II clinical trial in HNSCC patients combining the Src family kinases and spectrum kinase inhibitor, dasatinib, with the EGFR-targeted antibody therapeutic, cetuximab, is currently ongoing. Patient tumor and blood samples are being collected in order to evaluate candidate blood and tumor characteristics as biomarkers for response to treatment. Although EGFR, GRPR, ER and Src family kinases are aberrantly activated in HNSCC, these genes were not found to be mutated in the recent study describing mutations in a large collection of HNSCC tumors. A non-candidate whole exome sequencing analysis of HNSCC performed by University of Pittsburgh and Broad Institute researchers including Dr. Egloff identified several novel genes as being significantly mutated. Among these significantly mutated genes was Notch1, which has been reported to be expressed in the presence of EGFR inhibitors in some cancers, suggesting a possible mechanism of EGFR-targeted therapy resistance. The lab has begun work to define the roles of the observed Notch1 mutations in HNSCC and to assess their role in responsiveness versus resistance to EGFR-targeted therapies using immortalized keratinocytes and preclinical models of HNSCC. The long term goal of this project is to define tumor-specific molecular characteristics that predict response to treatment and aid in the selection of treatment most likely to benefit the individual patient. Page 18
Education: B.S. (Cellular and Molecular Biology), University of Pittsburgh, 1988 Ph.D. (Molecular Biology and Genetics), Johns Hopkins University School of Medicine, 1999 M.P.H. (Epidemiology), University of Pittsburgh Graduate School of Public Health, 2005 Postdoctoral Fellow, National Human Genome Research Institute, 2001-2003 Postdoctoral Scholar, University of Pittsburgh School of Medicine, 2003-2006 Recent Publications: Stransky N*, Egloff AM*, Tward A*, Kostic A, Cibulskis K, Sivachenko A, Kryukov G, Lawrence M, Sougnez C, McKenna A, Ramos AH, Stojanov P, Carter SL, Voet D, Cortes M, Auclair D, Saksena G, Guiducci C, Onofrio R, Parkin M, Romkes M, Weissfeld J, Seethala RR, Wang L, Winckler W, Ardlie K, Gabriel SB, Myerson M, Lander ES, Getz G, Golub TR, Garraway LA, Grandis JR. The mutational landscape of head and neck squamous cell carcinoma. Science, 2011 Aug 26;333(6046): 1157-60. Epub 2011 Jul 28. PMID: 21798893. PMC Journal-In Process. http://www.sciencemag.org/content/333/6046/1157.full Egloff AM, Liu X, Gaither Davis AL, Trevelline BK, Vuga MM, Siegfried JM, Grandis JR, Elevated Gastrin-Releasing Peptide Receptor mRNA expression in buccal mucosa is associated with head and neck squamous cell carcinoma (HNSCC), in press Head and Neck, 2011. Argiris A, Feinstein TM, Wang L, Yang T, Agrawal S, Appleman LJ, Stoller RG, Grandis JR, Egloff AM. Phase I and pharmacokinetic study of dasatinib and cetuximab in patients with advanced solid malignancies. Invest New Drugs, 2011 Sep 1. [Epub ahead of print]PMID: 21881918 Egloff AM, Grandis JR. Improving Response Rates to EGFR-Targeted Therapies for Head and Neck Squamous Cell Carcinoma: Candidate Predictive Biomarkers and Combination Treatment with Src Inhibitors.J Oncol. 2009;2009:896407. Epub 2009 Jul 14.PMID: 19636423, PMCID: PMC2712676 Egloff AM, Rothstein ME, Seethala R, Siegfried JM, Grandis JR, Stabile LP. Cross-talk between estrogen receptor and epidermal growth factor receptor in head and neck squamous cell carcinoma. Clin Cancer Res. 2009 Nov 1;15(21):6529-40. Epub 2009 Oct 13.PMID: 19825947, PMCID: PMC2783886 Page 19
Berrylin June Ferguson MD Director of the Division of Sino-nasal Disorders and Allergy Professor Department of Otolaryngology University of Pittsburgh School of Medicine Suite 11500 1400 Locust St. Pittsburgh, PA 15219 Phone 412.232.8989 Fax 412.232. 3727 Email: fergusonbj@upmc.edu Links CV: Berrylin June Ferguson MD Research Description: Dr. Ferguson’s research is dedicated to understanding and developing diagnostic tools and targeted therapies for patients with acute and chronic sinus disorders. A challenge in developing targeted therapies for sinus disorders is the nonspecificity of symptoms and the heterogeneity of disorders that are encompassed under the umbrella of chronic rhinosinusitis. In 2011, she showed that fully a third of patients with strong symptoms of CRS, actually have no evidence of sinusitis by endoscopy or radiography. (CID, 2011) Thus tools, such as cultures, either endoscopic or nasopharyngeal that will better direct therapies such as antibiotics are an attractive practical solution since it is so difficult to diagnose CRS by symptoms. While antibiotics are commonly prescribed for both acute and CRS, little evidence supports this practice. Dr. Ferguson is designing studies to limit the use of antibiotics to patients who have cultures showing pathogenic bacteria in mucopurulent secretions. In acute sinusitis, nasopharyngeal cultures show promise in directing therapy more appropriately, while in CRS, studies are underway to assess the efficacy of culture directed antibiotic therapy. In 2007, she showed that is CRS, endoscopic cultures changed antibiotic therapy in 50% of patients treated. In Page 20
a survey conducted in 20o9, both general otolaryngologists and those subspecialized in Rhinology, took cultures but rhinologists took them in 50% of patients with purulent secretions, compared to 34% of general otolaryngologists. Thus research in to best practice guidelines and continued quality monitoring are also part of the research interests of the division of Sino-nasal Disorders and allergy. Fungal sinus manifestations have long been an interest of Dr. Ferguson, and she is internationally recongnized for her expertise in this topic and has published a Clinics of North America devoted to Fungal Sinusitis. The diagnosis of the correct manifestation of fungal sinusitis is imperative in order to direct appropriate therapy. Finally, Dr. Ferguson has published more extensively than anyone recently on the role of dental infections causing maxillary sinusitis and continues to study role of newly introduced imaging modalities such as cone beam CT, which is associated with 10% of the radiation dose of traditional thin slice CT, in detecting dental causes of sinusitis. Education: AB (Biology and History and Philosophy of Science), Princeton University, 1977 M.D., Duke University School of Medicine, 1980 Internship, Department of Surgery, Duke University School of Medicine , 1981-82 Residency, Division of Otolaryngology, Duke University School of Medicine 1983-85 Research Fellow, Division of Otolaryngology, Duke University School of Medicine 1985 National Foundation of Infectious Disease Research Fellowship in Mycology, Duke University School of Medicine 1986 Recent Publications: Longhini A, Ferguson BJ. Clinical Aspects of Odontogenic Maxillary Sinusitis: A Case Series. Allergy & Rhinology. Accepted for publication February 2011. Ferguson BJ, Otto BA, Pant H. When surgery, antibiotics, and steroids fail to resolve chronic rhinosinusitis. Immunol Allergy Clin North Am. 2009 Nov;29(4):719-32. Review. Chakrabarti A, Denning DW, Ferguson BJ, Ponikau J, Buzina W, Kita H, Marple B, Panda N, Vlaminck S, Kauffmann-Lacroix C, Das A, Singh P, Taj-Aldeen S, Kantarcioglu A, Handa K, Gupta A, Thungabathra M, Shivaprakash M, Bal A, Fothergill A, Radotra B. Fungal rhinosinusitis: A categorization and definitional schema addressing current controversies. Laryngoscope. 2009 Sep;119(9):1809-18. Review Sok JC, Ferguson BJ. Differential diagnosis of eosinophilic chronic rhinosinusitis. Clin Allergy Immunol. 2007;19:69-85. Cincik H, Ferguson BJ. The impact of endoscopic cultures on care in rhinosinusitis. Laryngoscope. 2006 Sep;116(9):1562-8. Page 21
Robert L. Ferris, MD, PhD, FACS Professor (Tenure), Vice-Chair for Clinical Operations Chief of Division of Head and Neck Surgery Departments of Otolaryngology, Radiation Oncology, and of Immunology Co-Leader, Cancer Immunology Program University of Pittsburgh Cancer Institute Eye & Ear Institute 200 Lothrop Street, Suite 500 Pittsburgh, PA 15213 Phone 412-647-2117 Fax 412-647-2080 Email ferrisrl@upmc.edu Links PubMed NIH RePorter CV: Robert Ferris, MD, PhD, FACS Research Description: Dr. Ferris’s laboratory is focused on understanding basic immunological mechanisms of the T lymphocyte response to cancer, for the development of novel immunotherapeutic approaches to head and neck tumors. Tumor vaccine clinical trials are currently underway and in new strategies are in development. A wild type p53 peptide based vaccine is currently in the later stages of accrual (15/24 patients vaccinated), and funded by the H&N SPORE P50 grant. We are Page 22
particularly interested in the immune response to human papillomavirus (HPV)-associated head and neck cancer, which appears to be a distinct subgroup of head and neck squamous cell carcinomas. Monitoring the successful immune effects of individuals treated with immunotherapy is a major effort, in order to develop improved generations of vaccine approaches. We are also studying tumor induced immune evasion, such as defective antigen processing and presentation to subvert CTL recognition of tumors. Recently the immune activating effects of the clinically efficacious EGFR-specific monoclonal antibody, cetuximab, have shown induction of natural killer (NK) cell and T cell induction and activation of dendritic cells (DC). We identified a novel EGFR853-861 peptide, recognized by cytotoxic T lymphocytes (CTL) which is enhanced by cetuximab in vitro and in vivo in HNC patients. Another area of study involves the promotion of tumor metastasis by a family of molecules called chemokines. We are finding important roles for chemokine receptors in cancer metastasis. These chemokines are small, secreted molecules that mediate homing and recruitment of immune cells in response to inflammation, through a family of G-protein linked receptors. Overall these studies are designed to identify the chemokines relevant to progression of HNC and to provide initial data on their possible clinical utility as components of future vaccination therapies for HNC. In addition his group is interested in developing immune/inflammatory biomarkers present in the bloodstream for head and neck cancer detection and monitoring in populations at risk for cancer recurrence and/or second primary tumors Education: B.A. (Chemistry with honors and distinction) University of North Carolina at Chapel Hill, 1990 M.D. Johns Hopkins Medical School, Baltimore, MD, 1995 Ph.D. (Immunology) Johns Hopkins Medical School, Baltimore, MD, 1998 Internship (Surgery) Department of General Surgery, Johns Hopkins Hospital Baltimore, MD, 1996 Residency (Otolaryngology Head and Neck Surgery) Johns Hopkins Hospital Baltimore, MD, 2000 Chief Residency (Otolaryngology, Subspecialty training in Head and Neck Oncologic Surgery, 01 Recent Publications: Argiris A, Lee SC, Feinstein T, Thomas S, Branstetter BF 4th, Seethala R, Wang L, Gooding W, Grandis JR, Ferris RL. Serum biomarkers as potential predictors of antitumor activity of cetuximab-containing therapy for locally advanced head and neck cancer. Oral Oncol. 2011 Aug 31. 1-6 Niemeier LA, Kuffner Akatsu H, Song C, Carty SE, Hodak SP, Yip L, Ferris RL, Tseng GC, Seethala RR, Lebeau SO, Stang MT, Coyne C, Johnson JT, Stewart AF, Nikiforov YE. A combined molecular-pathologic score improves risk stratification of thyroid papillary microcarcinoma. Cancer. 2011 Aug 31. 1-9 Nikiforov YE, Ohori NP, Hodak SP, Carty SE, Lebeau SO, Ferris RL, Yip L, Seethala RR, Tublin ME, Stang MT, Coyne C, Johnson JT, Stewart AF, Nikiforova MN. Impact of Mutational Testing on the Diagnosis and Management of Patients with Cytologically Indeterminate Thyroid Page 23
Nodules: A Prospective Analysis of 1056 FNA Samples. J Clin Endocrinol Metab. 2011 Aug 31. 1-8 Visus C, Wang YY, Lozano-Leon A, Ferris RL, Silver S, Szczepanski MJ, Brand RE, Ferrone CR, Whiteside TL, Ferrone S, Deleo A, Wang X. Targeting ALDHbright human carcinoma initiating cells with ALDH1A1- specific CD8+ T cells. Clin Cancer Res. 2011 Aug 19. 1-32 Lee SC, Srivastava RM, López-Albaitero A, Ferrone S, Ferris RL. Natural killer (NK):dendritic cell (DC) cross talk induced by therapeutic monoclonal antibody triggers tumor antigen-specific T cell immunity. Immunol Res. 2011 Aug;50(2-3):248-54. O’Neill M, Heron DE, Flickinger JC, Smith R, Ferris RL, Gibson M. Posttreatment Quality-of- Life Assessment in Patients With Head and Neck Cancer Treated With Intensity-modulated Radiation Therapy. Am J Clin Oncol. 2011 Oct;34(5):478-482. Page 24
Joseph M. Furman, MD, PhD Professor, Departments of Otolaryngology, Neurology, Bioengineering and Physical Therapy Director, Division of Balance Disorders UPMC Eye & Ear Institute, Suite 500 200 Lothrop Street Pittsburgh, PA 15213 Phone: 412 647-2115 Office Fax: 412 647-2080 Email: furmanjm@upmc.edu Links PubMed NIH RePorter CV: Joseph M. Furman, MD, PhD Research Description: Dr. Furman’s research concerns human vestibular function and balance disorders. On-going research projects include: the effects of aging on the human balance system, migraine-related dizziness, balance disorders in patients with anxiety, the development of new tests of vestibular function including The Gaze Stability Test and Computerized Head Thrust Testing, and the interaction between cognitive function and balance function. Dr. Furman’s research is performed in a collaborative environment with physical therapists, bioengineers, neuropsychologists, psychiatrists, and experts in brain imaging. There are numerous projects that would be appropriate for resident research rotation. The specific project would depend on the particular interests of the individual. Education: BSE, Electrical Engineering, University of Pennsylvania, 1973 Page 25
BA, Natural Sciences, University of Pennsylvania, 1973 MD, University of Pennsylvania, 1977 PhD, Bioengineering, University of Pennsylvania, 1977 Medical Internship, Boston Veterans Administration Hospital, 1979-1980 Residency, Neurology, University of California, Los Angeles, 1980-1982 Neurotology Fellow, Sunnybrook Medical Centre, Toronto, 1983 Neurotology/Research Fellow, University of California, Los Angeles, 1983-1984 Recent Publications: Durrant J, Jennings JR, Redfern M, Furman JM, Fuhrman SI. Dual-task effects of temporal processing requirements during vestibulo-ocular stimulation and postural challenge in older subjects. In press Alsalaheen AB, Whitney SL, Mucha A, Morris LO, Furman JM, Sparto PJ. A framework for reporting vestibular rehabilitation exercise prescription and its application in the management of individuals with dizziness and imbalance after concussion. Journal of Neurologic Physical Therapy. In press Cohen, M, Casselbrant M, Mandel E, Sparto PJ; Furman JM. Tympanostomy tube placement and vestibular function in children. Otolaryngology Head-Neck Surgery. In press Huppert T, Beluk N, Schmidt B, Furman JM, Sparto PJ. Measurement of brain activation during an upright stepping reaction task using functional near-infrared spectroscopy (fNIRS). Human Brain Mapping. In press Whitney SL, Marchetti GF, Furman JM. Factors associated with balance confidence in older adults with health conditions affecting the balance and vestibular system. Archives of Physical Medicine and Rehabilitation. Arch Phys Med Rehabil, 92(11) 1884-1891, 2011; PMID 22032223 Furman JM, Fuhrman, SI, Redfern MS, Jennings JR. Interference between postural control and spatial vs. non-spatial auditory reaction time tasks in older adults. Gait and Posture. In submission Page 26
Neeraj J. Gandhi, Ph.D. Associate Professor Department of Otolaryngology Affiliations: Department of Bioengineering Department of Neuroscience Center for Neural Basis of Cognition Eye & Ear Institute 200 Lothrop Street, Suite 108 Pittsburgh, PA 15213 Phone 412.647.3076 Fax 412.647.0108 Email neg8@pitt.edu Website www.pitt.edu/~neg8 Links PubMed http://www.ncbi.nlm.nih.gov/pubmed?term=gandhi%20nj NIH RePorter http://projectreporter.nih.gov/reporter.cfm CV: Neeraj J. Gandhi, PhD Research Description: The nervous system continuously monitors the environment and, when necessary, produces overt or covert behavior in response to the sensory stimulation. To facilitate orientation towards objects of interest, the sensory representation of target location is transformed into neural commands that evoke a complex, coordinated, and accurate movement. One aim of Dr. Gandhi’s research is to understand the neural implementation of coordinated movements. More specifically, we study the neural control of coordinated movements of the eyes and head, as well as integration of different types of eye movements (for example, saccades and smooth pursuit). Page 27
In producing orienting behavior, the efficacy of sensory to motor transformation depends on cognitive processes. One such mechanism, motor preparation, proposes that neural signals encoding the metrics of a desired movement develop gradually. A second area of Dr. Gandhi’s research is geared to test the motor preparation hypothesis and to investigate the extent of its association with other sensorimotor attributes emphasized by varying task-specific requirements. These objectives are addressed using both experimental (extracellular recording, microstimulation, chemical microinjections) and computational tools (lumped and distributed network models). An understanding of the cognitive and motor processes that produce integrated orienting behavior has diagnostic value for deficits resulting from disease. Education: B.S. (Biomedical Engineering), Boston University, 1992 Ph.D., Graduate Group in Bioengineering, University of California, San Francisco & University of California, Berkeley, 1997 Postdoctoral Fellow, Division of Neuroscience, Baylor College of Medicine, 1998-2002 Recent Publications: Gandhi NJ. Interactions between gaze-evoked blinks and gaze shifts in monkeys. Experimental Brain Research, in press, 2012. [PDF] Katnani HA and Gandhi NJ. Order of operations for decoding superior colliculus activity for saccade generation. Journal of Neurophysiology, 106:1250-59, 2011. [PDF] Gandhi NJ and Katnani HA. Motor functions of the superior colliculus. Annual Review of Neuroscience, 34:205-31, 2011. [PDF] Bechara BP and Gandhi NJ. Matching the oculomotor drive during head-restrained and head- unrestrained gaze shifts in monkey. Journal of Neurophysiology, 104:811-28, 2010. [PDF] Walton MMG, Bechara BP and Gandhi NJ. Effects of reversible inactivation of superior colliculus on head movements. Journal of Neurophysiology, 99: 2479-2495, 2008. [PDF] Page 28
Jackie L. Gartner-Schmidt, PhD, CCC-SLP Associate Professor of Otolaryngology Associate Director, University of Pittsburgh Voice Center Director, Speech-Pathology Services, University of Pittsburgh Voice Center Associate Professor, University of Pittsburgh School of Health and Rehabilitation Sciences, Department of Communication Science and Disorders UPMC Mercy Hospital 1400 Locust Street Bldg. B, Suite 11500 Pittsburgh, PA 15219 Phone 412-232-8970 Fax 412-232-8525 jgs@pitt.edu Links PubMed: http://www.ncbi.nlm.nih.gov/pubmed?term=%22Gartner- Schmidt%20J%22%5BAuthor%5D NIH Reporter CV: Jackie L. Gartner-Schmidt, PhD, CCC-SLP Research Description: Principal Investigator, Validation of the Cough Severity Index (CSI) and Dyspnea Severity Index (DSI). Principal Investigator, Basic Concepts in Voice Therapy Co-Investigator, Aerodynamic Profiles in Females with Muscle Tension Dysphonia Co-Investigator, Hybrid Model of Vocal Fold Inflammation and Tissue Mobilization. Co- Investigator, Metabolic Mechanisms of Vocal Fatigue. Page 29
Co-Investigator, Prospective study on Prevention and Treatment of Voice Problems in Teachers. Co-investigator, Clinical, randomized study on treatment for age-related dysphonia. Collaboration with Emory Voice Center, Atlanta, GA. Co-investigator, Preliminary prospective investigation of the utility of nimodipine for acute vocal fold paralysis Education BA Honors, Psychology & Music (Vocal Performance), Queen’s University, Ontario, 1989 MA, Audiology and Speech Sciences, Michigan State University, 1994 Fellowship, Bill Wilkerson Center for Otolaryngology, Hearing and Speech Sciences, Vanderbilt University, 1995 PhD, Speech-Language Pathology, University of Maryland, 2003 Recent Publications Gillespie A, Verdolini-Abbott K, Gartner-Schmidt J, Rosen C (2011). Aerodynamic profiles of females with muscle tension dysphonia (MTD). Journal of Speech, Language and Hearing Research. In revision. Arffa RE, Krishna P, Gartner-Schmidt J, Rosen CA. Normative Values for the Voice Handicap Index-10. J Voice. 2011 Aug 3 [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/21816570 Gartner-Schmidt J, Rosen C. Treatment Success for Age-related Vocal Fold Atrophy. Laryngoscope 2011 Mar;121(3):585-9. http://www.ncbi.nlm.nih.gov/pubmed/21344441 Carroll T, Gartner-Schmidt J, Statham M, Rosen C. Vocal process granuloma and glottal insufficiency: An overlooked etiology? Laryngoscope. 2010 Jan;120(1):114-20. http://www.ncbi.nlm.nih.gov/pubmed/19877195 Rosen CA, Gartner-Schmidt J, Casiano R, et al. Vocal Fold Augmentation with Calcium Hydroxylapatite (CaHA): Twelve Month Report. Laryngoscope. 2009 May;119(5):1033-41. http://www.ncbi.nlm.nih.gov/pubmed/19274731 Page 30
Grant S. Gillman, M.D., F.R.C.S. Associate Professor, Department of Otolaryngology University of Pittsburgh School of Medicine Director, Division of Facial Plastic and Reconstructive Surgery UPMC Department of Otolaryngology UPMC Shadyside 500 Centre Ave, Suite 211 Pittsburgh, PA 15232 Phone: 412-621-0123 Email: gillmangs@upmc.edu Links PubMed NIH RePorter CV: Grant S. Gillman, M.D., F.R.C.S. Research Description: Surgical outcomes in nasal airway surgery Technical challenges in nasal surgery The effect of nasal airway obstruction on sleep quality The impact of nasal surgery on quality of life measures Education: Undergraduate - University of Manitoba, Canada, 1982 MD, University of Manitoba, Canada, 1987 Residency, University of Western Ontario, London, Ontario,1996 Fellowship, Sinonasal surgery, University of Pittsburgh, 1997 Fellowship, Facial Plastic & Reconstructive Surgery, University of Miam,i 1998 Page 31
Recent Publications: Conrad K, Torgerson C, Gillman G: Applications of Gore-tex implants in rhinoplasy re- examined after 17 years. Arch Facial Plast Surg 2008;10(4):224-231. Yang GC, Chiu RJ, Gillman GS: Questioning the need to use Botox within 4 hours of reconstitution: A study of fresh vs. 2-week-old botox. Arch Facial Plast Surg 2008;10(4):273- 279. Lee, AS, Schaitkin BM, Gillman GS: Evaluating the safety of frontal sinus trephination. Laryngoscope 2010;120:639-642. Gillman GS: Book review: Rhinoplasty: Craft & Magic, Constantian MB (ed.). St. Louis, Quality Medical Publishing, 2009. Laryngoscope 2010;120:1489-1490. Man L, Robison JG, Gillman GS: IgG4-related inflammatory pseudotumor mimicking a posterior ethmoid and sphenoid mass. Submitted for publication – Annals of Otology, Rhinology and Laryngology, 2010. Page 32
Jennifer Rubin Grandis, M.D., F.A.C.S. Vice Chair for Research UPMC Endowed Chair in Head and Neck Cancer Surgical Research Department of Otolaryngology Assistant Vice Chancellor for Research Program Integration in the Health Sciences Professor of Otolaryngology & Pharmacology University of Pittsburgh School of Medicine Program Leader, Head & Neck Cancer Program University of Pittsburgh Cancer Institute American Cancer Society Clinical Research Professor Eye & Ear Institute 200 Lothrop Street, Suite 500 Pittsburgh, PA 15213 Phone 412.647.5280 Fax 412.647.2080 Email jgrandis@pitt.edu Links PubMed http://www.ncbi.nlm.nih.gov/pubmed?term=Grandis%20JR NIH RePorter http://projectreporter.nih.gov/reporter.cfm CV: Jennifer Rubin Grandis, M.D., F.A.C.S. Research Description: Dr. Grandis’ research is dedicated to increasing our understanding of the genetic and epigenetic alterations in the upper aerodigestive tract mucosa, which result in head and neck squamous cell carcinoma. The overall goal is to identify biomarkers, which can serve to select patients for molecular targeted therapy. To date, she has examined the role of the epidermal growth factor receptor (EGFR) signaling and STAT (signal transducer and activator of transcription) signaling peptides in head and neck carcinogenesis. Strategies aimed at blocking the ligand or receptor demonstrated anti-tumor efficacy in preclinical models. Based on these promising results, she Page 33
completed a Phase I clinical trial to investigate the toxicity and biologic effects of EGFR antisense gene therapy. A Phase II trial will open to accrual in 2012 for patients with locally advanced head and neck cancer. Activated STAT3 can be targeted using a variety of approaches that are currently under investigation in her laboratory. Specifically, a transcription factor decoy targeting STAT3 was recently evaluated in a Pilot study (Phase 0) in head and neck cancer patients to determine the biologic effects of blocking STAT3 in human tumors. Studies are underway in collaboration with the Drug Discovery Institute to identify STAT3-selective inhibitors as cancer treatments. In addition to the EGFR antisense gene therapy and STAT-mediated signaling pathways, Dr. Grandis’ laboratory is also investigating the interaction between signaling pathways. Specifically, she is investigating G-protein-coupled receptors (GPCR) including the gastrin-releasing peptide (GRP), PGE2, and bradykinin in head and neck carcinogenesis. An ongoing clinical trial is currently examining the biomarker effects of blocking EGFR and/or Src kinases in head and neck cancer and a phase II trial is testing the effects of combined inhibition of Src kinases and EGFR in patients with recurrent or metastatic head and neck cancer. Her group recently completed a comprehensive assessment of the mutational landscape of head and neck cancers and efforts are underway to distinguish the driver oncogenes to facilitate the design of more effective therapies. Projects that would be suitable for a resident research rotation include: 1) defined experiments in cell lines to test the effects of inhibitors or modulation of specific proteins; 2) animal studies to examine therapeutic mechanisms of investigational reagents; 3) participation in components of ongoing or planned clinical studies including patient recruitment, data analysis and manuscript preparation; or 4) interrogation of our comprehensive head and neck cancer database to address epidemiologic hypotheses. Education: B.A. (Biology and Art History), Swarthmore College, 1982 M.D., University of Pittsburgh School of Medicine, 1987 Internship, Department of Surgery, University of Pittsburgh School of Medicine, 1987-88 Residency, Department of Otolaryngology, University of Pittsburgh School of Medicine, 1988-93 Research Fellow, Department of Medicine, Division of Infections Disease, University of Pittsburgh School of Medicine, 1991-1992 Recent Publications: Lai SY, Koppikar P, Thomas SM, Childs E, Egloff AM, Seethala R, Branstetter BF, Gooding WE, Muthukrishnan A, Mountz JM, Lui VWY, Shin DM, Agarwala SS, Johnson R, Couture LA, Myers EN, Johnson JT, Mills G, Argiris A, Grandis JR. Intratumoral EGFR antisense DNA therapy in head and neck cancer: first human application and potential antitumor mechanisms. Journal of Clinical Oncology, 2009 Mar 10; 27(8):1235-42, Epub 2009 Feb 9. PMID: 19204206. PMCID: PMC2667824. http://jco.ascopubs.org/content/27/8/1235.long Leeman-Neill RJ, Seethala RR, Singh SV, Freilino ML, Bednash JS, Thomas SM, Panahandeh MC, Gooding WE, Joyce SC, Lingen MW, Neill DB, Grandis JR. Inhibition of EGFR-STAT3 signaling with erlotinib prevents carcinogenesis in a chemically-induced mouse model of oral squamous cell carcinoma. Cancer Prevention Research(Phila), 2011 Feb;4(2):230-7. Epub 2010 Dec 16. PMID: 21163936. PMCID: PMC3076320. http://cancerpreventionresearch.aacrjournals.org/content/4/2/230.long Page 34
Vaezi A, Wang XZ, Buch S, Gooding W, Wang L, Seethala RR, Weaver DT, D’Andrea AD, Argiris A, Romkes M, Niedernhofer LJ, Grandis JR. XPF expression correlates with clinical outcome in squamous cell carcinoma of the head and neck. Clinical Cancer Research. 2011 Aug 15; 17(16): 5513-22. Doi: 10.1158/1078-0432. CCR-11-0086. Epub 2011 Jul 7. PMID: 21737503. PMCID: PMC3156890. http://clincancerres.aacrjournals.org/content/17/16/5513.long Quesnelle KM, Grandis JR. Dual kinase inhibition of EGFR and HER2 overcomes resistance to cetuximab in a novel in vivo model of acquired cetuximab resistance. Clinical Cancer Research. 2011 Sep 15; 17(18): 5935-44. Epub 2011 Jul 26. PMID: 21791633. PMC Journal-In Process. http://clincancerres.aacrjournals.org/content/17/18/5935.long Stransky N, Egloff AM, Tward A, Kostic A, Cibulskis K, Sivachenko A, Kryukov G, Lawrence M, Sougnez C, McKenna A, Ramos AH, Stojanov P, Carter SL, Voet D, Cortes M, Auclair D, Saksena G, Guiducci C, Onofrio R, Parkin M, Romkes M, Weissfeld J, Seethala RR, Wang L, Winckler W, Ardlie K, Gabriel SB, Myerson M, Lander ES, Getz G, Golub TR, Garraway LA, Grandis JR. The mutational landscape of head and neck squamous cell carcinoma. Science, 2011 Aug 26;333(6046): 1157-60. Epub 2011 Jul 28. PMID: 21798893. PMC Journal-In Process. http://www.sciencemag.org/content/333/6046/1157.full Page 35
Patricia A. Hebda, PhD Professor of Otolaryngology and Pathology Adjunct Professor of Speech and Communication Disorders University of Pittsburgh Director, Otolaryngology Wound Healing Research Program Children's Hospital of Pittsburgh Children's Hospital of Pittsburgh of UPMC 4401 Penn Avenue Rangos Research Center, Room 5120 Pittsburgh, PA 15224 telephone: (412) 692-6217 telefax: (412) 692-5075 email: hebda@pitt.edu Links PubMed NIH RePorter CV: Patricia A. Hebda, PhD Research Description: Dr. Hebda is actively involved in research efforts to improve healing of the skin and mucosa of the ear, nose and throat. As Director of the ENT Wound Healing Research Program, Dr. Hebda is working with talented graduate students, residents and postdoctoral fellows and has a close collaboration with other faculty members, notably Joseph E. Dohar, M.D., a pediatric otolaryngologist and research partner. The goal of their research team is to establish a Page 36
multifaceted program encompassing preclinical and clinical projects. The fundamental purpose is to develop new, biologically driven therapeutic modalities to promote and optimize wound healing and tissue regeneration of the upper aerodigestive system. To achieve this goal they have ongoing projects based on: characterization of regenerative, or scarless, fetal wound healing cell therapy and tissue engineering for laryngotracheal mucosa animal and tissue culture model systems for airway injury Another component of their research involves characterization of the fibrotic fibroblast phenotype as exhibited in connective tissue scars, such as keloids and hypertrophic scars in the skin and stenoses of the airway. The group is pursuing this study of fibrotic healing with scar formation in children and adults in contrast to the scarless regenerative healing of fetal connective tissues of skin and airway mucosa. The group is also investigating the role of inflammation in the pathogenesis of Otitis media, focusing on the adverse effects of middle ear fluid evoked by Eustachian tube dysfunction and resultant negative pressure. Even in the absence of bacterial or viral infection, the fluid produced in response to negative pressure contains inflammatory mediators that can induce structural changes over the course of weeks and months. Education: B.S. (Biochemistry) Michigan State University Ph.D. (Biochemistry, carbohydrate metabolism) Ohio State University Fellowship (Collagen biochemistry) University of California, Los Angeles Recent Publications: Sandulache VC, Singh T, Li-Korotky HS, Lo CY, Otteson TD, Barsic M, Dohar JE, Hebda PA. Prostaglandin E2 is activated by airway injury and regulates fibroblast cytoskeletal dynamics. Laryngoscope 2009;119:1365-1373. PMCID: PMC3000119 Singh T, Sandulache VC, Otteson TD, Barsic M, Klein EC, Dohar JE, Hebda PA. Subglottic stenosis (SGS) represents a fibrotic airway mucosal response to injury characterized by altered mucosal fibroblast activity. Arch Otolaryngol Head Neck Surg. 2009;136:163-170. PMCID: PMC3000122 Li NYK., Vodovotz Y, Hebda PA, Verdolini K. Biosimulation of inflammation and healing in surgically injured vocal folds. Ann Otol Rhinol Laryngol. 2010;119:412-423. PMCID: PMC2910548 Silva, RC, Dohar JE, Hebda PA. (2011) Novel rat model of tympanostomy tube otorrhea. Int J Ped Otorhinolaryngol In press. Hebda PA, McLevy J, Li-Korotky HS, Cullen Doyle A, Lo C-Y, Yuksel S, JE Dohar. Monocyte chemotactic protein-1 contributes to middle ear inflammation in a mouse model of OME induced Page 37
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