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Research

Basic science

Several department faculty, medical residents, postdoctoral fellows, laboratory technicians and students are pursing basic science research aimed to discover and identify basic biological mechanisms that underlie pediatric health and disease. These studies are supported by federally funded NIH grants, industry awards and private funding.

Our research laboratories include approximately 8,868 square feet of basic research space across the VCU Medical Center where researchers have access to state-of-the-art equipment and core facilities. Many laboratories are located in close proximity to faculty in other departments, fostering multidisciplinary collaborations and a supportive environment for research growth and training.

Faculty research laboratories  

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Principal investigator:
Michael McVoy

Lab members:
Jian Ben Wang, Xiaohong Cui, Anne Sauer, Ronzo Lee, Sabrina Prescott, Sukhada Bhave, Jeff Donowitz, Brent Stanfield

Lab contact:
Michael McVoy
Location: 12-026 Sanger Hall
Phone: (804) 828-2991

 

Current projects:

  • Preclinical development of human CMV vaccines (National Institute of Allergy and Infectious Diseases/NIH/DHHS)
  • Viral immunomodulation and rational CMV vaccine design (University of Minnesota)

Research interests:
The mission of our laboratory is to improve human health by developing new tools to combat a very serious pathogen, human cytomegalovirus (HCMV). We are approaching this problem through two avenues: understanding the basic mechanisms of herpes virus genome replication and maturation, with an aim toward development of novel antiviral drugs; and exploring novel approaches to vaccine design.  

Herpesvirus DNA maturation 
Terminase. Herpesviruses replicate their DNA in the form of concatemers — long DNA molecules comprised of many viral genomes linked together in a “daisy chain” like structure. The genome on the end is “packaged” into a preformed capsid, but must then be liberated from the concatemer by a precise cut of the DNA. Both the packaging and the cleavage of the DNA are mediated by an enzymatic complex called terminase. Because normal cells do not package or cleave DNA, this process is an attractive target for development of new antivirals. In collaboration with Deborah Parris at Ohio State University, we are currently focused on expression and purification of terminase subunits and their biochemical evaluation in vitro

Alkaline nuclease. While genetic studies suggest this protein is critically important for HCMV replication, its function remains a mystery. Through in silico modeling, mutagenesis and recombinant protein expression, we have identified critical amino acids required for enzymatic activity. Current efforts are focused on insertion of these mutations into the viral genome to evaluate their impact on viral replication and in silico compound library screening to identify candidate inhibitors.

Novel approaches to HCMV vaccines
The guinea pig cytomegalovirus (GPCMV) vaccine model. GPCMV is the only small animal CMV that causes fetal infection and pathogenesis. In collaboration with Mark Schleiss and Alistair McGregor at the University of Minnesota, we have worked to develop molecular and immunological tools to expand the utility of this model. The complete genome has been sequenced and a number of potential immune evasion genes identified. In particular, three genes encoding MHC class I homologs appear to be NK evasins. An infectious BAC clone was also constructed. Current projects will define the role of MHC I homologs and their potential to augment live or disabled vaccines. 

Antibodies that neutralize epithelial entry. The ability to elicit potent neutralizing antibody responses may be critical for a successful HCMV vaccine. We recently showed that two experimental vaccines, the Towne live attenuated vaccine and the subunit gB/MF59 vaccine, perform poorly, compared to natural infection, with respect to inducing neutralizing antibodies that block epithelial cell entry. Evidence suggests that epitopes crucial for inducing such activity lie within the gH/gL/UL128-131 complex. Current studies are focused on characterizing humoral responses to this complex and identifying vaccine strategies to induce them. Strategies of interest include DNA vaccines, subunit proteins, peptides, and live attenuated, disabled or inactivated whole virus-based approaches.

Recent publications:
Schleiss, M. R. and M. A. McVoy.  2010.  Guinea Pig Cytomegalovirus: A Model for the Study of the Prevention and Treatment of Maternal-Fetal Transmission.  Future Virology, 5:207-17. 

Sauer, A., J. B. Wang, G. Hahn., and M. A. McVoy. 2010. A Human Cytomegalovirus Deleted of Internal Repeats Replicates with Near Wild Type Efficiency but Fails to Undergo Genome Isomerization.  Virology, 401:90-5.

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Saccoccio, F., A. Sauer, X. Cui, A. Armstrong, E. E. Habib, D. Johnson, B. Ryckman, A. Klingelhutz, S. P. Adler, and M. A. McVoy.  2011.  Peptides from Cytomegalovirus UL130 and UL131 Proteins induce high titer antibodies that block viral Entry into Mucosal Epithelial Cells.  Vaccine, 29:2705-11. PMID: 21310190

Olejniczak, Megan J., K. Y. Choi, M. A. McVoy, X. Cui and M. R. Schleiss. 2011. Intravaginal cytomegalovirus (CMV) challenge elicits maternal viremia and results in congenital transmission in a guinea pig model. Virology Journal, 8:89. PMID: 21371319

Wang, J. B. and M. A. McVoy. 2011. A 128-bp sequence containing pac1 and a presumed cryptic pac2 includes the cis elements sufficient to mediate efficient genome maturation of human cytomegalovirus. Journal of Virology, 85:4432-9. PMID: 21345955

Saccoccio, F. M., M. K. Gallagher, S. P. Adler, and M. A. McVoy. 2011. Neutralizing Activity of Saliva against Cytomegalovirus. Clinical and Vaccine Immunology, 18:1536-1542.

Kuchta, A. L., H. Parikh, Y. Zhu, G. E. Kellogg, D. S. Parris and M. A. McVoy. 2011. Structural Modeling and Mutagenesis of Human Cytomegalovirus UL98 Alkaline Nuclease., J. Gen. Virology, in press.

Cui, X., S. P. Adler, A. Davison, L. Smith, E. Habib, and M. A. McVoy. 2012. Bacterial Artificial Chromosome Clones of Viruses Comprising the Towne Cytomegalovirus Vaccine. Journal of Biomedicine and Biotechnology, in press.



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Principal investigator:
Paul H. Ratz, Ph.D.

Lab members:
Amy S. Miner (laboratory manager)
Michael Byrne, M.D. (urology resident)

Lab contact:
Amy Miner
Location: Sanger Hall, rooms 12-031, 12-029, 12-027
Phone: (804) 828-6812

 

Research interests:
The focus of my laboratory is regulation of smooth muscle contraction, specifically vascular and urinary bladder. We currently have joined forces with Department of Emergency Medicine (VCURES) to work on a project to understand the subcellular mechanisms causing vascular hyporeactivity during hemorrhagic, septic and cardiac shock. We also are working with collaborators in the Department of Surgery (Urology) to understand the mechanisms responsible for enhanced rhythmic contractile activity during the bladder filling phase that correlates with overactive bladder syndrome.

Recent publications:
Rho-kinase inhibition attenuates calcium-induced contraction in β-escin but not Triton X-100 permeabilized rabbit femoral artery. Clelland LJ, Browne BM, Alvarez SM, Miner AS, Ratz PH. J Muscle Res Cell Motil. 2011 32(2):77-88. PMID: 21706258

Prostaglandin E₂ mediates spontaneous rhythmic contraction in rabbit detrusor muscle. Klausner AP, Johnson CM, Stike AB, Speich JE, Sabarwal V, Miner AS, Cleary M, Koo HP, Ratz PH. Can J Urol. 2011 Apr;18(2):5608-14. PMID: 21504648

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Active tension adaptation at a shortened arterial muscle length: inhibition by cytochalasin-D. Bednarek ML, Speich JE, Miner AS, Ratz PH. Am J Physiol Heart Circ Physiol. 2011 Apr;300(4):H1166-73. Epub 2011 Jan 14. PMID: 21239639

ROK controls urethral tone, but by what mechanism? Ratz PH. Am J Physiol Renal Physiol. 2011 Jan;300(1):F71-2. Epub 2010 Oct 20. No abstract available.  PMID: 20962113

Failure of Bay K 8644 to induce RhoA kinase-dependent calcium sensitization in rabbit blood vessels. Alvarez SM, Miner AS, Browne BM, Ratz PH. Br J Pharmacol. 2010 Jul;160(6):1326-37. PMID: 20590624

COX Inhibitors and Overactive Bladder: The Potential for Future Therapy. Ratz PH, Speich JE and Klausner AP. Curr Bladder Dysfunct Rep. 2010 5:4-12

Length adaptation of the passive-to-active tension ratio in rabbit detrusor. Almasri AM, Ratz PH, Speich JE. Ann Biomed Eng. 2010 Aug;38(8):2594-605. Epub 2010 Apr 13. PMID: 20387122

Evidence that actomyosin cross bridges contribute to “passive” tension in detrusor smooth muscle. Ratz PH, Speich JE. Am J Physiol Renal Physiol. 2010 Jun;298(6):F1424-35. Epub 2010 Apr 7. PMID: 20375119

Rhythmic contraction generates adjustable passive stiffness in rabbit detrusor. Almasri AM, Ratz PH, Bhatia H, Klausner AP, Speich JE. J Appl Physiol. 2010 Mar;108(3):544-53. Epub 2010 Jan 7. PMID: 20056849

Adaptation of the length-active tension relationship in rabbit detrusor. Speich JE, Almasri AM, Bhatia H, Klausner AP, Ratz PH. Am J Physiol Renal Physiol. 2009 Oct;297(4):F1119-28. Epub 2009 Aug 12. PMID: 19675182

Calcium-independent phospholipase A2 participates in KCl-induced calcium sensitization of vascular smooth muscle. Ratz PH, Miner AS, Barbour SE. Cell Calcium. 2009 Jul;46(1):65-72. Epub 2009 May 31. PMID: 19487023

Potentiation of carbachol-induced detrusor smooth muscle contractions by beta-adrenoceptor activation. Klausner AP, Rourke KF, Miner AS, Ratz PH. Eur J Pharmacol. 2009 Mar 15;606(1-3):191-8. Epub 2009 Jan 29. PMID: 19374847

Potential for control of detrusor smooth muscle spontaneous rhythmic contraction by cyclooxygenase products released by interstitial cells of Cajal. Collins C, Klausner AP, Herrick B, Koo HP, Miner AS, Henderson SC, Ratz PH. J Cell Mol Med. 2009 Sep;13(9B):3236-50. Epub 2009 Feb 20. PMID: 19243470



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Principal investigator:
Henry J. Rozycki, M.D.

Lab members:
Adam Brock, lab technician
Melissa Yopp, lab manager

Lab contact:
Melissa Yopp
Location: Hermes A. Kontos Medical Sciences Building, 1217 E. Marshall St.
Phone: (804) 628-2793

 

Current projects:
TLR4 Function And Prematurity In Type II Alveolar Epithelial Cells

Research interests:
Premature babies are at risk for developing chronic lung disease, known as BPD or bronchopulmonary dysplasia. The primary risk factor is prematurity, as well as exposure to mechanical ventilation, oxygen and infection. These factors precipitate a strong inflammatory response and, eventually lung development simplification. Our lab is investigating the inflammatory phase of BPD.

Specifically, we are investigating the role of alarmins, or danger signals produced by stressed or damaged lung cells or extracellular matrix, on TLR4 mediated inflammation, and the role of prematurity in this process. We expose lung epithelial Type II cells to different alarmins and measure the activation of inflammatory-associated transcription factors and the transcription and expression of chemokines. By blocking the response with anti-TLR4 antibodies or reducing TLR4 expression via siRNA we are determining the specificity of the response. Currently, this work is being done with the alarmins HMGB1 and low-molecular weight hyaluronic acid using the mouse MLE-12 cell line. In the next phase we will use Type II cells from fetal, newborn and adult mice and replicate the alarmin exposures to investigate the role of prematurity.

Clinically, there are current studies investigating the relationship between tracheal aspirate HMGB1 and low molecular-weight hyaluronic acid and pulmonary outcome in ELBW infants.

We are planning to compare the TLR4-specific factors produced by hyperoxia-exposed premature vs. newborn lungs in explant culture on inflammation, and to determine the role of alarmin excitation of TLR4 receptors on lung development signals such as FGF10 and BMP4.

Recent publications:
Lim L, Rozycki HJ. Postnatal SNAP-II Scores in NICU Patients: Relationship to Sepsis, Necrotizing Enterocolitis and Death. J  Maternal-Fetal Neonatal Med 2008; 19: 43-48

Altirkawi K, Rozycki HJ. Hypocalcemia Is a Common Occurrence in the First 48 Hours of Life in ELBW Infants. J Perinatal Med 2008; 36: 348-53.

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Aucott SW, Watterberg KL, Shaffer ML, Donohue PK, PROPHET Study Group. Do cortisol concentrations predict short-term outcomes in extremely low birth weight infants? Pediatr 2008; 122: 775-781.

Aucott SW, Watterberg KL, Shaffer ML, Donohue PK, PROPHET study group Early cortisol values and long-term outcomes in extremely low birth weight infants. J Perinatol. 2010;30:484-8.



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Principal investigator:
Bruce K. Rubin, M.Engr., M.D., M.B.A., FRCPC

Lab members:
Melissa Yopp, lab manager
Tsuyoshi Tanabe, Ph.D., senior scientists
Taduaske Shimokawaji, postdoctoral fellow
Tokita Erica, postdoctoral fellow
Chris Corday, UWE student
Shauna Webb-Parker, graduate student
Agathe Hoffer-Schaefer, part-time lab technician
Adam Brock, part-time lab technician

Lab contact:
Melissa Yopp
Locations: Hermes A. Kontos Medical Sciences Building, 1217 E. Marshall St., Room 215; and Sanger Hall, 1101 E. Marshall St., Room 8-046
Phone:(804) 628-2793

 

Current projects:

  • Master Research Agreement (Reckitt Benckiser, Inc.)
  • Testing novel drugs as potential immunomodulatory medications (Gilead Sciences, Inc.)
  • The evaluation of novel macrolides as potential immunomodulatory medications for treating airway inflammation (GlaxoSmithKline)
  • A single center, parallel, double-blind, placebo-controlled trial to assess the effects of Mucinex (1200 mg GGE) on mucociliary and cough clearance (MCC/CC) during an acute respiratory infection (Reckitt Benckiser, Inc.)
  • Mucinex 1200 mg bid for the treatment of symptoms of an upper respiratory tract infection when two 600 mg tablets are given twice daily for 7 days (Reckitt Benckiser, Inc.)

Research interests:
There are three major themes in our research:

  1. Airway inflammation. We study relationships among inflammatory cells and mediators, infection, mucus secretion, and quality of life; and the mechanisms causing squamous metaplasia and goblet cell hyperplasia. We develop and test new therapies from cell and tissue culture, to animal studies, to clinical trials.
  2. Secretory hyperesponsiveness. Excessive mucus secretion is characteristic of diseases like asthma, COPD, cystic fibrosis, middle lobe syndrome and plastic bronchitis. We study the mechanisms of secretory hyperesponsiveness, characterize the biophysical and transport properties of mucus, and evaluate new therapies with collaborators from around the world. We maintain the International Registry for Plastic Bronchitis.
  3. Nasal and sinus disease. We have studied the physical and transport properties of mucus and sputum for three decades. We have formed a sino-nasal research group with investigators from the Rubin lab and the departments of Ear, Nose and Throat, Allergy, Radiology, Nursing, Emergency Medicine and the School of Engineering to develop new ways to measure the impact of sinus disease and test new therapies including novel aerosol delivery systems. In our first 18 months as a group, we have been awarded three investigator-initiated research grants to study sinus disease.

Recent publications:
Rubin BK and Fink JB. Drug delivery devices and propellants in Allergy Frontiers, Therapy and Prevention. Vol 5. Springer, Tokyo. 2010 pp. 245-58.

Priftis KN and Rubin BK. Atelectasis, middle lobe syndrome, plastic bronchitis. in Pediatric Bronchoscopy Eds. K.N. Prifits, M.B. Anthracopoulos, E. Eber, A. A. Koumbourlis, R. E. Wood. Part of the Progress in Respiratory Research Series. Karger, Basil. 2011, Vol 38. pp 149-155.

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Rubin BK. Pulmonary defense mechanisms. In ACCP/AAP Pediatric Pulmonary Medicine Board Review. 1st Edition, Chicago, 2010 pp 249-56. DOI 10.1378/ppmbr.1st 249.

Rubin BK. Mucus, phlegm, and sputum in cystic fibrosis. Resp Care, 2009;54:726-32.

Abanses JC, Arima S, Rubin BK. Vicks VapoRub® induces mucin secretion, decreases ciliary beat frequency, and increases tracheal transport in the ferret trachea. CHEST 2009; 135:143-148.

Geller DE, Rubin BK. Respiratory care and cystic fibrosis. Respir Care. 2009;54:796-800.

Bateman ED, Rennard S, Barnes PJ, Dicpinigaitis PV, Gosens R, Gross NJ, Nadel JA, Pfeifer M, Racké K, Rabe KF, Rubin BK, Welte T, Wessler I. Alternative mechanisms for tiotropium. Pulm Pharmacol Ther. 2009;22:533-42.

Schechter MS, McColley SA, Silva S, Haselkorn T, Konstan MW, Wagener JS; Investigators and Coordinators of the Epidemiologic Study of Cystic Fibrosis; North American Scientific Advisory Group for ESCF. Association of socioeconomic status with the use of chronic therapies and healthcare utilization in children with cystic fibrosis. J Pediatr. 2009;155:634-9.e1-4.

Kanoh S, Rubin BK. Macrolides as immunomodulatory medications. Mechanisms of action and clinical applications. Clinical Microbiol Rev 2010;23:590-615.

John G, Yildirim AO, Rubin BK, Gruenert DC, Henke MO. LR-4 mediated innate immunity is reduced in cystic fibrosis airway cells. Am J Resp Cell Molec Biol. 2010;42:424-31.

Schmidt HJ, Bhandari V, Bhandari A, Davies J, Marshall BC, Praud J-P, Zar HJ, Rubin BK. Think Tank Review: The future in paediatric respirology. Respirology 2010; 15:733-41.

Mujica-Lopez K, Pearce MA, Narron KA, Perez J, Rubin BK. In vitro evaluation of endotracheal tubes with intrinsic suction. CHEST 2010; 138:863-69.

Rubin BK. Mucus and mucins. Otolaryngol Clin North Am. 2010;43:27-34.

Rubin BK. The role of mucus in cough research. Lung 2010;188(Supp):S69-S72.

Kempainen RR, Milla C, Dunitz J, Savik K, Hazelwood A, Williams C, Rubin BK, Billings JL. Comparison of settings used for high-frequency chest-wall compression in cystic fibrosis. Respir Care. 2010;55:695-701.

Suzuki T, Sakagami T, Young LR, Carey BC, Wood RE, Luisetti M, Wert SE, Rubin BK, Kevill K, Chalk C, Whitsett JA, Stevens C, Nogee LM, Campo I, Trapnell BC. Hereditary pulmonary alveolar proteinosis: pathogenesis, presentation, diagnosis, and therapy. Am J Resp Crit Care Med 2010;182:1292-304.

Rubin BK. The 36th Annual Donald Egan Memorial Lecture. Air and soul: the science and application of aerosol therapy. Respir Care. 2010;55:911-21.

Deng J, Zheng Y, Li C, Ma Z, Wang H, Rubin BK. Plastic bronchitis in three children associated with 2009 influenza A(H1N1) virus infection. CHEST 2010;138:1486-88.

Kanoh S, Tanabe T, Rubin BK. Dapsone inhibits IL-8 secretion from human bronchial epithelial cells stimulated with LPS and resolves airway inflammation in the ferret. CHEST 2011 (in press).

Kline JM, Woods CR, Ervin SE, Rubin BK, Kirse DJ. Surveillance tracheal aspirate cultures do not reliably predict bacteria cultured at the time of an acute respiratory infection in children with tracheostomy tubes. CHEST 2011 (in press).

Christiaanse MC, Mabe B, Russell G, Simeone TL, Fortunato J, Rubin B. Neuromuscular electrical stimulation is no more effective than usual care for the treatment of primary dysphagia in children. Pediatric Pulmonol 2011;46:559-65.

Rubin BK, Dhand R, Ruppel GL, Branson RD, Hess DR. Respiratory Care Year in Review 2010: Part 1. Asthma, COPD, Pulmonary function testing, Ventilator-associated pneumonia. Resp Care 2011;56:488-502.

Rubin BK, Pohanka V. Beyond the guidelines: Fatal and near-fatal asthma. Paed Resp Rev 2011 (in press).

Tanabe T, Kanoh S, Tsushima K, Yamazaki Y, Kubo K, Rubin BK. Clarithromycin inhibits interleukin-13-induced goblet cell hyperplasia in human airway cells. Am J Respir Cell Mol Biol. 2011 (in press).

Henke MO, John G, Rheineck C, Chillappagari S, Naehrlich L, Rubin BK. Serine proteases degrade airway mucins in cystic fibrosis. Infect Immun. 2011;79:3438-44.

John G, Chillappagari S, Rubin BK, Gruenert DC, Henke MO. Reduced surface toll-like receptor-4 expression and absent interferon-γ-inducible protein-10 induction in cystic fibrosis airway cells. Exp Lung Res. 2011;37:319-26.

Rubin BK. Pediatric aerosol therapy: New devices and new drugs. Resp Care 2011;56:1411-23.

Register, KB, Sukumar N, Palavecino EL, Rubin, BK, Deora R. Bordetella bronchiseptica in a pediatric cystic fibrosis patient: Possible transmission from a household cat. Pediatr Pulmonol 2012 (in press)

Robinson P, Schechter MS, Sly PD, Winfield K, Smith J, Brennan S, Shinkai M, Henke MO, Rubin BK. Clarithromycin therapy for patients with cystic fibrosis: a randomized controlled trial. Pediatr Puolmonol 2012 (in press).

Kanoh S, Tanabe T, Rubin BK. IL-13-induced MUC5AC production and goblet cell differentiation is steroid resistant in human airway cells. Clin Exp Allergy 2012 (in press).

Tanabe T, Kanoh S, Moskowitz WB, Rubin BK. TGF-β from cardiomyoblasts induces squamous metaplasia in human airway cells. Chest 2012.

Seagrave JC, Albrecht H, Park YS, Rubin BK, Solomon G, Chul K. Effect of guaifenesin on mucin production, rheology, and mucociliary transport in differentiated human airway epithelial cells, Exp Lung Res 2012 (in press).



Wei Zhao

Principal investigator:
Wei Zhao, M.D., Ph.D.

Lab members:
Include research staff, graduate students, postdoctoral researchers

Lab contact:
Location: Mcguire Hall, 1112 E. Clay St.
Phone: (804) 828-0979

Current projects:
Co-investigator and member of Asthma and Allergic Diseases Cooperative Research Center of VCU (NIH research project; PI: Dr. Lawrence Schwartz)

Research interests:
Dr. Wei Zhao’s research interest is regulation of human mast cell function.

Our major contributions include: 1) the determination that proteases produced by human skin mast cells degrade endogenous as well as recombinant cytokines; 2) human skin derived mast cells express functional FcγRIIa, but not FcγRIIb (our data challenge the current dogma that immunotherapy works through the induction of IgG antibody, which binds to FcγRIIb and transduces inhibitory signals to cells upon allergen exposure); 3) TGF-β regulates mast cell function through inhibiting its de novo expression of kit.

Currently, we are studying the mechanism of desensitization by using both in vitro and in vivo models. Our in vitro model uses human skin derived mast cells which are sensitized to NP-IgE and then desensitized with NP-BSA. On the other hand, penicillin allergic patients are recruited to undergo desensitization. In addition to monitoring their hypersensitivity status before and after desensitization, basophils are isolated and tested ex vivo for their ability to respond to different stimuli. This research project will help to answer critical questions such as the duration of desensitization, the status of cross-desensitization, and the underlying cellular and molecular mechanism of drug desensitization.

Recent publications:
Gomez G, Zhao W, Schwartz LB. Disparity in FcεRI-induced degranulation of primary human lung and skin mast cells exposed to adenosine.J Clin Immunol. 2011 Jun;31(3):479-87. Epub 2011 Mar 25.