Ar 2015
Ar 2015
Ar 2015
TABLE OF CONTENTS
02
03
04
05
06
07
08
11
15
24
34
46
52
58
66
76
84
94
108
Hematology
Infectious Diseases
Nephrology and Hypertension
Oncology
Pulmonary, Critical Care and Sleep Medicine
Rheumatology
DEPARTMENTAL INDEX
113
116
116
120
121
123
127
128
129
134
146
148
150
Administrative Appointments
Distinguished Societies
Professional Societies
International Societies
Committees Held in Professional Societies
NIH Study Sections/Noteworthy
Government Activities
124
10
Divisions
Faculty
Members
472
269
Peer-Reviewed
Publications
Residents and
Fellows
57
$32M
Federal Research
Grants
Federal Grant
Expenditures
Leadership Organization
Ron Ben-Ari, MD
Fred R. Sattler, MD
David A. Goldstein, MD
John T. Nicoloff, MD
Darcy V. Spicer, MD
Zea Borok, MD
Ray V. Matthews, MD
Michael Rice
Thomas A. Buchanan, MD
Eva Blaauw
Executive Administrator
Neil K. Kaplowitz, MD
Gilberto Martinez
Michael S. Karp, MD
Angie Ibanez
Accounting Director
Anh Hwang
Population Experience
Health
of Care
The Hastings
USC Center of Excellence in Advanced Lung Disease Amy Firth, PhD,
Foundation has
pledged to donate
Assistant Professor
Clinical Center for Advanced
Hastings Center for
$7.5 million over
of Medicine,
Lung Disease (CALD)
Pulmonary Research (HCPR)
five years to
was the first
establish the
faculty member
Hastings Center for
to be recruited to
Advanced Lung Disease
Injury, Repair,
Pulmonary
the new Center.
Regeneration
Potential Therapeutics
COPD
Research (HCPR)
Dr. Firths major
Interstitial Lung Disease
Epithelial Cell Biology
at USC. The
areas of research
Asthma
Epigenetics
Hastings
include:
Cystic Fibrosis
Developmental/Environmental
Pulmonary Hypertension
Lung Diseases
Foundation has had
developing stem
Sleep
a relationship with
cell therapies for
Advanced Procedures Patient Samples Areas of Recruitment
Fibroblast/matrix biology
USC for more than
cystic fibrosis,
Stem cell biology
50 years, and this
understanding
Bioinformatics
Lung Imaging
gift builds upon that
the role of
strong relationship.
multicillin and
The foundation is
associated
very pleased with
pathways in cell
the research it has seen at USC, and looks forward to
development, and utilizing stem cells to develop
having a focal point for faculty research and
effective in vitro models of lung disease. Dr. Firth
recruitment. A major focus of the HCPR is recruitment
believes that the HCPR is perfectly situated to facilitate
of mid to senior level investigators with expertise in
collaboration between physicians, basic biology and
lung stem cell biology and regeneration. This will enable
translational science.
synergistic interactions amongst scientists with a common
interest in advancing our understanding of these chronic
HCPR strives to be a widely recognized leader in lung
lung disease and developing therapies based on research
biology and disease. HCPR scientists will interact
findings in the laboratory, so-called bench-to-bedside.
with clinicians to translate their research findings into
clinical applications. The Center hopes to achieve this
The Division of Pulmonary, Critical Care and Sleep
mission by training and mentoring fellows, graduate
Medicine aims to create an integrated, world-class
students and early career investigators in lung biology.
program of excellence in pulmonary research and
HCPR investigators will be in close proximity with
patient care at USC. In order to become a nationally
shared laboratory space and equipment, facilitating
recognized leader in the field, strong collaborations
collaboration right from the start.
USC/UKRO Kidney
Research Center
Pioneering the advancement of kidney research
Chronic kidney disease (CKD) is a growing epidemic affecting over 26 million Americans, many of whom are
unaware they have it. CKD often involves a progressive loss of kidney function, which can occur at varied rates
depending on the disease and what stage the patient is in. During the early stages patients are usually asymptomatic.
Once symptoms appear, such as exhaustion, body swelling and unexplained high blood pressure, the kidneys could
be seriously impaired. Diabetes and hypertension are the leading underlying causes of chronic kidney disease.
University Kidney Research Organization (UKRO) is a charitable organization that was co-founded by
Dr. Vito Campese, Professor of Medicine, and his patient, Kenneth Kleinberg, a Los Angeles entertainment attorney
who suffered from CKD, on the belief that collaboration among scientists is the key to understanding and
eliminating CKD. A few years ago, UKRO and USC set out to make that belief a reality by establishing the USC/
UKRO Kidney Research Center (KRC).
Keck School of Medicine researchers, along with board members from UKRO, recently celebrated the KRCs
opening on the 5th and 6th floors of the Mudd Memorial Research Building. The Director of the KRC is
Dr. Kenneth Hallows, Professor of Medicine and Chief, Division of Nephrology and Hypertension. An initial $3.5
million pledge was made by UKRO to support the center and its five labs. Dr. Nuria Pastor-Soler, Associate
Professor of Medicine and Assistant Dean for Research Mentoring, is the first clinician/scientist to be recruited for
the Kidney Research Center. Drs. Hallows and Pastor-Soler will focus their research on several areas, including the
mechanisms of hypertension, acute kidney injury, acid regulation and its role in CKD, polycystic kidney disease
and metabolomic biomarkers, and kidney cancer. They plan to partner with other researchers within the larger Keck
School of Medicine community and beyond to work toward new therapies and potential cures for kidney disease.
Dr. Vito Campese serves as Co-Director of the KRC.
Hallows is building a hub for basic and translational kidney research, with clinical initiatives, that should have a
strong positive impact on kidney disease patients. Along with kidney research, UKRO will foster growth for medical
students and other trainees. The center boasts a new multi-photon confocal microscope capable of producing 3D
real-time images of kidneys in vivo, up to 1,000 times larger than they appear to the naked eye. The microscope will
be used primarily to examine kidney structure and function. UKRO is very excited to help build a core group of
researchers and establish new collaborations across Keck Medicine and the world.
Research Activities
More than 90 Department of Medicine (DOM) faculty are currently engaged in basic and/or clinical (translational)
research activities, 48 of them as Principal Investigators. These medical research programs are supported by
expenditures now exceeding $53 million annually, of which 83% are federally (primarily NIH) sponsored. Among
the DOM faculty who received new NIH grants this reporting period are Zea Borok (P01, NHLBI); Howard Hodis
(R01, NHLBI); Kenneth Hallows and Nuria Pastor-Soler (Co-PIs, R01, NIDDK); Cheng Ji (R21, NIAAA);
Heinz-Josef Lenz (R01, NCCIH); Takeshi Saito (R01, NIDDK); and Anisa Shaker (R03, NCI). In addition, five
DOM faculty members have K awards: Akil Merchant, Kathleen Page, Anisa Shaker, Ling Shao and
Hussein Yassine. These faculty members represent nearly all the DOM divisions and serve to underscore the quality
of medical research currently being conducted by our faculty. It also indicates the ability of our faculty to compete
for the very limited amount of NIH grant resources at a time of intense competition for extramural funding.
Dr. Laurie DeLeve, Professor of Medicine in the Division of Gastrointestinal and Liver Diseases, serves as Senior
Associate Chair for Scientific Affairs for DOM. One of her objectives is to support junior faculty in facilitating
their advancement along the tenure track. Two initiatives have been put into place to support these junior faculty
members. The first is the Career Planning Committee (CPC), a committee that is specifically assigned for each
junior faculty member to advise them on issues relating to their career goals. Committee members include the
primary mentor, the Division Chief (ex officio), the Departments Senior Associate Chair for Scientific Affairs (ex
officio) and two additional members chosen by the junior faculty member after deliberation with his/her mentor. The
committee meets twice annually to monitor the progress of the junior faculty member and to provide advice tailored
to his/her particular needs. To date, this program has been enthusiastically received both by the junior faculty and
CPC members. The second initiative is a program to provide assistance in editing federal grant proposals to increase
the likelihood of award. The program utilizes the services of graduate students in Science Journalism from the
Annenberg School of Communication who are experienced science writers. This program is offered primarily to
junior faculty members on the tenure track, but is also available to other faculty members if desired.
Basic/Translational Science
The NIH-sponsored Research Center for Liver Diseases and core laboratories (Molecular Biology,
Cell Culture and Organelle), led by Neil K. Kaplowitz, MD, is one of only four such programs in the nation. In
addition to basic and translational research programs in liver disease, this Center provides a major institutional
resource for multidisciplinary and interdepartmental investigations, educational seminars and start-up grant funding
opportunities.
The Will Rogers Institute Pulmonary Research Center, under the direction of
Edward D. Crandall, PhD, MD, and Zea Borok, MD, continues to contribute significant advances in research
related to lung injury and pulmonary edema. Their investigational focus involves studies on transport, growth and
differentiation of lung alveolar epithelial cells from the cellular/molecular to organ levels.
USC Norris Comprehensive Cancer Center projects such as the Colorectal Cancer Center, under the
direction of Heinz-Josef Lenz, MD, are concerned with developing new and innovative chemotherapeutic
approaches to the treatment of cancer.
The Diabetes and Obesity Research Center was established to investigate the origin, prevention
and treatment of diabetes and associated conditions (including obesity, hyperlipidemia, hypertension
and atherosclerosis). Thomas A. Buchanan, MD, shares the leadership role in developing this important
multidisciplinary research program with Michael Goran, PhD, from the Department of Preventive Medicine.
Information gained by Lupus Center investigators from laboratory bench research has served as the basis for
development of prototype treatment strategies for a wide variety of autoimmune diseases.
The Cardiovascular Devices Program, led by Leslie Saxon, MD, is dedicated to the development of
innovative uses of new implantable device technologies. Such new technologies will allow the introduction of major
preventive and/or critical therapeutic measures at the earliest stages of disease development.
The Department of Medicines impact on the medical research enterprise of the Keck School of Medicine of USC
has been largely achieved by members of our faculty playing key roles in the development of interdisciplinary
NIH-sponsored research programs. Many of these programs have taken advantage of the unique and diverse patient
populations served by our teaching hospitals and clinics, as well as the leadership talents of our faculty. Prominent
examples of such programmatic efforts include:
Under the leadership of Howard N. Hodis, MD, the Atherosclerosis Research Unit focuses on in vivo
assessment of atherosclerosis. Using cutting-edge noninvasive technology to assess changes in intimal thickness in
major arterial vessels, this Unit is conducting studies designed to assess the benefits of a wide variety of therapeutic
interventions for prevention and reversal of atherosclerosis.
Under the direction of Fred R. Sattler, MD, the adult AIDS Clinical Trials Group (ACTG) has become one of
the nations leading centers in carrying out NIH-sponsored AIDS clinical trials in adult populations.
The Keck Diabetes Prevention Initiative, directed by Anne Peters, MD, is a program designed to develop
treatment programs for the epidemic of obesity and type II diabetes occurring in the medically underserved
populations of Los Angeles. As part of this program, the NIH-sponsored LookAHEAD Study focuses on
the benefits of weight loss and exercise in reducing the risk of cardiovascular disease in a select type 2 diabetes
population located in East Los Angeles.
In recognition of the importance of translational research to the improvement of medical care in the community, the
NIH established the Clinical and Translational Science Awards (CTSA) at leading medical research
institutions across the country. Such CTSA funded programs are designed to provide substantially more complex
and sophisticated resources for the conduct of clinical research than were available with the previous General
Clinical Research Center (GCRC) programs that they were designed to supplant. Because of
Dr. Thomas Buchanans outstanding past leadership record in directing our GCRC program, he was selected to take
on the challenge of garnering a CTSA award for the Keck School of Medicine. This goal was achieved with the
award of a $56.8 million grant to support expansion of the USC-based Southern California Clinical and
Translational Science Institute (SC CTSI). Dr. Buchanan also serves as the Keck School of Medicines
Vice Dean for Research. The NIH-sponsored SC CTSI provides a broad range of services and support to promote
the development and conduct of clinical and community trials, develop new methods to enhance the efficiency and
effectiveness of clinical research, provide training in clinical and translational research, and disseminate research
findings to improve clinical care and community health.
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Clinical Activities
The Department of Medicine is the largest department at one of the most expansive academic medical centers in
the country. The complex is comprised of LAC+USC Medical Center (LAC+USC) and the Keck Medical Center
of USC (KMC). The latter includes USC Norris Cancer Hospital (Norris) and Keck Hospital of USC (KH), as well
as several ambulatory venues Healthcare Centers 1 and 2 (HC1 & HC2) located on the Health Sciences Campus,
Pasadena, La Caada, University Park Campus, Beverly Hills, Downtown Los Angeles and Orange County. The
Department of Medicine leads USC in the provision of clinical care in both the public and private venues of the
Health Sciences Campus and is dedicated to providing quality, state-of-the-art patient care to both insured and
uninsured patient populations. The Department has maintained its goal of providing optimal quality and efficiency
of patient services, in both the private and public settings.
The Department of Medicine delivers a remarkable range and volume of high-quality inpatient and outpatient care
at LAC+USC Medical Center. Its outstanding teaching programs provide direct education to 189 residents, over
80 subspecialty fellows, and approximately 200 medical students at LAC+USC each year. The Department of
Medicine partners with the Medical Centers administrative, physician and nursing leadership to address the needs
of our patients and to continually enhance the safety and quality of our healthcare systems and services.
11
In calendar year 2015, the Department of Medicine accounted for approximately 50% of the average daily census
at LAC+USC. Since opening the new facility in late 2008, the percentage of patients cared for by Department of
Medicine faculty has risen as high as 57%. When formal consultations are included, the Department continues
to be actively involved in the care of more than 75% of all patients at LAC+USC. In addition to our excellent
comprehensive inpatient service, the Department provides the supervision and care for more than 100,000 patients
each year in our outpatient clinics.
The Department of Medicine is tireless in its efforts to deliver the highest quality care for the safety-net population
of Los Angeles County. The following initiatives were recently implemented to enhance the training environment
and patient care delivered by Department of Medicine faculty and physicians in training:
The Department of Medicine worked with LAC+USC outpatient administration and Director of Primary Care
Services, Dr. Jagruti Shukla, to refine and implement a modified patient-centered medical home model of care
in resident primary care clinics and to initiate a substantial renovation plan for the clinics to create an appealing,
patient-centric outpatient care environment. This type of care provides 24/7 phone access, a team-based approach
and rapid follow-up visits. This effort serves as a model for ambulatory services reorganization by LAC+USC
administration.
The Department of Medicine provided substantial support and expertise for the implementation of a comprehensive
electronic medical record at LAC+USC.
The Department of Medicine worked with LAC+USC outpatient administration and Director of Subspecialty
care services, Dr. Andy Lee, to establish a multidisciplinary patient-centered ambulatory subspecialty hub. A
substantial renovation plan for the subspecialty clinics was planned and initiated to create an appealing, patientcentric outpatient care environment. This new model will enable group visits for enhanced patient education,
12
better coordination of care and serves as a model for specialty ambulatory services reorganization by LAC+USC
administration.
Implementation of eConsult
eConsult is a web-based tool that provides consultations in all medicine subspecialties to its affiliated communitybased and medical center-based primary care practitioners. This eConsult-based dialogue between the primary
care doctor and the specialist helps address clinical questions and co-manage patients in an efficient manner. The
program has reduced the need for face-to-face visits by approximately 33%, improving access to specialty care.
Internal medicine physicians assume the inpatient care of patients once admitted and when still in the Department
of Emergency Medicine. The early involvement of internal medicine physicians in the course of admitted patients
promotes prompt evaluation and initiation of appropriate diagnostic and treatment strategies.
Blue Service
This program enables the re-assignment of lower acuity inpatients to a service staffed by faculty and nurse
practitioners, thereby maintaining compliance with ACGME census guidelines and duty hour restrictions and
improving the morale of trainees.
Private Practice
The Departments private practice has continued to experience steady growth since its inception in the 1980s,
with overall activity more than doubling and ambulatory visits almost tripling over the past ten years to more than
140,000 annually. The following are some of our most recent achievements:
Initiation of a Primary Care Initiative with recruitment of six of an eventual seven primary care physicians
during the first phase of development
Expansion of Gastroenterology services, including Therapeutic Endoscopy and Inflammatory Bowel
Disease
Implementation of a Center for Advanced Lung Disease
Expansion of cancer services in Orange County with recruitment of two additional oncologists
13
The ambulatory practice has grown in several areas. The Divisions with the highest rate of growth include Oncology
at 141%, Endocrinology and Diabetes at 32%, and Hematology at 25%. Primary Care has expanded at Pasadena by
47%, and the Downtown LA practice has increased by 13% year over year.
Other than Hematology and Oncology, which continue to conduct their private outpatient care at Norris and Orange
Coast Oncology Hematology (OCOH), all divisions practice at HC2. These divisions include Cardiovascular
Medicine; Endocrinology and Diabetes; Gastrointestinal and Liver Diseases; Geriatric, Hospital, Palliative and
General Internal Medicine; Infectious Diseases; Nephrology and Hypertension; Pulmonary, Critical Care and Sleep
Medicine; and Rheumatology.
The Department also provides ambulatory care for patients at the DaVita-USC Kidney Dialysis Center, the Arthritis
Center, the USC Westside Center for Diabetes, Keck Medicine of USC- Beverly Hills, Keck Medicine of USCLa Caada, Keck Medicine of USC- Pasadena, USC Norris OCOH and Keck Medicine of USC- Downtown Los
Angeles (formerly the Executive Health and Imaging Center). In aggregate, the Department of Medicine offers a full
panel of specialists as well as an active group of primary care physicians.
On the inpatient side, the Department of Medicine accounted for 30% of all admissions at Keck Medical Center
of USC. However, because of their consulting relationships with surgical colleagues, Department faculty provided
care to a much larger number of patients. For example, the Departments Pulmonary and Critical Care physicians
provide care to most of the patients in the intensive care units, although the admitting physicians usually are in other
departments or divisions. Similarly, although our Nephrology and Hypertension faculty refer patients to the General
Medicine team for admissions, the Nephrologists are often consulting on as many as 30 inpatients per day. Finally,
at the Norris Cancer Day Hospital, the Departments oncologists and hematologists account for the care of well over
85% of the patients.
The KH Hospital Medicine Program has had a significant impact on quality patient care, and has implemented a
24/7 Rapid Response Team, 24/7 coverage at the Evaluation and Treatment Center, co-management of specified
specialty services, such as Orthopedics, and reduction of catheter-related urinary tract infections. The Department
has added an additional faculty hospitalist and developed a strong co-management service in collaboration with the
Orthopedic Joint Replacement Service. The average length of service for these patients has dipped to below two
days, rivaling best practices across the nation.
The clinical practices website can be found at http://internalmedicine.usc.edu/. This interactive site allows
visitorswhether they are patients, physicians, pharmacists or othersto learn about the practice and its programs
and providers, as well as schedule appointments, request prescription refills and ask general questions.
14
Educational Activities
Program Director
Ron Ben-Ari, MD
Eric Hsieh, MD
Administrator of
Educational Affairs
Nancy G. Shepherd, MS Ed
Elliott Birnstein, MD
Henry Chu, MD
Nima Motamedi, MD
15
Arjun Makam, DO
Alex Shindel, MD
Carrie Ward, MD
The Department of Medicine continues its intensive investment in advancing educational programs at both the
Graduate and Undergraduate levels. Department of Medicine faculty contribute extensively to medical student
education in both the basic science and clinical clerkship years and directly supervise the training of nearly 270
house officers and fellows each year. The Department reviews, revises and delivers curricula for medical students
and Internal Medicine trainees each year and provides each group with a comprehensive and rich educational milieu.
Administrative Responsibilities
The Office of Educational Affairs coordinates the following activities for the residency and/or fellowship programs
(189 residents and approximately 80 fellows):
Fellowship Training
The Department of Medicine directs 15 fellowship training programs in Internal Medicine subspecialties:
Cardiology, Clinical Cardiac Electrophysiology, Interventional Cardiology, Advanced Heart Failure, Endocrinology,
Gastrointestinal and Liver Diseases, Geriatric Medicine, Hematology, Infectious Diseases, Nephrology, Transplant
Nephrology, Oncology, Pulmonary and Critical Care Medicine, Sleep Medicine and Rheumatology. Each program
provides its trainees with clinical and research education under the supervision of experts in the respective discipline
(see Divisional reports).
Residency Structure
The residency training program is divided into five groups based on Associate Residency Directors with the
following objectives:
To provide house officers with a smaller and consistent peer group of trainees
To enhance Departmental support, structure and morale
To expand and enhance learning opportunities for house officers
To increase house officer participation in new program development and residency program administration
The role of the Associate Director is to supervise and coordinate the educational efforts of the Group as well as be a
resource and liaison for nursing and other support personnel.
Education Officers
Each Division is represented by an Education Officer. These faculty function as informational and scheduling
resources for all educational issues relevant to the Office of Educational Affairs and the Divisions.
16
2015- 2016 Chief Residents (left to right): Drs. Arjun Makam, Alex Shindel and Carrie Ward
Peer-selected house officer representatives participate in the development of educational activities, promotion of
resident research and scholarly activity, and coordination of Departmental events. Internal Medicine house officers
have become particularly active on both institutional and Departmental committees. They are lead officers in the
Council for Interns and Residents and have made significant contributions to the programmatic elements of the
residency. The Program Director conducts monthly Education Steering Committee meetings (on which these
peer-selected residents sit) and monthly general house officer meetings open to all trainees.
Daily Schedule
House officers participate in a combination of clinical training experiences and structured didactic sessions each
day. House officers are assigned to a wide range of ambulatory and inpatient clinical experiences in both public and
private settings. Clinical training is provided in General Internal Medicine, all Internal Medicine subspecialties,
Emergency Medicine, Neurology and relevant surgical subspecialties. The General Medicine Ward Service at
LAC+USC Medical Center (LAC+USC) is the Departments largest teaching service and is staffed with 12 faculty
and 36 residents each month. A highly structured calendar of events maximizes the teaching/learning opportunities
for our faculty and house staff, while providing supervised delivery of patient care and consistent educational
experiences for residents. Faculty attendings perform teaching rounds seven days per week. In addition, the
Department requires that patients followed by a subspecialty service, whether primarily or in consultation, be
reviewed daily by the attending faculty and house staff.
Clinical Experience
Ambulatory Care
All General Internal Medicine continuity clinic activity is located at LAC+USC. A few subspecialty clinics are
located offsite at the Comprehensive Health Centers (CHC) of the LAC+USC Healthcare Network and at the Los
Angeles Veterans Administration. General Medicine Clinics are conducted every afternoon Monday through Friday.
House officers, under direct faculty supervision, provide continuity of care for their own panel of patients. Each
Internal Medicine house officer spends one-half day per week in a General Internal Medicine clinic. Each patient
encounter is carefully reviewed and co-signed by a General Internal Medicine faculty supervisor. House staff also
participate in Internal Medicine subspecialty clinics when on rotation, and spend two months each year taking part
in a variety of surgical and medical subspecialty clinics during an Ambulatory Care Block rotation.
17
Inpatient Care
House officers have extensive opportunities, under the supervision of faculty attendings, to admit and care for a
remarkably diverse patient population. A state-of-the-art $1 billion LAC+USC Medical Center became our primary
inpatient teaching site in November 2008, and more than 90% of inpatient training occurs there. The rest of the
training occurs in private practice settings at Keck Hospital of USC (KH) and USC Norris Cancer Hospital (Norris).
The majority of inpatient wards at LAC+USC are devoted to General Medicine services. Separate ward services are
staffed by the Department to provide MICU, cardiology and hematology care.
Curriculum
The Department delivers a daily Core Residency Conference Series, a Core Ambulatory Curriculum, a longitudinal
Board Review Curriculum and a Mentor Program. In order to optimize the participation of all house staff in the core
educational series, nearly all core clinical and didactic conferences are presented from 12:00 to 1:00 pm, Monday
through Friday. The core curricular sessions are arranged thematically by month, and a relevant board-oriented
multiple-choice examination is administered at the end of each month. Core conference attendance requirements are
determined by level, and all house officers must take and pass eight of the monthly examinations administered each
year. The daily core series is comprised of the Core Curriculum Lecture Series, Medical Grand Rounds, Morbidity
and Mortality Conferences, Master Professor Rounds, Journal Club, Case Report Group, House Officer Meetings
and a Monthly Exam. The Core Ambulatory Curriculum is delivered during the first half-hour of each General
Medicine Continuity Clinic session, and the Board Review and Mentor Program elements are generally delivered to
small groups of residents. Divisions also provide focused didactic and patient-based learning opportunities for those
house staff rotating on their services. The monthly board-oriented examinations are supplemented by an annual
nationally administered in-training examination for each house officer.
Didactic Sessions
Core Curriculum is an ongoing and repeating series on Internal Medicine topics, which are grouped
thematically by month (See table on page 23 for a list of Core Curriculum topics.)
Ambulatory Curriculum is an ongoing and repeating series on topics relevant to the delivery of outpatient
care in Internal Medicine
Medical Grand Rounds are weekly lectures covering the most current developments in Internal Medicine
Journal Club is a monthly conference at which residents and faculty review and critique recent
contributions to the medical literature
Board Review Course is a weekly small group session for senior residents with faculty
Mentor Program consists of small group sessions where medical ethics, professionalism, distributive
justice, searching the medical literature, procedural competency, leadership, teaching and evaluation
techniques, and issues relevant to transitioning from residency to fellowship or the workplace are explored
ECG Interpretation Course is an annual presentation on interpretation of the electrocardiogram
Chest X-ray Interpretation Course is an annual presentation on interpretation of radiographs of the chest
Patient-Based Learning
Morning Report consists of daily sessions at which the most challenging and enigmatic of recently
admitted cases are presented for discussion by residents assigned to the General Medicine Service; the
conference is moderated by the Vice Chair for Clinical Affairs and Chief of the Division of Geriatric,
Hospital, Palliative and General Internal Medicine, with subspecialty faculty present
Intern Report is a weekly session at which challenging, recently admitted cases are presented for discussion
by interns assigned to the General Medicine Service; the conference is moderated by Chief Residents,
Firm Directors or other General Internal Medicine faculty
18
Morbidity and Mortality Conference consists of interdisciplinary sessions in which pathologic specimens
and autopsies are reviewed and Patient Safety initiatives and Continuous Quality Improvement
opportunities are identified
During Daily Bedside Rounds, admissions to inpatient Internal Medicine Services or consultations
requested from Internal Medicine Services are seen, examined and discussed by attending faculty with their
team of house officers. All services combine bedside teaching with focused conferences such as
subspecialty Grand Rounds and Journal Clubs.
Residents as Teachers
Junior residents participate in workshops to receive training in teaching and evaluation techniques and in
team leadership
Senior residents participate in separate sessions focused on teaching at the bedside and teaching in large
group forums
Senior residents prepare case presentations and didactic lectures for Medical Grand Rounds under the
guidance of a faculty mentor
Trainees at all levels give formal presentations at Morbidity and Mortality Conferences, Journal Clubs,
Case Report and Subspecialty Conferences
Senior and junior residents directly supervise first-year residents and medical students in the provision of
patient care
Scholarly Activity
The Research Interest Series provides quarterly noontime presentations to promote resident participation
in research (clinical, translational or bench). The topics include identifying a researchable question,
understanding and obtaining approval from the IRB, research opportunities and resources within the
program, and pursuing an academic career.
Case Report Conference is a monthly conference that provides residents a venue for the delivery of
specific curricular content on identifying unique appropriate clinical cases, documenting and submitting
cases for publication and/or presentation, and poster preparation. Evidence of the impact of this curriculum
is that USC Internal Medicine residents won second place in poster competitions for clinical vignettes at
the regional American College of Physicians Scientific Meeting in 2010 and first place in both 2008 and
2009.
Accreditation
The core categorical and all subspecialty fellowship training programs maintain full accreditation. The status of full
accreditation of all programs reflects clear recognition from the Residency Review Committee for Internal Medicine
that the residency and fellowship training programs in Internal Medicine at USC achieve substantial success in
meeting ACGME guidelines and in training future internists and subspecialists. In fact, as a result of the most recent
site visits from the ACGME, the core program and all subspecialty programs received maximum cycle lengths.
19
Evaluations
House officers complete evaluations of faculty at the end of each month, rating a variety of characteristics, and
faculty are provided with an annual Department-wide composite summary of their evaluations. In addition, each
faculty is required to evaluate the house officers with whom they have worked and to personally discuss their
impressions with the house officer. Any rated characteristics evaluated as marginal or unsatisfactory prompt a review
of that residents performance by the Program Director and, when appropriate, the Residency Performance Review
Committee of the Department of Medicine. Computerized tracking of evaluations is used to facilitate the ongoing
collection and processing of these data.
Recruitment
The Department of Medicine recognizes that the recruitment of high-caliber individuals into the residency program
is essential to achieving the excellent training environment for which it is striving. The Department is working to
increase interest in its program and to fill its postgraduate positions with excellent candidates from medical schools
nationwide. The Department regards USC medical students as particularly strong candidates for its training program
and views the recruitment of USC students to be a high priority. Forty-three USC students from the class of 2015
sought careers in Internal Medicine. The Department revamped its residency program website, and participated
in a USC Residency Fair sponsored by Alpha Omega Alpha Honors Society and a residency fair sponsored by the
American College of Physicians.
Continue to improve our residents ABIM Certification Examination passage rate through intensive
longitudinal Board Review coursework, by enhancing the didactic and clinical experiences of each clinical
rotation, and by identifying and mentoring those individuals with a record of weak performances on
monthly examinations and the annual in-training examination
Expand use of simulation in training
Expand and track the scholarly output of the Internal Medicine residents
Enhance the mentoring program for residents
20
Jeffrey Canceko, MD
Associate Director
Matthew Johnson, MD
Nikoo Safdari
Administrative Responsibilities
Assignment of senior medical students to four-week blocks of inpatient Internal Medicine Sub-internship
experiences at LAC+USC, KH, Huntington Memorial Hospital (Huntington) and Santa Barbara Cottage
Hospital (Cottage)
Assignment of junior students to six-week blocks of inpatient Internal Medicine experiences at LAC+USC
and Huntington
Assignment of senior medical students to a four-week ambulatory elective rotation with a community-
based faculty preceptor
Preparation and distribution of orientation and curriculum materials to all student participants at all sites
Coordination of faculty instructor assignments with the Education Officers in each of the Departments
divisions
Distribution and retrieval of faculty and resident evaluations of students and student evaluations of faculty,
residents and the program every four to six weeks
Creation of a summary grade and narrative final evaluation for each junior and senior student at all sites
Assignment of all faculty advisors in the Department of Medicine
Career counseling for students seeking careers in Internal Medicine
Preparation and distribution of approximately 80 letters of recommendation for residency training each
year
21
Program Director
Curriculum
Junior and senior medical students participate in a structured case-based curriculum developed from a nationally
recommended program from the Clerkship Directors of Internal Medicine. In addition, junior students have weekly
Student Morning Report with Dr. Jeffrey Canceko or other faculty, weekly ethics conferences, special exposure
to the cardiac catheterization lab, and one session of Clerkship Director Rounds with Dr. Canceko or Residency
Physician Leadership. Fourth-year medical students also participate in a one-hour problem-solving session per week
with Dr. Canceko and a series of clinical workshops conducted by hospital medicine/generalist faculty. Lastly, all
students meet at least once weekly for a total of two hours of case-based teaching with their faculty attendings on
the General Medicine Service. All medical students are encouraged to attend the core residency conference and
morning report.
Junior and senior medical students are assigned to work directly with attending physicians and residents in the
provision of patient care. In the inpatient setting, patients are assigned to students upon admission (third-year
students receive one to two admissions each call day; fourth-year students receive two to three, typically more
challenging, admissions). They perform histories, physical examinations and common procedures. The students
present their patients on rounds, make daily assessments and write daily progress notes and orders. Supervision is
provided by the attending physician and residents. During ambulatory assignments, students are integrated into all
aspects of patient care delivery and practice management.
The Internal Medicine Clerkship incorporates an Observed Structured Clinical Assessment (OSCA), and both the
Internal Medicine Clerkship and Sub-internship incorporate an Observed Structured Clinical Evaluation (OSCE),
designed to enhance the clinical skills of medical students in evaluating patients with heart or lung disease and
emergent inpatient care issues. Junior medical students meet with Sonya Earley, PA, for a comprehensive review of
their patient/physician communication styles and history and physical examination skills as demonstrated in their
OSCA experience.
22
Dermatology
Bacterial Infections
Changes in Diabetes and Other
Endocrinopathies
Changes in Pneumatic Diseases
and Other Syndromes of Systemic
Importance
Cutaneous Oncology
Drug Reactions
Eczemas and Papulosquamous Diseases
Fungal Infections
Parasite Infections and Infestations
Syphilis
Viral Infections
Diabetes, Hypertension,
Endocrinology and Nutrition
Diabetes and its Complications
Diabetes and Pregnancy
Diabetic Emergencies
Diabetic Nephropathy
Disorders of the Adrenal Gland
Intensive Insulin Therapy
Metabolic Issues and Diseases
Osteoporosis
Pathogenesis of NIDDM
Pituitary Disease and Assessment
Prediction and Prevention of IDDM
(Type I Diabetes)
Thyroid Function Tests Interpretation
GI Bleeding
Inflammatory Bowel Disease
Pathogenesis and Treatment of
Gallstones
Peptic Ulcer Disease
Swallowing Disorders and Reflux
Viral Hepatitis Serology Interpretation
General Medicine
Geriatric Medicine
Dementia
Depression in the Elderly
Diabetes in the Elderly
Falls
Incontinence
Long-Term Care
Multidisciplinary Geriatric Assessment
Normal Aging versus Disease
Use of Medications in the Elderly
Hematology
Acute Leukemia
Anemias: Thalassemia and Sickle Cell
Chronic Lymphoid Leukemia and
Lymphoma
Disorders of Platelet Number and
Function (ITP, TTP, etc.)
Hematologic Manifestations of HIV
Hemostasis and Interpretation of
Coagulation Assays
Interpretation of the CBC and Blood
Smear
Multiple Myeloma and Hodgkins
Disease
Myeloproliferative Diseases:
Polycythemia and Chronic
Myelogenous Leukemia
Regulation and Differentiation of the
Bone Marrow
Infectious Diseases
AIDS Fundamentals
Fungal Infections and Their Therapy
Gastrointestinal Infections
Immunizations
Infections in the Compromised Host
Musculoskeletal Infections
New Infectious Diseases
Overview of Antibiotics
(Aminoglycosides and Quinolones)
Overview of Antibiotics (Beta Lactams)
Overview of Antibiotics
(Miscellaneous Agents)
Parasitic Infections
Respiratory Infections
23
Oncology
Rheumatology and
Immunology
Autoimmunity
Common Rheumatic Syndromes
Crystalline-Induced Arthritis
HLA B27-Associated Arthritis
Lupus
Rheumatoid Arthritis
Scleroderma
Understanding the Immune System
Other Services
Cardiovascular Medicine
Faculty
Distinguished Professor
Professor Emeritus
Assistant Professor
Shahbudin H. Rahimtoola, MD
L. Julian Haywood, MD
Philip M. Chang, MD
Michael A. Gaglia, MD
Parveen K. Garg, MD
Henry W. Huang, MD
Tomas Konecny, MD, PhD
Tracy D. Lawrence, MD
Anilkumar O. Mehra, MD
Vivian Mo, MD
Jina Sohn, MD
Andrew J. Yoon, MD
Professor
Uri Elkayam, MD
Howard N. Hodis, MD
Associate Professor
Leonardo C. Clavijo, MD, PhD
Rahul N. Doshi, MD
Michael W. Fong, MD
Luanda P. Grazette, MD
Enrique L. Ostrzega, MD (Educational
Scholar)
David M. Shavelle, MD
Helga Van Herle, MD
Clinical Instructor
James Chao, MD
Antreas Hindoyan, MD
24
Cardiovascular Medicine
Ray V. Matthews, MD, Professor of Clinical Medicine and Chief
Jasmin C. Hernandez, Division Administrator
The Division of Cardiovascular Medicine is at the forefront of the diagnosis and treatment of cardiovascular disease.
The scope of activities in the Division ranges from the early diagnosis and treatment of patients identified as at
risk for cardiovascular disease to cutting-edge medical, device and invasive therapies for patients with established
disease. We are dedicated to preventing, treating and expanding the existing knowledge base of the causes of
cardiovascular disease to ensure the best outcomes for our patients. Our spectrum of activities includes clinical care,
research, and patient and physician education.
An important part of the Divisions clinical activities is its integral role in the Cardiovascular Thoracic Institute
(CVTI). The CVTI is comprised of cardiovascular specialists including cardiothoracic surgeons, vascular surgeons
and cardiologists who are organized to ensure that experts across specialties communicate and partner to deliver
the very best in patient care and produce the highest quality research in cardiovascular disease. The goal is to
provide patients with a collaborative expert opinion regardless of how they access the system. The newest and most
promising therapies are available to USC patients using this unique model of care.
At LAC+USC Medical Center (LAC+USC), the Divisions faculty participate in USCs mission to work with Los
Angeles County to provide high quality healthcare to the underserved. We oversee several outpatient cardiology
clinics, a busy consultation service for inpatients and a coronary care unit service. We also provide services
and laboratories in echocardiography, stress, state-of-the-art cardiac catheterization and electrophysiology.
Outpatient services have been expanded at LAC+USC to include heart failure, adult congenital heart disease and
electrophysiology services.
Research programs in the Division include large-scale clinical trials within the Cardiovascular Research Unit
(CRU). Faculty researchers conduct studies designed to assess the benefits of a wide variety of therapeutic
interventions, including pharmacological agents, intracardiac or vascular sensors, endovascular therapies,
percutaneous valve technologies and more. We are dedicated to the development of innovative technologies that
may enable major preventive and/or critical therapeutic measures at the earliest stages of disease development.
The USC Center for Body Computing (CBC) is a digital health innovation center that continues to partner with
USC schools and institutes on multidisciplinary projects and research with private industry sponsors to further the
field of connected, wireless healthcare. Through innovative research and education, the CBC is working to create
a new service model for health care delivery and patient, provider and caregiver engagement through the use of
smart phone technology, wearable sensors and mobile apps. The CBC has become internationally recognized and
has launched national research studies, garnering attention for the creative boundary-pushing vision of offering
borderless medical care and tailored medical content to patients at USC and beyond.
The Division of Cardiovascular Medicine continues to expand its distinguished faculty with the addition of
electrophysiologist, Dr. Tomas Konecny.
25
Clinical Activities
Private Practice
Keck Hospital of USC
The Division provides 24-hour consultative services as well as direct patient care to cardiovascular disease
inpatients at Keck Hospital of USC (KH) and USC Norris Cancer Hospital (Norris). Diagnostic and therapeutic
services are offered, such as cardiac catheterization, coronary and peripheral intervention, supported high-risk
coronary intervention, percutaneous therapy of structural heart disease and electrophysiology procedures, including
ablation and device implantation. The Division also offers many novel investigational therapies that are not yet
available in the community.
The core multidisciplinary Advanced Heart Failure Team provides a 24/7 outpatient service. This unique
collaboration in partnership with the KH Cardiovascular Service Line ensures high-level quality care, continuity
of patient care, and optimal use of advanced mechanical, transplant and other high-risk, high-cost therapies. This
beacon program serves as a national model of contemporary care for patients with advanced heart failure.
The CVTI utilizes a unique model for patient care and for the diagnosis, treatment and research of cardiovascular
diseases through collaboration between cardiovascular specialists. The Institute provides comprehensive
assessment of symptoms, medical history and physical exam findings to initiate an individualized diagnostic
work-up and therapeutic plan that incorporates state-of-the-art studies, including rest and stress echocardiographic
studies, radionuclide myocardial perfusion rest and stress perfusion imaging,
ultrasound peripheral vascular studies, 3Tesla magnetic resonance imaging
and cardiovascular CT imaging. The CVTIs Arrhythmia Center provides
comprehensive arrhythmia assessment, monitoring with Holter and event
monitors, genetic testing and comprehensive pacemaker and implantable
cardiac defibrillator assessment and follow-up, including internet-based remote
monitoring. There is also a comprehensive program for the management of
atrial fibrillation and use of catheter-based procedural therapies performed in the
electrophysiology laboratory or with minimally invasive surgical techniques in the
operating room. The USC Adult Congenital Heart Disease Care Center provides
comprehensive multidisciplinary continuity and transition of care into an adult
setting for adolescent patients reaching adulthood, through collaboration with the
congenital heart experts at Childrens Hospital Los Angeles. The Heart Failure
core program team has expertise in surgical device and medical management, and
runs a weekly Ventricular Assist Device (VAD) clinic.
26
Educational Activities
Class of 2016
Class of 2017
Class of 2018
Michael Aldridge, MD
Lucas Christianson, MD
Khuyen Do, MD
Roy Lin, MD
Meena Narayanan, MD
Anisha Rastogi, MD
Andres Cortes, MD
Mark Goleski, MD
Neel Kapasi, MD
Rani Upadhyay, MD
Erika Jones, MD
Donna Kang, MD
Kenneth Kita, MD
Aaron Wolfson, MD
Electrophysiology
Interventional
Vascular
Heart Failure
Steve Carlson, MD
Sarah Elsayed, MD
Allen Kuo, MD
Ashwat Dhillon, MD
Haroon Yousaf, MD
The Divisions faculty remains committed to the training of the future generation of cardiologists.The mission of
the multifaceted and multidisciplinary USC Cardiovascular Medicine Fellowship Program is to educate fellows
in the comprehensive assessment and management of patients with cardiovascular disease processes.Under the
leadership of Director Dr. David Shavelle and Associate Director Dr. Vivian Mo, the program includes a rich,
comprehensive experience that combines clinical training at LAC+USC, Keck Medical Center of USC and
the Cardiovascular Thoracic Institute; a curriculum that encompasses all aspects of Cardiovascular Medicine,
including clinical cardiology, cardiovascular MR, cardiovascular CT, echocardiography, nuclear cardiology, cardiac
electrophysiology, cardiac intervention, congenital heart disease and congestive heart failure; and opportunities
for clinical and basic research.Additionally, the Division boasts five advanced subspecialty fellowship programs:
clinical cardiac electrophysiology, interventional cardiology, advanced heart failure, vascular medicine and
echocardiography.
The educational experience extends to the education and training of Internal Medicine house staff, USC medical
students and visiting medical students.House staff and students are assigned to the ICCU and the Cardiovascular
27
Medicine ward and participate in all rounds and educational activities.Four interns and nine residents are assigned
to Cardiovascular Medicine on a monthly basis and provide patient care under the supervision of the fellows and
staff on the Cardiovascular Medicine ward, CCU and consult service.Residents also participate in the outpatient
clinic and spend elective time in the inpatient areas or in the imaging, interventional or electrophysiology
laboratories.
Research Activities
The Divisions comprehensive conferences are available to students, house officers, fellows and faculty.Core
curriculum is scheduled weekly, while Visiting Professor Rounds alternate with the Griffith Professor Rounds,
Morbidity & Mortality Conference, Research Conference, EP/EKG Conference, Congenital Heart Disease
Conference, Cath Conference, Noninvasive Conferences and Interventional Conference on a bi-weekly basis.
Journal Club, which provides fellows with practice on critical analysis of research methods and outcomes, is held
monthly by fellows with guidance from a faculty member.The Division also sponsors occasional special lectures
featuring renowned visiting cardiologists. At the start of each academic year, the core curriculum, a series of lectures
on basic and clinical topics in Cardiovascular Medicine, is given by the faculty to the Cardiovascular Medicine
fellows.
The Division is actively conducting various research projects under the oversight of its Cardiovascular Research
Unit (CRU), directed by Dr. Ray Matthews (Medical Director) and Dr. Leonardo Clavijo (Associate Director). Areas
of research include carotid artery disease, coronary artery disease, ischemic heart disease and myocardial infarction,
congenital heart disease, heart failure and electrophysiological heart disorders. The CRU specializes in cuttingedge technology for pacemaker and cardiac devices and oversees all investigator-initiated, federal, foundation and
industry-sponsored studies in the Division of Cardiovascular Medicine, working closely with the USC Clinical
Trials Office (CTO), Department of Contracts and Grants (DCG) and the USC Health Sciences Campus Institutional
Review Board (IRB). The Division also has an active technology development program and has worked closely
with the USC Stevens Institute for Innovation and outside entities to develop new technology and use of modern
communication modalities to diagnose cardiovascular disease and fully engage patients and patients families and
caregivers. Currently, the Division has 48 federal, foundation and industry sponsored protocols and 10 investigatorinitiated protocols.
Michael W. Fong, MD
Michael A. Gaglia, MD
Rahul N. Doshi, MD
Cardiac Devices
Cardiac Resynchronization Therapy
Arrhythmia
Atrial Fibrillation Ablation
Ablation
Uri Elkayam, MD
Parveen K. Garg, MD
Luanda P. Grazette, MD
28
L. Julian Haywood, MD
Myocardial Ischemia
Pathophysiologic Mechanisms and
Clinical Parameters
Clinical Mechanisms and Management
of Cardiac Arrhythmia
Cardiovascular Manifestations of Sickle
Cell Anemia
Noninvasive Procedures for
Cardiovascular Diagnosis
Clinical Management of High Blood
Pressure
Psychosocial and Socioeconomic
Factors in Cardiac Illness
Antreas Hindoyan, MD
Howard N. Hodis, MD
Atherosclerosis
Henry W. Huang, MD
Hypertension
Myocardial Infarction
Stem Cells for Myocardial Dysfunction
Tracy D. Lawrence, MD
Ray V. Matthews, MD
Anilkumar O. Mehra, MD
David M. Shavelle, MD
Vivian Y. Mo, MD
Jerold S. Shinbane, MD
Shahbudin H. Rahimtoola, MD
Jina Sohn, MD
Angiogenesis
Hibernating Myocardium
Patent Foramen Ovale (PFO) Closures
Restenosis: Role of Radiation,
Inflammation and Cytokines
Cardiac Imaging by Echocardiography
Cardiovascular Disease in Women
Right Ventricular Function
Pharmacological Treatment of Valvular
and Coronary Artery Diseases
Valvular and Coronary Artery Surgery
Hibernating Myocardium
Leslie A. Saxon, MD
Heart Failure
Cardiac Devices
Arrhythmias
Med Device Big Data
Mobile Applications for Disease
Management
Wearable and Implantable Sensor
Technology
Elite Athletic & Military Performance &
Resiliency Evaluation
Preventative Cardiology
Cardiovascular Disease in Women
Cardiac Evaluation of Solid Organ
Transplant Candidates
Application of Information Technology
in Medicine
Andrew J. Yoon, MD
Research Highlights
David M. Shavelle, MD
Dr. Shavelle is involved in several research studies: he is a Principal Investigator and is on the National Steering
Committee for the post FDA approval CardioMEMS study that is evaluating the use of the CardioMEMS HF device
in patients with class III NYHA heart failure; he is a Co-Investigator for the PARACHUTE IV clinical trial that is
evaluating the use of a novel device placed within the left ventricular apex to improve cardiac function in patients
with class III NYHA heart failure; and he is a Principal Investigator for a stem cell therapy study called ALLSTAR
that is evaluating the use of a novel form of stem cells for patients with a prior anterior wall myocardial infarction.
Ray V. Matthews, MD
Dr. Matthews, Chief of Cardiovascular Medicine is Co-PI along with Dr. Vaughn Starnes, Chief of Cardiac Surgery,
of a clinical trial to investigate the percutaneous implantation of a heart valve called CoreValve for the treatment
of aortic stenosis. This is a large, randomized, landmark trial that addresses the future treatment of valvular heart
disease.
Dr. Matthews is Principal Investigator and a member of the steering committee for the clinical investigation of a
new implantable defibrillator that can detect and then alert a patient when a heart attack occurs, which will save
precious time to treatment.
Rahul N. Doshi, MD
Dr. Doshi, Director of Electrophysiology, is Principal Investigator for the Leadless II NANOSTIM study, which
examines a revolutionary pacemaker that is smaller than conventional pacemakers and doesnt require wire leads.
Leslie A. Saxon, MD
Dr. Saxon founded the USC Center for Body Computing (CBC) in 2007. The Center helps extend the reach and
depth of CVTI research by working with outside entities as diverse as Apple, VSP Global, Qualcomm, Proteus
Digital Health, St. Jude Medical, the United States Army Research Lab and the NFL, to name a few. Collaborating
with the CVTI and the Keck School of Medicine of USC, the CBC is conducting feasibility studies with state-ofthe-art devices that can wirelessly monitor patients remotely, in addition to creating social networks, mobile apps
29
and virtual care providers to help extend the reach of the CVTI cardiovascular specialists to our patient populations
locally, and one day, nationally.
Philip M. Chang, MD
Dr. Chang is the medical director of the Adult Congenital Heart Disease Care Program
and an Electrophysiologist in the division. He has been the site Principal Investigator
for the SAMURAI study, which examines a new MRI safe pacemaker, and the QuadPAS study, evaluating the long-term efficacy of a quadripolar left ventricular pacing
lead. He is also a Co-Investigator for our sites participation in the Nanostim leadless
pacemaker trial and the Principal Investigator for our sites participation in the preand post-market approval studies for the subcutaneous implantable defibrillator. He
is also actively involved in research examining means and outcomes of transitioning
young adult patients with congenital heart disease.
Dr. Clavijo is Principal Investigator of the Same Day Discharge study, which is an
investigator-initiated study sponsored by Abbott. The purpose of this study is to
compare the strategies, outcomes and complication rates of early (same day) versus
delayed (day after the procedure) hospital discharge in patients undergoing single and
multi-vessel stenting of types A, B and C lesions.
Dr. Clavijo is also Principal Investigator and author for ASA/Plavix and STTClips, which are studies that examine clot prevention and high on-treatment platelet
reactivity in patients with critical limb ischemia.
Division HIghlights
Highlighted Publications
The Division published 60 peer-reviewed research papers during the period of January 1 through December 31,
2015, and 11 more are in press. Of these, five are highlighted below:
Reddy VY, Exner DV, Cantillon DJ, Doshi R, Bunch J, Tomassoni GF, Friedman PA, Estes III M, Ip J, Niazi I,
Plunkitt K, Banker R, Porterfield J, Ip JE, Dukkipati SR: Percutaneous Implantation of an Entirely Intracardiac
Leadless Pacemaker. N Engl J Med 373(12):1125-1135, 2015.
Cardiac pacemakers are limited by device-related complications, notably infection and problems related to
pacemaker leads. This study focused on a miniaturized, fully self-contained pacemaker that is nonsurgically
implanted in the right ventricle with the use of a catheter.
McNamara DM, Elkayam U, Alharethi R, Damp J, Hsich R, Ewald G, Moki K, Alexis JD, Ramani GV, Semigran
MJ, Haythe J, Markham DW, Marek J, Gorcsan J, Wu WC, Lin X, Halder I, Pisarcik J, Cooper LT, Fett J for the
IPAC Investigators: Clinical Outcome for Peripartum Cardiomyopathy in North America; Results of the
Investigation of Pregnancy Associated Cardiomyopathy (IPAC) Study. J Am Coll Cardiol 66:905-14, 2015.
Peripartum cardiomyopathy (PPCM) remains a major cause of maternal morbidity and mortality. This study sought
to prospectively evaluate recovery of the left ventricular ejection fraction (LVEF) and clinical outcomes in the
multicenter IPAC Study.
Herring MJ, Dai W, Hale SL, Kloner RA. Rapid Induction of Hyptothermia by the ThermoSuit System
Profoundly Reduces Infarct Size and an Anatomic Zone of No-Reflow following Ischemia/Reperfusion in Rabbit
and Rat Hearts. J Cardiovasc Pharmacol Ther 20:193-202, 2015.
Therapeutic hypothermia has shown cardioprotective effects but delivering it quickly and safely to patients has been
problematic. This new noninvasive technique uses immersion-convection technology to induce rapid and
effective hypothermia. In 2 separate preclinical models it reduced myocardial infarct size and no reflow
dramatically. The device is currently FDA approved to treat hyperthermia; clinical studies are needed to test it in
patients with STEMI.
30
The Structural Heart Disease Program at the Keck Medical Center of USC applies a multidisciplinary approach
to the management of patients and includes interventional cardiologists, cardiac surgeons, cardiovascular imaging
experts, cardiac anesthesiologists and advanced care nurse practitioners. Percutaneous aortic valve implantation
forms the core of the program with the Medtronic Core Valve (St. Jude Medical) and the Edwards Sapien XT valve
(Edwards Lifesciences). To date, over 300 percutaneous aortic valve implants have been performed. In addition
to the currently available FDA approved devices, ongoing clinical trials evaluating next generation percutaneous
valves (Portico valve, St. Jude Medical) and treatment options (Medtronic Core Valve for usual operative
risk patients, SURTAVI trial) are also available. Additional structural heart procedures include mitral balloon
valvuloplasty, pulmonary valve implantation (Melody valve, St. Jude Medical), left atrial appendage closure,
alcohol septal ablation for hypertrophic cardiomyopathy and perivalvular defect closure.
Electrophysiology Program
The Vascular Medicine Clinical and Training Program at USC integrates the specialties of vascular surgery,
preventive cardiology and interventional cardiology to bring the best preventive and curative therapies to patients at
risk for or suffering from peripheral vascular disease. The Vascular Medicine Program offers a fellowship training
program with outstandingly rich training in both clinical and didactic vascular medicine and a wide spectrum of
clinical and basic science research opportunities with a strong emphasis on critical limb ischemia (CLI).
The Advanced Heart Failure and Cardiomyopathy Program is a key branch of the USC Center for Advanced Heart
Failure. The dedicated Heart Failure team takes a multidisciplinary approach, working with all subspecialties in
cardiology as well as cardiothoracic surgery, to develop the best treatment plan for heart failure patients. The Heart
Failure team expanded its care to a Ventricular Assist Device (VAD) clinic as well as a bi-weekly Heart Failure
Disease Management clinic for heart failure patients recently discharged from KH. The program has an ACGME
accredited subspecialty fellowship in Advanced Heart Failure and Transplant Cardiology. An implantable pulmonary
artery sensor called the CardioMems was recently FDA approved for use in the noninvasive monitoring at home of
31
heart failure patients, targeted at reducing heart failure admissions. USC has been selected as a regional training site
for other cardiologists to learn about this valuable modality.
The Center for Body Computing was founded in 2007 by Executive Director Dr. Leslie Saxon. The USC Center
for Body Computing (CBC) is an interdisciplinary brain trust that brings together the Keck School of Medicine of
USC, the renowned USC School of Cinematic Arts and the Universitys schools of Business and Engineering to
advance wireless health opportunities in collaboration with industry partners. Digital health can extend the reach
of our most talented physicians, preserve innovation and advance technological development. The CBCs purpose
is to creatively synthesize medicine, engineering, business, communications and entertainment arts into new
paradigms that will innovatively enhance quality of life, especially for the two billion people worldwide who lack
access to healthcare. Considered one of the most comprehensive wireless health institutes in the world, the CBC
has developed award-winning medical applications and pioneered significant research. We are currently working
on several social media prototypes, advancing athletic biosensing, studying the role of Big Data in healthcare and
creating apps for chronic disease management. The CBC also hosts the annual Body Computing Conference, which
is known as the premier event of its kind.
32
Antreas Hindoyan, MD
Outstanding Fellow of the Year, Department of Medicine, Keck School of Medicine of USC, 2015
Enrique L. Ostrzega, MD
Best Sub-Specialist of the Year Award, Department of Medicine, Keck School of Medicine of USC, 2015
Faculty Teaching Award, Keck School of Medicine of USC, 2015
Shahbudin H. Rahimtoola, MD
Leslie A. Saxon, MD
Voted Most Tech-Friendly Doc in Rock Healths Top 50 in Digital Health, 2015
33
Parveen K. Garg, MD
Faculty
Professor
Associate Professor
Assistant Professor
Thomas A. Buchanan, MD
Jorge H. Mestman, MD
John T. Nicoloff, MD
Stefan Bughi, MD
John D. Carmichael, MD
Jonathan S. LoPresti, PhD, MD
Charles F. Sharp, Jr., MD
Sylvia J. Shaw, MD
Helen L. Baron, MD
Elizabeth O. Beale, MD
Wei-An Lee, DO
Caroline T. Nguyen, MD
Kathleen A. Page, MD
Hussein N. Yassine, MD
Anne L. Peters, MD
Peter A. Singer, MD
Carole A. Spencer, PhD
34
Division Chief Dr. Thomas Buchanan was ranked in the top 0.7% among more than 35,000 NIH-funded researchers
worldwide, with nearly $6.9M in NIH funds.
Dr. Kathleen Page was awarded a new $2.7 million grant from the National Institutes of Health in December 2015
to study brain, hormone and appetite responses to different types of sugar among obese, lean and obesity prone
individuals. Her study showing differential effects of fructose and glucose on neural and behavioral reward systems
was published in Proceedings of the National Academy of Science in May 2015, and this work received widespread
attention, including featured articles in Scientific American, The New York Times Wellness Section, Forbes and Time
Magazine.
Dr. Caroline Nguyen joined the Division as Assistant Professor of Clinical Medicine. She will focus her clinical
activities in the divisions private practice and continue her research in the role of thyroglobulin and its antibodies as
biomarkers in thyroid cancer.
Dr. Peter Singer directed the USC Thyroid Diagnostic Centers 37th Annual Symposium on Thyroid Disease. The
symposium continues to be the longest running and one of the most successful clinical meetings in the United
States.
Dr. John Carmichael directed the first Annual Southern California Pituitary Symposium at USC. He was awarded
the Teacher of the Year award for the Division of Endocrinology during his first year at USC.
Dr. Hussein Yassine edited the book Lipid Management: Basics to Clinic, which was published by Springer in
March 2015. In addition, Dr. Yassine was awarded a New Investigator Award from the Alzheimers Association
(NIRG-15-361854) to study the delivery of fish oil to the brain by APOE 4 genotype. The study tests the hypothesis
that carriers of the APOE 4 allele have reduced delivery of fish oil to the brain. Confirming this hypothesis will help
us understand a mechanism for the increased risk of Alzheimers Disease with APOE 4 status, and the potential to
prevent cognitive decline by fish oil supplementation.
Dr. Jorge Mestman Co-Directed the 17th Davidson-Mestman Annual Intensive Course on Diabetes, Endocrinology
and Metabolic Disease. The three day Spanish language course was held in Miami, Florida, to educate Spanishspeaking endocrinologists from the United States, Spain and Latin American countries. Dr. Mestman also coauthored two chapters in one of the worlds leading texts on thyroid biology and disease, Werner & Ingbars
The Thyroid a Fundamental and Clinical Text.
Dr. Anne Peters received a $1.2 million grant from the Helmsley Charitable Trust to create and pilot low-literacy
teaching tools for people from lower socioeconomic strata how have type 1 diabetes. She was also awarded a grant
called REPLACE BG from the JAEB Center to study the safety and utility of continuous glucose monitoring as
part of the development of the bionic pancreas.
Dr. Jonathan LoPresti received Teacher of the Year honors in endocrinology from Year II and Year IV medical
students.
35
Clinical Activities
Outpatient endocrine clinics are held twice weekly at LAC+USC Medical Center (LAC+USC). Since the addition
of John Carmichael, MD, one of these weekly endocrine clinics is now more devoted to pituitary disease, including
diagnosis and management of individuals with functional and nonfunctional pituitary tumors. Full-time faculty
members provide direct supervision (two per clinic). Each fellow evaluates four to six patients per clinic, while
the remaining 25 patients are seen by house staff and medical students assigned to the Endocrine service on a
monthly basis. In addition, fellows have the opportunity to perform thyroid ultrasound examinations and fine needle
aspirations (FNA) in each clinic setting. The primary purpose of these clinics is to provide consultation and develop
treatment plans for patients referred with endocrine problems, with the eventual goal to return the patients to their
primary care physicians for long-term care.
The Endocrine-Pregnancy clinic at LAC+USC provides care to pregnant women affected by endocrine diseases, the
most common of which are diabetes mellitus and thyroid disorders. Dr. Jorge Mestman is the director of the Clinic.
Based in a purpose-built diabetes center in the Roybal Comprehensive Health Center of the Los Angeles County
Northeast Cluster Healthcare Network, the DMP provides team-based comprehensive diabetes preventative care
(prevention of complications) under the co-leadership of Drs. Michael Roybal and Anne Peters. Drs. Kathleen Page,
Elizabeth Beale, Hussein Yassine and Helen Baron supervise the clinic on a day-to-day basis and oversee patient
care, and Dr. Peters provides administrative leadership. The center includes a clinical laboratory, a phlebotomy room
and an education center. The patient care plan is established by use of written, case-based protocols. This care is
implemented by diabetes nurses, nurse practitioners, social workers and dietitians in a case-based manner under the
supervision of diabetologists. The majority of the patients are Latino and most of the doctors and nursing staff at the
center speak Spanish. This program has served as a model for diabetes disease management throughout Los Angeles
County.
Endocrinology fellows also attend a continuity clinic for the care of patients with type 1 diabetes one half-day per
week. This clinic runs throughout the year and is under the supervision of Drs. Beale and Peters. The clinic provides
a venue for patients with labile diabetes, especially type 1, to receive state-of-the-art care by a specialized team of
providers. The clinic also provides fellows with the opportunity to follow these patients exclusively for the duration
of their fellowships, allowing them to develop and implement long-term management plans and establish a sense of
true doctor-patient relationships.
This clinic meets on a weekly basis and is designed to provide care for patients with thyroid cancer. In addition,
patients with other endocrine diseases, including those patients with pituitary disease and disorders of bone and
calcium metabolism, are seen in this clinic. The clinic is under the direct supervision of full-time faculty members
(three per clinic). Finally, the fellow serving as the monthly endocrine consult performs thyroid ultrasounds and
FNAs on those patients referred for the evaluation of a thyroid nodule. Each fellow performs, on average, four
FNAs per week during the month.
A continuity clinic in diabetes has been established at the Roybal Diabetes Center to allow fellows the opportunity
to develop skills in the management of patients with complicated type 1 diabetes.
This clinic provides endocrine consultations for complex diabetes management and metabolic disorders. Presenting
with heavy medical burden within the LAC+USC Healthcare Network, these patients are referred from their
primary care medical homes for evaluation. The clinic operates five days a week and is directed by Dr. Wei-An Lee,
the supervising physician.
36
The USC Division of Endocrinology and Diabetes provides assessment and management services for patients with a
variety of endocrine disorders, especially in the areas of diabetes, pituitary diseases, adrenal disorders and disorders
of calcium and bone metabolism. Endocrine faculty members have extensive experience in the management of
such disorders and, where necessary, utilize the state-of-the-art USC Endocrine Laboratory to assist in diagnostic
assessment. In addition, the most advanced imaging modalities are available for diagnosis. The latest in medical
management is available where surgery is not indicated; for patients who require surgery, a number of renowned
USC surgeons who specialize in endocrine surgery, especially of the pituitary gland, thyroid and parathyroid glands
and adrenal glands, are available. Clinical care is provided by Drs. Jorge Mestman, Peter Singer, Jonathan LoPresti,
Helen Baron, Wei-An Lee, John Carmichael, Caroline Nguyen and Nurse Practitioner Reiko Sasaki. Of note,
Dr. Nguyen joined the practice after completing her fellowship here at USC in 2015.
The USC Center for Diabetes and Metabolic Diseases,
directed by Dr. Mestman, is an integral part of the
Divisions private clinical practice on the Health
Sciences Campus. The center offers a comprehensive
program that includes state-of-the-art medical care
and a diabetes self-management program that has
achieved American Diabetes Association recognition.
Care is provided by a multidisciplinary team of
endocrinologists, nurse practitioners, certified diabetes
educators (CDE), dietitians and specialty physicians,
such as nephrologists, cardiologists, neurologists,
ophthalmologists and orthopedic surgeons. Services
include intensive diabetes management for individuals with type 1 and type 2 diabetes, early diagnosis and
treatment of type 2 diabetes, prevention of type 2 diabetes, gestational diabetes care, pre-conception care, diabetes
and pregnancy management and insulin pump therapy. In addition to providing patients with the opportunity to
participate in clinical trials, the center also offers two community programs: a monthly support group for patients on
intensive therapy with multiple injections or insulin pump and an annual half-day educational seminar.
Directed by Anne Peters, MD, CDE, and staffed by Donna Miller, RNP, CDE, and Meg Moreta, RD, CDE,
this fully functional clinic located in Beverly Hills provides state-of-the-art care to individuals with type 1 and
type 2 diabetes and pre-diabetes. Services include diabetes education and management, and treatment of lipid
disorders, hypertension and gestational diabetes. Areas of particular expertise include use of insulin pumps and
sensors, management of elite athletes, and diabetes in pregnancy. Staff members have accompanied patients to the
Olympics as well as the Indianapolis 500 to help monitor their diabetes during extreme circumstances. The center
is a participating member of the Helmsley Diabetes Registry, which includes 25,000 individuals and is the largest
database ever created for individuals with type 1 diabetes. Dr. Peters, in conjunction with other providers in the
clinic, has published a book entitled Conquering Diabetes. The clinic websites are www.uscdiabetes.com and
www.conqueringdiabetes.com. The Center recently relocated to Archway Medical Plaza in Beverly Hills.
This program, led by Peter A. Singer, MD has brought together a group of highly experienced, nationally
recognized endocrinologists who specialize in thyroid disease to work in an integrated team approach with experts
in cytopathology, nuclear medicine and the surgical subspecialties in the diagnosis and management of thyroid
37
diseases. This group has available to it one of the finest endocrine laboratories specializing in thyroid testing in the
U.S. The team of physicians in the center has particular expertise in the diagnosis and management of recurrent
thyroid cancers. Working with colleagues in surgery, oncology, radiology and nuclear medicine, the team has
developed protocols to manage even the most difficult cases. The USC Thyroid Diagnostic Center sponsored its
37th Annual Symposium on Thyroid Disease, which continues to be the longest running and most successful clinical
meeting in the United States. The USC Thyroid Diagnostic Center is pleased to welcome Caroline Nguyen, MD, an
endocrine specialist, to the team.
The USC Pituitary Center is a unique clinical and academic program that is fully dedicated to the treatment and
evaluation of patients with pituitary tumors and other disorders affecting areas of the hypothalamus and pituitary
gland. The center provides a cutting-edge multidisciplinary approach toward patient care under the leadership of
Co-Directors John Carmichael, MD of Endocrinology and Gabriel Zada, MD of Neurosurgery.
The center is staffed by a team of experts
in neurosurgery, neuroendocrinology,
neuroradiology, neuropathology,
neuro-ophthalmology, radiation oncology
and interventional endovascular
neurosurgery. All patients are evaluated
and discussed at weekly multidisciplinary
pituitary conferences to streamline their
care. Physicians provide a comprehensive
focus on both surgical and medical
management of pituitary tumors, including
the treatment of acromegaly, prolactinomas,
Cushings disease and non-functioning
pituitary tumors. There is also a focus on the
optimal treatment of pituitary deficiencies
and hormonal replacement for patients with
hypopituitarism.
The USC Pituitary Center also provides dynamic endocrine testing for both hormonal excess and pituitary
deficiencies, including growth hormone stimulation testing, testing of adrenal insufficiency, dynamic testing for
Cushings syndrome, and water deprivation testing for diabetes insipidus.
Dr. Sharp returned to the faculty of USC in the spring of 2014 after a hiatus of 25 years as Director of the Center
for Metabolic Bone Disease in Pasadena, California, a practice dedicated to the investigation and management of
osteoporosis and diseases involving the skeleton and mineral metabolism. Dr. Sharp has merged his practice into
Keck Medicine of USC- Pasadena, where he continues to offer consultative services in his specialty. Dr. Sharp was
recently awarded the first Emeritus Professorship in Medicine at Huntington Memorial Hospital and continues to
be an active member of the teaching faculty of the Internal Medicine Residency Program at Huntington. Dr. Sharps
research interests include nutrition and bone, hypercalcemic disorders and pharmacologic treatment of osteoporosis.
He has been invited to participate in a multicenter study regarding the long-term effects of bisphosphonates in
patients with osteoporosis. Three abstracts were accepted for presentation at the 97th Annual Meeting of the
Endocrine Society in San Diego, California, in March, 2015.
The USC Endocrine Services Laboratory is a fully licensed, CAP-accredited clinical laboratory that embraces the
mission of offering research-quality endocrine tests at competitive prices to physicians at USC and throughout the
U.S. The laboratory is committed to integrating new research methods and insights into clinical medicine and is
widely recognized as a quality thyroid reference laboratory. The USC Endocrine Laboratory has been featured at
recent American Thyroid Association and Endocrine Society meetings for playing an important role in transferring
TSH and thyroglobulin (Tg) methodologies from the research environment to clinical practice. Under the leadership
38
of Dr. Carole Spencer, the Endocrine Laboratory has become nationally and internationally known for its unique
approach to measuring Tg and Tg antibodies, which are used as tumor-marker tests for managing patients with
differentiated thyroid cancers.
Endocrinology Fellows
Class of 2017
Namrata Bose, MD
Emily Omura, MD
Braden Barnett, MD
Patricia Lorenzo, MD
The overall goal of our training program is to provide broad and comprehensive clinical and didactic training in
endocrinology and metabolism, as defined by the ACGME. Toward that end our four fellows participate in the
following clinical and didactic activities.
The Endocrinology and Diabetes inpatient consultative service provides consultative care for 100-200 patients each
month across a full spectrum of adult endocrine diseases. The service rotation provides trainees with experience in
the management of inpatients with diseases of the hypothalamus, pituitary, thyroid, adrenals, gonads, parathyroids
and bone and mineral metabolism; fluid-electrolyte and acid-based disorders; endocrine emergencies; hormoneproducing neoplasms; treatment of endocrine neoplasia; and endocrine physiology in systemic diseases. Fellows
rotate through the service for 10 months during training and evaluate patients directly or supervise the evaluation of
patients by house staff and students who rotate through the consult service. Fellows also provide didactic teaching
relevant to the endocrinological problems encountered by the service. Cases, including pertinent diagnostic test
results (hormone levels, MRI/CT scans, ultrasounds), are reviewed with full-time faculty members during faculty
rounds, which are held for approximately two hours per day on weekdays.
During this consult service rotation, fellows are responsible for the performance of all thyroid fine-needle biopsies
(two to four per week). Dr. LoPresti and a cytopathologist conduct formal review of the cytological material.
Fellows also perform any special diagnostic tests (e.g., insulin hypoglycemia, TRH stimulation tests) that are
indicated. Fellows are required to keep a log of the biopsies and other special procedures performed during training.
The Division of Endocrinology and Diabetes provides full consultative services to Keck Hospital of USC (KH)
and USC Norris Cancer Hospital (Norris). Each fellow rotates through the KH Endocrine-Metabolism Service
for four months during the training period. Fellows see all consult patients (30-40 per month) and provide
management recommendations and/or manage the patients under the supervision of full-time endocrine-metabolism
39
Educational Activities
Class of 2016
faculty members (primarily Drs. Singer, Mestman, Baron, Carmichael and Nguyen). KHs busy neurosurgical
and ophthalmology services provide fellows with considerable experience in the diagnosis and perioperative
management of pituitary, hypothalamic and ophthalmological disorders. Specialized consultations for pituitary
tumor management are supervised by Dr. Carmichael. Consults from Norris are primarily for the management
of diabetes (including patients on enteral and parenteral nutrition), hormone-secreting neoplasia and endocrine
abnormalities in systemic disease.
Outpatient Services
These activities provide trainees with diagnosis and management experience in the care of ambulatory patients
with a variety of endocrine and metabolic disorders, including diseases of the hypothalamus, pituitary, thyroid,
adrenals, gonads, kidneys and skin; diabetes mellitus and its chronic complications; hypoglycemia; disorders of
bone and mineral metabolism; fluid-electrolyte and acid-based disorders; reproductive endocrinology; pediatric
endocrinology; and lipid disorders.
Trainees are required to attend outpatient clinics within the Division of Endocrinology and Diabetes for a minimum
of two half-days each week throughout their training. To ensure continuity of care and experience with the longterm management of endocrine and metabolic disorders, each fellow devotes three half-days per month to his/her
own continuity-of-care clinics in diabetes, general endocrinology and thyroid disorders (one half-day per month in
each clinic). In addition, fellows attend weekly clinics in those three areas on a rotating basis. Finally, fellows spend
two to three months each year attending specialty clinics to obtain training in the following areas: hyperlipidemias,
reproductive endocrinology, pediatric endocrinology and endocrinology of pregnancy (including diabetes). During
their rotations at KH (two to three months per year of training), fellows attend two outpatient clinics.
Conferences
Conferences and lectures complement clinical training by providing trainees with basic education in the normal
physiology of endocrine systems, mechanisms of endocrine disease, laboratory techniques in clinical endocrinology
and research techniques in endocrinology and metabolism. Division of Endocrinology and Diabetes
Grand Rounds is a weekly, topic-oriented one-hour conference that varies in format from case presentations
and discussions by fellows to didactic presentations by USC and visiting faculty members. Full-time and volunteer
faculty, fellows, students and residents attend these conferences. During their training, all first-year fellows are
required to present one grand rounds, and all second-year fellows are required to give two presentations. A visiting
professor program has been established that allows nationally recognized leaders in areas of endocrinology and
diabetes to give grand rounds and meet separately with trainees to discuss their clinical and research activities and
career development.
Fellows participate in the Endocrine-Metabolism Core Curriculum, a weekly didactic lecture series,
which covers basic mechanisms of endocrine function and dysfunction, management of endocrinologic and
metabolic disorders, and clinical laboratory measurements in endocrinology and metabolism.
Journal Club is a monthly one-hour conference. Fellows present a case and a related paper, which is approved by
a faculty member with relevant clinical or research expertise. Fellows discuss with faculty members the structural
aspect of the paper (study design, data presentation and analysis, and discussion) and its relevance to management
of the clinical case.
Research Fellows either choose a topic of interest and develop a study to address a question and hypothesis they
want answered. In addition, the fellow is to present his/her actual research project if applicable.
40
of thyroid disease for the first half-hour (paper selected by thyroid faculty). For the remaining time, a patient who
is to be seen in the thyroid clinic that morning is presented by a trainee, and the physical findings, diagnostic tests
(including thyroid and CT scans and MRIs) and management are discussed by the fellows and faculty.
At the semi-annual Performance Reviews, each fellows attendance at Division Grand Rounds and Core
Curriculum lectures is reviewed from conference sign-in sheets. Fellows are counseled if attendance does not meet
the required levels: all of the Thyroid Conferences, at least two-thirds of the Core Curriculum Lectures, and at least
two-thirds of the Endocrine-Diabetes Grand Rounds and Journal Clubs.
Formal Evaluation of Training for each trainees performance focuses on written evaluations, and performance
in clinics and inpatient/consultation services is evaluated. Evaluations are reviewed at semi-annual performance
reviews with Fellowship Program Director Dr. LoPresti, as well as at a final review. Fellows also must complete
an evaluation of the faculty and the experience at the end of each rotation. A final evaluation of each trainee is
completed by Dr. LoPresti at the end of the training period.
Non-Pharmacologic Approaches to
the Management of Type 1 and Type
2 Diabetes
Mechanism of Benefit of Bariatric
Surgery in Diabetes
Role of the Gastrointestinal Tract in
Glucose Homeostasis
Thomas A. Buchanan, MD
Stefan Bughi, MD
John D. Carmichael, MD
Wei-An Lee, DO
Jorge H. Mestman, MD
John T. Nicoloff, MD
Caroline T. Nguyen, MD
Sylvia J. Shaw, MD
Peter A. Singer, MD
Kathleen A. Page, MD
Anne L. Peters, MD
41
Thyroid Neoplasms
Hussein N. Yassine, MD
Lipid Disorders
Mass Spectrometry Techniques
Lipoprotein Metabolism in
Atherosclerosis and Alzheimers
Disease
Research Activities
The Divisions main research activities are currently in clinical and translational research. Current areas of
investigation include pathogenesis and prevention of type 2 diabetes; novel approaches to treatment of obesity;
brain regulation of appetite and food intake; trans-generational effects of maternal diabetes; HDL function and
atherosclerosis; clinical and community approaches to diabetes prevention and treatment; understanding the natural
history of type 1 diabetes; studying the use of new treatments and technologies for the treatment of type 1 diabetes;
and management of thyroid neoplasms.
Dr. Beales research interest is in the role of the gastrointestinal tract in glucose regulation and energy balance. She
is the Principal Investigator in studies investigating the mechanisms of the benefit of bariatric surgery in obesity
and diabetes, with special areas of interest in bile and incretin effects, and has received grants from the Coulter
Foundation for this work. She is also Co-Investigator on Dr. Buchanans BetaFat Study.
Thomas A. Buchanan, MD
The BetaGene Study (Genetics of Pancreatic -cell Failure in Mexican-Americans; NIH R01-DK-061628) has
created a cohort of more than 2,000 Mexican-American women, either with gestational diabetes or with normal
glucose levels in pregnancy, and their family members. The cohort has been useful in identifying how type 2
diabetes genes contribute to the risk of the disease. Current funding examines biomarkers that may link genetic
variation to phenotypic difference in glucose regulation (R01-DK-100302).
The BetaFat Study (Beta Cell Restoration through Fat Mitigation; U01-DK-094430) is a unique collaboration
among researchers in diabetes, bariatric surgery and imaging at USC and Kaiser Permanente Southern California.
Funding supports a USC-based clinical trial to compare the effects of medical therapy (metformin) to surgical
weight loss (gastric banding) on pancreatic beta cell function in adults with pre- or early type 2 diabetes.
Dr. Beale serves as a Co-Investigator from the Division of Endocrinology and Diabetes. Dr. Namir Katkhouda from
the Department of Surgery is Co-Investigator for gastric banding; Dr. Krishna Nayak from the Viterbi School of
Engineering is co-investigator for MRI studies; and Dr. Anny Xiang of Kaiser Permanente Southern California is
Co-Investigator for data management and analysis. The study extends prior observational and interventional work
implicating excess body fat as the primary cause of beta cell failure that leads to type 2 diabetes. If successful,
it may lead to new and more aggressive approaches to weight loss early in the course of development of type 2
diabetes.
John D. Carmichael, MD
Dr. Carmichael joined the USC Department of Medicine in 2014 to form the USC
Pituitary Center. He holds a joint appointment in the Department of Neurological
Surgery. He is board Certified in internal medicine and endocrinology, diabetes and
metabolism, and has completed fellowship training in translational research. He is
currently the Principal Investigator for several studies focused on pituitary disease.
The LINC Study is a phase 3 multicenter double blind randomized withdrawal study
of LCI699, a steroidogenesis inhibitor, following a 24-week, single-arm, open-label
dose titration and treatment period to evaluate the safety and efficacy of LCI699 for
the treatment of patients with Cushings disease. The REAL1 study is a phase 3,
randomized, parallel-group, placebo-controlled (double blind) and active-controlled
(open) study to evaluate the efficacy and safety of once weekly dosing of NNC01950092 with once weekly dosing of placebo and daily dosing of Norditropin FlexPro
in adults with Growth Hormone Deficiency. The MPOWERED Study is a prospective
trial of the use of oral octreotide in the treatment of acromegaly.
Dr. Carmichael is a Co-Investigator for the USC Pituitary Center research registry and database, currently a
retrospective database that is in the process of transforming into a prospective research registry and tumor bank
to evaluate genetic, histopathological, radiological and clinical aspects of pituitary tumors. This registry forms the
basis for multiple investigations of various pituitary pathologies and already includes data on over 1,400 cases of
pituitary tumors operated on at USC. He remains a Co-Investigator on several ongoing studies at Cedars-Sinai
Medical Center that he devised and conducted during his tenure there.
Kathleen A. Page, MD
Dr. Page researches how health conditions such as obesity and diabetes are impacted by the functions of the brain.
Specifically, Dr. Page is interested in understanding how the brain regulates appetite and eating behavior, and in
42
identifying early life determinants of obesity, diabetes and cardiovascular disease. An example of these determinates
is how exposure to diabetes in utero may lead to an increased risk for obesity and type 2 diabetes.
The American Diabetes Association awarded Dr. Page a prestigious Diabetes Research Accelerator Award in
January 2014 as part of the ADAs bold initiative, Pathway to Stop Diabetes. As a result of the award, Dr. Page is
researching the impacts of in utero exposure to diabetes on the likelihood of children developing obesity and type 2
diabetes later in life. Through this research, Dr. Page hopes to better understand how environmental factors impact
development of brain pathways that are important in the control of body weight and sugar levels in the blood.
Ultimately the goal is to develop strategies to prevent or counteract certain developmental exposures early in life.
Dr. Page is also Principal Investigator on two NIH-funded projects (including an R03 awarded in July 2014) that are
aimed at understanding how exposure to maternal gestational diabetes leads to an increased risk for obesity, diabetes
and cardiovascular disease in children. Detailed metabolic studies of adipose tissue biology, insulin resistance and
insulin secretion in conjunction with neuroimaging studies to examine brain appetite pathways in children are now
being conducted. In addition to funding from the NIH, this work is supported by grants from the American Heart
Association and Robert E. and May R. Wright Foundation.
Dr. Pages other research focus is on the role of the brain in the regulation of appetite
and feeding behavior in humans. She has received national recognition for this work,
including Outstanding Investigator Awards from the Western American Federation for
Medical Research, the Endocrine Society and the American Heart Association.
Dr. Page is Principal Investigator on two grants to support this work, including a
recent grant from the American Heart Association and a prestigious Clinical Scientist
Development Award from the Doris Duke Charitable Foundation. A recent project
on brain appetite regulation focused on determining how high-reward foods, such as
sugar, impact the areas of the brain that regulate appetite and food intake. Two types
of sugar, glucose and fructose, were examined in this study, and findings to date show
that the brain reacts differently to each. Functional magnetic imaging (fMRI) was used
to show that lean adults felt more satiated and had decreased activity in the regions of
the brain that regulated activity when they consumed glucose, but not fructose. These
findings suggest that while glucose suppresses brain activity in regions that promote the desire to eat, fructose may
promote overeating through its inability to effectively suppress the desire to seek out food (Page et al, JAMA 2013).
Additionally, Dr. Page and team found that obese young adults reported more hunger and a greater desire to eat
when they viewed pictures of high-calorie foods such as chocolate cake (Luo et al, Obesity 2013). These images
triggered the appetite and reward centers in the brain, and these neural and behavioral responses to high-calorie food
stimuli may promote eating. Dr. Page and team are currently conducting additional studies on peoples reactions
to dual stimulation of food images and sugar intake. These studies have important public health implications in a
society that is inundated with high-sugar foods and tantalizing food stimuli.
Anne L. Peters, MD
Dr. Peters is the USC site Principal Investigator for the NIH Look AHEAD Study, a multicenter study designed to
assess the benefits of weight loss and exercise on cardiovascular disease risk in patients with type 2 diabetes. The
East L.A. cohort offers a unique subset in this national study to show that lifestyle interventions, if done correctly,
can succeed in a variety of populations. She is also the USC site Principal Investigator for the Vitamin D and Type
2 Diabetes (D2d) study, which is a multicenter study designed to assess whether or not Vitamin D prevents the
progression to diabetes in people with pre-diabetes. Dr. Peters just completed her project as a PI in a P50 NIH Grant
with entitled Family and Neighborhood Interventions to Reduce CVD Risk in East LA.
Dr. Peters is the Principal Investigator of the Community Diabetes Initiatives (CDI), formally known as the Keck
Diabetes Prevention Initiative, which is a collaborative project with Childrens Hospital Los Angeles and is designed
to work within communities to create sustainable change that can lower rates of childhood and adult obesity and
diabetes. Two high-risk populations were chosen for the study: East and South Los Angeles. Community coalitions
have been created to help guide efforts to create change. Baseline data was collected and community mapping was
43
performed. Through this project we have helped bring farmers markets to East and South Los Angeles and helped
create mentoring programs based on healthy lifestyles in the local schools. Additional projects as part of the CDI
include implementing and funding a faith-based diabetes and obesity program in South Los Angeles for children and
adults.
Dr. Peters is Principal Investigator of a recently awarded grant for the STEPP-UP Trial, funded by the Helmsley
Charitable Trust. This is a grant designed to help reduce existing health disparities for lower SES individuals
with type 1 diabetes by creating and piloting a program geared for this population. She is a PI in the multi-center
REPLACE BG study, which is assessing the ability of continuous glucose monitoring to replace fingersticks in the
management of people with type 1 diabetes. This is an important step in the development of the bionic pancreas.
Finally, she participated as a PI in the Janssen Phase 2 trial assessing the safety and benefits of canagliflozin in the
treatment of type 1 diabetes. She is the lead Principal Investigator on the submission of the data to the FDA.
The pioneering work of Dr. Spencer and her clinical colleagues maintains USCs position on the cutting edge of
clinical research in thyroid cancer prognosis and management. Dr. Spencers current research on the use of TSH
to detect mild (subclinical) thyroid dysfunction in the non-pregnant and pregnant patient and the clinical utility
of serum thyroglobulin (Tg) and Tg autoantibody (TgAb) measurements in patients with differentiated thyroid
carcinomas (DTC) suggest that the use of a serum Tg assay with 100-fold more sensitivity than current clinical
assays would greatly reduce or obviate the need for expensive recombinant human TSH (rhTSH)-stimulated Tg
testing of DTC patients.
Hussein N. Yassine, MD
Dr. Yassine has a strong interest in lipid disorders and runs the Lipid Clinic at
LAC+USC. He is the Principal Investigator (and Dr. Buchanan is the primary mentor)
of a five-year NIH K23 grant to determine the effects of saturated fat ingestion on
HDL structure and function in type 2 diabetes. His other research focus is on the role
of the post-translational modifications in the development of diabetes complications
using state-of-the art mass spectrometry applications, and has an American Heart
Association award on The Inflammatory Structure of HDL in Diabetes and
Cardiovascular Disease. He is the editor of Lipid Management: Basic to
Clinic manual in lipidology. In 2015, he published three papers on novel lipoprotein
modifications discovered by mass spectrometry in diabetes, published in PLoS
ONE and Translational Proteomics and a paper on cholesterol efflux capacity of
cerebrospinal fluid in the Journal of the American Heart Association. He was the
inaugural speaker of the Los Angeles Lipid Association in 2015. Dr. Yassine has also
initiated new studies in collaboration with the USC Alzheimers Disease Research Center to study the relationship
between Alzheimers disease and lipid metabolism. Their initial studies examine blood brain barrier handling of
docosahexaenioc acid in relation to Apo 4 genotype.
44
Stefan Bughi, MD
First Place Poster Winner, Department of Health Services Patient Safety Conference (Bughi S/Shaw S),
Los Angeles, CA, 2015
Winner, AHRQ Patient Safety Culture Survey as part of the HAS Quality Improvement & Patient Safety Program,
Rancho Los Amigos, 2015
John D. Carmichael, MD
Teacher of the Year, USC Division of Endocrinology and Diabetes, USC, 2015
Faculty Teaching Award, Year II, Keck School of Medicine of USC, 2015
Faculty Teaching Award, Year IV, Keck School of Medicine of USC, 2015
Kathleen A. Page, MD
R01, Neural Mechanisms for Appetitive Responses to High Reward Foods, Principal Investigator, National
Institute of Diabetes & Digestive & Kidney Disease, NIH, 2015
Sylvia J. Shaw, MD
First Place Poster Winner, Department of Health Services Patient Safety Conference (Bughi S/Shaw S),
Los Angeles, CA, 2015
Hussein N. Yassine, MD
45
Elizabeth O. Beale, MD
Faculty
Professor
Laurie D. DeLeve, MD, PhD
Neil K. Kaplowitz, MD
Edy E. Soffer, MD
Jacques Van Dam, MD, PhD (Clinical
Scholar)
Associate Professor
James L. Buxbaum, MD
Tse-Ling Fong, MD
Cheng Ji, PhD
Jeffrey A. Kahn, MD
Michael M. Kline, MD
Murad Ookhtens, PhD
Andrew A. Stolz, MD
Thomas M. Zarchy, MD
Assistant Professor
John A. Donovan, MD
Helen Han, MD
Caroline Hwang, MD
Gregory E. Idos, MD
Saro Khemichian, MD
Brian Kim, MD
Zhang-Xu Liu, MD, PhD
46
Ara Sahakian, MD
Takeshi Saito, MD, PhD
Anisa Shaker, MD
Ling Shao, MD, PhD
Sarah Sheibani, MD
Tin Aung Than, MBBS, PhD
Sanda Win, MD, PhD
Liyun Yuan, MD
Instructor of Clinical
Medicine
Lily Dara, MD
Linda Hou, MD
This past year was a successful period of continuing growth on all fronts for the Division of Gastrointestinal and
Liver Diseases. Our research programs and practice activities continue to flourish. The members of the Division are
to be applauded for their dedication and accomplishments. We are proud of our position as one of the nations most
outstanding programs in all spheres of Gastrointestinal and Liver Diseases.
The Division continues to grow with the recruitment of new faculty members. These new members expand our
expertise in transplant hepatology- Helen Han, MD, and Liyun Yuan, MD, PhD. The organization of the Division
includes clinical, teaching and translational research components at Keck Medical Center of USC, including the
Liver Transplant and Hepatology program (Drs. Kahn, Fong, Khemichian, Kim, Han, and Yuan) and the Digestive
Health Center, which includes endoscopy, inflammatory bowel disease, pancreaticobiliary and motility
(Drs. Van Dam, Buxbaum, Sahakian, Zarchy, Kline, Sheibani, Hwang, Idos, Soffer). We anticipate the arrival of
Dr. Andrew Ippoliti in 2016. He is a senior clinician-educator and will assume the role of Chief of GI Operations for
the Division. The liver group working exclusively at LAC+USC Medical Center (LAC+USC) includes
Drs. Kaplowitz, Stolz, Dara, Donovan and Saito; GI is cross covered. At LAC+USC, Dr. Stolz is GI Section Chief
and Dr. Buxbaum is Director of the Endoscopy Unit. The Division now has eight physician-scientists
(Drs. Kaplowitz, Stolz, Saito, DeLeve, Idos, Shaker, Shao and Dara); six are NIH-funded. Underpinning the
outstanding research of our NIDDK-sponsored Research Center for Liver Diseases are the following PhD scientists:
Ookhtens, Ji, Than, Win and Liu.
Our Gastroenterology fellowship training has been a major focus. The fellowship training program, directed by
Dr. Donovan and Dr. Sheibani, continues to attract and recruit an increasing number of outstanding applicants.
Private Practice
Divisional activities at Keck Hospital of USC (KH) and USC Norris Cancer Hospital (Norris) encompass inpatient
and outpatient services in gastroenterology and hepatology. Independent consultative services provide subspecialty
care for patients with all varieties of gastrointestinal and liver diseases. Elective outpatient upper gastrointestinal
endoscopy and colonoscopy, small bowel enteroscopy, capsule endoscopy, ERCP and EUS, and liver biopsy
47
Clinical Activities
The Division is actively engaged in patient care, education of fellows, residents and medical students, and clinical
research at LAC+USC. Separate Gastroenterology and Hepatology Consult Services provide inpatient consultations,
outpatient consultations and follow-up care at the LAC+USC GI and Liver clinics, relocated to join the Hepatitis
Clinic in the LAC+USC Outpatient Building. To enhance consultative services, eConsults was initiated in 2013
to facilitate the evaluation of patients and to educate primary care providers, as well as to schedule patients for
outpatient clinics. A full range of endoscopic procedures are provided in the Endoscopy Suite in the Diagnostic
and Treatment Building at LAC+USC. In addition to standard GI procedures, the Division performs a variety of
advanced procedures, including endoscopic retrograde cholangio-pancreatography (ERCP), choledochoscopy with
laser lithotripsy, endoscopic ultrasound (EUS), radiofrequency ablation of Barretts esophagus and double balloon
small bowel enteroscopy. Areas of research interest for the faculty and fellows include GI bleeding, esophageal
motility, Barretts esophagus, pancreatitis and inflammatory bowel disease (IBD).
procedures are performed in a new and expanded outpatient endoscopy center. The program is a referral center
for Norris/KH but has also received cases from the San Gabriel Valley as well as the central coast, Nevada and
Washington. Special EUS services include fine needle aspiration as well as celiac plexus blocks and pseudocyst
drainage.
In an effort to expand the versatility of the university practice, additional clinicians have recently been recruited:
Brian Kim (hepatology) and Linda Hou (general GI). We plan to initiate clinics specializing in the treatment
of patients with IBD, chronic abdominal pain and altered gastrointestinal motility. The KH program also seeks
to expand its inpatient and outpatient facilities. A new advanced endoscopy suite comprising state-of-the-art
fluoroscopy and ultrasound technologies will provide the new and existing faculty with a modern venue for its
expanding care.
The USC Liver Transplantation Program at KH provides pre- and post-transplant care to patients with end-stage
liver disease and the complications of portal hypertension. Liver replacement options include cadaveric and live
donor liver transplantation. During the January through December 2015 period, the Liver Transplant Program
performed a total of 125 adult transplants 113 cadaveric and 12 from live donors. There have been a total of 16
pediatric transplants 11 cadaveric and five from living donors. The adjunct Healthcare Consultation Center (HCC)
Program provides multidisciplinary evaluation and collaborative care provided by hepatology, surgery and medical
oncology faculty for patients with liver cell cancer.
Educational Activities
Class of 2016
Class of 2017
Class of 2018
Saddea Abassi, MD
Laura McEnerney, MD
Nitzan Roth, MD
Anna Skay, MD
Anand Dutta, MD
Hannah Do, MD
David Homozdi, MD
Sharon Kim, MD
Daniel Shue, MD
Nirumpama Bonthala, MD
Beverly Chen, MD
Jenny Chiu, MD
Clinical Training
Division of Gastrointestinal and Liver Diseases fellows participate in inpatient GI and liver disease consultation
services at LAC+USC and KH. Outpatient training is provided through weekly GI or liver diseases clinics. Fellows
also participate in specialized hepatitis clinics at LAC+USC. Through these activities fellows gain experience in the
outpatient management of a wide variety of gastrointestinal and liver diseases.
48
Fellowship Research
Fellows in Gastroenterology and Hepatology have the opportunity to participate in the divisions clinical and basic
science research activities. These may include ongoing research projects or newly initiated projects based upon the
fellows personal research interests. Fellows work closely with faculty mentors who provide support, guidance and
instruction in study design, clinical and basic science research techniques, laboratory methods and biostatistics.
Fellows have the opportunity to present the results of investigation at divisional research seminars and at national
meetings (American Gastroenterological Association and American Association for the Study of Liver Diseases).
Medical Students
Significant activities in student teaching include instruction during Year II GI/Liver diseases courses, Year I and
II hepatology lectures and a gastroenterology board review course. The Didactic Lecture series provides formal
education in gastroenterology and hepatology for medical students on Internal Medicine and the gastroenterology
consult services.
49
Research Activities
Faculty members of the Division were actively engaged in clinical and basic research
in all locations. In the laboratory, the areas of gut and liver injury, animal models, cell
and molecular biology were actively investigated (Kaplowitz, DeLeve, Dara, Idos,
Saito, Shaker, Shao). In addition, strong clinical research was conducted by Division
members in esophageal diseases (Drs. Soffer, Shaker and
Kline), liver transplantation (Drs. Fong, Kahn,
Khemichian, Kim, Han, Yuan), colonic disease, polyps,
colon cancer and inflammatory bowel disease
(Drs. Hwang, Idos, Shao, Sheibani and Zarchy),
pancreatitis/exploratory endoscopy (Drs. Van Dam,
Sahakian and Buxbaum), and alcohol and drug-induced
liver disease (Drs. Stolz, Donovan and Kaplowitz).
Laurie DeLeve, MD, PhD
Takeshi Saito, MD
Lily Dara, MD
John A. Donovan, MD
Liver Transplantation
Hepatocellular Carcinoma
Complications of Portal Hypertension
Tse-Ling Fong, MD
IBD
Colon Cancer Surveillance in IBD
Gregory E. Idos, MD
Michael M. Kline, MD
Jeffrey A. Kahn, MD
Liver Transplantation
Hepatocellular Carcinoma
Acute Liver Failure
Portal Hypertension
Neil K. Kaplowitz, MD
Viral Hepatitis
Liver Transplantation
Complications of End Stage Liver
Disease
Drug Toxicity
Signal Transduction
Oxidative Stress
Glutathione Metabolism
Pathogenesis of Alcoholic Liver Disease
Endoplasmic Reticulum (ER) Stress
Mitochondrial Biogenesis
Caroline Hwang, MD
Saro Khemichian, MD
Helen Han, MD
Ara Sahakian, MD
Takeshi Saito, MD
Hepatitis C Treatment
Liver Transplantation
Cirrhotic Cardiomyopathy
Brian Kim, MD
Anisa Shaker, MD
Liver Transplantation
50
Epithelial-Stromal Interactions in GI
Sarah Sheibani, MD
Edy E. Soffer, MD
Andrew A. Stolz, MD
Liver Transplantation
Complications of Cirrhosis
Drug-Induced Liver Injury
Autoimmune Hepatitis
Non-Alcoholic Steatohepatitis
Alcoholic Liver Diseases
Thomas M. Zarchy, MD
51
Faculty
Associate Professor
Ron Ben-Ari, MD (Educational Scholar)
John L. Brodhead, Jr., MD
Julia Cassetta, MD
Pamelyn Close, MD
David A. Goldstein, MD
Diana C. Homeier, MD
Kurt M. Hong, MD, PhD
Jennifer Marks, MD
Michael D. Wang, MD
Assistant Professor
Jesse F. Abelson, MD
Haig H. Aharonian, MD
Josh Banerjee, MD
Kevin A. Bechler, MD
Linda Calvillo-King, MD
Jeffrey B. Canceko, MD
Bharat B. Chaudry, MD
D. Steven Fox, MD
Jose L. Gonzalez, MD
Nida Hamiduzzaman, MD
Cynthia H. Ho, MD
Michael Hochman, MD
Eric P. Hsieh, MD
Edward K. Hu, MD
Douglass Hutcheon, MD
James Ji, MD
Arek Jibilian, MD
Matthew S. Johnson, MD
Matthew Jung, MD
Ronald Kall, MD
Michael S. Karp, MD
Mahmood M. Khaledy, MD
Shazia S. Khan, MD
Dohwa Kim, MD
Edward Lee, MD
Justin J. Lee, MD
Daniel Martinez, MD
Carlo Medina, MD
Allen Milani, MD
Sharon E. Orrange, MD
James E. Pacino, MD
52
Seth A. Politano, DO
Sunita Puri, MD
Glenn Rogers, MD
Gina C. Rossetti, MD
Joshua D. Sapkin, MD
Patrick E. Sarte, MD
Aneesah Smith, MD
Aaron Storms, MD
Gregory L. Taylor, MD
Arnold Tsai, MD
Carin van Zyl, MD
Mabel Vasquez, MD
Vickie Wu, MD
Andrew Young, DO
Stephanie Zia, MD
Clinical Instructor
Shadi Dowlatshahi, MD
Sonya L. Earley, PA
The Division of Geriatric, Hospital, Palliative and General Internal Medicine (GHPGIM) has demonstrated
significant growth in the areas of clinical practice and teaching. The private practice has steadily grown over the last
year as we expand our services and branch out within the USC community. The GHPGIM Division is one of the
Department of Medicines leaders in terms of private practice revenue and number of patient visits. The Healthcare
Center 2 (HC2) has continued to serve as the hub of the Divisions ambulatory private practice, in which Division
faculty saw an average of 140 patient visits per day during 2015. The evolution of the Divisions Hospital Medicine
Program at LAC+USC Medical Center (LAC+USC) has achieved the Departments goal of providing all of the
teaching and supervision on the General Medicine Service by General Medicine faculty.
Inpatient Care
The Hospital Medicine Program consists of the General Medicine Service, the Medicine Consult Service and the
Medicine Blue Service. The General Medicine Service includes patients supervised by faculty on 12 teaching teams
and two non-teaching teams comprising the Blue Service.
The Hospital Medicine faculty continue to work with facility leadership and other departments to develop
initiatives aimed at decreasing length of stay, improving operational efficiency, improving inter-departmental
communication and reducing denied days. Of note, on May 29, 2015, LAC+USC Medical Center went live with
a fully integrated electronic health record system (ORCHID). The Hospital Medicine faculty, in cooperation with
the care coordinators, were instrumental in making the go-live successful. This same group of faculty provides
an educational workshop for senior medical students at the Keck School of Medicine of USC, which is one of the
53
Clinical Activities
Outpatient Care
most highly regarded by the medical students. The Medicine Consult Service provides ongoing medical care to
those inpatients on surgical services, evaluates patients for transfer to LAC+USC and facilitates the flow of patients
within the hospital. This service continues to actively work with Patient Flow on improving transitions of care in the
hospital, including overhauling the admission process as well as the transfer of patients from the Medical Intensive
Care Unit and the Medicine Ward.
The Blue Service has an average daily census as high as 70 patients. Care is provided by teams of nurse practitioners
and faculty physicians. The Blue Service continues to help improve compliance with resident duty hours, as well as
working with administration to case manage complex placement issues on this service.
The Adult and Pediatric Palliative Care consult service at LAC+USC has undergone some change over the last
year. Our previous Section Head, Dr. Pamelyn Close retired and we welcomed her replacement, Dr. Carin van Zyl.
The Palliative Care patients are seen in all inpatient units of the hospital, from the Emergency Department and
all active medicine-surgery wards and ICUs to the NICU, Pediatric ICU and Specialty ICUs. The Palliative Care
team continues to benefit from our other faculty including Dr. Aaron Storms and another new hire, Dr. Sunita Puri.
The team continues to include a dedicated nurse, a chaplain, a nurse practitioner and a social worker to support the
inpatient consult team and the Outpatient Palliative Care in the Oncology and Gynecology-Oncology Clinics.
Sunita Puri, MD
Private Practice
GHPGIM faculty conducted 45,336 private practice patient visits during 2015. The Division continues to have
robust annual revenues, passing the $4 million mark, emanating from the practice. In addition to our core facility,
located in HC2 on the Health Sciences Campus, patients are seen in our satellite locations including Downtown Los
Angeles, La Caada, Beverly Hills, Pasadena and our location on the USC University Park Campus. Our geriatric
physicians see patients at several long-term care facilities. All inpatients are admitted to Keck Hospital of USC
(KH), where the Divisions average daily census has grown to 33 patients. Dr. Michael Wang, a geriatrician who
heads up our KH hospitalist program, addresses the special issues of hospitalized older individuals.
The Division has begun the process of seeking certification as a Patient Centered Medical Home. The concept is
based on patient-centered care focusing on safety, quality, prevention, education and communication. We have
engaged our faculty in the process with the goal of not only achieving recognition, but transforming the practice of
medicine at USC altogether.
The Section of Adult and Pediatric Palliative Care continues to grow. Our group continues to see inpatient consults
at both the Keck Hospital and the Norris Cancer Center. We have begun to see outpatient consults as well in
partnership with our Oncology faculty. The Palliative Medicine and Supportive Care Team was initially led by
Dr. Alex Madonis who has since left USC and is now led by Dr. Sunita Puri. The team includes an NP, a social
worker, a care coordinator and a data assistant. The Palliative Care Section provides extensive core training and
54
educational support in pain and symptom management and communications skills for Keck medical students,
residents and fellows across multiple academic departments within the USC health care system.
The Hospital Medicine Program (HMP) at KH, headed by Dr. Michael Wang, allows for 24/7 onsite faculty
inpatient coverage and resident supervision, staffing at the Evaluation and Treatment Center (ETC) and rapid
response coverage for the hospital campus (Rapid Response Team). The HMP faculty also play vital roles in quality
initiatives, utilization management and clinical care. We have expanded our services to include the co-management
of complex orthopedic patients. During the last fiscal year, Medicine was the leading provider of patient services
in the ETC, with the GHPGIM Division providing the bulk of the care. Admissions and census numbers grew and
consultation and co-management services evolved. The Program has also supplemented the Employee Health Work
Injury Program (which helps employees receive care onsite), developed a preoperative clinic to support the inpatient
services and collaborated to provide for inpatient geriatrics services. Regarding residency and student education,
twice weekly resident conferences were continued, Medicine inpatient orientation was refined, and ongoing
resident feedback was elicited to optimize the educational experience. Lastly, members of the program have been
actively involved in a variety of quality improvement activities, such as Throughput, Rapid Response, Code Spine,
Transfusion Free Medicine, and Hospital Acquired Infection prevention.
USC has implemented Cerner to update and transform the electronic health record (EHR) system at Keck Medical
Center of USC. The hope is to improve medical care and communication, reduce errors and provide for a unified
system that maintains or enhances functionality. Under Dr. Michael Karps leadership, monthly departmental
meetings were organized in an attempt to coordinate our efforts. Representatives from the Division are active
participants in the monthly interdepartmental Physician Technology Advisory Group and in the implementation of
the EHR in both the inpatient and ambulatory sectors.
55
Educational Activities
Faculty members in the Division of GHPGIM are responsible for the supervision of Internal Medicine Residents as
they care for patients at LAC+USC on the Inpatient Medicine Wards service, a robust Medicine Consultation service
and daily Primary Care Clinics. Faculty also supervise residents on the KH Inpatient Ward service. Each month, 40
house officers comprising 13 teams rotate through both hospitals Inpatient Ward Services. Each team is supervised
by one GHPGIM faculty member using an academic hospital medicine model. Each day, supervising faculty
conduct 2-hour attending rounds in order to meet and discuss newly admitted patients, review the clinical course
of the established inpatients, and educate the residents on inpatient medicine concepts. In addition, faculty conduct
daily afternoon discharge and management rounds. These clinical/bedside teaching rounds complement other
structured curricular sessions for house officers and medical students. GHPGIM faculty also supervise the training
of house officers in ambulatory general internal medicine at the continuity clinics. The continuity clinics are situated
onsite at LAC+USC and provide approximately 25,000 visits annually. These efforts are ably led by
Drs. Ron Ben-Ari (Vice Chair for Educational Affairs), Eric Hsieh (Residency Director) and Jeff Canceko
(Clerkship Director).
Research Activities
The Division of GHPGIM has taken an active role in enhancing its educational mission and program for students at
the Health Sciences Campus and for medical house staff. It is imperative that our young physicians and allied health
personnel are prepared to meet the challenges presented by the ever-changing nature of medicine as well as the
aging of the American population. The clinical and didactic instruction provided by GHPGIM faculty goes a long
way toward preparing our resident physicians with information and expertise to make them better able to understand
and cope with the emerging problems of our citizens.
D. Steven Fox, MD
Dr. Fox has taken a lead in regards to clinical research being performed by faculty in
our division. His research program is focused on using available evidence to improve
both healthcare decision-making and patient outcomes.Recently published work
looked at who benefits most from immediate treatment with the new direct acting oral
agents for Hepatitis C infection.That work took advantage of our ongoing relationship
with the Veterans Health Administration, which gave access to patient records for over
30,000 patients who received the new regimens.Other ongoing research includes the
analysis of health economic value of treatments for type I diabetes in a clinical trial
comparing closed loop glucose sensor/insulin pump systems versus standard therapy.
Dr. Fox is also developing a long-term project that leverages machine learning and
other predictive analytics techniques to help identify in real time those patients at
greatest health risk.
The Division was provided a very generous donation from a grateful patient, Mr. Norbert Gehr. Mr. Gehrs gift of
$10,000,000 will be used to create the Gehr Family Center for Implementation Science. Implementation science
explores scholarly endeavors to improve the delivery of health care. In the Centers charge to study innovative
approaches to healthcare delivery it will also have an immediate impact on the scholarly pursuits of the Divisions
faculty. The Centers first Director is Dr. Michael Hochman. Dr. Hochman obtained his medical degree from
Harvard University, his residency training from Cambridge Hospital and his fellowship in General Medicine at the
Robert Wood Johnson Program at UCLA/Rand. Most recently he has served as the Director of Innovative Medicine
at AltaMed.
Diana C. Homeier, MD
Dr. Homeier is the Medical Director of the Geriatrics Clinic and Adult Protection Team at LAC+USC and serves
as a consultant to Los Angeles County Adult Protective Services. She also spearheaded the development of the
Los Angeles County Elder Abuse Forensic Center. She has received funding from the UniHealth Foundation, the
Archstone Foundation and the National Institute on Justice to support her work with the Forensic Center and toward
a better understanding of elder mistreatment in community settings.
Eric P. Hsieh, MD
Dr. Hsieh received funding from Western Group on Educational Affairs (WGEA) to
study the effects of physician stigma on medical decisions. The study explores
resident-physicians explicit and implicit stigma toward patients with depression, and
how these attitudes influence patient encounters, clinical decisions, and treatment
plans. Methods and instruments may be of value for studying other areas where
physician biases may exist such as drug addiction, obesity, HIV status, gender,
ethnicity, homelessness and others.
56
Senior Resident of the Year, Internal Medicine Residency Program, University of Southern California, 2015
Matthew S. Johnson, MD
Jennifer R. Marks, MD
Seth A. Politano, DO
Attending of the Year Award, Internal Medicine Residency Program, LAC+USC Medical Center, 2015
Joshua D. Sapkin, MD
Inaugural Recipient, Etz Chaim Tree of Life Award of Compassionate Care, 2015
Patrick E. Sarte, MD
Medicine Clerkship Teaching Award, Department of Medicine, Keck School of Medicine of USC, 2015
Stephanie K. Zia, MD
Attending of the Year Award, Internal Medicine Residency Program, LAC+USC Medical Center, 2015
Award of Recognition, Burmese American Medical Association, 2015
First Place Poster, American Academy of Pediatrics National Conference, Section on Quality Improvement,
Facilitating Transition: A Care Notebook for Young Adults with Chronic Disease, 2015
Maurice Hitchcock Award for Outstanding Posters, Innovations in Medical Education Conference, 2015
57
Kevin A. Bechler, MD
Faculty
Professor
Associate Professor
Assistant Professor
Mojtaba Akhtari, MD
Kevin Kelly, MD, PhD
Ann F. Mohrbacher, MD
Casey L. OConnell, MD
Vasu Punj, PhD
Anil Tulpule, MD
Ilene C. Weitz, MD
Parkash S. Gill, MD
Howard A. Liebman, MD
Professor Emeritus
Clinical Instructor
Noah M. Merin, MD, PhD
Donald I. Feinstein, MD
Cage S. Johnson, MD
58
Hematology
Preet M. Chaudhary, MD, PhD, Professor of Medicine and Chief
Janette Espaa, Division Administrator
In the past year, the Jane Anne Nohl Division of Hematology and Center for the Study of Blood Diseases continued
its growth in the areas of clinical practice, teaching and research.
Caroline Piatek, MD, joined the Division in July as Assistant Professor of Clinical
Medicine. Dr. Piatek graduated from Creighton University School of Medicine in
2009. She completed residency training in Internal Medicine at University of Southern
California and then stayed to finish a clinical fellowship in Hematology and Medical
Oncology. Dr. Piatek has been serving as the Chief Fellow in Hematology in our
division since 2014. She is board certified in Internal Medicine and board eligible in
Hematology and Medical Oncology. Aside from her clinical work, Dr. Piatek has also
been involved in clinical and laboratory research work. She has published several
abstracts and manuscripts in the areas of hematology and oncology. Dr. Piatek is the
recipient of numerous honors and awards, including 2014 Conquer Cancer Foundation
of American Society of Clinical Oncology Merit Award and Medical Oncology Fellow
Research Award for the 2012-2013 Academic Year.
Noah Merin, MD, PhD, joined the Division in July as Clinical Instructor of Medicine.
Dr. Merin obtained his MD and PhD degrees from University of California, Davis in
2008. He completed residency training in Internal Medicine at Harbor-UCLA and then
finished his Fellowship training in Hematology and Medical Oncology at University
of Southern California. Dr. Merin has been serving as the Chief Fellow in Hematology
in our division since July, 2014. He is board certified in Internal Medicine and board
eligible in Hematology and Medical Oncology. Aside from his clinical work, Dr. Merin
has also been involved in clinical and laboratory research work. He has published
several abstracts and manuscripts in the areas of hematology and oncology. Dr. Merin
is the recipient of numerous honors and awards, including the Plummer-Linzy Trust
Scholarship and CIRM Clinical Fellowship Grant.
Venkatesh Natarajan, PhD, joined the Division in August as Assistant Professor of Research Medicine. Dr. Natarajan
received his Masters of Science in Biotechnology from Indian Institute of Technology, Bombay, India in 1994, and
PhD in Biochemistry from Indian Institute of Science, Bangalore, India in 2000. He presently is an affiliate member
at the Department of Cell Stress Biology, Roswell Park Cancer Institute, Buffalo NY. Dr. Natarajan has authored
or co-authored 20 peer-reviewed articles, including three articles in PNAS (one as first author) and an article in
Science. He has also been granted 10 patents. Dr. Natarajan is interested in functional genomic approaches to gain
global understanding of signal transduction pathways related to cancer, innate immunity, inflammation and cellular
senescence. His areas of research expertise include, among others, the development of cell based platforms for highthroughput screening, small molecule library screens to target signaling pathways, lentiviral shRNA library screens
to identify new therapeutic targets, phage-display library screens to identify peptide drugs, and development of
lentiviral peptide libraries. Dr. Natarajan will be using his expertise in cellular and molecular biology and functional
genomics to develop genetic and pharmacological interventions to improve the outcome of chimeric antigen
receptor based cellular therapies.
Members of the Division are conducting research in several areas of benign and malignant hematology. In particular,
Division faculty members have special strengths in basic, translational and clinical research in the area of viral
59
associated malignancies, including those seen in patients with HIV/AIDS. Members of the Division are also
involved in a number of innovative investigator-initiated and National Cooperative Group (e.g., SWOG, AMC)
sponsored clinical studies. These trials reflect the broad research interests of our faculty and cover diverse areas,
such as conventional chemotherapeutics, small molecules and monoclonal antibodies.
Regarding its clinical activities, the Division is responsible for multiple clinical services at LAC+USC Medical
Center (LAC+USC), USC Norris Cancer Hospital (Norris) and Keck Hospital of USC (KH). At Norris, the Division
is responsible for a busy inpatient service and the Bone Marrow/Stem Cell Transplantation (BMT) service, which
successfully performs transplantation on patients with acute leukemia and other hematologic malignancies. The
BMT Program, run by the Division, successfully received full certification by the Federation for Accreditation
of Cellular Therapies (FACT). The Division is experiencing increases in new outpatient visits, admissions and
clinical efficiency (reduced length of stay) at Norris and LAC+USC. At the same time, a substantial number of
cases are placed into peer-reviewed clinical trials with accompanying translational research protocols, thus bringing
innovative treatment strategies and therapeutic reagents to patients.
Regarding its teaching activities, the Division continues to refine and implement a new curriculum in Hematology
and Clinical Immunology for Year III medical students. The eight-week course emphasizes case-based learning and
received outstanding evaluations from students.
Clinical Activities
Members of the Division see private patients with various types of hematologic malignancies at Norris. Our
faculty see patients on a daily basis in the clinic and Day Hospital, where they supervise the administration of
chemotherapy, stem cell collection and other procedures. The Division is also responsible for an active Stem Cell
Transplantation (SCT) program managed through Norris. We have expanded the program to include allogeneic
transplantation in addition to autologous. Candidates for stem cell transplantation are screened at Norris. The
Division also performs peripheral blood stem cell collections, which totaled 84 over this past academic year.
The Division of Hematology is responsible for seeing patients with various hematologic problems on a consultative
basis at KH. One fellow and one faculty are assigned to this rotation on a monthly basis.
60
Clinical Studies
Recruitment into clinical trials from all hospitals affiliated with Norris Comprehensive Cancer Center (Cancer
Center) was strong over the past year.
The faculty are responsible for the education of approximately 84 interns and 120 residents each year.
Akil A. Merchant, MD
Parvesh Chaudhry, PhD
Conferences
Fellow Specific Seminars in Hematology are advanced seminars where pertinent literature on the
speaker topic of the week is discussed, with mentoring and education provided at the fellow level by all faculty
throughout the year.
Hematology Grand Rounds Conference is held weekly. A specific topic is discussed in depth by invited
expert discussants from USC and from throughout the country and world.
Each year the Hematology section hosts an internationally recognized hematologist for the Donald I. Feinstein
Lectureship, an endowed lectureship named in honor of the former Chief of the Division of Hematology at USC.
The weekly Hematology Patient Care Conference is attended by clinical hematologists,
hematopathologists, radiologists and radiotherapists, as well as house officers, fellows and medical students.
Members of the Hematology section provide a brief clinical review of the patients problem, which is followed
by a display of the patients morphologic material, scans and radiographs. Further diagnostic and therapeutic
recommendations are then discussed by the multidisciplinary team.
Cancer Center Grand Rounds is a weekly multidisciplinary conference that includes all of the departments
and divisions involved in the care of patients with various types of cancer at the Keck School of Medicine of USC.
This conference is mandatory for all combined Hematology/Oncology fellows.
Didactic Hematology Seminars are two one-hour didactic seminars held each week. During the first six
months of the year, the topics are regularly assigned to faculty. During the second six months of the year, the fellow
is expected to select four different topics for presentation at these seminars.
Fellow Weekly Mentor Sessions/Journal Clubs begin in October of each year. Faculty meet with
fellows on a weekly basis to discuss various topics in benign and malignant hematology. Literature on the topic is
carefully reviewed, in a format designed specifically for the level of our fellows.
61
Educational Activities
Fellows
Medical Students
Research Activities
Our course in Hematology and Clinical Immunology involves approximately six weeks per year as part of a
newly developed curriculum. In addition, the Senior Clinical Hematology Elective takes two to four students for
a four- to six-week elective on the Hematology Consultation Service. This elective is over-subscribed, and, as a
consequence, approximately four to six additional students are taken each year on a special elective on Ward 7B.
The Division is actively involved in basic, translational and clinical research in benign and malignant blood
disorders. Active areas of basic and translational research in the Division include molecular pathogenesis and animal
models of AIDS-associated malignancies, multiple myeloma and lymphoma, development of targeted therapies
for hematologic malignancies, cancer drug resistance, and clotting and bleeding disorders. In the area of clinical
research, the Division is conducting clinical trials involving conventional agents, novel drugs and immunotherapy
for the treatment of benign and malignant blood disorders.
Parkash S. Gill, MD
Cage S. Johnson, MD
Hemoglobinopathies
Red Blood Cell Enzyme Defects
Iron Deficiency
Howard A. Liebman, MD
Heparin-Induced Thrombocytopenia in
Vascular Surgery
Role of ADAMTS 13 in Vascular
Disease
Thromboembolism Secondary to
Chemotherapy and Cancer
Thrombopoeitic Agents in
the Management of Immune
Thrombocytopenic Purpura
Ann F. Mohrbacher, MD
Multiple Myeloma
Immunotherapy of B-Cell Cancers
Phase I/II Trials of New Agents for
Hematologic Malignancies
Casey L. OConnell, MD
Blood Clotting Disorders
Cancer-Related Thrombosis
Giridharan Ramsingh, MD
Acute Leukemias
Drug Resistance
Leukemia Stem Cells
Anil Tulpule, MD
KSHV-Associated Malignancies
Drug Development
AIDS-Related Lymphoma
Kaposis Sarcoma in HIV Patients
Multi-Drug Resistance in Lymphoma
Akil A. Merchant, MD
Ilene C. Weitz, MD
Sonic-Hedgehog Signaling
Acute Myeloid Leukemia
62
Hightlighted Publications
Aldoss I, Douer D, Behrendt CI, Chaudhary P, Mohrbacher A, Vrona J, Pullarkat V: Toxicity Profile of Repeated
Doses of PEG-Asparaginase Incorporated into a Pediatric-Type Regimen for Adult Acute Lymphoblastic Leukemia.
Eur J Haematol [Epub ahead of print], 2015.
Despite having been long regarded as too toxic for adult patients, pediatric-like regimens containing L-asparaginase
have resulted in improved outcomes for adults with acute lymphoblastic leukemia (ALL). To characterize the
spectrum of toxicity of repeated doses of polyethylene glycolated-asparaginase (PEG-asp) in adults, we reviewed all
doses (2000 IU/m2 ) administered as part of a pediatric-inspired regimen in adult ALL at our center. Subjects aged
18-60 yr with ALL (n = 152, 69.1% male) contributed 522 dose cycles to the study. Hepatotoxicity was the most
common adverse event: grades 3-4 transaminitis and hyperbilirubinemia occurred in 53.9% and 23.7% of subjects,
respectively. Hepatotoxicity was reversible; no cases of fulminate hepatic failure were observed. Other toxicities
affecting at least 5% of subjects were grades 3-4 triglyceridemia in 50.9%, hypofibrinogenemia (<100 mg/dL) in
47.9%, clinical pancreatitis in 12.6%, venous thromboembolism in 11.2%, allergic reaction in 7.2%, and any grade
bleeding in 5.3%. PEG-asp was always discontinued after grades 3-4 pancreatitis or allergic reaction. Otherwise,
toxicities did not preclude administration of additional cycles of the drug. Our results suggest that repeated PEG-asp
dosing is safe in adults aged 18-60 yr, even after occurrence of a drug-related toxicity.
Gopalakrishnan R, Matta H, Tolani V, Triche T Jr, Chaudhary PM: Immunomodulatory Drugs Target IKZF1IRF4-MYC Axis in Primary Effusion Lymphoma in a Cereblon-Dependent Manner and Display Synergistic
Cytotoxicity with BRD4 Inhibitors. Oncogene, in press, 2015.
Primary effusion lymphoma (PEL) is an aggressive type of non-Hodgkin lymphoma localized predominantly in
body cavities. Kaposis sarcoma-associated herpes virus (KSHV) is the causative agent of PEL. PEL is an incurable
malignancy and has extremely poor prognosis when treated with conventional chemotherapy. Immunomodulatory
drugs (IMiDs) lenalidomide and pomalidomide are Food and Drug Administration-approved drugs for the treatment
of various ailments. IMiDs display pronounced antiproliferative effect against majority of PEL cell lines within their
clinically achievable concentrations, by arresting cells at G0/G1 phase of cell cycle and without any induction of
KSHV lytic cycle reactivation. Although microarray examination of PEL cells treated with lenalidomide revealed
activation of interferon (IFN) signaling, blocking the IFN pathway did not block the anti-PEL activity of IMiDs. The
anti-PEL effects of IMiDs involved cereblon-dependent suppression of IRF4 and rapid degradation of IKZF1, but
not IKZF3. Small hairpin RNA-mediated knockdown of MYC enhanced the cytotoxicity of IMiDs. Bromodomain
(BRD) and extra-terminal domain (BET) proteins are epigenetic readers, which perform a vital role in chromatin
remodeling and transcriptional regulation. BRD4, a widely expressed transcriptional coactivator, belongs to the
BET family of proteins, which has been shown to co-occupy the super enhancers associated with MYC. Specific
BRD4 inhibitors were developed, which suppress MYC transcriptionally. Lenalidomide displayed synergistic
cytotoxicity with several structurally distinct BRD4 inhibitors (JQ-1, IBET151 and PFI-1). Furthermore, combined
administration of lenalidomide and BRD4 inhibitor JQ-1 significantly increased the survival of PEL bearing NODSCID mice in an orthotopic xenograft model as compared with either agent alone. These results provide compelling
evidence for clinical testing of IMiDs alone and in combination with BRD4 inhibitors for PEL.
Kelly KR, Espitia CM, Zhao W, Wendlandt E, Tricot G, Zhan F, Carew JS, Nawrocki ST: Junctional Adhesion
Molecule-A is Overexpressed in Advanced Multiple Myeloma and Determines Response to Oncolytic Reovirus.
Oncotarget 6(38):41275-89, 2015.
Despite the development of several new agents for multiple myeloma (MM) therapy over the last decade, drug
resistance continues to be a significant problem. Patients with relapsed/refractory disease have high mortality rates
and desperately need new precision approaches that directly target specific molecular features that are prevalent in
the refractory setting. Reolysin is a proprietary formulation of reovirus for cancer therapy that has demonstrated
efficacy in multiple clinical trials. Its selective effects against solid tumors have been largely attributed to RASmediated control of reovirus replication. However, the mechanisms regulating its preferential anti-neoplastic effects
in MM and other hematological malignancies have not been rigorously studied. Here we report that the reovirus
receptor, junctional adhesion molecule-A (JAM-A) is highly expressed in primary cells from patients with MM
and the majority of MM cell lines compared to normal controls. A series of experiments demonstrated that JAM-A
63
Division Hightlights
Division of Hematology faculty published 54 peer-reviewed research papers during the January 1 through
December 31, 2015 period, and another seven are in press. The following stand out as noteworthy accomplishments:
expression, rather than RAS, was required for Reolysin-induced cell death in MM models. Notably, analysis of
paired primary MM specimens revealed that JAM-A expression was significantly increased at relapse compared to
diagnosis. Two different models of acquired resistance to bortezomib also displayed both higher JAM-A expression
and elevated sensitivity to Reolysin compared to parental cells, suggesting that Reolysin may be an effective agent
for patients with relapsed/refractory disease due to their high JAM-A levels. Taken together, these findings support
further investigation of Reolysin for the treatment of patients with relapsed/refractory MM and of JAM-A as a
predictive biomarker for sensitivity to Reolysin-induced cell death.
OConnell C: How I Treat Incidental Pulmonary Embolism. Blood 125(12):1877-82, 2015.
The identification of pulmonary embolism (PE) on computed tomography scans performed for indications other
than identification of thromboembolism is a growing clinical problem that has not been adequately addressed
by prospective treatment trials. The prevalence of incidentally detected PE ranges from 1% to 4% in unselected
populations, with higher rates among hospital inpatients and patients with cancer. Current guidelines recommend
using the same approach to type and duration of anticoagulation as is used for patients with suspected PE. Available
data regarding the significance of symptomatic subsegmental PE (SSPE) are conflicting, making it difficult to
draw conclusions about the appropriate treatment of incidentally detected SSPE, for which the data are sparse.
Among cancer patients, the bulk of available data suggest that incidental SSPE is associated with recurrent venous
thromboembolism and, when symptomatic, may adversely impact survival. Here, the topic is reviewed utilizing 3
clinical cases, each of which is followed by a discussion of salient features and then by treatment recommendations.
OConnell C: Incidentally Found Pulmonary Embolism: Whats the Clinician to Do? Hematology Am Soc Hematol
Educ Program (1):197-201, 2015.
Incidental pulmonary embolism (IPE) is a management challenge for the unsuspecting clinician. Patients with IPE
frequently have signs or symptoms that are unrecognized as PE related, and their clots occur predominantly in
the proximal pulmonary vasculature. There is uniformity in recommending anticoagulation for patients with IPE
proximal to the subsegmental pulmonary vasculature, but prospective data are not currently available to guide the
duration of therapy in this population. Several studies suggest that outcomes, including recurrence, mortality, and
bleeding, are similar for patients with IPE and suspected PE, especially among those who also have cancer. Patients
with isolated incidental subsegmental pulmonary embolism (ISSPE) are particularly challenging because some
studies suggest that they can be managed without anticoagulation. Therefore, an algorithm is proposed to guide the
evaluation and treatment of patients with ISSPE.
Piatek C, El-Hemaidi I, Feinstein D, Liebman HA, Akhtari M: Management of Immunie-Medicated Cytopenias
in Pregnancy. Autoimmun Rev (9):806-11, 2015.
Immune-mediated cytopenias are a well-described complication of pregnancy. Appropriate recognition and
treatment are important in order to limit maternal and fetal morbidity and mortality. First line treatment options are
fairly well-established for these entities. Refractory disease may be difficult to manage because treatment choices
are limited by known or unestablished risk to the fetus. While the use of new agents, such as romiplostim and
rituximab, has been reported, their safety in pregnancy is not known. This article summarizes immune cytopenias
seen in pregnant patients, and it also discusses management of these cytopenias, and provides practical strategies for
the treatment of these challenging conditions.
64
BCRP/BC102678, Co-Targeting HER2 and EphB4 Pathways, Department of Army/Department of Defense, 2015
Pilot Award, Clinical Development of Soluble EphB4HSA, Whittier Initiative, 2015
Research Innovation Award, USC, 2015
SPORE in Prostate Cancer, Northwestern University, Principal Investigator, 2015
Translational Award, Targeting the Ephrin Pathway: Phase I Therapeutic Trial with Circulating Tumor Cell
Molecular Correlates, V Foundation for Cancer Research, Co-Principal Investigator, 2015
Whittier Foundation Award, Reovirus Therapy for Multiple Myeloma: A Phase 1b Clinical Trial, 2015
Akil A. Merchant, MD
Immune Profiling Patients Treated with sEphB4-HSA, Ming Hsieh Institute for Research of Engineering Medicine
for Cancer, Principal Investigator, 2015
Stop Cancer Gift Fund, 2015
Casey L. OConnell, MD
Recipient of a $10,000,000 gift from the Norbert Gehr Family Foundation toward translational research targeting
myeloid malignancies over the next 10 years, 2015
Giridharan Ramsingh, MD
Illumina Grant, BaseSpace Applications for Next Generation Sequencing Analysis, 2015
Leukemia and Lymphoma Society, Characterizing Hematopoietic Senescence with Aging in Humans, Principal
Investigator, 2015
Tower Cancer Research Foundation, Hematopoietic Stem and Progenitor Cell Senescence and Therapy Related
AML, Principal Investigator, 2015
65
Parkash S. Gill, MD
Faculty
Professor
Professor Emeritus
Assistant Professor
Robert A. Larsen, MD
Emily Blodget, MD
Joseph J. Cadden, MD
Darren W. Wong, MD
Associate Professor
P. Jan Geiseler, MD
Brenda E. Jones, MD
66
Infectious Diseases
Fred R. Sattler, MD, Professor of Medicine and Chief
Erika Anaya, Division Administrator
The overarching mission of the Division of Infectious Diseases is threefold: to advance the development of therapies
to improve health through clinical and translational research in infectious diseases; to promote excellence in the
education of medical students, house officers and clinical fellows; and to deliver compassionate, evidence-based,
state-of-the-art care to the large, diverse, multicultural community of Southern California served by LAC+USC
Medical Center (LAC+USC), Rand Schrader Health and Research Center, Keck Hospital of USC, USC Norris
Cancer Hospital (Norris Hospital), and the USC Healthcare Center 2 (HC2).
A primary research mission of the Division of Infectious Diseases for more than three decades has been to
investigate strategies to prevent and treat HIV and its complications. The NIH-supported AIDS Clinical Trials
Group (ACTG) is a major focus of research in the Division. Dr. Fred Sattler serves as Principal Investigator. The
ACTG Clinical Research Site (CRS) at USC is in its 28th year and recently successfully re-competed to be funded
for another seven-year cycle. The USC ACTG CRS has continuously performed at a very high level and has been
second in enrollment of total research subjects amongst 72 domestic and international sites. It is also the leading
site in the continental U.S. for enrolling minorities and women. Moreover, USC faculty (Drs. Sattler and Dub,)
continue to hold important scientific and administrative leadership positions during the current funding cycle. These
key positions enabled faculty from our Division to contribute to and facilitate the scientific agenda and productivity
of this world-leading HIV collaborative research group. Tuberculosis, hepatitis C and cryptococcal meningitis, along
with complications of chronic inflammation and immune activation including cardiovascular and lipid disorders
and neurocognitive impairment, and aging-related disabilities including frailty have been areas of leadership by ID
faculty. Drs. Dub and Sattler are members of the Inflammation and End-Organ Transformative Science Group and
have developed a number of concept proposals that are either under review or are being implemented for studies.
Dr. Sattler is Chair of the Exercise Focus Group and Dr. Dub is a member of the Data Monitoring Committee.
The Division of Infectious Diseases also remains a lead member of the California Collaborative Treatment
Group (CCTG), which is funded by the State of California University Wide AIDS Program. The CCTG is the
largest collaborative HIV clinical research group in California and has been continuously funded for more than
two and a half decades. Dr. Dub is the Principal Investigator of the USC component of the CCTG. Under his
leadership, the CCTG was recently awarded $1.6 million to lead a large four-year CCTG project at USC and
the other collaborative research sites to improve patient retention in HIV care and to provide HIV pre-exposure
prophylaxis (PrEP) to individuals at high risk of acquiring HIV.
The Rand Schrader Health and Research Center has been under the medical leadership of the Division
(Drs. Sattler, Cadden and Dub) since 1986 and has been a national flagship for the outpatient care of persons with
HIV. The Clinic was conceived around a model whereby all care would be facilitated at a single site, the medical
care home. Up to 40 USC faculty from virtually all specialties provide primary care and consultation during 11
weekly clinics session (Monday through Friday AM and PM as well as Tuesday evenings for patients who work
during the daytime). A primary care provider, a registered nurse and a social service case manager constitute the
Medical Care Coordination team for each patient; they facilitate all aspects of patient care in and away from the
Clinic (including in the patients home).
Specialty clinics have included Pulmonary, Hematology-Oncology, Neurology, Psychiatry, Ophthalmology,
Colorectal and Nutrition-Metabolism. Two new clinics have been created to meet the changing face of chronic HIV
infection. The Dermatology service staffs a weekly Lipodystrophy Clinic, whereby patients receive autologous fat
67
transfer for facial wasting, or liposuction to relieve pain and suffering associated with buffalo humps or other fatty
depositions. The other new clinic is the Hepatitis Treatment Evaluation Clinic for patients co-infected with HIV and
HCV or HBV. The goal of this clinic is to treat all patients co-infected with HBV and HCV at increased risk for
liver related complications, especially now as multiple oral agents are available.
The Rand Schrader Health and Research Clinic also sponsors a broad range of education programs in HIV for
the faculty, staff, ID fellows and other house officers rotating through the adult and pediatric ID services. As
just one example, a Resistance Workshop is held monthly where patients with complex HIV resistance profiles
and multiclass drug-resistance profiles are presented. Attendees use cART treatment histories along with HIV
phenotypes and genotypes and work with an expert facilitator to arrive at treatment recommendations. The Clinic
also serves as the primary site for OPD continuity care for ID fellows who learn all aspects of ambulatory care of
HIV.
The Infectious Diseases Solid Organ Transplant Consultation Service was created in the spring of 2010 to
provide complex ID consultation for a large number of solid organ transplants (heart-lung, liver, pancreas and
kidney) at Keck Hospital. Dr. Emily Blodget serves as the lead consultant with assistance from Drs. Cadden,
Geiseler and Sattler in creating the first dedicated infectious diseases transplant service at Keck Hospital. This
addition provides a unique and focused training experience for infectious diseases fellows, house officers and
students rotating through the ID consultation service.
The unique tripartite training in Infectious Diseases at USC offers an unparalleled clinical experience in three
very different settings. First, the new training experience in transplantation infectious diseases is complemented by
existing training provided by highly experienced faculty on the inpatient general ID consultation services at two
private university hospitals (Keck Hospital and Norris Hospital), serving privately insured patients. The second
involves the very busy ID consultation service at LAC+USC, which provides care to the underserved population
of the greater Los Angeles Basin, many of whom are recent immigrants and travelers who bring from their home
countries infections not routinely seen in the United States. The third component involves unparalleled opportunities
for training in HIV medicine at the 33,000-square-foot, fully dedicated Rand Schrader Health and Research Clinic,
which provides primary and specialty HIV care for approximately 2,500 HIV infected individuals. LAC+USC and
the Rand Schrader Clinic provide care for a largely underserved minority population (60-70% Latinos and 12-15%
African-Americans). The clinical and racial/ethnic diversity make ID fellowship training at USC one of the truly
unique programs in the U.S.
Dr. Brad Spellberg, previously a faculty member at Harbor UCLA, was recruited to USC last year to serve as
Chief Medical Officer for LAC+USC Medical Center. He is also an active member of the Division of Infectious
Diseases, attends regularly on the ID consult services and participates in all other teaching functions in the Division
(including weekly cases conferences, ID grand rounds and CPCs, journal club, and research seminarssee below).
Dr. Paul Holtom now serves as Director of Infection Control and and Prevention at LAC+USC Medical Center
and is the founder and leader of the Orthopedic ID service at the facility; Dr. Holtom like Dr. Spellberg attends and
participates in all of the teaching activities of the ID Division.
Dr. Darren Wong joined the Division of Infectious Disease in July after completing
his ID fellowship training at Montefiore Medical Center and Albert Einstein College
of Medicine. Dr. Wong has assumed leadership and lead roles in the antimicrobial
stewardship programs at LAC+USC Medical Center and Keck Hospital, monitoring all
daily blood cultures as done by the ID fellows, and for the large weekly communicable
diseases clinic at Rand Schrader Clinic. He also serves in a support capacity to
Dr. Paul Holtom, Infection Prevention Officer, at the LAC+USC Medical Center.
Dr. Wong serves on the ID consultation services at Keck Hospital and LAC+USC
Medical Center. For his research, he works with Dr. Brad Spellberg on studies of
antimicrobial resistance and therapeutic strategies for these infections (including
monoclonal antibody and vaccine development).
The Division of Infectious Diseases provides care and consultation in all the clinical venues served by the
Department of Medicine at the University of Southern California.
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The ID Division maintains overall responsibility for the medical operations of the Rand Schrader Clinic. Dr. Cadden
serves as Medical Director and Dr. Dub as Associate Medical Director. This modern facility is fully dedicated to
the comprehensive care of persons infected with HIV. Faculty from the Division and all other major specialties
provide primary and specialty care and serve as attending physicians for house officers and students. Patients
receive primary care at the Clinic mornings and afternoons Monday through Friday and Tuesday evenings.
Dr. Paul Holtom serves as the Hospital Epidemiologist, Infection Control Officer and heads Infection Prevention at
LAC+USC. He also oversees the Antibiotic Stewardship Program (ASP), as well as chairing the Infection Control
Committee, the Pharmacy and Therapeutics Committee and the Antibiotic Subcommittee at LAC+USC Medical
Center. Drs. Sattler and Dub also serve on the Antibiotic Subcommittee. Drs. Wong and Dub are members of the
ASP and make daily teaching and stewardship rounds with pharmacists at LAC+USC, with special focus on critical
care and hematology units and services.
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Clinical Activities
The Division provides a very active consultation service (approximately 3,000 new infectious diseases consultations
each year) at LAC+USC. The Division also operates a weekly general ID outpatient clinic (~1,000 visits annually),
staffed by ID faculty (Drs. Dub, Sattah, Jones and Wong), fellows, residents and students who provide outpatient
consultation and continuity care for patients with and without HIV who have complicated infections or those
needing outpatient IV antimicrobial therapy.
Educational Activities
Class of 2017
Supriya Bhat, MD
Daniel Chelliah, MD
Melissa Barger, MD
Rohit Kaliah, MD
Elham Rahmati, MD
The Infectious Disease Fellowship program has grown from four to five trainees and will have a sixth fellow trainee
in July 2016. The addition of trainees provides greater diversity in electives (e.g. stewardship, clinical microbiology,
infection control/prevention, ortho ID) with greater flexibility for research projects.
Conferences
The Infectious Diseases Core Lectures (Monday mornings 8:00-9:00) are a vital component of the
didactic portion of the ID curriculum and provide a comprehensive overview of virtually all important infectious
diseases topics over a two-year cycle. Lectures are usually given by ID faculty, but each fellow is expected to give
one to two lectures annually.
The Infectious Diseases Case Conference (Wednesday mornings 8:30-9:30) features two case
presentations, usually one from the LAC+USC Consult Service and one from the Keck or Norris Hospitals; one
case per month is selected from the Pediatric ID Service. Fellows unfamiliar with the cases discuss diagnostic
and therapeutic issues. Faculty then provide additional insights into the case, followed by a five minute didactic
presentation by one of the fellows that highlights important or unique aspects of the cases presented. This lively
conference is usually attended by 30-40 participants, including faculty, trainees, Rand Schrader Clinic providers and
community ID practitioners.
Infectious Diseases Grand Rounds (second Friday of each month) features guest speakers selected and
hosted by the USC ID faculty, including visiting faculty of local and national stature in their respective areas of
expertise.
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The Clinicopathologic Conference (fourth Friday of each month) is a multidisciplinary conference that
includes faculty from other specialties who discuss diagnostic elements and review pathologic slides, microbiologic
specimens, radiographic imaging, retinal photographs and/or their specialtys contribution to the patient care of the
case presented.
For Infectious Diseases Journal Club (monthly), two articles are selected by an ID faculty facilitator.
One fellow is assigned as the primary presenter/discussant for each article, presenting a critical analysis of
study hypotheses, study design, statistical methods, results and appropriateness of the authors conclusions, and
applicability of the results to patient care.
The Combined Pulmonary-Infectious Diseases Teaching Conference (third Tuesday morning
8:30-9:30) consists of case presentations of two unknowns, one selected by ID and the other by Pulmonary. Faculty,
fellows, residents and students from both divisions attend the conference and participate in the discussion of
instructive cases. A short review of the relevant literature follows each presentation.
specialists, trainees and allied health professionals that rotates among the participant hospitals (USC, Harbor UCLA,
Harbor City Kaiser, St. Marys Medical Center, Long Beach VA and Torrance Memorial Hospital). Four to five cases
are presented as unknowns and discussed by faculty selected at the conference by the facilitator from the hosting
institution. At the end of each case presentation, a fellow from the sponsoring facility gives a didactic slide overview
of salient features of the case.
research conference (coordinated by Dr. Dub) on topics of current clinical and translational research of adult and
pediatric ID faculty, other USC faculty (e.g. from the School of Pharmacy, Department of Molecular Microbiology
and Immunology), and clinical fellows of USC and, CHLA; occasionally guest experts from affiliated institutions
(e.g., City of Hope) give seminars. The conference is interactive and participants discuss study design, statistical
approaches and analytical methods.
Dr. Blodget has initiated research on the incidence and outcomes of vancomycinresistant enterococcus (VRE) infection in patients with cirrhosis who are awaiting
liver transplantation. She is conducting a large ongoing retrospective study in these
patients to determine the risk factors as well as morbidity and mortality of VRE
infection. She is planning on expanding these studies to include other multi-drug
resistant organisms such as pseudomonas and ESBL E. coli. She is continuing to
develop research plans to evaluate the effectiveness of screening liver transplant
candidates with interferon gamma release assay versus standard PPD testing and
outcomes after transplant.
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Research Activities
The Division maintains consistent funding for ongoing investigations relating to HIV and other areas of infectious
diseases. The Division has had an important and productive role in large, multicenter collaborative research groups
that emphasize development of treatment and prevention modalities for HIV infection and complications associated
with antiretroviral therapy and the underlying disease as well as other bacterial, fungal, and viral infections in HIVpatient populations.
Joseph J. Cadden, MD
Dr. Cadden is conducting several important studies. He serves as Co-PI with Amy Wohl, PhD (Chief Epidemiologist
in the HIV Epidemiology Program, Los Angeles County Department of Health Services), on an NIH-funded
investigation to evaluate and develop better social support services for persons with HIV. He is also a member of
the protocol team for ACTG 5293, which evaluates the effect of HDL-raising therapies on endothelial function,
lipoproteins and inflammation in HIV-infected subjects with low HDL cholesterol.
Michael P. Dub, MD
Dr. Dubs research interests focus on the complications of HIV infection as well as on HIV prevention. He has
been the USC PI of the California Collaborative Treatment Group (CCTG) for HIV research since 2009; the CCTG
is the largest collaborative HIV clinical research group in California and is funded by the California HIV Research
Program. Currently, Dr. Dub is wrapping up a major 4-year CCTG project at USC to improve patient retention
in HIV care and to optimize HIV pre-exposure prophylaxis (PrEP) to individuals at high risk of acquiring HIV.
As part of this project, Dr. Dub is leading a study of vitamin D supplementation to preserve bone health in this
population. He was just awarded a new 4-year CCTG grant that will focus on PrEP in transgender persons. He is
also an active member of the AIDS Clinical Trials Group and is protocol co-chair for the ongoing ACTG 5346 study
A Randomized, Blinded Placebo-Controlled Trial of a Dipeptidyl Peptidase-4 Inhibitor (Sitagliptin, Januvia) for
Reducing Inflammation and Immune Activation in HIV Infected Men and Women.
P. Jan Geiseler, MD
Dr. Geiseler continued his role as Co-Investigator in ACTG and CCTG studies that
evaluate antiretroviral therapy utilizing new treatment and prevention strategies for
patients infected with HIV. Dr. Geiseler was the USC PI for two important ACTG
trials, A5175 and A5202, which evaluated the efficacy of once daily protease inhibitor
and once daily non-nucleoside reverse transcriptase inhibitor-containing therapy in
combination with nucleoside analogues. These studies resulted in impact bearing
publications. More recently he has been working with ID fellows and colleagues
in other departments to investigate how to better manage patients with transplant
infections.
Brenda E. Jones, MD
Dr. Jones is the USC Principal Investigator of the tuberculosis (TB) diagnostic study, Evaluation of the 4th
Generation Quantiferon TB Test (CST001) for the Detection of Tuberculosis Infection (Cellestis, Qiagen NV,
the Netherlands). The 4th Generation Quantiferon TB test aims to further increase the sensitivity of the assay
in immunocompromised patients as well as to possibly aid in differentiating latent TB infection from active TB
disease. Dr. Jones will also investigate Mycobacterium Tuberculosis CD8 cell response as a surrogate marker for TB
treatment response. Dr. Jones is a co-investigator of the NIH R01 proposal entitled, Integrated Cost-Effective Point
of Care Nucleic Acid Testing for TB Diagnosis (PI: Niemz, Keck Graduate Institute, Claremont), which received
an impact score of 29. Future collaborative studies on TB diagnostics are planned.
Dr. Jones was co-investigator with Dr. Michael Neely (PI), Department of Pediatrics at Childrens Hospital Los
Angeles, for the NIH funded Prospective Study to Optimize Vancomycin Dosing in Children and Adults using
Multiple-Model Bayesian Adaptive Control. The finding that vancomycin troughs were not adequate for optimal
dosing in 90 patients enrolled at LAC+USC was submitted for presentation. Dr. Jones also participated in the
International Food Information Council (IFIC) Foundation Physicians Roundtable on Antibiotic Resistance.
Paul D. Holtom, MD
Dr. Holtom is Director of the Jeanette Wilkins Memorial Microbiology Laboratory. He collaborates with faculty in
the Department of Orthopaedic Surgery on clinical studies of new treatment strategies for bone and joint infections.
These studies include evaluation of new antimicrobials for skin and soft-tissue infections and in vitro and in vivo
studies on local antibiotic therapy and the elution of antibiotics from PMMA beads and spacers. Dr. Holtom also
conducts studies with ID fellows on the epidemiology of nosocomial bacterial infections and invasive candidal
disease.
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Fred R. Sattler, MD
In addition to serving as PI of the USC ACTG grant, Dr. Sattler recently served on a NIAID Task Force that
was ordered by the President to design the first therapeutic trials to study new treatments of H1N1 and seasonal
influenza. In the ACTG, Dr. Sattler is voting member of the Inflammation and End Organ Transformative Sciences
Group. He is also a member and facilitator for the Immune Activation Focus Group and Co-Chair of the Exercise
Focus Group. In addition, Dr. Sattler (PI) along with collaborators at University of California, San Diego showed
that neurocognitive dysfunction in patients with HIV is aggravated by abdominal obesity and mediated by systemic
inflammation and is associated with CNS activation of microglial cells. The latter studies results in his obtaining
an R01 grant to evaluate the growth hormone releasing factor (Tesamorelin) to assess its efficacy in increasing the
powerful IGF-1 brain neurotroph and reducing visceral adipose tissue in abdominally obese HIV infected patients
with neurocognitive impairment. Dr. Sattler also has two foundation grants to study the effects of sitagliptin for
suppressing macrophage activation in abdominal adipose tissue and its effects on proatherogenic mediators. Finally,
Dr. Sattler was recently honored by a request from the editorial board of Elsevier to write a peer-reviewed overview
on growth hormone in the aging male for Best Practices & Research: Clinical Endocrinology & Metabolism.
Brad Spellberg, MD
Dr. Spellbergs NIH-funded research interests are diverse, ranging from basic immunology and vaccinology, to
pure clinical and outcomes research, to process improvement work related to delivery of care, focusing on safety
net hospitals. Dr. Spellberg is currently working on the immunology, vaccinology, and host defense against highly
resistant Gram negative bacilli, including Acinetobacter and carbapenem-resistant Enterobacteriaceae infections.
He has an active discovery and development program that has been NIH-funded for monoclonal antibodies targeting
A. baumannii. He also is working on the pathogenesis of these infections, including
the interface between diabetes, inflammation, and iron. He has an NIH-funded
translational program evaluating transferrin as a potential therapeutic agent to treat
infections and reduce the frequency of emergence of antibiotic resistance. His lab also
has an NIH grant to evaluate a multi-valent antigen approach to vaccination for
S. aureus infections. He has several clinical research projects in development, funded
by NIH, including a randomized trial of fosfomycin therapy for complicated urinary
tract infections which is in protocol development, and an adaptive, platform trial to
enable superiority trials to be conducted for highly resistant Gram negative bacilli,
which is in the design phase. The over-arching theme of the work in his lab is to
understand the pathogenesis of infections caused by highly resistant bacteria, as well
as fungi, with an intent to develop immune-modulatory therapeutic interventions to
improve morbidity and mortality of these infections.
Darren W. Wong, MD
Darren Wong is a new junior faculty member in the Division of Infectious Diseases. He is actively involved in
infection control and antimicrobial stewardship, and integrating both programs to optimize clinical care.
Dr. Wong has initiated research examining empiric gram negative therapy for sepsis with the goal of improving
risk stratification to identify patients with potential drug resistant pathogens, optimizing empiric antimicrobial
therapy, and integrating these findings into the existing antimicrobial stewardship program. He is also the Principal
Investigator in the consortium on resistance against carbapenems in Klebsiella pneumoniae (CRACKLE) an NIH
and Antibiotic Resistance Leadership Group funded multi-center national study analyzing the epidemiology and
regional resistance patterns of these extensively-drug resistant bacterium. He is, under the mentorship of
Dr. Brad Spellberg, participating in the FOCUS trial, examining the efficacy the potential role of fosfomycin for
new treatment indications. Future plans include serving as an investigator for phase 3 clinical trials of experimental
antimicrobial therapeutic agents and resuming Clostridium difficile clinical research, an area of his research prior to
joining the USC faculty.
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Division Hightlights
Highlighted Publications
The Division of Infectious Diseases published 22 papers in peer-reviewed journals during the period of January 1
through December 31, 2015, and seven are in press. Five publications are highlighted below:
Dub MP, Komarow L, Fichtenbaum CJ, Cadden JJ, Overton ET, Hodis HN, Currier JS, Stein JH: Extended
Release Niacin vs. Fenofibrate in HIV-Infected Participants with Low HDL Cholesterol: Effects on Endothelial
Function, Lipoproteins, and Inflammation. Clin Infect Dis 61:840-9, 2015.
Low levels of high-density lipoprotein cholesterol (HDL-C) are common in individuals with human
immunodeficiency virus (HIV) infection, persist during antiretroviral therapy (ART), and are associated with
increased cardiovascular disease (CVD) risk. Virologically controlled participants without CVD on stable ART
with low HDL-C (men <40 mg/dL, women <50 mg/dL) and triglycerides >150 mg/dL were randomized to receive
open-label extended-release niacin 1500 mg/day with aspirin 325 mg/day or fenofibrate 200 mg/day for 24 weeks.
The primary endpoint was the week 24 within-arm change in brachial artery flow-mediated dilation (FMD) in
participants with complete follow-up scans. Of 99 participants, 74 had complete data (35 niacin, 39 fenofibrate).
Median age was 45 years, 77% were male, median CD4(+) count was 561 cells/L, and brachial FMD was 4.2%.
Median HDL-C was 32 mg/dL for men and 38 mg/dL for women, low-density lipoprotein cholesterol was 103 mg/
dL, and triglycerides were 232 mg/dL. In men, HDL-C increased a median of 3 mg/dL with niacin and 6.5 mg/
dL with fenofibrate (P < .001 for both). In women, HDL-C increased a median of 16 mg/dL with niacin and 8 mg/
dL with fenofibrate (P = .08 for both). After 24 weeks, there was no significant change in FMD in either arm; the
median (interquartile range) change was +0.6% (-1.6 to 2.3) with niacin (P = .28) and +0.5% (-1.0 to 3.0) with
fenofibrate (P = .19). Neither treatment significantly affected C-reactive protein, interleukin 6, or D-dimer levels.
Despite improvements in lipids, niacin or fenofibrate treatment for 24 weeks did not improve endothelial function or
inflammatory markers in participants with well-controlled HIV infection and low HDL-C.
Berbari EF, Souha SK, Kowalski TJ, Darouiche RO, Widmer AF, Schmitt SK, Hendershot EF, Holtom PD,
Huddleston III PM, Petermann GW, Osmon DR: 2015 Infectious Diseases Society of America (IDSA) Clinical
Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Clin Inf Dis
61:e26-46, 2015.
These guidelines are intended for use by infectious disease specialists, orthopedic surgeons, neurosurgeons,
radiologists, and other healthcare professionals who care for patients with native vertebral osteomyelitis (NVO).
They include evidence and opinion-based recommendations for the diagnosis and management of patients with
NVO treated with antimicrobial therapy, with or without surgical intervention.
Villarino ME, Scott N, Weis SE, Weiner M, Conde MB, Jones B, Nachman S, Oliveira R, Moro R, Shang N,
Sterling TR, the International Maternal Pediatric and Adolescents AIDS Clinical Trials Group (IMPAACT), and the
Tuberculosis Trials Consortium (TBTC): New Treatment for Preventing Tuberculosis in Children: A Three Month
(12 Dose) Regimen of Rifapentine and Isoniazid. JAMA Pediatrics 169(3):247-55, 2015.
Three months of a once-weekly combination of rifapentine and isoniazid for treatment of latent tuberculosis
infection is safe and effective for persons 12 years or older. Published data for children are limited. To compare
treatment safety and assess noninferiority treatment effectiveness of combination therapy with rifapentine and
isoniazid vs 9 months of isoniazid treatment for latent tuberculosis infection in children. A pediatric cohort nested
within a randomized, open-label clinical trial conducted from June 11, 2001, through December 17, 2010, with
follow-up through September 5, 2013, in 29 study sites in the United States, Canada, Brazil, Hong Kong (China),
and Spain. Participants were children (aged 2-17 years) who were eligible for treatment of latent tuberculosis
infection. Twelve once-weekly doses of the combination drugs, given with supervision by a health care professional,
for 3 months vs 270 daily doses of isoniazid, without supervision by a health care professional, for 9 months.
We compared rates of treatment discontinuation because of adverse events (AEs), toxicity grades 1 to 4, and
deaths from any cause. The equivalence margin for the comparison of AE-related discontinuation rates was 5%.
Tuberculosis disease diagnosed within 33 months of enrollment was the main end point for testing effectiveness.
The noninferiority margin was 0.75%. Of 1058 children enrolled, 905 were eligible for evaluation of effectiveness.
Of 471 in the combination-therapy group, 415 (88.1%) completed treatment vs 351 of 434 (80.9%) in the isoniazidonly group (P =.003). The 95% CI for the difference in rates of discontinuation attributed to an AE was -2.6 to
0.1, which was within the equivalence range. In the safety population, 3 of 539 participants (0.6%) who took
the combination drugs had a grade 3 AE vs 1 of 493 (0.2%) who received isoniazid only. Neither arm had any
74
hepatotoxicity, grade 4 AEs, or treatment-attributed death. None of the 471 in the combination-therapy group
developed tuberculosis vs 3 of 434 (cumulative rate, 0.74%) in the isoniazid-only group, for a difference of -0.74%
and an upper bound of the 95% CI of the difference of +0.32%, which met the noninferiority criterion. Treatment
with the combination of rifapentine and isoniazid was as effective as isoniazid-only treatment for the prevention of
tuberculosis in children aged 2 to 17 years. The combination-therapy group had a higher treatment completion rate
than did the isoniazid-only group and was safe.
Sattler F, He J, Letendre S, Wilson C, Sanders C, Heaton R, Ellis R, Franklin D, Aldrovandi G, Marra CM, Clifford
D, Morgello S, Grant I, McCutchan JA: Abdominal Obesity Contributes to Neurocognitive Impairment in HIV
Infected Patients with Increased Inflammation and Immune Activation. JAIDS 68(3):281-8, 2015.
We tested our hypothesis that abdominal obesity when associated with increased levels of systemic and central
nervous system immunoinflammatory mediators contributes to neurocognitive impairment (NCI). One hundred
fifty-two patients with plasma HIV RNA <1000 copies per milliliter had clinical evaluations and cognitive function
quantified by global deficit scores (GDS). GDS, waist circumference (WC) and plasma IL-6, sCD163, and sCD14
and CSF sCD40L, sTNFrII, MCP-1, sICAM, and MMP-9. WC and plasma IL-6 levels positively correlated with
GDS; the WC correlation was strongest in the high tertile of IL-6 ( = 0.39, P = 0.005). IL-6 correlated with GDS
only if WC was 99 cm. In the high tertile of CSF sCD40L, a biomarker of macrophage and microglial activation,
the correlation of IL-6 to GDS was strongest ( = 0.60, P < 0.0001). Across 3-5 visits within 1 year of the index
visit, GDS remained worse in patients with IL-6 levels in the high versus low tertile (P = 0.02). Path analysis to
explore potential mediators of NCI produced a strong integrated model for patients in the high CSF sCD40L tertile.
In this model, WC affected GDS both directly and through a second path that was mediated by IL-6. Inclusion of
plasma sCD14 levels strengthened the model. NCI was more common in men and for individuals with components
of the metabolic syndrome. Neurocognitive function was significantly linked to abdominal obesity, systemic
inflammation (high IL-6), and immune activation in plasma (high sCD14) and CSF (high sCD40L). Abdominal
obesity, inflammation, and central nervous system immune activation are potential therapeutic targets for NCI in
HIV-positive patients.
Spellberg B, Bartlett JG, Wunderink R, Gilbert DN: Novel Approaches Are Needed to Develop Tomorrows
Antibacterial Therapies. Am J Resp Crit Care Medicine 191:135-40, 2015.
Society faces a crisis of rising antibiotic resistance even as the pipeline of new antibiotics has been drying up.
Antibiotics are a public trust; every individuals use of antibiotics affects their efficacy for everyone else. As such,
responses to the antibiotic crisis must take a societal perspective. The market failure of antibiotics is due to a
combination of scientific challenges to discovering and developing new antibiotics, unfavorable economics, and
a hostile regulatory environment. Scientific solutions include changing the way we screen for new antibiotics.
More transformationally, developing new treatments that seek to disarm pathogens without killing them, or that
modulate the host inflammatory response to infection, will reduce selective pressure and hence minimize resistance
emergence. Economic transformation will require new business models to support antibiotic development. Finally,
regulatory reform is needed so that clinical development programs are feasible, rigorous, and clinically relevant.
Pulmonary and critical care specialists can have tremendous impact on the continued availability of effective
antibiotics. Encouraging use of molecular diagnostic tests to allow pathogen-targeted, narrow-spectrum antibiotic
therapy, using short rather than unnecessarily long course therapy, reducing inappropriate antibiotic use for probable
viral infections, and reducing infection rates will help preserve the antibiotics we have for future generations.
75
Faculty
Professor
Associate Professor
Assistant Professor
Vito M. Campese, MD
Kenneth R. Hallows, MD, PhD
Elaine M. Kaptein, MD
Mitra K. Nadim, MD
Saeid M. Nosrati, MD
Nuria Pastor-Soler, MD, PhD
Yasir A. Qazi, MD
Miroslaw J. Smogorzewski, MD, PhD
Joseph Abdelmalek, MD
Gbemisola A. Adenuga, MD
Rahul Dhawan, DO
Arshia Ghaffari, DO
Hui Li, MD
Chong Y. Parke, MD
Hui-Yi Shan, MD
Shilpa Sharma, MD
Professor Emeritus
Shaul G. Massry, MD
76
The Division of Nephrology and Hypertension is committed to providing comprehensive up-to-date medical care
to patients with a variety of kidney diseases, hypertension, renal failure, fluid and electrolyte disturbances and
transplantation of the kidney, kidney-pancreas and kidney-liver. The Division operates both in the public sector
at LAC+USC Medical Center (LAC+USC) and in the private sector at Keck Hospital of USC (KH), USC Norris
Cancer Hospital (Norris) and DaVita-USC Kidney Dialysis Center (DaVita-USC).
At LAC+USC, the Division of Nephrology has two consult services and manages approximately 160 consultations
per month. The Division provides more than 7,000 acute hemodialysis treatments annually, as well as continuous
renal replacement therapy (CRRT) for fluids, electrolytes and metabolic support of acutely ill patients in the
intensive care units. We also provide charcoal hemoperfusion for treatment of selected patients with drug overdose
in coordination with the Poison Center in the Emergency Medicine Department.
At KH and Norris, Nephrology and Hypertension faculty members admit private patients and provide consultations
to patients with kidney diseases, fluid and electrolyte disturbances, acid-base disorders and hypertension. In
addition, our faculty work very closely with the kidney, pancreas, heart, lung and liver transplant surgeons to
provide care to patients with end-stage renal disease who require living-related, living-unrelated or cadaveric kidney
transplants. The Division of Nephrology and Hypertension and the Division of Vascular Surgery are dedicated to
providing care to patients with renovascular hypertension, ischemic kidney disease and others forms of secondary
hypertension. The Division of Interventional Radiology provides excellent access for our hemodialysis patients,
including establishing dialysis access with tunneled dialysis catheters and percutaneous inserting PD catheters, in
addition to procedures aimed at maintenance of dialysis fistulas and grafts.
In addition, Nephrology and Hypertension faculty follow over 350 patients with end-stage renal disease on
maintenance hemodialysis or peritoneal dialysis at DaVita-USC. This unit is recognized as an example for the
community due to its efficiency, quality of care and dedication of staff. It is rated in the top 10% of dialysis units in
the county.
The Division of Nephrology and Hypertension is committed to providing excellent teaching to medical students,
house staff and nephrologists in the community. To this end, nephrology faculty conduct the Year II Renal System
Course, which includes lectures, laboratory work and small group discussions. The faculty teach house staff and
medical students during their rotations on the renal service, both at the bedside and through didactic lectures. The
faculty also participate in the postgraduate educational activities of the Department of Medicine. Nephrology has
been awarded best teaching award by the 2nd year medical students.
The Divisions new USC/UKRO Kidney Research Center (KRC) is supported by private funding (principally the
University Kidney Research Organization (UKRO), federal grants from the National Institutes of Health and US
Department of Defense, and University grants and supporting funds. The KRC has expanded significantly over the
last year with the arrival of Drs. Kenneth Hallows and Nria Pastor-Soler and their team of seven faculty and staff.
The lab space on the 5th and 6th floors of the Mudd Memorial Research Building has undergone renovations, and
there is space for recruitment of additional kidney researchers. Recruitment efforts are underway and the KRC is
rapidly evolving to become one of the best kidney research centers in the country.
77
The Division of Nephrology and Hypertension maintains a wide range of clinical activities in all areas of
Nephrology, including hemodialysis and peritoneal dialysis. Members of the Division provide care for renal patients
at LAC+USC and KH, and consultative services at LAC+USC, KH and Norris. Nephrology faculty also take care of
patients at Los Angeles Countys Renal clinics, and in the Diabetic Nephrology Clinic.
Clinical Activities
The Division of Nephrology and Hypertension provides highly specialized care for many indigent patients in
Los Angeles County who have all aspects of kidney disease, hypertension, kidney stones and kidney transplant.
These patients are seen at the LAC+USC Outpatient Center. The Division runs the Diabetic Nephropathy Clinic at
LAC+USC, which is fully staffed by highly qualified faculty.
The mission of the Chronic Kidney Disease Clinics is to educate patients about their kidney diseases; to prevent
the progression to end-stage renal disease and prevent and treat its complications; to diagnose and treat secondary
and complicated forms of hypertension; to diagnose and treat different metabolic stone diseases; and to prepare
those with advanced kidney disease for the appropriate renal replacement therapy. In addition, the clinics provide
treatment for anemia of chronic kidney disease, secondary hyperparathyroidism and metabolic bone disease due to
renal osteodystrophy. The faculty also provide ambulatory training and education for medical students, medicine
interns, residents and nephrology fellows on the service. In addition, the clinics provide care for many long-term
kidney transplant patients on multiple immunosuppressive medications.
The Division has developed a Diabetic Nephropathy Clinic to provide care to patients with diabetes and kidney
disease and to develop research protocols for this disease. Plans for additional specialty clinics within nephrology
are underway.
Private Practice
Nephrology faculty provide renal replacement therapy and consultation services at KH and Norris. At present, the
Division has approximately 250 hemodialysis and 100 continuous ambulatory peritoneal dialysis patients at
DaVita-USC. In addition, Nephrology faculty see ambulatory patients at Healthcare Center 2.
The USC Hypertension Center is a comprehensive clinical program for the diagnosis and management of patients
with secondary and resistant forms of hypertension. The Hypertension Center is staffed by full-time teaching
faculty who are certified in hypertension. Besides physician specialists, resources include clinical nurse specialists,
nutritionists and pharmacologists. The Center specializes in the diagnosis and management of renovascular
hypertension, pheochomocythoma and primary aldosteronism, and in the management of resistant hypertension
and orthostatic hypotension. This Center has been ranked number one in the country for quality care and clinical
outcome.
The Kidney Transplant Program at USC is the fastest growing program of its kind in Los Angeles. The transplant
waiting list and number of transplants performed has grown steadily over the last several years. Out of more than
300 programs in the country, the USC program ranked number 45 in the nation by volume in the year 2014. In 2015,
158 kidney transplants were performed, the highest annual volume since the inception of the program131 of these
were kidney transplant alone; 21 were a combination of kidney/liver and; the remaining six were a combination
78
of kidney/pancreas. Not only has the program grown in numbers, but the outcomes at the center have placed it
as a premier kidney transplant institute. It has recently been ranked number seven in the nation for outcomes by
Carechex, an independent organization. It is the only program in Los Angeles with a statistically superior deceaseddonor transplant rate and a statistically superior one-year graft survival rate.
The program was certified by the American Society of Transplantation for a transplant fellowship in 2014.
Dr. Rahul Dhawan was recruited as the first transplant renal fellow in the program for 2014-2015, and
Dr. Cesar Martinez is the current transplant fellow. The transplant program is one of the only programs in the
country to perform kidney-pancreas transplants in type 2 diabetics and transfusion-free living-donor kidney
transplants. Faculty in the program have published and presented at national transplant meetings. Dr. Yasir Qazi is
Medical Director of the program; other participating transplant nephrologists in the Division during 2015 were
Drs. Miroslaw Smogorzewski and Chong Y. Parke.
Nephrology Fellows
Class of 2017
Transplant Fellowship
Matthew Kaptein, MD
Ravi Lakdawala, MD
Joseph Meouchy, MD
Christopher C.D. Wong, DO
Lama Matni, MD
Roshan Rojani, MD
Syed Affan Hashmi, MD
Cesar A. Martinez, MD
The Nephrology Fellowship Program is designed to provide training in all fields of Nephrology, including
abnormalities of fluids and electrolytes, glomerulonephritis, tubulo-interstitial nephritis, renal vascular diseases,
dialysis and transplantation. The clinical phase of the training includes rotations at LAC+USC, KH, Norris, two
Comprehensive Health Care Center clinics per week, USC Transplant Clinic and DaVita-USC. During these
rotations, fellows are exposed to all aspects of clinical nephrology, including dialysis and transplantation. Fellows
are also involved in a variety of clinical and basic research in the fields of hypertension, treatment of acute and
chronic kidney disease, progression of renal disease and management of dialysis.
Nephrology faculty provide continuous teaching to the house staff and students during their rotations on the renal
service and while attending on General Medicine. In addition to bedside teaching, they provide didactic lectures.
Division faculty conduct the Year II Renal System Course, which includes lectures, laboratory work and small
group discussions. Division faculty also participate in the postgraduate educational activities of the Department of
Medicine. At LAC+USC, renal fellows and house staff receive training in ultrasonography use at the bedside, which
enhances clinical assessment of patients with acute and chronic renal failure.
79
Educational Activities
Class of 2016
Research Activities
The Division of Nephrology and Hypertension is committed to basic as well as clinical research. Current areas of
basic and translational investigation include the mechanisms of hypertension, acute kidney injury, acid regulation
and its role in CKD, polycystic kidney disease and metabolomic biomarkers, kidney cancer, and the noradrenergic
control of blood pressure in kidney disease. Clinical research areas include the testing of novel therapeutics in
polycystic kidney disease, mechanisms and management of vascular calcifications in dialysis patients, detection
and management of cardiovascular disease in dialysis patients, prevention of progressive renal disease in AfricanAmericans, and new experimental therapeutics in kidney transplantation. The Division has also developed an
urgent-start peritoneal dialysis program, which is the largest of its kind in the country. In addition, research is
ongoing to enhance assessment of intravascular volume and response to ultrafiltration in critically ill patients.
Division of Nephrology and Hypertension faculty are actively involved in both basic
and clinical research. Within the KRC facilities, Dr. Hallows is studying the metabolic
control of kidney epithelial salt and water transport mechanisms with relevance to
hypertension, acute kidney injury and chronic kidney disease. He is also studying
the role of metabolic changes in autosomal dominant polycystic kidney disease at
various levels: (1) the molecular and cellular level using in vitro model systems
and electrophysiological, molecular genetic, biochemical, and imaging techniques;
(2) animal disease models using in vivo imaging and functional studies (e.g., of
metabolism, metabolomics and proteomics); and (3) patient samples (analysis of urine
to identify and evaluate novel biomarkers that inform on disease severity, prognosis
and response to new therapies). Dr. Pastor-Soler is
studying the molecular and cellular mechanisms by
Kenneth R. Hallows, MD, PhD
which metabolic pathways in the kidney are affected
by acidosis, a known predictor of CKD progression. She is also studying renal cell
carcinomas with the aim to confirm a novel biomarker that could be used clinically
to assess the presence and severity of this disease. Dr. Campese has been studying
the role of the sympathetic nervous system in hypertension associated with kidney
disease as well as essential hypertension. He is also involved in studying the role of
renal denervation or baroreceptor stimulation in patients with resistant hypertension.
Other faculty have a variety of clinical protocols dealing with diabetic nephropathy,
bone disease, progression of kidney disease, kidney transplantation, vitamin deficiency
in chronic kidney disease, end-stage renal disease, transplantation and nutrition in
patients with acute kidney injury.
Nuria Pastor-Soler, MD, PhD
Gbemisola A. Adenuga, MD
Vito M. Campese, MD
Arshia Ghaffari, DO
80
Elaine M. Kaptein, MD
Mitra K. Nadim, MD
Saeid M. Nosrati, MD
Chong Y. Parke, MD
BK Nephropathy in Post-Kidney
Transplant
Delayed Graft Function
Kidney Transplant
Yasir A. Qazi, MD
Shilpa Sharma, MD
Hui-Yi Shan, MD
Management of Acute
Glomerulonephritides
Hightlighted Publications
Campese VM, Lakdawala R: The Challenges of Blood Pressure Control in Dialysis Patients. Recent Pat Cardiovasc
Drug Discov 10:34-59, 2015.
Hypertension is very prevalent among patients with chronic kidney disease (CKD) and end-stage kidney disease
(ESRD). However, there are still several unsolved issues pertaining to the definition, variability, diagnosis and
management of hypertension in these patients. This manuscript critically reviews the current challenges in clinical
practice in defining, diagnosing and treating hypertension in CKD and ESRD patients. Moreover, the manuscript
reviews the pharmacokinetics, pharmacodynamics and safety of most anti-hypertensive drugs used in the
management of these patients.
Roy A, Al-Qusairi L, Donnelly BF, Ronzaud C, Marciszyn AL, Gong F, Chang YP, Butterworth MB,
Pastor-Soler NM, Hallows KR, Staub O, Subramanya AR: Alternatively Spliced Proline-Rich Cassettes Link
WNK1 to Aldosterone Action. J Clin Invest 125:3433-3348, 2015.
The thiazide-sensitive NaCl cotransporter (NCC) is important for renal salt handling and blood-pressure
homeostasis. The canonical NCC-activating pathway consists of With-No-Lysine (WNK) kinases and their
downstream effector kinases SPAK and OSR1, which phosphorylate NCC directly. The upstream mechanisms that
connect physiological stimuli to this system remain obscure. Here, we have shown that aldosterone activates SPAK/
OSR1 via WNK1. We identified 2 alternatively spliced exons embedded within a proline-rich region of WNK1
that contain PY motifs, which bind the E3 ubiquitin ligase NEDD4-2. PY motif-containing WNK1 isoforms were
expressed in human kidney, and these isoforms were efficiently degraded by the ubiquitin proteasome system, an
effect reversed by the aldosterone-induced kinase SGK1. In gene-edited cells, WNK1 deficiency negated regulatory
effects of NEDD4-2 and SGK1 on NCC, suggesting that WNK1 mediates aldosterone-dependent activity of the
WNK/SPAK/OSR1 pathway. Aldosterone infusion increased proline-rich WNK1 isoform abundance in WT mice
but did not alter WNK1 abundance in hypertensive Nedd4-2 KO mice, which exhibit high baseline WNK1 and
SPAK/OSR1 activity toward NCC. Conversely, hypotensive Sgk1 KO mice exhibited low WNK1 expression and
activity. Together, our findings indicate that the proline-rich exons are modular cassettes that convert WNK1 into a
81
Division Hightlights
The Division of Nephrology and Hypertension published 18 papers in peer-reviewed journals during the period
of January 1 through December 31, 2015, and another five were in press by the end of 2015. Five publications are
highlighted below:
NEDD4-2 substrate, thereby linking aldosterone and other NEDD4-2-suppressing antinatriuretic hormones to NCC
phosphorylation status.
Fong M, Shavelle D, Weaver FA, Nadim MK: Renal Denervation in Heart Failure. Curr Hyptertens Rep 17:17,
2015.
Heart failure has emerged as one of the most important diseases of the past century. The understanding and
treatment of heart failure has evolved significantly over the years. As we move further into the era of device therapy,
attention has turned to the idea of sympathetic nervous system modulation through renal denervation to treat heart
failure. In this review, we summarize the background research, denervation technique, and current studies on renal
denervation for the treatment of heart failure. We also compare and contrast the work on carotid barostimulation.
Shah N, Meouchy J, Qazi Y: Bortezomib in Kidney Transplantation. Curr Opin Organ Transplant 20:652-656,
2015.
The purpose of this review is to evaluate the effectiveness of bortezomib in the recent literature for the prevention
and treatment of kidney transplant rejection. Several studies have analyzed bortezomib alone and in comparison
to more traditional immunosuppressive agents during the last 2 years. If administered prior to transplant or soon
thereafter, bortezomib appears to lower donor-specific antibody levels and improves graft survival. Its role as a
treatment option for antibody-mediated rejection after transplant remains unclear, with limited evidence supporting
its long-term success. Bortezomib appears to be a promising early desensitizing agent in the world of kidney
transplantation and high short-term success rates have been observed. However, additional randomized trials would
be useful to more conclusively demonstrate its effectiveness and optimal administration time in relation to transplant
surgery.
Matsuoka L, Alicuben E, Woo K, Cao S, Groshen S, Qazi Y, Smogorzewski M, Selby R, Alexopoulos S: Kidney
Transplantation in the Hispanic Population. Clin Transplant, in press, 2015.
Hispanic race and low socioeconomic status are established predictors of disparity in access to kidney
transplantation. This single-center retrospective review was undertaken to determine whether Hispanic race
predicted kidney transplant outcomes. A total of 720 patients underwent kidney transplantation from January 1,
2004 to December 31, 2013, including 398 Hispanic patients and 322 non-Hispanic patients. Hispanic patients were
significantly younger (p < 0.0001), on hemodialysis for longer (p = 0.0018), had a greater percentage with public
insurance (p < 0.0001), more commonly had diabetes as the cause of end-stage renal disease (p = 0.0167), and
had a lower percentage of living donors (p = 0.0013) compared to non-Hispanic patients. There was no difference
in one-, five-, and 10-yr graft (97%, 81%, and 61% vs. 95%, 76%, and 42% p = 0.18) or patient survival (98%,
90%, and 84% vs. 97%, 87%, and 69% p = 0.11) between the Hispanic and non-Hispanic recipients. Multivariate
analysis identified increased recipient age and kidney donor profile index to be predictive of lower graft survival
and increasing recipient age to be predictive of lower patient survival. In the largest single-center study on kidney
transplantation outcomes in Hispanic patients, there is no difference in graft and recipient survival between Hispanic
and non-Hispanic kidney transplant patients, and in multivariate analysis, Hispanic race is not a risk factor for graft
or patient survival.
82
Mitra K. Nadim, MD
Faculty Teaching Award, Year II, Keck School of Medicine of USC, 2015
83
Rahul Dhawan, DO
Faculty
Professor
David B. Agus, MD
Stephen B. Gruber, MD, PhD
Heinz-Josef Lenz, MD
Louis A. VanderMolen, MD
Michael K.Wong, MD, PhD
Associate Professor
Greg R. Angstreich, MD
John R. Daniels, MD
Anthony B. El-Khoueiry, MD
Agustin A. Garcia, MD
Barbara J. Gitlitz, MD
Amir Goldkorn, MD
Mitchell E. Gross, MD, PhD
Syma Iqbal, MD
Mark V. McNamara, MD
Minh D. Nguyen, MD
Jorge J. Nieva, MD
Jacek K. Pinski, MD, PhD
David I. Quinn, MD, PhD (Clinical
Scholar)
Christy A. Russell, MD
George Semeniuk, MD
Darcy V. Spicer, MD
Assistant Professor
Afsaneh Barzi, MD, PhD
Nyam-Osor Chimge, PhD
Tanya B. Dorff, MD
Diana L. Hanna, MD
Dilruba N. Haque, MD
84
James S. Hu, MD
Kian Kani, PhD
Jonathan Katz, PhD
Paul Macklin, PhD
Parag Mallick, PhD
Cynthia L. Martel, MD, PhD
Shannon M. Mumenthaler, PhD
An Nguyen, MD
Daniel L. Ruderman, PhD
Sarmad Sadeghi, MD, PhD
Shigang Xiong, MD, PhD
Instructor of Clinical
Medicine
Kevin McDonnell, MD, PhD
Charite N. Ricker, MS
Oncology
Darcy V. Spicer, MD, Associate Professor of Clinical Medicine and Chief
Dianne Moody, Senior Clinical Administrator
The Division of Oncology has four sections: Gastrointestinal Malignancies, Genitourinary Malignancies,
Solid Tumors and Womens Malignancies. The Division has been productive and successful, with strengths in
postgraduate training, patient care and clinical practice, peer-reviewed research, administration, and hospital,
university and community service.
The Division provides medical oncology clinical services at LAC+USC Medical Center (LAC+USC), USC Norris
Cancer Hospital (Norris) and Keck Hospital of USC (KH). At LAC+USC, the Division is responsible for two
busy inpatient consultative services for seriously ill patients with solid tumors and those receiving inpatient-based
chemotherapy. Ambulatory patients are seen in five half-day clinics. Outpatient-based chemotherapy and blood
product administration occur daily in the LAC+USC Infusion Center.
The Division operates a busy inpatient service at Norris, and provides consultative services at KH. Ambulatory
patients at Norris are seen in multiple daily outpatient clinics, and chemotherapy is administered in the Day
Hospital.
The Division of Oncology is experiencing increases in new outpatient visits, admissions and clinical efficiency at
Norris and LAC+USC. At the same time, a substantial number of patients are entered into peer-reviewed clinical
trials with accompanying translational research protocols, thus bringing innovative treatment strategies and
therapeutic agents to patients.
Our research programs received substantial funding from the NIH and other peer-reviewed grant support, as well as
industry-funded studies, and our faculty and fellows published extensively in peer-reviewed literature. In addition,
members of the Division have participated in intramural undergraduate and postgraduate teaching activities, as well
as lecturing in numerous international forums in Europe and Asia.
The USC Westside Cancer Center in Beverly Hills offers the latest in treatments from a range of specialties, all
focused on the oncologic care of patients with prostate cancer. The Center strives to bring new therapies to patients
and is advancing the clinical care of prostate cancer through novel clinical trials. The Center is closely tied with
the Health Sciences Campus-based USC Center for Applied Molecular Medicine and the USC National Cancer
Institute Physical Sciences-Oncology Center. Both centers focus on using current molecular technologies, bringing
together physicists, mathematicians, engineers, biologists and physicians to increase the understanding and control
of cancer. Virtual Cancer Models based on measurements from individual cancer patients will be created and used
to simulate cancer growth and predict drug responses for each patient.
The Keck Medicine of USC- Pasadena office offers treatments in all aspects of both hematologic and oncologic care
for residents of the San Gabriel Valley. Patients are offered participation in the many clinical trials being conducted
by the Division.
Keck Medicine of USC has acquired the prestigious Orange Coast Oncology Hematology (OCOH) group to create
USC Norris Oncology/Hematology in Orange County. This is an important step for USC and part of a larger strategy
to grow Keck Medicine of USCs oncology services throughout Southern California. This acquisition allows us
to offer our cancer research options to patients in Orange County. We are helping to expand these opportunities in
collaboration with Hoag Hospital.
85
Clinical Activities
Private Practice
USC Norris Cancer Hospital- Outpatient Clinic/Day Hospital
The Oncology Divisions faculty provide care at the Norris Outpatient Clinics. The Solid Tumor Service saw 23,248
outpatient visits between January 1 and December 31, 2015. The breakdown for the outpatient services by section
are as follows:
Section
GI Program
GU Program
Breast Program
Solid Tumor Program
Total Number of Visits
6,535
5,127
2,618
1,604
15,884
3,047
1,028
1,420
1,869
7,364
Division faculty at the Keck Medicine of USC- Pasadena office saw 4,395 patients in clinic (820 new patients and
3,575 follow-ups). The USC Westside Cancer Center saw 1,144 clinic visits.
From January through December 2015, Oncology faculty were responsible for 1,008 admits, an increase of 36%
over the previous year, and 6,225 inpatient days. The average length of stay was 5.1 days. One fellow and one
faculty are assigned to an inpatient rotation on a monthly basis. During the year 2015, faculty billed 6,225 inpatient
visits.
Keck Hospital
At KH, one fellow and one faculty are assigned to see inpatient consultations on a monthly basis for all tumor types.
Our teams consulted on 155 patients at Keck Hospital.
The Cancer Genetics Unit at USC Norris Comprehensive Cancer Center (Cancer Center) includes genetic
counselors and a team of cancer specialists who provide genetic counseling for hereditary cancer. Genetic testing
is offered to individuals from high-risk families for breast, ovarian and colorectal cancers. Genetic counseling and
cancer risk assessment is also offered to individuals who have been diagnosed with cancer at a young age or at
multiple sites and others who may be at high risk because of their ethnic backgrounds. Drs. Stephen Gruber and
Kevin McDonnell provide expert consultations in the Cancer Genetics Unit for affected or high-risk individuals.
86
Clinical Trials
Recruitment into clinical trials from all hospitals affiliated with Cancer Center was strong, with more than 2,993
cases recruited from January through December 2015. Patient recruitment was represented by study type as follows:
78% institutional, 10.6% industry, 3.4% national cooperative group, 8% other peer review (includes consortium).
Enrollment by ethnicity was 42% Hispanic or Latino, 58% non-Hispanic or non-Latino. Accrual by gender showed
63% females and 37% males.
An interactive research and treatment program for the development of new anticancer agents, funded by the
National Cancer Institute and conducted by a consortium consisting of USC, City of Hope National Medical Center
and the University of California, Davis, has made novel compounds available to patients treated in the hospitals of
the USC Health Sciences Campus. This program has included components of Phase I testing (assessment of correct
dose and definition of toxicity profiles of new compounds) and Phase II trials (assessing the anticancer effectiveness
of these agents). Specific attempts have been made to expand the utilization of the Southern California Clinical and
Translational Science Institute (SC CTSI) for Phase I and pharmacologic studies of novel anticancer agents.
Drs. Russell, Garcia, Spicer, and Daniels undertake breast cancer treatment and research, with an expansion of
clinical trials for breast cancer. Drs. Lenz, Iqbal, El-Khoueiry and Barzi are developing strategies of clinical research
for gastrointestinal cancers, with an emphasis on molecular correlates of tumor responsiveness and of the familial
clustering of gastrointestinal cancer. An active program of research and treatment of genitourinary cancers was
initiated by Drs. Quinn, Goldkorn, Dorff, Hu, Pinski and Sadeghi, with specific programs of new drug development
and multidisciplinary management. Multidisciplinary management has also been a governing theme in the clinical
trials programs that have been developed for lung cancer and head and neck malignancies by Drs. Gitlitz, Wong and
Nieva.
Each of these teams has been developed to allow maximum synergy with staff members from other clinical units,
including surgical oncology, radiation oncology and urology, as well as an expanded translational interface with the
scientists of the Cancer Center and the School of Pharmacy.
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Educational Activities
Oncology Fellows
Class of 2016
Class of 2017
Class of 2018
Victoria Forte, MD
Gino In, MD, Chief Fellow
Byron Jennings, MD
Swati Sikaria, MD
Christina To, MD
Kelly Yap, MD
Grace Chang, MD
Irene Kang, MD
Charlene Lee, MD
James Shen, MD
Derrick Su, MD
Steven Yu, MD
Jacob Thomas, MD
Kristopher Wentzel, MD
Division of Oncology faculty are responsible for the education of approximately 52 interns and 120 residents on
rotation each year. These individuals have been assigned to either the Consultation Service at LAC+USC or Norris
Hospital. During daily consultative rounds, patients with solid tumors are seen on the wards of the hospital, and
their morphologic material x-rays and scans are reviewed. This provides an important setting for clinical teaching
by the faculty at the bedside.
Fellowship training activities include involvement in the design and conduct of early-phase clinical trials, bedside
teaching and a series of tumor boards and conferences designed to illustrate principles of the biology of cancer and
its management. Participants in a bi-weekly protocol meeting review cases entered into research activities of the
Division. Multidisciplinary conferences allow residents and fellows to participate in the decision process with input
from several different clinical disciplines.
A series of didactic lectures, including the Cancer Center Grand Rounds, Didactic Fellows Conference Series,
Journal Club for fellows and Friday Case Presentation provide instruction regarding the basic principles and biology
of cancer. Weekly lectures and conferences include Multidisciplinary Breast Conference on Mondays; Cancer
Center Grand Rounds and Multidisciplinary Hepatocellular Cancer Conference on Tuesdays; Didactic Lectures,
Multidisciplinary Gastrointestinal Oncology Conference, Oncology Pathology Conference, Sarcoma Tumor Board
88
and Multidisciplinary Genitourinary Oncology Conference on Wednesdays; Urology Grand Rounds on Thursdays;
and Didactic Lecture on Wednesdays and Fridays. Bi-weekly conferences include ENT Tumor Board on Thursdays,
and Head & Neck Tumor Board, Neuro-Oncology, and Protocol/Research Meeting on Fridays. The Journal Club
meets monthly on Wednesdays.
Medical students from the USC Campus and from other national and international institutions spend three to four
weeks in an Oncology selective throughout the year. We typically have one to two students per month.
The Division has increased its interaction with scientists at the Cancer Center, which has led to several
interdisciplinary projects that have allowed overlap of some of the scientific programs of the Center, including
Genitourinary, Gastrointestinal, Breast Cancer, Developmental Therapeutics and several core programs. The
divisions list of publications attests to the level of interdisciplinary collaboration that has been achieved, including
detailed reports of preclinical assessment of new anticancer compounds, pharmacology of anticancer agents,
molecular mechanisms of resistance to fluoropyrimidine and other cytotoxic agents, and genes associated with
breast, genitourinary and colon cancer. Members of the Division hold leadership roles in a key NIH-funded
multicenter trial assessing molecular correlates and utility of adjuvant chemotherapy for invasive bladder cancer.
Oncology faculty have leadership roles in the scientific agenda of the Southwest Oncology Group (SWOG) and
have provided core laboratory resources for translational trials conducted by the Group. In addition, important
clinical and scientific leadership has been provided to the Phase I-II Consortium (funded by the National Cancer
Institute and shared between City of Hope National Medical Center, University of California, Davis and USC).
Members of the Division have led the USC program of immunotherapeutic research in cancer. Of particular
importance has been the study of vaccines for patients with malignant melanoma and cervical cancer, as well as the
utility of bispecific antibodies directed against determinants on prostate cancer.
Division of Oncology faculty published 106 peer-reviewed research papers during the January 1 through
December 31, 2015 period, and another 15 are in press.
Greg R. Angstreich, MD
GU Oncology/Lymphoma
Treatment of GI Oncology
Drug Development in Gastrointestinal
Maligancies
Healthcare Outcome and Quality
Measure Development
Cost-Effectiveness in Clinical Practice
John R. Daniels, MD
Tanya B. Dorff, MD
Agustin A. Garcia, MD
Treatment of Genitourinary
Malignancies
Molecular/Genetic Markers of Response
to Chemotherapy and Hormone
Therapy in Prostate Cancer
Testosterone Therapy in Prostate Cancer
Perioperative Chemotherapy in Bladder
Cancer
Early Prostate Cancer: HGPIN
Predictors of Progression, Imaging
and Active Surveillance
Anthony B. El-Khoueiry, MD
Treatment of GI Malignancies
Development of Phase I Program for
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Barbara J. Gitlitz, MD
Amir Goldkorn, MD
Treatment of Genitourinary
Malignancies
Investigation of Novel Therapies
Targeting Telomerase and Cancer
Research Activities
The Division of Oncology increased its emphasis on translational research based on fundamental concepts of
molecular biology. This approach has been predicated on the emerging knowledge of the molecular correlates of
anticancer drug resistance, increased understanding of the genes associated with familial and sporadic patterns of
malignancy (colorectal and breast cancer, in particular), the immunological basis of tumor response and resistance,
and a more precise assessment of the pharmacology of novel anticancer compounds.
Stem Cells
Dilruba N. Haque, MD
Treatment of Sarcoma/Myeloma
James S. Hu, MD
Treatment of GU Malignancies
Clinical and Molecular Predictors of
Cancer Outcome
Molecular Cancer Profiling for New
Therapeutic Targets
Development of New Anticancer
Therapies Phase I/II Trials and
Molecular Correlates
Proteomics
Systems Biology
Cellular Networks
Oncogene Addiction
Bioinformatics and Computational
Biology
Molecular Profiling to Identify New
Cancer Biomarkers
Applications of Nanotechnology in
Cancer
Sarcoma
Neuro-Oncology
Testicular Cancer
Colon Cancer
Cancer Genetics
Functional Genomics
Personalized Cancer Medicine
Syma Iqbal, MD
Mark V. McNamara, MD
Treatment of GI Malignancies
Esophageal Cancer
Gastric Carcinoma
Metastatic Gallbladder and Colon
Cancers
Mass Spectrometry
Proteomics
Elucidation of Novel Clinical Prognostic
Markers
Heinz-Josef Lenz, MD
Treatment of GI Malignancies
Molecular Tumor Profiling to Predict
Outcome
Regulation of Gene Expression Involved
in Drug Resistance (TS, TP, ERCC1,
GST-P1, XPD)
Germline Polymorphisms as Predictors
An Nguyen, MD
GI Malignancies
Lung Cancer
Christy A. Russell, MD
George Semeniuk, MD
Darcy V. Spicer, MD
Louis A. VanderMolen, MD
Treatment of Breast Cancer and
Leukemia
Minh D. Nguyen, MD
Jorge J. Nieva, MD
Dr. Goldkorns research program focuses on developing the therapeutic and prognostic potential of circulating
tumor cells, cancer stem cells, and telomerase three areas that offer unique opportunities to better understand and
surmount cancer heterogeneity. 1) Circulating Tumor Cells (CTCs) are cancer cells shed by solid tumors into the
bloodstream, where they can be captured and analyzed. Dr. Goldkorns team is leading CTC studies in a phase III
multi-center prostate cancer trial as well as a multicenter bladder cancer trial. CTC capture and NextGen sequencing
is also being conducted in several other clinical trial settings and in mouse models to identify drivers of tumor
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resistance and disease progression. Dr. Goldkorn also founded and directs a CTC Research Core at USC Norris.
2) In the area of Cancer Stem Cell (CSC) research, Dr. Goldkorns laboratory discovered that cancer cells could
cyclically lose and regain CSC properties, a phenotypic plasticity that is mediated in part by PI3K/AKT (upstream)
and -catenin/CBP (downstream). Most recently, gene expression profiling of 300 radical prostatectomy specimens
showed that AXIN2, a transcriptional target and feedback regulator of -catenin, is predictive of cancer recurrence
after prostatectomy and directly regulates invasion and tumor formation. 3) Telomerase is a reverse transcriptase
ribonucleoprotein that protects and lengthens telomeres at the ends of chromosomes. Telomerase activation is
an essential step in the formation and progression of >90% of all malignancies and therefore may constitute an
effective therapeutic target across heterogeneous malignancies. Dr. Goldkorns team is currently working to develop
a novel therapeutic strategy that interferes with telomerase to preferentially kill cancer cells.
Dr. Pinski is a tenured Associate Professor of Medicine practicing at the Norris Comprehensive Cancer Center,
where he combines clinical care with basic research on the biology of prostate cancer and other hormonal cancers.
He completed medical school and earned his PhD in Frankfurt, Germany before coming to the U.S. in 1990, to work
at the Tulane University in New Orleans, with Nobel laureate Andrew Schally, MD, one of the pioneers of hormonal
therapy in oncology. From 1998 until his move to California in 2001, Dr. Pinski received continued clinical training
in Medical Oncology at the Baltimore Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, where he
collaborated with John Issacs, PhD, another respected figure in prostate cancer research. His publications comprise
more than 100 articles in the field of cancer research and he has been the recipient of multiple awards and grants
from the NCI, DOD and ACS. Dr. Pinskis area of focus has been in studying the role of the hypothalamic/pituitary
hormones in cancer and in the value of novel prognostic and predictive molecular markers related to hormonal
synthesis for clinical outcomes in cancer patients.
Dr. Dorff is the Principal Investigator for several clinical trials investigating
mechanisms of resistance to therapeutics, such as the use of Src inhibition to delay
resistance to abiraterone in men with metastatic, castration-resistant prostate cancer
and inhibition of CD105 to avoid escape of VEGF suppression during bevacizumab
treatment for patients with metastatic renal cell cancer. In addition, she has a strong
interest in integrative medicine, which has led to translation of basic scientist Valter
Longos work into two clinical trials of fasting or a fasting-mimic diet for patients
receiving chemotherapy, aimed at reducing toxicity and enhancing treatment effect.
Over the last year, the clinical trials portfolio has grown in number and accrual, with
an ongoing focus on investigator-initiated and other trials to translate early findings emanating from USC-generated
research and through internal and external collaborators. Progress has also been made in securing grants as well as
other funding for clinical trials efforts and outreach. The Program has continued to generate pivotal publications that
change research directions and clinical practice.
Dr. Agustin Garcia is conducting investigator-initiated clinical trials evaluating a novel alternate potentially less
toxic schedule of chemotherapy administration (metronomic cyclophosphamide and capecitabine combined
with trastuzumab and lapatinib as first-line therapy for advanced HER2+ breast cancer), as well as evaluating
novel regimens to prevent chemotherapy-induced nausea with correlative predictive host biomarkers studies. In
collaboration with Dr. Dorff he is evaluating the effects that dietary interventions have in the efficacy and toxicity of
chemotherapy in breast cancer. In collaboration with Dr. Lin from the Division of Gynecologic Oncology, Dr. Garcia
is leading a national phase I trial, conducted under the auspices of the NCI and the Gynecologic Oncology Group,
evaluating the combination of novel immunotherapies (ipilimumab) in combination with standard chemotherapy and
radiation in cervical cancer. He is also studying the efficacy of eribulin in advanced cervical cancer and evaluating
the role of the endoplasmic reticulum stress mediator GRP78 in determining resistance to chemotherapy.
91
Accrual has been completed to a study assessing soy effects on breast cancer risk biomarkers (breast density), and
results from an earlier green tea prevention study have been published by Dr. Spicer. Drs. Garcia, Russell and Spicer
had their work published in prestigious journals such as Lancet Oncology, Journal of Clinical Oncology, Clinical
Cancer Research, Breast Cancer Research and Treatment, The Oncologist, Breast and Frontiers in Oncology.
The Genitourinary Cancer Section of the Division of Medical Oncology has continued to make meritorious progress
in the past year. Members have excelled in obtaining peer reviewed funding, running innovative clinical trials and
publishing in high-impact journals.
Dr. David Agus received an R01 grant to explore the potential for modeled therapeutics across different cancers
as an extension of work done in the Physical Sciences-Oncology Consortium grant. In addition, his book A Short
Guide to a Long Life graced the New York Times bestseller list for a second year in a row. Dr. Amir Goldkorn
excelled in his work on circulating tumor cells with publications on CTC numbers
and CTC telomerase expression and a new R01 grant with Dr. Jacek Pinski for
correlatives for the SWOG trial S1216, which adds the hydrolyze inhibitor orterenol
to initial androgen deprivation therapy in metastatic prostate cancer. In an NCI grantfunded phase I/II clinical trial, Dr. Pinski also continued his focus on the LH receptor
pathology in prostate and other cancers with development of doxorubicin linked to
a LH avid molecule that binds the drug to cancer cells;
the work will be published in Clinical Cancer Research.
Dr. Mitchell Gross worked on the development of
resistance to androgen pathway blockade in prostate
cancer with high-technology interrogation of CTCs that
demonstrated the phenomena of c-myc amplification
and androgen receptor aberration as resistance develops;
Mitchell E. Gross, MD, PhD
the work was presented at AACR. Dr. James Hu is the
USC principal investigator on several internationally important germ cell cancer trials,
working through SWOG as well as with the Australian New Zealand Urology and
Prostate Cancer Group and Memorial Sloan Kettering Cancer Center. In addition, he
continues his physician leadership role with the Adolescent Young Adult program.
Dr. David Quinn continues work with eribulin in urothelial cancer, with translational
James Hu, MD
and correlative studies in prostate cancer, genomic-therapeutic combinations and
fasting in chemo protection and sensitization. Dr. Sarmad Sadeghi joined the GU team from Cleveland Clinic and
received an NCI CTEP Career Development Award for his clinical trial work looking at gemcitabine and eribulin in
non-cisplatin eligible patients with advanced urothelial cancer. He will also pursue an interest in outcomes research
and modeling of cost contingencies in GU cancer care.
Section members have published in high-impact journals including the New England Journal of Medicine, Lancet
Oncology, Journal of Clinical Oncology, Cell Stem Cells, Journal of Nuclear Medicine and Journal of the National
Cancer Institute. Future clinical trials will focus on emergent checkpoint inhibitors, mutation targeted agents and
EphB4. Key collaborations are ongoing with colleagues in the Departments of Urology, Radiation Oncology,
Pathology, Pharmacy, Gerontology, Preventative Medicine, Radiology and Nuclear Medicine as well as with other
Cancer Center members.
92
Heinz-Josef Lenz, MD
R01, Assessing Patient Experience in Cancer Care: An Observational Communication Study, Principal
Investigator, National Center for Complementary and Integrative Health, NIH, 2015
93
Amir Goldkorn, MD
Faculty
Professor
Associate Professor
Richard G. Barbers, MD
Ahmet Baydur, MD
Zea Borok, MD
Assistant Professor
Alex A. Balekian, MD
Ching-Fei Chang, MD
Raj R. Dasgupta, MD
Sivagini Ganesh, MD
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Terese C. Hammond, MD
Santhi Iyer- Kumar, MD
Ricardo H. Juarez, MD
Ramyar Mahdavi, MD
A. Purush Rao, MD
Arnold Sipos, MD, PhD
Bassam Yaghmour, MD
Beiyun Zhou, PhD
The Division of Pulmonary, Critical Care and Sleep Medicine (PCCSM) provides a vigorous, creative basic and
clinical science core, with an active clinical service and a high-quality fellowship training program. The Division
provides services at all three Health Sciences Campus teaching hospitals: LAC+USC Medical Center (LAC+USC),
Keck Hospital of USC (KH) and USC Norris Cancer Hospital (Norris). Our nationally and internationally
recognized full-time faculty members share the combined research, clinical and teaching mission.
The Division provides services in seven Intensive Care Units, three at LAC+USC, four at KH, and one at Norris.
Consultative services to inpatients are provided at LAC+USC, KH and Norris. Annually, more than 4,500 patients
are seen in the weekly Continuity Chest Clinic, Pulmonary-HIV Clinic and Pulmonary-Rehab Clinic, with
consultations provided on over 600 patients annually at LAC+USC. More than 1,060 private outpatient visits
were conducted at Healthcare Center 2 (HC2) in 2015, and more than 700 bronchoscopic examinations and other
diagnostic procedures were performed by the Division, providing a wealth of opportunities for trainees to rapidly
achieve procedural competence. The Division prides itself on the quality, depth and breadth of its clinical services.
Patient satisfaction and state-of-the-art pulmonary, critical care and sleep medicine services in a cordial,
professional manner remain our primary clinical objectives.
Basic and applied research are the cornerstones of the Division, long known for cutting edge mechanistic studies
in regulation of function and biology of the pulmonary alveolar epithelium. Applied research areas include gene
regulation in lung injury and repair, immunology in lung transplantation and asthma, nanoparticle trafficking across
alveolar epithelium, therapeutic interventions in interstitial pulmonary fibrosis and sarcoidosis, stem cell biology
in lung injury/fibrosis, and outcomes in critical care, lung cancer, cystic fibrosis and venous thromboembolism.
Division faculty and fellows published 24 peer-reviewed research papers and received more than $5.3 million in
research funds in the period from January 1 through December 31, 2015.
The Division of PCCSM remains strongly committed to providing the best possible educational environment and
learning opportunities for USC medical students, residents, fellowship trainees and practicing physicians. Daily
formal attending rounds are conducted on all division services for medical students, residents and fellows. These
rounds take place at the bedside and culminate in multidisciplinary discussions involving pulmonary physiology,
radiology and pathology. An extensive daily conference schedule emphasizes case discussions and grand rounds
conducted in cooperation with other specialties, including infectious diseases, pathology, radiology and surgery,
as well as quality improvement projects. In-depth lectures in clinical and basic research as well as journal clubs
are held regularly. Our well-rounded teaching program provides outstanding educational experiences for fellows,
residents and medical students throughout the Health Sciences Campus.
Overall, the Division continues to build on a tradition of excellence in its tripartite mission. We strive to be the
best in teaching, research and clinical care delivery. We look forward to continued growth in partnership with our
colleagues in the Department of Medicine and the entire Health Sciences Campus community.
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Clinical Activities
96
Ramyar Mahdavi, MD
Other procedures that we offer include: percutaneous tracheostomy, medical thoracoscopy, and pleur-X catheter
placement. Together, Dr. Chang and Dr. Mahdavi comprise the new USC Interventional Pulmonary Team,
and they provide a full spectrum of services for the minimally-invasive diagnosis, staging, and management of lung
cancer, as well as advanced cutting-edge interventions in the airways, parenchyma, and pleural space.
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Under the direction of Dr. Ching-Fei Chang, our division was the first to organize, lead, and execute a two-day
Regional Fellowship Critical Care Ultrasonography Training Workshop in the Southern
California area. With the assistance of UCLA colleague, Dr. Igor Barjaktarevic, and nationally-renowned ultrasound
expert, Dr. Pierre Kory, Dr. Chang and colleagues trained over 35 first year fellows from USC and neighboring
institutions, including UCLA, Harbor-UCLA, Cedar-Sinai, and UC Irvine. The overwhelming success of this
collaborative inter-fellowship program has led to the commitment of all involved to continue this introductory
course on an annual basis at rotating sites.
The USC Sleep Disorders Center continued its double-digit growth rate in 2015. As a vital component of
our Center for Advanced Lung Disease, sleep medicine continued its expansion, with outpatient visit volume up
approximately 20% and outpatient sleep study volume up 9% in 2015. We also initiated a new program for out of
center home sleep testing. Our two sleep specialists, Terese C. Hammond, MD, and Raj Dasgupta, MD, saw 1,184
new and follow up sleep patients last year, both individually and in conjunction with our two sleep fellows,
David Kent, MD, and Katherine Green, MD. Both of our 2014-2015 graduating sleep fellows, Kaveh Rezvan, DO,
and Emily Gillett, MD, PhD, successfully attained board certification in sleep medicine and we participated in the
NRMP matching program to fill our two ACGME-accredited sleep fellowship slots for 2016-2017.
Fostering research collaborations remained a principle focus of
the Sleep Disorders Center in 2015. Through our continued close
collaboration with Eric Kezirian, MD, of the USC Caruso Department
of Otolaryngology, we became the first center in Southern California
to implant the Inspire hypoglossal nerve stimulation device, which
received FDA approval in 2015 for the treatment of obstructive
sleep apnea in patients resistant to CPAP therapy. We also concluded
our enrollment for the multi-center Respircardia trial of its Remede
transvenous phrenic nerve pacing device for treatment of central
sleep apnea. We initiated a cross-discipline research collaboration
with Michael Khoo and Krishna Nayak of the Viterbi School
of Engineering to use advanced MRI techniques to phenotype
the airways of adult patients with obstructive sleep apnea. This
complements previous work done by Sally Ward, MD, and other
CHLA investigators who incorporated us into their ongoing work
using dynamic MRI to characterize the airways of obese children with
OSA. Additional research initiatives in 2015 included collaboration
with Jason Kutch, PhD, to examine relationships between sleep
architecture and pelvic floor muscle activation in patients with chronic
pelvic pain and ongoing work with Tomas Konecny, MD, of the
Division of Cardiovascular Medicine, to more closely examine the
generation of atrial arrhythmias in patients with implantable recording
devices and sleep disordered breathing.
Both Drs. Hammond and Dasgupta continued their community outreach work. Dr. Dasgupta had a number of guest
appearances as the resident sleep expert on the syndicated television show The Doctors and was a featured guest
on Larry King Live and ESPN. He was also appointed the National Director of Media Outreach and Education
for the American Academy of Sleep Medicine (AASM). Dr. Hammond gave multiple community grand rounds
presentations and was invited to serve as a keynote speaker for the Trojan 50 2016 Back to College Day, where
she presented her vision of the future of sleep medicine and collaborative sleep research.
The USC Pulmonary Exercise Program provides outpatient exercise evaluations. Exercise studies are
performed with state-of-the-art equipment by experienced exercise technologists. Individuals with suspected
functional impairment during any type or grade of exercise would benefit from an exercise evaluation to identify
the physiologic cause for impairment. Information obtained from the study can be used to tailor specific exercise
regimens and therapeutic strategies. The program offers Standard Pulmonary Stress Tests, Oxygen Desaturation
Studies, Exercise-Induced Bronchospasm Studies and Metabolic Studies. The Medical Director of Respiratory
Services is Dr. David Kelley.
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The High-Altitude Simulation Test (HAST) is a specialized type of oxygenation study available in our
Pulmonary Function Laboratory at KH. This study is performed on individuals who have marginal oxygenation and
are considering excursions into high altitudes, including flying in an airplane. The study objective is to determine
the quantity of supplemental oxygen that is required for a safe trip at various altitudes, and it is performed at rest and
with gradients of activity. The Medical Director is Dr. David Kelley.
The USC Pulmonary Rehabilitation Program based at LAC+USC offers a wide range of services to
patients with chronic pulmonary disease, from single sessions focused upon a specific need (such as training in the
use of metered dose inhalers) to a comprehensive program consisting of two afternoons per week for a total of six
to eight weeks. The comprehensive program includes exercise training, patient education, psychosocial support
services, physical therapy, vocational therapy, symptom control techniques and the use of low-flow oxygen. Patients
typically referred to the program include those with emphysema and pulmonary fibrosis. The program also offers
on-site educational opportunities for pulmonary fellows with emphasis on respiratory physiology, quality-of-life
assessment and key aspects of evaluating physical impairment and disability. The Medical Director is
Dr. Ahmet Baydur.
Our Division was instrumental in the launching of the USC Multidisciplinary Lung Cancer Program
in 2012. The program includes several faculty members from PCCSM (Drs. Alex Balekian, Ching-Fei Chang and
Ramyar Mahdavi) who actively participate in the evaluation, diagnosis and management of patients with thoracic
cancers. In
collaboration
with two thoracic
surgeons,
Dr. Hagen and
Dr. Oh, this
program is
nationally
recognized
by the Lung
Cancer Alliance
as a Center of
Excellence for
Lung Cancer
Screening. Thus
far, we have
From left to right: Alex Balekian, MD; Nancy Berman, RN; Daniel Oh, MD; Barbara Gitlitz, MD;
screened 232
Jeffrey Hagen, MD; Jorge Nieva, MD; Ching-Fei Chang, MD; Christopher Lee, MD and P. Michael McFadden, MD
patients for lung
cancer with the discovery of three malignancies. Our multidisciplinary team format is especially unique; not only
does our tumor board meet every Wednesday - complete with a dedicated thoracic radiologist, three pulmonologists,
two medical oncologists, two radiation oncologists, two thoracic surgeons, and a nurse navigator - but every
Friday, we hold a multidisciplinary lung cancer clinic staffed by pulmonologists and representatives from medical
oncology, radiation oncology and thoracic surgery, at the Multidisciplinary Lung Cancer Clinic at Norris. This clinic
is designed to streamline the coordinated assessment of patients with or suspected of having lung cancer. Each
faculty member also has a separate private clinic in which they assist with evaluation and management of dyspnea
and other respiratory complications, which may arise during the course of oncologic treatment. The pulmonary
faculty members also provide teaching and guidance in the management of lung cancer patients at the LAC+USC
Pulmonary Clinic every Wednesday afternoon. We are also on the path to creating a new air way program which
is a collaborative multi-specialty program including interventional pulmonary, otolaryngology and thoracic surgery.
The USC Center for Advanced Lung Disease is a newly established program that deals with the diagnosis
and treatment of all types of complex lung diseases. In addition to cystic fibrosis and sleep breathing disorders, the
Center for Advanced Lung Disease houses clinics specializing in COPD, sarcoidosis and interstitial lung diseases,
including idiopathic pulmonary fibrosis (IPF), hypersensitivity pneumonitis, collagen vascular disease, eosinophilic
granuloma, pulmonary eosinophilia and other rare lung diseases. The USC Center for Advanced Lung Disease
99
has been designated as an Alpha-1 Foundation Clinical Resource Center and a LAM Foundation Core Clinic. The
Medical Director of the Center is Dr. A. Purush Rao.
The USC Sarcoidosis and Interstitial Lung Disease Center is now housed under the USC Center for
Advanced Lung Disease. The Center continues to deal with the diagnosis and treatment of all types of interstitial
lung diseases including sarcoidosis, idiopathic pulmonary fibrosis, hypersensitivity pneumonitis, collagen vascular
disease, eosinophilic granuloma and pulmonary eosinophilia. Over the last 40 years, and previously led by the late
world-renowned expert Dr. Om Sharma, these services have been provided to patients from all over the world.
Dr. Alex Balekian now sees patients with interstitial lung disease.
The USC Comprehensive Adult Cystic Fibrosis Center provides direct care and consultation for adult
cystic fibrosis patients. The cystic fibrosis care team is headed by pulmonologists supported by a full range of
consultants, including endocrinologists, gastroenterologists, otolaryngologists, infectious diseases experts, general
surgeons and cardiothoracic surgeons. Allied health services are provided by pulmonary clinical nurse specialists,
dieticians, clinical social workers, physical therapists, occupational therapists and respiratory therapists. State-ofthe-art therapies are offered, and there are gateways to research protocols and lung transplantation.
Dr. A. Purush Rao serves as Medical Director.
Lung transplantation is a treatment option for many patients with end-stage pulmonary disease. The USC Lung
Transplant Program at Keck Medical Center of USC is comprised of experts in cardiothoracic surgery,
pulmonary medicine, cardiology, immunology, infectious disease, critical care medicine, cystic fibrosis, perfusion
medicine, immunosuppression pharmacology, occupational and physical rehabilitation, and social/psychological
services. Patients eligible for lung transplantation include those severely debilitated by cardiopulmonary disease
and not hampered by other organ system dysfunction. Candidates frequently have the diagnosis of obstructive lung
disease (e.g., emphysema, cystic fibrosis, bronchiectasis), pulmonary hypertension (both primary and secondary) or
pulmonary fibrosis (e.g; IPF, hypersensitivity pneumonitis, sarcoidosis, LAM).
Patient education and communication are essential to improve the awareness to lung transplant referral and long
term outcome. We have created Lung Transplant support groups to help our patients cope with their illnesses and
learn more about their diagnoses. The Lung Transplant program is under the direction of Sivagini Ganesh, MD.
The Pulmonary Hypertension Program offers a comprehensive and multidisciplinary approach to patients
with this rare and very serious disorder of the blood vessels of the lung. Patients with pulmonary hypertension are
frequently not recognized until they have advanced disease because early symptoms can lead to misdiagnosis. A
higher awareness, earlier diagnosis and development of a comprehensive treatment plan can dramatically improve
quality of life and prognosis for patients with this life-threatening condition. Many
therapeutic modalities are highly complex and require intensive patient education and
ongoing follow-up with subspecialty physicians and nurse specialists. Medical services
such as continuous prostaglandin therapy, oral vasodilator therapy, anticoagulation
therapy and home oxygen therapy are provided and coordinated by a multidisciplinary
team. When appropriate, referrals are made for lung transplant, heart lung transplant as
well as ECMO as a bridge to transplant.
Pulmonary hypertension research is rapidly growing, and patient education and
communication are essential to support that growth. We have created pulmonary
hypertension support groups to help our patients cope with their illness and learn
more about their diagnoses. Patients with pulmonary hypertension are evaluated and
managed by Sivagini Ganesh, MD (Medical Director), and Bassam Yaghmour, MD.
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Bassam Yaghmour, MD
Fellows are also exposed to a wide spectrum and volume of procedural skills training as part of their patient
care duties, and have both fresh tissue and simulation skills sessions throughout their fellowship. All fellows are
scheduled to attend bi-annual half-day skills workshops in which they practice such key procedures as central lines,
chest tube insertion, intubation, percutaneous tracheostomy, intraosseus access, thoracentesis and management of
difficult airways.
The Division has also been committed to providing essential teaching for the education of second-year medical
students. Both current and former faculty members participate in lectures and small group discussions on various
topics in respiratory medicine.
PCCSM Fellows
Class of 2016
Class of 2017
Class of 2018
Class of 2019
Brian Belluci, MD
Khadir Kakal, MD
Kriti Lonial, MD
Kavitha Bagavathy, MD
Walter Chou, MD
Jordan Lee, MD
Andrew Morado, MD
Raju Reddy, MD
Kelly Walsma, MD
Udit Chaddha, MD
Rahul Chillapa, MD
Niusha Dimaghi, MD
Sean Dooley, MD
Jamie Kagahara, MD
Darren Mahera, MD
Mircea Pucas, DO
Samridhi Amba, MD
Abigail Beggs, MD
Rami El-Yousef, MD
Kelly Fan, MD
Aaron Glucksman, MD
John Kern, DO
Reza Ronaghi, MD
Jaymica Patel, MD
Linh Truong, MD
Yashaswini Yeragunta, MD
Katherine Green, MD
David Kent, MD
Osezemeghonghon Ekateh, MD
Jihane Zaza, MD
Conferences
Our strong commitment to teaching is evident in an extensive daily conference schedule, starting at 8:30 am
and consisting of didactic lectures, multidisciplinary case conferences, grand rounds, morbidity and mortality
conferences, and research seminars on various aspects of pulmonary, critical care and sleep medicine and related
sciences. Combined thoracic surgery and thoracic oncology conferences (Tumor Board) are held every Wednesday
from 5:00-6:00pm.
Monthly Journal Clubs stress the importance of evaluating, analyzing and presenting medical research literature.
Guest lectures and both clinical and basic research seminars featuring nationally and internationally known
physician-scientists are held bi-monthly. Daily rounds conducted in all the USC hospitals form the cornerstone of
our clinical teaching program. These in-depth sessions ensure the highest quality patient care. Full-time faculty
conduct bedside rounds as well as clinical discussions. House staff, medical students, fellows and attending
physicians participate in these daily rounds.
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Educational Activities
The PCCSM Fellowship Program is designed to provide each trainee with a range of exposure to the diagnosis
and management of pulmonary diseases, the experience and skills required of an intensivist and the opportunity
to develop research interests. Seven new fellows are currently admitted to the program every year. Clinical and
teaching responsibilities encompass most of the first and second years, with a significant part of the third year
devoted to research activities. During the clinical phase of training, fellows devote their time to evaluation,
diagnosis and treatment of patients admitted to LAC+USC, KH and Norris. Fellows assess problems, make
appropriate diagnostic and therapeutic recommendations and perform specialized procedures, including fiberoptic
and advanced bronchoscopy, percutaneous needle biopsy of the lung and pleura, thoracentesis and pleurodesis.
Trainees receive instruction in pulmonary function testing, thoracic and critical care ultrasonography and x-ray
interpretation, including high-resolution computerized tomography (HRCT), the principles and techniques of
mechanical ventilation and inhalation therapy, and all aspects of tertiary pulmonary, critical care and sleep medicine.
Research Activities
Basic and clinical research remains a major focus of the Divisions interests and activities. A number of investigators
are studying pulmonary structure and function at the organ, tissue, cellular and molecular levels. Current areas
of investigation include study of mechanisms and regulation of water, solute, macromolecule and nanoparticle
transport across the pulmonary alveolar epithelium; development of cell-type specific markers for alveolar type I
and type II cells using monoclonal antibodies and genetic markers; transcriptional regulation of lung cell growth,
differentiation and gene expression in vitro and in vivo; the role of alveolar epithelial cell plasticity in pulmonary
fibrosis; stem cells in lung injury and repair; and epigenetic regulation of alveolar epithelial cell differentiation.
In addition, clinical research studies are underway in the fields of sarcoidosis and other granulomatous disorders,
asthma, septic shock, barotrauma, pulmonary edema, acute respiratory distress syndrome (ARDS), tuberculosis,
cystic fibrosis, lung transplantation, pulmonary hypertension and health care outcomes.
Dr. Zea Borok is Associate Director of the Will Rogers Institute Pulmonary Research
Center, the major research operation of the Division. The primary focus of the
laboratory has been on understanding the function of the cells lining the lung, known
as alveolar epithelial cells (AEC), in order to understand how the lung repairs itself
following injury and why it sometimes fails to do so. Under the leadership of
Dr. Borok, important new insights have been gained into a possible role of AEC in
driving fibrosis. Dr. Boroks group demonstrated that AEC can be induced to express
genes/proteins normally expressed by scar-forming cells, or fibroblasts, in a process
called epithelial-mesenchymal transition (EMT) in response to factors such as
transforming growth factor- (TGF-), a molecule that has been shown previously to
promote scarring through its effects on fibroblasts. In fact, when they examined lungs
from patients with idiopathic pulmonary fibrosis, they could identify cells that shared
characteristics of both epithelial cells and fibroblasts, supporting this possibility.
Zea Borok, MD
Together with studies showing that blockade of TGF- signaling specifically in AEC
ameliorated lung fibrosis in a mouse model of lung injury, these studies suggest a central role for epithelial cells in
mediating pulmonary fibrosis. Cells that have undergone EMT may also modulate behavior of resident fibroblasts
through release of pro-fibrogenic and pro-inflammatory mediators. Investigations are ongoing to explore differential
roles of Wnt signaling in promoting normal AEC differentiation/repair versus EMT. Dr. Borok has also recently
received funding for collaborative studies with Dr. Ite Laird of the USC Epigenome Center to explore genome-wide
epigenetic mechanisms that regulate normal AEC differentiation and to integrate these results with transcriptomic
analyses.
Richard G. Barbers, MD
Mechanisms of Remodeling in
Near-Fatal Asthma
Potential Therapies for Remodeling in
Pulmonary Fibrosis
Novel Therapeutic Interventions
(Bronchial Thermoplasty in Severe
Asthma)
Ahmet Baydur, MD
Respiratory Mechanics
Control of Ventilation
Neuromuscular Disorders
Chronic Obstructive Pulmonary Disease
Pulmonary Rehabilitation
Zea Borok, MD
Differentiation/Plasticity
Modulation of Alveolar Epithelial Cell
Phenotype and Recovery Following
Lung Injury
Role of Alveolar Epithelium in
Pulmonary Fibrosis
Biology of Lung Stem Cells
Alveolar Epithelial Tight Junction
Regulation
Ching-Fei Chang, MD
Endobronchial Ultrasound
Electromagnetic Navigation
Bronchial Thermoplasty
Critical Care Ultrasonography
Lung Cancer
Simulation Training
Medical Education
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Raj R. Dasgupta, MD
Sleep Medicine
Medical Education
Sivagini Ganesh, MD
Lung Transplantation
Pulmonary Hypertension
Terese C. Hammond, MD
Sleep Medicine
Insomnia and Psychiatric Disorders
Obstructive Sleep Apnea
Pulmonary Arterial Hypertension and
Activity Monitoring
Santhi Iyer-Kumar, MD
Critical Care
Quality Improvement
Patient Safety
Team Science
Ricardo H. Juarez, MD
Janice M. Liebler, MD
A. Purush Rao, MD
Richard L. Lubman, MD
Bassam Yaghmour, MD
Ramyar Mahdavi, MD
Central Airway Obstruction
Interventional Pulmonary
Lung Cancer
Ami Oren, MD
Cystic Fibrosis
Bronchiectasis
Quality Improvement Measures and
Outcomes in Cystic Fibrosis
Advanced Lung Disease
Interstitial Lung Disease
Pulmonary Hypertension
Regulation of Alveolar Epithelial Cell Differentiation and Phenotypic Plasticity in Lung Injury, Fibrosis and Repair
The alveolar epithelium lining the gas exchange surface of the adult lung consists of two highly specialized
cell types, type I and type II cells. These cell types are distinguished from each other by their characteristic
morphologic appearances and by expression of unique cell-specific phenotypic markers. Dr. Boroks research
program is broadly focused on cell and molecular biology of the alveolar epithelium with a view to developing
new therapeutic strategies to enhance regeneration following lung injury. Aquaporin-5 (AQP5) is a member of
a family of water channel proteins that is expressed in type I but not type II cells of the alveolar epithelium. Dr.
Borok is studying the mechanisms underlying cell-specific expression of AQP5 in order to understand how gene
expression is regulated in type I cells. She and her associates are using the regulatory (promoter) region of AQP5 as
a tool with which to generate animal models in which genes are deleted specifically in type I cells to investigate the
functional contribution of type I cells to alveolar homeostasis and for lineage tracing studies in vivo. Dr. Borok has
also demonstrated that alveolar epithelial cells (AEC) exhibit considerable plasticity, and that following treatment
with certain growth factors they can be induced to acquire mesenchymal characteristics, thereby contributing to
development of lung fibrosis. Acquisition of mesenchymal characteristics can be prevented by inhibition of the Wnt
signaling pathway accompanied by improved preservation of epithelial integrity. These studies, which are funded
by NIH/NHLB, will provide important insights into mechanisms that regulate repair of the alveolar epithelium
following injury and could lead to the development of novel therapeutic approaches for lung fibrosis by preserving
the epithelium. Dr. Borok is also investigating the role of epigenetic changes in regulation of phenotypic transitions
of AEC as well as the role of epithelial tight junction proteins in regulation of alveolar homeostasis.
Edward D. Crandall, PhD, MD, Director, Will Rogers Institute Pulmonary Research Center
Lung Alveolar Epithelial Cell Biology
Dr. Crandalls research group focuses on the lungs primary barrier between the external environment and the
internal milieu, the alveolar epithelium (lining cells of the terminal air sacs). Dr. Crandall and his group are
comprehensively studying many aspects of alveolar epithelial cell biology (e.g., during lung injury/recovery and
alveolar epithelial interactions with engineered nanomaterials). Current projects include studies on interactions
of inhaled nanoparticles with the alveolar epithelial barrier, regulation of alveolar fluid clearance from distal lung
airspaces, and mechanisms underlying alveolar epithelial cell differentiation/regeneration. The ultimate goal of
these studies is to develop new therapeutic approaches to lung diseases that cause respiratory failure due to excess
alveolar fluid (i.e., pulmonary edema).
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Ulf Per Flodby, PhD, Investigator, Will Rogers Institute Pulmonary Research Center
Development of Transgenic Mouse and Rat Models for Modulation of Gene Expression in Alveolar Epithelial Cells
Dr. Flodby is using in vivo approaches to modulate gene expression in alveolar epithelial cells. Capitalizing on
the efficient Cre/loxP DNA recombination system, he is using state-of-the-art approaches to develop mouse and
rat models in which genes can be deleted specifically in type I or type II cells, or in both cell types. The Cre/loxP
system is also being used to direct cell-specific expression of fluorescent reporter genes to enable cell fate mapping
in response to lung injury. Development of these animal models will facilitate investigation of the contribution of
type I and/or type II cells to alveolar homeostasis and the role of specific genes in alveolar epithelial cell function
and biology. Genes of specific interest are involved in active ion transport, formation and function of tight junction
complexes, in lung fibrosis or in progenitor cell proliferation. Analysis of animals expressing reporter transgenes
will facilitate studies of lung stem/progenitor cells and their roles in regeneration after lung injury. Dr. Flodby
has gained considerable experience from in vivo analyses to evaluate effects of gene deletions (knockouts) on
pulmonary function in these animal models. These experiments will result in important insights into mechanisms
that regulate alveolar homeostasis in health and disease.
Beiyun Zhou, PhD, Investigator, Will Rogers Institute Pulmonary Research Center
Transcriptional Regulation of Alveolar Epithelial Cell (AEC) Differentiation and Role of ER Stress in Pulmonary
Fibrosis
Dr. Zhous research focuses on alveolar epithelial cell biology in general and delineation of mechanisms regulating
AEC function and differentiation in the context of lung injury and repair. A major focus has been to elucidate
pathways (e.g., Wnt/-catenin, Forkhead box (Fox) and GATA6) that regulate normal differentiation of the alveolar
epithelium (including pulmonary stem/progenitor cell proliferation/differentiation) in order to understand how they
are altered in disease and injury. She is also engaged in studies to investigate the role of endoplasmic reticulum
(ER) stress and the ER master regulator GRP78 in AEC in chronic lung diseases such as idiopathic pulmonary
fibrosis (IPF) and bronchopulmonary dysplasia (BPD). Her goal is to identify signaling pathways and epithelialmesenchymal interactions underlying ER stress-mediated fibrosis and identify new approaches to alleviate ER
stress and inhibit fibrosis. She has demonstrated that the alveolar epithelium has considerable phenotypic plasticity,
and reported that the alveolar epithelium itself can undergo EMT and express mesenchymal markers in response
to TGF- signaling or injuries (e.g., endoplasmic reticulum [ER] stress), suggesting a direct contribution of the
epithelium to the pathogenesis of pulmonary fibrosis. These studies have capitalized on in vitro models developed
using isolated rat, mouse or human type II cells which, when
placed in culture, undergo differentiation to a type I cell-like
phenotype. Studies have been expanded to explore epigenetic
mechanisms that regulate AEC plasticity and understand their
roles in EMT/fibrosis using integrated transcriptomic and
epigenomic analysis in collaboration with the Epigenome Center
at USC. Elucidating transcriptional/epigenetic mechanisms
that regulate gene expression within the alveolar epithelium
and identification of new type I cell-specific markers should
provide novel insights into mechanisms of alveolar homeostasis
under both normal and pathologic conditions and also offer
the potential for future translational application to lung disease
through modulation of signaling pathways and epigenetic
changes with various small-molecule inhibitors.
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material retrieved by BAL as well as airway biopsies are studied in the laboratory. Our research attempts to
show that abnormal repair processes (which include inflammatory and immune mechanisms) and growth factors
eventually lead to airway fibrosis (remodeling). Collaborative efforts with basic and translational scientists will yield
results that can lead to successful interventions to alter the remodeling process in the airways.
A. Purush Rao, MD
Cystic Fibrosis
The Adult Cystic Fibrosis (CF) program was established in 1994 and has expanded in volume to 200 patients. The
program has been accredited by the Cystic Fibrosis Foundation (CFF) and actively participates in CFF-sponsored
research and quality improvement programs. The expansion of this program has provided an opportunity for
multiple faculty members to be involved in research studies of CF patients. The program has increased the number
of investigator-initiated studies to include studies of drug distribution, delivery and metabolism in CF patients, and
therapeutic factors important in maintaining lung function.
Hightlighted Publications
Li C, Bellusci S, Borok Z, Minoo P: Non-Canonical WNT Signaling in the Lung. J Biochem 158(5):355-65, 2015.
The role of WNT signaling in metazoan organogenesis has been a topic of widespread interest. In the lung,
while the role of canonical WNT signaling has been examined in some detail by multiple studies, non-canonical
WNT signaling has received limited attention. Reliable evidence shows that this important signaling mechanism
constitutes a major regulatory pathway in lung development. In addition, accumulating evidence has also shown
that the non-canonical WNT pathway is critical for maintaining lung homeostasis and that aberrant activation of
this pathway may underlie several debilitating lung diseases. Functional analyses have further revealed that the noncanonical WNT pathway regulates multiple cellular activities in the lung that are dependent on the specific cellular
context. In most cell types, non-canonical WNT signaling regulates canonical WNT activity, which is also critical
for many aspects of lung biology. This review summarizes what is currently known about the role of non-canonical
WNT signaling in lung development, homeostasis and pathogenesis of disease.
Catalan MA, Kondo Y, Pena-Munzenmayer G, Jaramillo Y, Liu F, Crandall ED, Borok Z, Flodby P, Shull GE,
Melvin JE: A Novel Fluid Secretion Pathway Unmasked by Acinar-Specific Tmem16A Gene Ablation in the Adult
Mouse Salivary Gland. Proc Natl Acad Sci 112(7):2263-2268, 2015.
Activation of an apical Ca(2+)-activated Cl(-) channel (CaCC) triggers the secretion of saliva. It was previously
demonstrated that CaCC-mediated Cl(-) current and Cl(-) efflux are absent in the acinar cells of systemic Tmem16A
(Tmem16A Cl(-) channel) null mice, but salivation was not assessed in fully developed glands because Tmem16A
null mice die within a few days after birth. To test the role of Tmem16A in adult salivary glands, conditional
knockout mice lacking Tmem16A in acinar cells (Tmem16A(-/-)) were generated. Ca(2+)-dependent salivation was
abolished in Tmem16A(-/-) mice, demonstrating that Tmem16A is obligatory for Ca(2+)-mediated fluid secretion.
However, the amount of saliva secreted by Tmem16A(-/-) mice in response to the -adrenergic receptor agonist
isoproterenol (IPR) was comparable to that seen in controls, indicating that Tmem16A does not significantly
contribute to cAMP-induced secretion. Furthermore, IPR-stimulated secretion was unaffected in mice lacking Cftr
(Cftr(F508/F508)) or ClC-2 (Clcn2(-/-)) Cl(-) channels. The time course for activation of IPR-stimulated fluid
secretion closely correlated with that of the IPR-induced cell volume increase, suggesting that acinar swelling may
activate a volume-sensitive Cl(-) channel. Indeed, Cl(-) channel blockers abolished fluid secretion, indicating that
Cl(-) channel activity is critical for IPR-stimulated secretion. These data suggest that -adrenergic-induced, cAMPdependent fluid secretion involves a volume-regulated anion channel. In summary, our results using acinar-specific
Tmem16A(-/-) mice identify Tmem16A as the Cl(-) channel essential for muscarinic, Ca(2+)-dependent fluid
secretion in adult mouse salivary glands.
Liebler JM, Marconett CN, Juul N, Wang H, Liu Y, Flodby P, Laird-Offringa IA, Minoo P, Zhou B: Combinations
of Differentiation Markers Distinguish Subpopulations of Alveolar Epithelial Cells in Adult Lung. Am J Physiol
Lung Cell Mol Physiol [Epub ahead of print], 2015.
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Division Hightlights
The Division published 10 peer-reviewed research papers during the period of January 1 through December 31,
2015, and four more are in press. Of these, three studies are especially noteworthy accomplishments:
Distal lung epithelium is maintained by proliferation of alveolar type II (AT2) cells and, for some daughter AT2
cells, transdifferentiation into alveolar type I (AT1) cells. We investigated if subpopulations of alveolar epithelial
cells (AEC) exist that represent various stages in transdifferentiation from AT2 to AT1 cell phenotypes in normal
adult lung and if they can be identified using combinations of cell-specific markers. Immunofluorescence
microscopy showed that, in distal rat and mouse lungs, 20-30% of NKX2.1(+) (or thyroid transcription factor 1(+))
cells did not colocalize with pro-surfactant protein C (pro-SP-C), a highly specific AT2 cell marker. In distal rat
lung, NKX2.1(+) cells coexpressed either pro-SP-C or the AT1 cell marker homeodomain only protein x (HOPX).
Not all HOPX(+) cells colocalize with the AT1 cell marker aquaporin 5 (AQP5), and some AQP5(+) cells were
NKX2.1(+). HOPX was expressed earlier than AQP5 during transdifferentiation in rat AEC primary culture, with
robust expression of both by day 7. We speculate that NKX2.1 and pro-SP-C colocalize in AT2 cells, NKX2.1
and HOPX or AQP5 colocalize in intermediate or transitional cells, and HOPX and AQP5 are expressed without
NKX2.1 in AT1 cells. These findings suggest marked heterogeneity among cells previously identified as exclusively
AT1 or AT2 cells, implying the presence of subpopulations of intermediate or transitional AEC in normal adult lung.
Major Lectures
Zea Borok, MD
Role of Alveolar Epithelium in Pulmonary Fibrosis: Innocent Bystander or Active Participant? University of
California, Los Angeles, CA, January 2015.
Alveolar Epithelial Cell Plasticity in Pulmonary Fibrosis, University of Pennsylvania, Philadelphia, PA, February,
2015.
Alveolar Epithelial Cell Plasticity in Pulmonary Fibrosis, University of Texas Southwestern, Robert L. Johnson
Memorial Lectureship, Dallas, TX, March 2015.
Role of Alveolar Epithelium in Pulmonary Fibrosis. New York University, William N. Rom Symposium, New York,
NY, April 2015.
Ching-Fei Chang, MD
Electromagnetic Navigational Bronchoscopy in the Workup of Lung Cancer. Lung Cancer in 2015: A
Multidisciplinary Update Regional CME Conference, Westin Hotel, Pasadena CA, April 2015.
Basics of Ultrasound Physics and Knobology. Southern California Regional PCCM Fellowship Bedside
Ultrasonography Course, LAC+USC Medical Center, Los Angeles, CA, November 2015.
Terese C. Hammond, MD
Diagnosis/Management of Pulmonary Arterial Hypertension. CME Invited Lecture, Citrus Valley Medical Center
Conference Center, Covina, CA, April 2015.
Insomnia: Implications and Treatment. CME Invited Lecture, Citrus Valley Medical Center, Covina CA, April 2015.
Chronic Thromboembolic Pulmonary Hypertension: What you Need to Know? CME Invited Lecture, Providence
Tarzana Medical Center, Tarzana, CA, April 2015.
Update: Non-Infectious Interstitial Lung Disease. CME Invited Lecture, Citrus Valley Medical Center Conference
Center, Covina, CA, June 2015.
Prevention of PE/DVT. CME Invited Lecture, Providence Tarzana Medical Center, Tarzana CA, July 2015.
Interstitial Lung Disease. CME Invited Lecture, Northridge Hospital Education Auditorium, Northridge, CA, August
2015.
Interstitial Lung Disease. CME Invited Lecture, West Hills Medical Center, West Hills, CA, August 2015.
Mechanical Ventilation. Anzhen Respiratory and Critical Care Forum, Beijing, China, April 2015.
Pulmonary Embolism in 2015. Anzhen Respiratory and Critical Care Forum, Beijing, China, April 2015.
Pulmonary Hypertension in COPD. Anzhen PCCM Symposium, Anzhen, China, April 2015.
The Science Behind PCCM Fellowship Training. Second General Assembly, Chest and CTS Joint Steering
Committee on PCCM Fellowship, Prime Hotel, Beijing, China, April 2015.
Why China Needs PCCM Subspecialty Training. Northwest Jiaotong University Medical College, XiAn, China,
April 2015.
The Evolving Concept of Cor Pulmonale. Best of Chest Joint Symposium ACCP-CTS, Beijing, China, July 2015.
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A Days Life of a PCCM fellow. Invited Speech, The 16th Annual Congress, Chinese Thoracic Society, Guiyang,
Guizhou, September 2015.
Quantification of Critical Medicine. 16th Annual Conference, Chinese Thoracic Society, Guiyang, Guizhou,
September 2015.
Bassam Yaghmour, MD
Lung Ultrasound in Respiratory Failure. University of Tennessee Health Science Center, Division of Pulmonary,
Critical Care and Sleep Medicine, Memphis, TN, 2015.
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis. Vermont Lung Center, University of
Vermont, Burlington, VT, April 2015.
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis: Integrative Respiratory Physiology and
Pathophysiology Program, University of Wisconsin, Madison, WI, May 2015.
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis. The Ohio State University, Columbus,
OH, May 2015.
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis. Center for Comparative Respiratory
Biology and Medicine, University of California, Davis, CA, June 2015.
Raj R. Dasgupta, MD
Award for Best Scientific Abstract, American Thoracic Society International Conference, Denver, Co, May 2015
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Zea Borok, MD
Faculty
Professor
Associate Professor
Assistant Professor
Daniel G. Arkfeld, MD
David A. Horwitz, MD
Chaim O. Jacob, MD, PhD
Richard S. Panush, MD
Francisco P. Quismorio, Jr., MD
William Stohl, MD, PhD
Glenn R. Ehresmann, MD
Stratos Christianakis, MD
Michelle Koolaee, DO
Elizabeth C. Ortiz, MD
Shuntaro Shinada, MD
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Rheumatology
William Stohl, MD, PhD, Professor of Medicine and Chief
Gabriela Gutierrez, Administrator
The mission of the Rheumatology Division is a tripartite one, focused on patient care, education and research. On
the research front, the Division has historically been especially strong in the area of systemic lupus erythematosus
(SLE) and continues that tradition. In terms of basic science investigation, Division Chief William Stohl, MD, PhD,
continues to focus on factors that affect the survival and function of B cells, a type of cell that is critical to normal
function of the immune system but which functions abnormally in SLE and drives disease. In parallel,
Dr. Chaim Jacob continues his groundbreaking work in discovering and characterizing new genes important to the
development of SLE. More recently Dr. Stohl, in collaboration with Dr. Sarah Hamm-Alvarez in the Department of
Ophthalmology, has embarked on a program in Sjgrens syndrome to identify tear-based biomarkers to help in the
diagnosis and management of this disease.
In terms of clinical investigation, Dr. Stohl continues to direct several clinical trials to study the effectiveness of
various novel B cell-targeting biologic agents in patients with SLE.
On the patient care front, the Division provides broad clinical services at LAC+USC Medical Center (LAC+USC)
and Keck Hospital of USC (KH). Dr. Richard Panush directs the Rheumatology Fellowship Training Program and
Drs. Daniel Arkfeld and Glenn Ehresmann serve as co-chiefs of the LAC+USC Arthritis Outpatient Clinic. They,
along with Drs. Stratos Christianakis, Michelle Koolaee, Elizabeth Ortiz, Richard Panush, and Shuntaro Shinada,
are using new state-of-the-art agents to treat patients at KH afflicted with a variety of rheumatic diseases and are
working with their orthopedic colleagues to provide comprehensive care for all their patients. The Rheumatology
faculty continue to provide oversight to the unique rehabilitation and chronic care services offered at the Rancho
Los Amigos National Rehabilitation Center (Rancho).
On the education front, the Division leverages the diverse clinical resources of LAC+USC, Rancho and KH to
provide outstanding training for medical students, postdoctoral medical residents, and fellows. The Rheumatology
Fellowship emphasizes patient care for a broad range of rheumatic diseases and understanding the role of the
immune system in the pathogenesis of autoimmune diseases. New and expanded programs in musculoskeletal
ultrasonography, led by Drs. Michelle Koolaee and Shuntaro Shinada, and in bone densitometry, led by
Dr. Michelle Koolaee, highlight the Divisions commitment to being at the educational forefront of Rheumatology.
The Divisions many accomplishments during the past year reflect the skills and creativity of dedicated faculty.
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Clinical Activities
The clinical service consists of active inpatient and outpatient consultation services, including two general
Rheumatology outpatient clinics per week supervised by our general faculty at LAC+USC, as well as a third clinic
specifically for patients requiring ultrasonographic evaluation, supervised by Drs. Shinada and Koolaee. Two
additional clinics per week are staffed by Dr. Christianakis, and another two clinics per week are staffed by
Dr. Ortiz. Thus, our physicians handle approximately 10,000 outpatient visits annually. In addition, we consult
on 500+ inpatients at LAC+USC each year, and we continue to have an active working relationship with the
Department of Orthopedics at Ranchos Arthritis Service in the management of patients needing joint replacement
and rehabilitation.
Private Practice
Drs. Arkfeld, Ehresmann, Christianakis, Koolaee, Ortiz, Panush, and Shinada treat more than 100 different types of
arthritis and rheumatic conditions at the USC Healthcare Center and satellite offices. More than 5,000 patients are
seen each year, and the numbers have been increasing. Our physicians develop and present an annual community
education symposium on rheumatic diseases.
Educational Activities
Rheumatology Fellows
Class of 2016
Class of 2017
Jennifer Johnson, DO
Dawn Piarulli, MD
Stavros Savvas, MD
Christina Chen, DO
Andrew Kelly, DO
Beatrice Kenol, MD
The Division of Rheumatology is strongly committed to the education of medical students, house staff, and
postgraduate fellows. The curriculum for house staff and fellows is continually updated to reflect new insights into
pathogenesis and treatment of rheumatic diseases. To offer our trainees a broad and diverse experience, our training
programs utilize LAC+USC, KH, and Rancho. Childrens Hospital of Los Angeles (CHLA), a USC-affiliated
institution, serves as an additional resource for exposure to pediatric rheumatology.
The Division conducts three weekly conferences: Rheumatology Clinical Conference, Journal Club/Research
Conference and Clinical Core Lecture. At the Rheumatology Clinical Conference, one patient seen by the trainee
is presented and discussed. At the Journal Club/Research Conference, faculty and fellows present one carefully
selected journal article or discuss ongoing cutting-edge research activities. At the Clinical Core Lecture, a
fundamental topic in Rheumatology is presented in a didactic manner. Our fellows also attend a monthly radiology
conference for musculoskeletal imaging at LAC+USC.
Research Activities
The research component of the fellowship combines the expertise of a team of basic science-oriented faculty and
clinical faculty with the exceptional resources in rheumatic diseases available at our teaching hospitals. The research
laboratories occupy ~1,500 square feet of space and are located in the Hoffman Medical Research Building, in close
physical proximity to LAC+USC and KH.
The Division of Rheumatology historically is best known for its basic and clinical
research on systemic lupus erythematosus (SLE). SLE is a disorder of generalized
autoimmunity when immune regulation fails. Drs. Stohl and Jacob have taken
advantage of the extraordinary clinical and research resources at the USC Health
Sciences Campus to study immune regulation in human SLE. Dr. Stohls efforts are
primarily focused on B cells, and Dr. Jacobs focus is primarily on genetics.
The Divisions research activities are not limited to SLE. Drs. Arkfeld, Christianakis,
Ehresmann, Ortiz, Panush and Shinada have been investigating new strategies to treat
patients with rheumatoid arthritis and other inflammatory arthritides. In addition,
Dr. Stohl has been conducting clinical trials in patients with SLE with novel biologic
agents, and he has initiated a collaboration with investigators in the Department of
Ophthalmology to examine the early events in Sjgrens syndrome.
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Daniel G. Arkfeld, MD
Rheumatoid Arthritis
Osteoarthritis
Novel Immune Therapies for Immune
Disorders
Sjgrens Syndrome
Fibromyalgia
B Cell Directed Autoimmune Therapies
Osteoporosis
Stratos Christianakis, MD
Scleroderma
Spondyloarthropies
Myositis
Glenn R. Ehresmann, MD
Rheumatoid Arthritis
David A. Horwitz, MD
Rheumatic Diseases
Regulatory T Cell Subsets in SLE
Regulatory Cells to Treat Autoimmune
Diseases and Prevent Graft Rejection
Michelle Koolaee, DO
Elizabeth C. Ortiz, MD
Rheumatoid Arthritis
Systemic Lupus Erythematosus
Richard S. Panush, MD
Rheumatoid Arthritis
Cytokine-Mediated Down-Regulation of
B Cell Hyperactivity in SLE
Immunoregulatory Mechanisms in the
Autoimmunity/Immunopathology of
Rheumatic and Systemic Connective
Tissue Diseases
Systemic Lupus Erythematosus
Antiphospholipid Antibodies
Autoantibodies in Rheumatic Diseases
Shuntaro Shinada, MD
Hightlighted Publications
Escalante P, Kooda KJ, Khan R, Aye SS, Christianakis S, Arkfeld DG, Ehresmann GR, Kort JJ, Jones BE:
Diagnosis of Latent Tuberculosis Infection with T-SPOT().TB in a Predominantly Immigrant Population with
Rheumatologic Disorders. Lung 193(1):3-11, 2015.
The objective of this study is to compare how likely positive tuberculin skin test (TST) and T-SPOT(). TB
(TSPOT) results predict risk factors for tuberculosis in a predominantly immigrant patient population at risk
of latent TB infection (LTBI) and with rheumatologic conditions requiring immunomodulatory therapy (IMT).
Prospective study conducted at a referral rheumatology clinic. Inclusion criteria included patients on various
IMT, including immunosuppressive drugs that could predispose to TB progression. We studied risk factors
associated with LTBI, test results, and tests agreement.
McHugh MD, Park J, Uhrich R, Gao W, Horwitz DA, Fahmy TM: Paracrine Co-Delivery of TGF- and IL-2
using CD4-Targeted Nanoparticles for Induction and Maintenance of Regulatory T Cells. Biomaterials 59:17281, 2015.
The cytokine milieu is critical for orchestration of lineage development towards effector T cell (Teff) or
regulatory T cell (Treg) subsets implicated in the progression of cancer and autoimmune disease. Importantly,
the fitness and survival of the Treg subset is dependent on the cytokines Interleukin-2 (IL-2) and transforming
growth factor beta (TGF-). The production of these cytokines is impaired in autoimmunity increasing the
probability of Treg conversion to aggressive effector cells in a proinflammatory microenvironment.
Jacob CO, Yu N, Sindhava V, Cancro MP, Pawar RD, Putterman C, Stohl W: Differential Development of
Systemic Lupus Erythematosus in NZM 2328 Mice Deficient in Discrete Pairs of BAFF Receptors. Arthritis
Rheumatol 67(9):2523-35, 2015.
To determine the development of systemic lupus erythematosus (SLE) in NZM 2328 (NZM) mice deficient in 2
BAFF receptors. Renal immunopathology and clinical disease were attenuated in NZM.BR-3(-/-) .BCMA(-/-)
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Division Hightlights
The Division of Rheumatology published 20 peer-reviewed research papers during the period of January 1
through December 31, 2015, and three more are in press. Of these, five publications are especially
noteworthy:
and NZM.BR-3(-/-) .TACI(-/-) mice but were accelerated in NZM.BCMA(-/-) .TACI(-/-) mice. Accelerated disease
was associated with increases in B cells, IgG-secreting cells, serum autoantibody levels, and T cells (especially
CD4+ activated memory cells), whereas attenuated disease was associated with reductions in many of these
parameters.
Torralba KD, Villasenor-Ovies P, Evelyn CM, Koolaee RM, Kalish RA: Teaching of Clinical Anatomy in
Rheumatology: A Review of Methodologies. Clinical Rheumatology 34(7):1157-63, 2015.
Clinical anatomy may be defined as anatomy that is applied to the care of the patient. It is the foundation of a
well-informed physical examination that is so important in rheumatologic practice. Unfortunately, there is both
documented and observed evidence of a significant deficiency in the teaching and performance of a competent
musculoskeletal examination at multiple levels of medical education including in rheumatology trainees.
Johnson JA, Yu SS, Elist M, Arkfeld D, Panush RS: Rheumatologic Manisfestations of the MonoMAC
Syndrome: A Systematic Review. Clin Rheumatol 34(9):1643-5, 2015.
MonoMAC syndrome is characterized by monocytopenia with susceptibility to nontuberculous mycobacterial
infections. First recognized in 2011, it is caused by GATA2 mutations and can manifest as disseminated
mycobacterial, fungal, and viral infections. While mortality rates for this disorder have been high, it has recently
been successfully treated with haploidentical allogeneic stem cell transplant. Since approximately one third of
patients may have rheumatologic symptoms, such as erythema nodosum, panniculitis, or arthralgias,
rheumatologists may expect to encounter this newly described entity with increasing frequency.
112
Administrative Appointments
Cardiovascular Medicine
Philip M. Chang, MD
Enrique L. Ostrzega, MD
Shahbudin H. Rahimtoola, MD
Rahul N. Doshi, MD
Leslie A. Saxon, MD
Uri Elkayam, MD
David M. Shavelle, MD
Michael W. Fong, MD
Luanda P. Grazette, MD
Howard N. Hodis, MD
Henry W. Huang, MD
Tracy D. Lawrence, MD
Ray V. Matthews, MD
Anilkumar O. Mehra, MD
Vivian Y. Mo, MD
Jerold S. Shinbane, MD
Thomas A. Buchanan, MD
John D. Carmichael, MD
Wei-An Lee, MD
Jorge H. Mestman, MD
John T. Nicoloff, MD
113
Medicine of USC
Senior Associate Chair of Research, Department of Medicine
Anne L. Peters, MD
Sylvia J. Shaw, MD
Peter A. Singer, MD
John A. Donovan, MD
Jeffrey A. Kahn, MD
Neil K. Kaplowitz, MD
Sarah Sheibani, MD
Edy E. Soffer, MD
Andrew A. Stolz, MD
Arek Jibilian, MD
Matthew S. Johnson, MD
Ron Ben-Ari, MD
Michael S. Karp, MD
Jeffrey B. Canceko, MD
Bharat B. Chaudry, MD
David A. Goldstein, MD
Diana C. Homeier, MD
Eric P. Hsieh, MD
Edward K. Hu, MD
Douglass B. Hutcheon, MD
Joshua Lee, MD
Carlo Medina, MD
Seth A. Politano, DO
Gina C. Rossetti, MD
Joshua D. Sapkin, MD
Patrick E. Sarte, MD
Gregory L. Taylor, MD
Michael D. Wang, MD
Vickie Wu, MD
Andrew S. Young, DO
Stephanie K. Zia, MD
Hematology
Cage S. Johnson, MD
Howard A. Liebman, MD
Casey L. OConnell, MD
Anil Tulpule, MD
Infectious Diseases
Joseph J. Cadden, MD
P. Jan Geiseler, MD
Paul D. Holtom, MD
Robert A. Larsen, MD
Fred R. Sattler, MD
Brad Spellberg, MD
Vito M. Campese, MD
Arshia Ghaffari, DO
Elaine M. Kaptein, MD
Parkash S. Gill, MD
114
Mitra K. Nadim, MD
Saeid M. Nosrati, MD
Yasir A. Qazi, MD
Oncology
David B. Agus, MD
Anthony B. El-Khoueiry, MD
Agustin A. Garcia, MD
Amir Goldkorn, MD
James S. Hu, MD
Syma Iqbal, MD
Heinz-Josef Lenz, MD
Christy A. Russell, MD
Darcy V. Spicer, MD
Richard G. Barbers, MD
Ahmet N. Baydur, MD
Medicine of USC
Medical Director, Pulmonary Hypertension Program, Keck
School of Medicine of USC
Terese C. Hammond, MD
Santhi Iyer-Kumar, MD
Ricardo H. Juarez, MD
David M. Kelley, MD
Janice M. Liebler, MD
Ami Oren, MD
A. Purush Rao, MD
Rheumatology
Daniel G. Arkfeld, MD
Glenn R. Ehresmann, MD
David A. Horwitz, MD
Zea Borok, MD
Ching-Fei Chang, MD
Elizabeth C. Ortiz, MD
Rajkumar R. Dasgupta, MD
Sivagini Ganesh, MD
115
Richard S. Panush, MD
Distinguished Societies
Alpha Omega Alpha
Ron Ben-Ari, MD
John L. Brodhead, Jr., MD
Thomas A. Buchanan, MD
Leonardo C. Clavijo, MD, PhD
Sonya L. Earley, PA
Donald I. Feinstein, MD
David A. Goldstein, MD
Mitchell E. Gross, MD, PhD
Kenneth R. Hallows, MD, PhD
L. Julian Haywood, MD
Cynthia H. Ho, MD
Paul D. Holtom, MD
Diana C. Homeier, MD
Eric P. Hsieh, MD
Cage S. Johnson, MD
Ricardo H. Juarez, MD
Jeffrey A. Kahn, MD
Neil K. Kaplowitz, MD
Robert A. Kloner, MD, PhD
Jonathan S. LoPresti, PhD, MD
John T. Nicoloff, MD
Casey L. OConnell, MD
James E. Pacino, MD
Richard S. Panush, MD
Seth A. Politano, DO
Shahbudin H. Rahimtoola, MD
Glenn T. Rogers, MD
Joshua D. Sapkin, MD
Sarah Sheibani, MD
Carin van Zyl, MD
Ilene C. Weitz, MD
Stephanie K. Zia, MD
Thomas A. Buchanan, MD
Mitchell E. Gross, MD, PhD
Neil K. Kaplowitz, MD
Richard S. Panush, MD
Joshua D. Sapkin, MD
Fred R. Sattler, MD
Hui Y. Shan, MD
Sarah Sheibani, MD
Sigma Xi
Tau Beta Pi
Professional Societies
Academic and Community Cancer
Research United
Tanya B. Dorff, MD
Philip M. Chang, MD
Jennifer R. Marks, MD
Seth A. Politano, DO
David B. Agus, MD
Mojtaba Akhtari, MD
Edward D. Crandall, PhD, MD
Donald I. Feinstein, MD
Stephen B. Gruber, MD, PhD
L. Julian Haywood, MD (Fellow)
Cheng Ji, PhD
Kwang-Jin Kim, PhD
Zhang-Xu Liu, MD, PhD
Parag Mallick, PhD
Murad Ookhtens, PhD
William Stohl, MD, PhD
Andrew A. Stolz, MD
American Association of
Bronchology and Interventional
Pulmonology
Amir Goldkorn, MD
Mitchell E. Gross, MD, PhD
Stephen B. Gruber, MD, PhD
Gregory E. Idos, MD
Kevin Kelly, MD, PhD
Heinz-Josef Lenz, MD
Howard A. Liebman, MD
Hittu Matta, PhD
Akil A. Merchant, MD
Noah M. Merin, MD, PhD
Jacek K. Pinski, MD, PhD
David I. Quinn, MD, PhD
Charite N. Ricker, MS
Sarmad Sadeghi, MD, PhD
Andrew A. Stolz, MD
Jacques Van Dam, MD, PhD
Michael K. Wong, MD, PhD
Ching-Fei Chang, MD
Ramyar Mahdavi, MD
Bassam Yaghmour, MD
David B. Agus, MD
Mojtaba Akhtari, MD
Preet M. Chaudhary, MD, PhD
John R. Daniels, MD
Anthony B. El-Khoueiry, MD
Aneesah Smith, MD
Sonya L. Earley, PA
116
American Association of
Immunologists
Donald I. Feinstein, MD
Chaim O. Jacob, MD, PhD
Zhang-Xu Liu, MD, PhD
Richard S. Panush, MD
Francisco P. Quismorio, Jr., MD
William Stohl, MD, PhD
American Association of
Pathologists
Robert A. Kloner, MD, PhD
Alex A. Balekian, MD
Richard G. Barbers, MD
Ahmet N. Baydur, MD
Zea Borok, MD (Fellow)
Ching-Fei Chang, MD
Edward D. Crandall, PhD, MD (Fellow)
Rajkumar R. Dasgupta, MD (Fellow)
Uri Elkayam, MD (Fellow)
Sivagini Ganesh, MD
Terese C. Hammond, MD
Santhi Iyer-Kumar, MD
Ricardo H. Juarez, MD
Tomas Konecny, MD, PhD
Janice M. Liebler, MD (Fellow)
Richard L. Lubman, MD (Fellow)
Ramyar Mahdavi, MD
Ray V. Matthews, MD
Ami Oren, MD (Fellow)
Renli Qiao, MD, PhD
Shahbudin H. Rahimtoola, MD
A. Purush Rao, MD
Bassam Yaghmour, MD
American College of
Gastroenterology
James L. Buxbaum, MD
Helen Han, MD
Gregory E. Idos, MD
Neil K. Kaplowitz, MD (Fellow)
Saro Khemichian, MD
Brian Kim, MD
Michael M. Kline, MD
Ara B. Sahakian, MD
Edy E. Soffer, MD (Fellow)
Jacques Van Dam, MD, PhD (Fellow)
Helen L. Baron, MD
Ahmet N. Baydur, MD
Elizabeth O. Beale, MD
Kevin A. Bechler, MD
Ron Ben-Ari, MD
Zea Borok, MD (Fellow)
Linda Calvillo-King, MD
Jeffrey B. Canceko, MD
Stratos Christianakis, MD
Leonardo C. Clavijo, MD, PhD
Edward D. Crandall, PhD, MD (Fellow)
Rajkumar R. Dasgupta, MD
Rahul Dhawan, DO
Ashwat S. Dhillon, MD
Shadi Dowlatshahi, MD
Michael P. Dub, MD
Glenn R. Ehresmann, MD
Uri Elkayam, MD (Fellow)
Donald I. Feinstein, MD
Tse-Ling Fong, MD (Fellow)
P. Jan Geiseler, MD (Fellow)
Arshia Ghaffari, DO
Jose L. Gonzalez, MD
Nida Hamiduzzaman, MD
Dilruba N. Haque, MD
L. Julian Haywood, MD
Cynthia H. Ho, MD
Howard N. Hodis, MD
Paul D. Holtom, MD
Eric P. Hsieh, MD
James S. Hu, MD
Gregory E. Idos, MD
Syma Iqbal, MD
James Ji, MD
Arek Jibilian, MD
Ronald J. Kall, MD
Neil K. Kaplowitz, MD (Fellow)
Michael S. Karp, MD
Mahmood M. Khaledy, MD
Shazia S. Khan, MD
Heinz-Josef Lenz, MD
Howard A. Liebman, MD (Fellow)
Richard L. Lubman, MD
Ramyar Mahdavi, MD
Cynthia L. Martel, MD, PhD
Shaul G. Massry, MD (Fellow)
Ray V. Matthews, MD
Carlo Medina, MD
Jorge H. Mestman, MD
K. Allen Milani, MD
Saeid M. Nosrati, MD
Casey L. OConnell, MD
Sharon E. Orrange, MD (Fellow)
Richard S. Panush, MD (Master)
Anne L. Peters, MD
Caroline I. Piatek, MD
Seth A. Politano, DO
Renli Qiao, MD, PhD
David I. Quinn, MD, PhD
Francisco P. Quismorio, Jr., MD
Shahbudin H. Rahimtoola, MD
Glenn T. Rogers, MD
Gina C. Rossetti, MD
Christy A. Russell, MD
Patrick E. Sarte, MD
Fred R. Sattler, MD
George B. Semeniuk, MD
Charles F. Sharp, Jr., MD
Aneesah Smith, MD
Darcy V. Spicer, MD
Robert S. Swinney, MD
Gregory L. Taylor, MD
Arnold Tsai, MD
Jacques Van Dam, MD, PhD (Fellow)
Louis A. VanderMolen, MD
Mabel Vasquez, MD
Michael D. Wang, MD (Fellow)
Vickie Wu, MD
Bassam Yaghmour, MD
Andrew S. Young, DO
Thomas M. Zarchy, MD (Fellow)
Stephanie K. Zia, MD (Fellow)
K. Allen Milani, MD
Richard S. Panush, MD
Gregory L. Taylor, MD
Michael D. Wang, MD
American Gastroenterology
Association
James L. Buxbaum, MD
Lily Dara, MD
Laurie D. DeLeve, MD, PhD
John A. Donovan, MD
Helen Han, MD
Caroline Hwang, MD
Gregory E. Idos, MD
Cheng Ji, PhD
Neil K. Kaplowitz, MD
Brian Kim, MD
Michael M. Kline, MD
Heinz-Josef Lenz, MD
Ara B. Sahakian, MD
Takeshi Saito, MD, PhD
Anisha Shaker, MD
Ling Shao, MD, PhD
Sarah Sheibani, MD
Edy E. Soffer, MD
Andrew A. Stolz, MD
Jacques Van Dam, MD, PhD
Liyun Yuan, MD, PhD
Thomas M. Zarchy, MD (Fellow)
117
Thomas A. Buchanan, MD
Linda Calvillo-King, MD
Leonardo C. Clavijo, MD, PhD
Edward D. Crandall, PhD, MD
Ashwat S. Dhillon, MD
Uri Elkayam, MD (Fellow)
Ulf Per Flodby, PhD
Luanda P. Grazette, MD
Kenneth R. Hallows, MD, PhD
L. Julian Haywood, MD
Howard N. Hodis, MD (Fellow)
Henry W. Huang, MD
Robert A. Kloner, MD, PhD
Tracy D. Lawrence, MD
Richard L. Lubman, MD
Anilkumar O. Mehra, MD
Vivian Y. Mo, MD
Enrique L. Ostrzega, MD
Kathleen A. Page, MD
Nuria M. Pastor-Soler, MD, PhD
Shahbudin H. Rahimtoola, MD
George B. Semeniuk, MD
Jerold S. Shinbane, MD
Mark V. McNamara, MD
Noah M. Merin, MD, PhD
Jorge J. Nieva, MD
An D. Nguyen, MD
Minh D. Nguyen, MD
Caroline I. Piatek, MD
Jacek K. Pinski, MD, PhD
David I. Quinn, MD, PhD
Christy A. Russell, MD
Sarmad Sadeghi, MD, PhD
George B. Semeniuk, MD
Darcy V. Spicer, MD
Anil Tulpule, MD
Louis A. VanderMolen, MD
Ilene C. Weitz, MD
Michael K. Wong, MD, PhD
American Society of
Echocardiography
James Y. Chao, MD
Henry W. Huang, MD
Tracy D. Lawrence, MD
Vivian Y. Mo, MD (Fellow)
Jina Sohn, MD
James L. Buxbaum, MD
Helen Han, MD
Caroline Hwang, MD
Ara B. Sahakian, MD
Jacques Van Dam, MD, PhD (Fellow)
Richard L. Lubman, MD
Helen L. Baron, MD
Elaine M. Kaptein, MD
Jonathan S. LoPresti, PhD, MD
Jorge H. Mestman, MD
Caroline T. Nguyen, MD
John T. Nicoloff, MD
Peter A. Singer, MD
Gbemisola A. Adenuga, MD
Vito M. Campese, MD
Arshia Ghaffari, DO
Kenneth R. Hallows, MD, PhD (Fellow)
Elaine M. Kaptein, MD
Hui Li, MD
Shaul G. Massry, MD
Saeid M. Nosrati, MD
Chong Y. Parke, MD
Nuria M. Pastor-Soler, MD, PhD
Hui Y. Shan, MD
Miroslaw J. Smogorzewski, MD, PhD
Enrique L. Ostrzega, MD
Arthritis Foundation
Glenn R. Ehresmann, MD
Francisco P. Quismorio, Jr., MD
Association of Hematology-Oncology
Donald I. Feinstein, MD
Association of Professors of
Medicine
Neil K. Kaplowitz, MD
Shaul G. Massry, MD
Mitra K. Nadim, MD
Chong Y. Parke, MD
Yasir A. Qazi, MD
Liyun Yuan, MD, PhD
Terese C. Hammond, MD
Association of Subspecialty
Professors
Association of University
Cardiologists
Paul D. Holtom, MD
Alex A. Balekian, MD
Richard G. Barbers, MD
Ahmet N. Baydur, MD
Zea Borok, MD
Edward D. Crandall, PhD, MD
Ulf Per Flodby, PhD
Sivagini Ganesh, MD
Terese C. Hammond, MD
Santhi Iyer-Kumar, MD
Brenda E. Jones, MD
Janice M. Liebler, MD
Richard L. Lubman, MD
Ramyar Mahdavi, MD
Ami Oren, MD
Bassam Yaghmour, MD
Beiyun Zhou, PhD
118
Richard S. Panush, MD
Shahbudin H. Rahimtoola, MD
Biophysical Society
Cage S. Johnson, MD
Chong Y. Parke, MD
Aaron D. Storms, MD
Richard S. Panush, MD
Edward K. Hu, MD
Brenda E. Jones, MD
L. Julian Haywood, MD
Diana C. Homeier, MD
Philip M. Chang, MD
Rahul N. Doshi, MD (Fellow)
Tomas Konecny, MD, PhD
Ray V. Matthews, MD
Leslie A. Saxon, MD (Fellow)
Jerold S. Shinbane, MD (Fellow)
Mahmood M. Khaledy, MD
Tanya B. Dorff, MD
Stratos Christianakis, MD
Elizabeth O. Beale, MD
Thomas A. Buchanan, MD
Stefan Bughi, MD
Vito M. Campese, MD
John D. Carmichael, MD
Elaine M. Kaptein, MD
Wei-An Lee, MD
Jonathan S. LoPresti, PhD, MD
Shaul G. Massry, MD
Jorge H. Mestman, MD
Caroline T. Nguyen, MD
John T. Nicoloff, MD
Kathleen A. Page, MD
Anne L. Peters, MD
Fred R. Sattler, MD
Charles F. Sharp, Jr., MD
Sylvia J. Shaw, MD
Peter A. Singer, MD
Andrew A. Stolz, MD
Hussein N. Yassine, MD
Leslie A. Saxon, MD
Agustin A. Garcia, MD
Mars Society
Joseph Abdelmalek, MD
Gbemisola A. Adenuga, MD
Rahul Dhawan, DO
Arshia Ghaffari, DO
Saeid M. Nosrati, MD
Miroslaw J. Smogorzewski, MD, PhD
Elizabeth O. Beale, MD
Kurt M. Hong, MD, PhD
Kathleen A. Page, MD
Vito M. Campese, MD
Michael P. Dub, MD
P. Jan Geiseler, MD (Fellow)
Paul D. Holtom, MD (Fellow)
Fred R. Sattler, MD (Fellow)
Brad Spellberg, MD
Darren W. Wong, MD
James S. Hu, MD
Caroline Hwang, MD
Ling Shao, MD, PhD
Jacques Van Dam, MD, PhD
Minh D. Nguyen, MD
Gregory L. Taylor, MD
Paul D. Holtom, MD
119
Philip M. Chang, MD
Pituitary Society
John D. Carmichael, MD
Pulmonary Hypertension
Association
Sivagini Ganesh, MD
Luanda P. Grazette, MD
Salerni Collegium
Ron Ben-Ari, MD
Ahmet N. Baydur, MD
Zea Borok, MD
Santhi Iyer-Kumar, MD
Janice M. Liebler, MD
Ami Oren, MD
A. Purush Rao, MD
Robert S. Swinney, MD
Bassam Yaghmour, MD
Stephanie K. Zia, MD
Yasir A. Qazi, MD
Neil K. Kaplowitz, MD
Shaul G. Massry, MD
Howard N. Hodis, MD
Jorge H. Mestman, MD
Jerold S. Shinbane, MD
Cynthia H. Ho, MD
James S. Hu, MD
Minh D. Nguyen, MD
Ron Ben-Ari, MD
John L. Brodhead, Jr., MD
Linda Calvillo-King, MD
David A. Goldstein, MD
Eric P. Hsieh, MD
Jennifer R. Marks, MD
Vickie Wu, MD
Stephanie K. Zia, MD
Society of Neuro-Oncology
Daniel G. Arkfeld, MD
Richard G. Barbers, MD
Edward D. Crandall, PhD, MD
Stefan Bughi, MD
Ashwat S. Dhillon, MD
Cynthia H. Ho, MD
Shazia S. Khan, MD
Carlo Medina, MD
K. Allen Milani, MD
Michael D. Wang, MD
Vickie Wu, MD
Andrew S. Young, DO
Stephanie K. Zia, MD
Stefan Bughi, MD
Gregory L. Taylor, MD
Ron Ben-Ari, MD
Donald I. Feinstein, MD
Robert S. Swinney, MD
James L. Buxbaum, MD
Elizabeth C. Ortiz, MD
Francisco P. Quismorio, Jr., MD
James L. Buxbaum, MD
John A. Donovan, MD
Neil K. Kaplowitz, MD
Brian Kim, MD
Michael M. Kline, MD
Andrew A. Stolz, MD
Jacques Van Dam, MD, PhD
Michelle Koolaee, DO
Women in Nephrology
International Societies
Association of Food Science and
Technologists of India
Hittu Matta, PhD
Association of Microbiologists of
India
Hittu Matta, PhD
Dominican Society of
Gastroenterology
Epithelial-Mesenchymal Transition
International Association
Shahbudin H. Rahimtoola, MD
Tse-Ling, Fong, MD
Thomas A. Buchanan, MD
Jorge H. Mestman, MD
Kathleen A. Page, MD
Anne L. Peters, MD
Shaul G. Massry, MD
Miroslaw J. Smogorzewski, MD, PhD
Christy A. Russell, MD
120
Ami Oren, MD
International Society of
Atherosclerosis
International Society for Biological
Therapy of Cancer
Cage S. Johnson, MD
Vito M. Campese, MD
International Association of
Cardiologists
Luanda P. Grazette, MD
International Society of
Hypertension in Blacks
Japanese Gastroenterological
Endoscopy Society
L. Julian Haywood, MD
International Society of
Immunopharmacology
Japanese Society of
Gastroenterology
Richard S. Panush, MD
Helen L. Baron, MD
Michelle Koolaee, DO
Vito M. Campese, MD
Elaine M. Kaptein, MD
Shaul G. Massry, MD
Miroslaw J. Smogorzewski, MD, PhD
International Society of
Experimental Hematology
Mojtaba Akhtari, MD
International Society of
Gastrointestinal Oncology
Bassam Yaghmour, MD
Diana L. Hanna, MD
Shaul G. Massry, MD
Agustin A. Garcia, MD
International Society of
Hypertension
L. Julian Haywood, MD
Diana L. Hanna, MD
David I. Quinn, MD, PhD
Sarmad Sadeghi, MD, PhD
Donald I. Feinstein, MD
Donald I. Feinstein, MD
Howard A. Liebman, MD
Casey L. OConnell, MD
Stefan Bughi, MD
Richard S. Panush, MD
Greg R. Angstreich, MD
Thomas A. Buchanan, MD
Richard G. Barbers, MD
James L. Buxbaum, MD
Ron Ben-Ari, MD
Zea Borok, MD
Julia A. Cassetta, MD
Stefan Bughi, MD
John D. Carmichael, MD
Joseph J. Cadden, MD
Linda Calvillo-King, MD
Vito M. Campese, MD
John R. Daniels, MD
John A. Donovan, MD
Tanya B. Dorff, MD
Rahul N. Doshi, MD
121
Michael P. Dub, MD
Uri Elkayam, MD
Anthony B. El-Khoueiry, MD
Donald I. Feinstein, MD
Agustin A. Garcia, MD
Amir Goldkorn, MD
Luanda P. Grazette, MD
L. Julian Haywood, MD
Howard N. Hodis, MD
Paul D. Holtom, MD
Henry W. Huang, MD
Caroline Hwang, MD
Syma Iqbal, MD
Cage S. Johnson, MD
Brenda E. Jones, MD
Richard L. Lubman, MD
Vivian Y. Mo, MD
Elizabeth C. Ortiz, MD
Enrique L. Ostrzega, MD
Kathleen A. Page, MD
Richard S. Panush, MD
Neil K. Kaplowitz, MD
Elaine M. Kaptein, MD
Heinz-Josef Lenz, MD
Anne L. Peters, MD
Shahbudin H. Rahimtoola, MD
Christy A. Russell, MD
Janice M. Liebler, MD
Howard A. Liebman, MD
122
Anisa Shaker, MD
David M. Shavelle, MD
Peter A. Singer, MD
Brad Spellberg, MD
Andrew A. Stolz, MD
Vickie Wu, MD
Stephanie K. Zia, MD
Elizabeth O. Beale, MD
James L. Buxbaum, MD
Joseph J. Cadden, MD
Barbara J. Gitlitz, MD
Amir Goldkorn, MD
Luanda P. Grazette, MD
Jorge J. Nieva, MD
Anne L. Peters, MD
Michael W. Fong, MD
Gregory E. Idos, MD
Agustin A. Garcia, MD
Cage S. Johnson, MD
Arshia Ghaffari, DO
Howard N. Hodis, MD
Heinz-Josef Lenz, MD
Anthony B. El-Khoueiry, MD
D. Steven Fox, MD
L. Julian Haywood, MD
123
Shahbudin H. Rahimtoola, MD
Fred R. Sattler, MD
Brad Spellberg, MD
Andrew A. Stolz, MD
Andrew S. Young, DO
Greg R. Angstreich, MD
Alex A. Balekian, MD
Richard G. Barbers, MD
Helen L. Baron, MD
Ahmet N. Baydur, MD
Elizabeth O. Beale, MD
Ron Ben-Ari, MD
Emily Blodget, MD
Zea Borok, MD
Thomas A. Buchanan, MD
Stefan Bughi, MD
James L. Buxbaum, MD
Joseph J. Cadden, MD
Vito M. Campese, MD
John D. Carmichael, MD
124
Bharat B. Chaudry, MD
Stratos Christianakis, MD
Rahul Dhawan, DO
John A. Donovan, MD
Tanya B. Dorff, MD
Rahul N. Doshi, MD
Sonya L. Earley, PA
Anthony B. El-Khoueiry, MD
Donald I. Feinstein, MD
Michael W. Fong, MD
D. Steven Fox, MD
Sivagini Ganesh, MD
Amir Goldkorn, MD
David A. Goldstein, MD
Luanda P. Grazette, MD
Cage S. Johnson, MD
Matthew S. Johnson, MD
L. Julian Haywood, MD
Cynthia H. Ho, MD
Howard N. Hodis, MD
Terese C. Hammond, MD
Arshia Ghaffari, DO
Barbara J. Gitlitz, MD
Agustin A. Garcia, MD
Santhi Iyer-Kumar, MD
Paul D. Holtom, MD
Eric P. Hsieh, MD
Henry W. Huang, MD
Douglass B. Hutcheon, MD
Syma Iqbal, MD
125
Brenda E. Jones, MD
Ricardo H. Juarez, MD
Neil K. Kaplowitz, MD
Elaine M. Kaptein, MD
Michael S. Karp, MD
David M. Kelley, MD
Saro Khemichian, MD
Michael M. Kline, MD
Edward Lee, MD
Joshua Lee, MD
Heinz-Josef Lenz, MD
Janice M. Liebler, MD
Howard A. Liebman, MD
Ann F. Mohrbacher, MD
Mitra K. Nadim, MD
Minh D. Nguyen, MD
John T. Nicoloff, MD
Jorge J. Nieva, MD
Saeid M. Nosrati, MD
Shahbudin H. Rahimtoola, MD
A. Purush Rao, MD
Charite N. Ricker, MS
Gina C. Rossetti, MD
Christy A. Russell, MD
Richard L. Lubman, MD
Ami Oren, MD
Ara B. Sahakian, MD
Sharon E. Orrange, MD
Joshua D. Sapkin, MD
Jennifer R. Marks, MD
Daniel P. Martinez, MD
Ray V. Matthews, MD
Carlo Medina, MD
Anilkumar O. Mehra, MD
Jorge H. Mestman, MD
K. Allen Milani, MD
Vivian Y. Mo, MD
Elizabeth C. Ortiz, MD
Enrique L. Ostrzega, MD
Kathleen A. Page, MD
Richard S. Panush, MD
Anne L. Peters, MD
126
Patrick E. Sarte, MD
Fred R. Sattler, MD
Leslie A. Saxon, MD
David M. Shavelle, MD
Aaron D. Storms, MD
Andrew A. Stolz, MD
Peter A. Singer, MD
Anil Tulpule, MD
Sylvia J. Shaw, MD
Jerold S. Shinbane, MD
Brad Spellberg, MD
Edy E. Soffer, MD
Darcy V. Spicer, MD
Darren W. Wong, MD
Vickie Wu, MD
Andrew J. Yoon, MD
Andrew S. Young, DO
Thomas M. Zarchy, MD
Louis A. VanderMolen, MD
Mabel Vasquez, MD
Michael D. Wang, MD
Stephanie K. Zia, MD
Daniel G. Arkfeld, MD
Outcomes, Inc., Editor
Zea Borok, MD
Stefan Bughi, MD
Natural Standard
James L. Buxbaum, MD
Gastrointestinal Endoscopy
Portugese Journal of Gastroenterology
Linda Calvillo-King, MD
John D. Carmichael, MD
127
Tanya B. Dorff, MD
Uri Elkayam, MD
L. Julian Haywood, MD
Howard N. Hodis, MD
Menopause
Menopause Management
David A. Horwitz, MD
Henry W. Huang, MD
Cage S. Johnson, MD
Blood Reviews
International Journal of Biomedical Science
Neil K. Kaplowitz, MD
Magnesium Bulletin
Nephron
Renal Physiology
Seminars in Nephrology
Jorge J. Nieva, MD
Richard S. Panush, MD
Heinz-Josef Lenz, MD
Howard A. Liebman, MD
Shahbudin H. Rahimtoola, MD
Shaul G. Massry, MD
Christy A. Russell, MD
Frontiers in Gastroenterology
Journal of Medical Virology
Leslie A. Saxon, MD
Cardiology News
Journal of Cardiovascular Electrophysiology
Now-Up-To-Date
David M. Shavelle, MD
Brad Spellberg, MD
Michael D. Wang, MD
Hospital Medicine Review
International Lectures
Cardiovascular Medicine
Anne L. Peters, MD
Euglycemic DKA Associated with SGLT-2 Inhibitors in T1D. EASD Annual Meeting,
Stockholm, Sweden, 9/18/2015.
Howard N. Hodis, MD
Prospective Controlled Trial of Narrow Band Imaging for Detection of Gastric Cancer
Precursors. United European Gastroenterology Meeting, Barcelona, Spain, 10/26/2015.
Neil K. Kaplowitz, MD
Shahbudin H. Rahimtoola, MD
Leslie A. Saxon, MD
The Future of Medicine: Informatics, Imaging and Computing. 2015 USC Global Conference,
Grand Hyatt, Shanghai, China, 10/31/2015.
Emerging Basil Insulins: Changing the Clinical Landscape. National Endocrinology Congress
of Peru, Lima, Peru, 10/15/2015.
Invited Keynote Talk. Japan Digestive Disease Week, Tokyo, Japan, 10/2015.
Anisa Shaker, MD
128
Does Changing Bolus Consistency Provide Added Information on Esophageal Symptoms and
Contractile Pattern? OESO, 13th World Conference the Esophagiome, Monaco, 9/2015.
How Helpful is Esophageal Acid Perfusion as a Provocative Test? OESO, 13th World
Conference the Esophagiome, Monaco, 9/2015.
Hematology
Howard A. Liebman, MD
Current and Emerging Therapies for Immune Thrombocytopenia (ITP): Role of TPO
Agonists. CEMA Conference, Cancun, Mexico, 3/7/2015.
Ilene C. Weitz, MD
Charite N. Ricker, MS
Integration of Genetic Testing and Counseling into the Oncologic Care of Underserved Breast
and Ovarian and Cancer Patients: The LAC+USC Experience. Italy-USC Meeting Instituto
Tumori Hereditary Breast and Ovarian Cancers: Networking to Address Biological and
Therapeutic Challenges, Bari, Italy, 2015.
Mitra K. Nadim, MD
Persistant Acute Kidney Injury and Renal Recovery. 16th International Acute Dialysis Quality
Initiative Meeting (ADQI), 11/2015.
Oncology
Tanya B. Dorff, MD
Radium223: Optimizing its use for the Future and Moving Sipuleucel-T Forward. Summit on
GU Malignancies, Banff, Canada, 10/2015.
Christy A. Russell, MD
Individualizing the Treatment of Early Stage Breast Cancer: Understanding the Patients
Tumor Biology. Cancer de Mama 2015 Avancos e Perspectivas, Hospital Sirio-Libanes.,
Sao Paulo, Brazil, 6/26/2015.
Tailored Medicine for Breast Cancer: Its a New Day. Cancer de Mama 2015 Avancos e
Perspectivas, Hospital Sirio-Libanes, Sao Paulo, Brazil, 6/26/2015.
Improving Outcomes in HER2neu Early and Advanced Breast Cancer. IMPANGO Making
Africa Paramount in Global Oncology, Naivasha, Kenya, 9/12/2015.
Anthony B. El-Khoueiry, MD
HCC Scientific Advisory Committee: International Liver Cancer Associate (ILCA) 9th
Annual Conference, Paris, France, 9/4-7/2015.
Current and Emerging Immuno-Oncology Clinical Research in HCC. Bristol-Myers Squibb
Symposium: Emerging Research in Immuno-Onolcogy: Hepatocellular Carcinoma during
the International Liver Cancer Associate (ILCA) 9th Annual Conference, Paris, France,
9/6/2015.
Mechanical Ventilation. Anzhen Respiratory and Critical Care Forum, Beijing, China,
4/11/2015.
Pulmonary Embolism in 2015. Anzhen Respiratory and Critical Care Forum, Beijing, China,
4/11/2015.
Why China Needs PCCM Subspecialty Training. Northwest Jiaotong University Medical
College, XiAn, China, 4/14/2015.
The Science Behind PCCM Fellowship Training. Second General Assembly, Chest and CTS
Joint Steering Committee on PCCM Fellowship, Prime Hotel, Beijing, China, 4/1718/2015.
Pulmonary Hypertension in COPD. Anzhen PCCM Symposium, Anzhen, China, 4/25/2015.
The Evolving Concept of Cor Pulmonale. Best of Chest Joint Symposium ACCP-CTS,
Beijing, China, 7/16/2015.
A Days Life of a PCCM fellow. Invited Speech, The 16th Annual Congress, Chinese
Thoracic Society, Guiyang, Guizhou, 9/4/2015.
Quantification of Critical Medicine. 16th Annual Conference, Chinese Thoracic Society,
Guiyang, Guizhou, 9/4/2015.
TILs and Tumors: Using Genetics to Decipher Colorectal Cancer. CHS National Israeli
Cancer Control Center, Haifa, Israel, 7/22/2015.
Global Epidemiology of Colorectal Cancer: Strategies to Improve Prevention and Cures.
Navigating Cancer Care by Early Detection and Prevention 3rd International Oncology
Conference, Sheikh Nahayan Mabarak Al-Nahayan, Abu Dhabi, United Arab Emirates,
9/10/2015.
Heinz-Josef Lenz, MD
Invited Lectures
Cardiovascular Medicine
Philip M. Chang, MD
Same-Day Discharge for Devices: How Does It Work? Allied Professionals Forum, Heart
Rhythm Society 36th Scientific Sessions, Boston, MA, 5/15/2015.
Michael W. Fong, MD
Updates in Heart Failure with Preserved Ejection Fraction. White Memorial Medicine Lecture
Series. White Memorial Hospital, Los Angeles CA, 2/5/2015.
Luanda P. Grazette, MD
Heart Failure Clinics: The Evidence, the Need and the Redesign, Trends in Cardiovascular
Medicine for the Primary Physician. Renown Institute for Heart and Vascular Health, Reno
NV, 2015.
Heart Failure: Guideline Directed Therapy. Department of Medicine Grand Rounds, Fountain
Valley Regional Hospital, Fountain Valley, CA, 2015.
Heart Failure: New Developments. Division of Cardiology Grand Rounds, Hollywood
Presbyterian Medical Center, Los Angeles, CA, 2015.
Heart Failure: State of the State. Department of Medicine Grand Rounds, Annenberg Center
for Health Sciences, Eisenhower Medical Center, Palm Springs, CA, 2015.
Mechanical Circulatory Support: Who, When, How, The State of Heart Failure: A Look
at Current Issues and the Future of Care. Los Angeles Heart Failure Symposium, Los
Angeles, CA, 2015.
Too Many Biomarkers to Count: Sorting Out Which May Be Best for Heart Failure, Trends
129
Ray V. Matthews, MD
Update in TAVR Transcatheter Aortic Valve Replacement. Citrus Valley Medical Center,
Covina, CA, 4/2015.
Update on Diagnosis and Therapy. 19th Annual Heart Failure Conference 2015, Los Angeles,
CA, 4/2015.
Science of Hemodynamic Support: A Review of Hemodynamic Support Principles and
Cardiac Support Strategies. ABIOMED, Tustin, CA, 11/2015.
Vivian Y. Mo, MD
Echocardiography Evaluation of the Aortic Valve. Aortic Valve Workshop for Cardiothoracic
Surgeons, Los Angeles, CA, 10/2015.
Shahbudin H. Rahimtoola, MD
How to Keep Your Heart Healthy. Mountview Senior Retirement Community, Montrose, CA,
2/17/2015.
Love Your Heart. Soroptimist International of Glendale, Oakmont Country Club,
Glendale,CA, 2/19/2015.
Heart Disease in Women. Medicine Grand Rounds, Henry Mayo Newhall Memorial Hospital,
Valencia, CA, 2/25/2015.
Cardiovascular Disease in Women: Understanding the Risk Factor. Health Talk, Verdugo Hills
Hospital, Glendale CA, 3/27/2015.
How Practicing Physicians Manage Their Practices. Keck School of Medicine-Deans Panel,
Los Angeles, CA, 3/31/2015.
Knowing Your Numbers: Heart Disease in Women. American Heart Association CEO
Breakfast, Los Angeles Chapter, Los Angeles, CA, 6/10/2015.
Anatomy of the Heart. Camp Cardiac for High School Students, Los Angeles, CA, 7/13/2015.
The Beating Heart. La Canada Elementary School, La Canada, CA, 2015.
Andrew J. Yoon, MD
Basics of the Stress Test and Myocardial Perfusion Imaging. Pediatric Cardiology Fellows
Conference, Childrens Hospital Los Angeles, Los Angeles, CA, 3/2015.
Magnetic Resonance Imaging When and How to Use it for Diagnosis and Assessment of
Prognosis in Patients with Heart Failure. 19th Annual Heart Failure Symposium 2015,
Update on Diagnosis and Therapy, Los Angeles, CA, 4/2015.
Elizabeth O. Beale, MD
The Search for a Minimally Invasive Alternative to Gastric Bypass Surgery. USC Grand
Rounds, Los Angeles, CA, 1/18/2015.
Thomas A. Buchanan, MD
Gestational Diabetes and Beta Cells: Syposium Lecture. American Diabetes Annual Meeting,
Boston MA, 6/5/2015.
Stefan Bughi, MD
Sports Science: Performance Analytics. MIT Sloan Sports Analytics Conference, Cambridge,
MA, 2/27/2015.
Be the Hero of Your Own Health Story. 7th Annual USC Womens Conference, Los Angeles,
CA, 3/5/2015.
Biometrics & Identity: Beyond Wearable. 2015 South by Southwest Confernce, Austin TX,
3/15/2015.
Hot Topics in Tech, Innovation, Culture & Venture Capital. 13th Annual San Diego Venture
Summit, San Diego, CA, 9/25/2015.
Hypoglycemia. Core Lecture to Western University Medical Students, Ranchos Los Amigos
National Rehabilitation Center, Downey, CA, 1/2/2015.
Using Music to Teach Writing Admission orders: Core lecture Co-Presented with Dr Sylvia
Shaw. Rancho Los Amigos National Rehabilitation Center, Downey, CA, 1/28/2015.
Pre-Diabetes : Medical Grand Rounds, Citrus Valley Medical Center, Covina CA, 9/15/2015.
Insulin Resistance, Pre-Diabetes Hypoglycemia: What the Connection? Diabetes Symposium,
Antelope Valley Medical Center, Lancaster, CA, 10/10/2015.
Daily Mindfulness: The Secret of Happiness. Rancho 6th Annual Women Health Conference,
Downey, CA, 10/16/2015.
Physician Wellness: How to Prevent Burnout. Medical Grand Rounds Pacifica Hospital of the
Valley, Sun Valley, CA, 10/29/2015.
David M. Shavelle, MD
John D. Carmichael, MD
Leslie A. Saxon, MD
Jerold S. Shinbane, MD
Diagnosis and Management of Anterior Pituitary Failure. USC Chordoma Patient Day, Los
Angeles, CA, 3/14/2015.
Comorbidities of Acromegaly: Focus on Vertebral Fractures. USC Bone Club, Pasadena, CA,
4/8/2015.
Diagnosis and Management of Acromegaly: 10th Annual Contemporary Issues in Pituitary
Disease, Cleveland Clinic, Cleveland, OH, 4/24/2015.
Perioperative and Long-Term Management of Patients with Pituitary Disease. Annual
Southern California Pituitary Symposium at USC, Los Angeles, CA, 5/9/2015.
Step Wise Approach to The Diagnosis of Cushings Disease. Annual Southern California
Pituitary Symposium at USC, Los Angeles, CA, 5/9/2015.
Subclinical Cushings Syndrome: Endocrinology Grand Rounds. Cedars-Sinai Medical
Center Los Angeles, CA, 5/12/2015.
Subclinical Cushings Syndrome: A Critical Analysis. American Association of Clinical
Endocrinologists - National Annual Meeting, Nashville, TN, 5/17/2015.
Hypopituitarism after Traumatic Brain Injury: Diagnosis and Management of Pituitary
130
Kathleen A. Page, MD
Insulin Sensitivity and -cell Function are Reduced in Children Exposed to Gestational
Diabetes in utero. American Diabetes Association Scientific Sessions, Boston, MA,
6/2015.
Lily Dara, MD
Anne L. Peters, MD
Reducing CVD Risk in the Management of T2DM. Right Care Initiative University of Best
Practices, Los Angeles, CA, 1/30/2015.
Novel Therapy Highlights. Endocrine Society Annual Meeting, San Diego, CA, 3/4/2015.
Community-Based Diabetes Management. Endocrine Society Annual Meeting. San Diego,
CA, 3/5/2015.
Applying the Evidence for GLP-1 Receptor Agonists. Endocrine Society Annual Meeting.
San Diego, CA, 3/6/2015.
Principles of Diabetes Prevention. USC School of Gerontology Annual Retreat, Rancho, CA,
3/21/2015.
Treatment of T2DM Using GLP1-RAs. Primed Meeting, Anaheim, CA, 4/9/2015.
Transitioning Care. Scripps Annual Diabetes Symposium, San Diego, CA, 4/16/2015.
Updates on Diabetes Management. Scripps Annual Diabetes Symposium, San Diego, CA,
4/17/2015.
Use of GLP-1 RAs. AADE Annual Meeting, Orlando, FL, 4/18/2015.
A Diabetologists Perspective on T1D Treatment. Helmsley T1D Exchange Meeting, Boston,
MA, 4/30/2015.
Update on CVD Risks and Benefits of T2D Medications. Torrance Memorial Annual CVD
Symposium, Torrance, CA, 5/8/2015.
A Clinicians Perspective on T1D Care. Cavendish Global Conference, San Diego, CA,
5/13/2015.
Interactive Diabetes Case Presentation and Program Chair. AACE Annual Meeting, Nashville,
TN, 5/14/2015.
Transitioning Care, Technology and SGLT-2 Inhibitors. Visiting Professor, University of
Chicago, Chicago, IL, 5/18/2015.
Transitioning Care and Euglycemic DKA with SGLT-2 Inhibitors. Visiting Professor,
University of Florida, Gainesville, FL, 5/27/2015.
HCP Perspective on the Artificial Pancreas. ADA National Meetings, Boston, MA, 6/5/2015.
CVD in Women: Role of Glycemia. ADA National Meetings, Boston, MA, 6/6/2015.
Rationale Behind Use of Basal Insulin in T2D. ADA National Meetings, Boston, MA,
6/7/2015.
Combined Targeted Approaches for the Treatment of Type 2 Diabetes: The Role of the
Kidney. Nevada Association of Family Practitioners. Las Vegas, NV, 8/1/2015.
Update on the Management of T2DM. American Association of Family Practitioners, Annual
Meeting, Denver, CO, 9/30/2015.
Paving the Way to Patient Acceptance, Adherence and Satisfaction: The Role of NextGeneration Insulin Therapies. Annual Cardiometabolic Health Conference, Boston, MA,
10/23/2015.
The Evolution of Insulin Therapy: New Developments in Treatment, Technology, and
Methods of Administration. Annual Cardiometabolic Health Conference, Boston, MA,
10/24/2015.
Update on the Use of Technology in the Treatment of Type 2 Diabetes. Annual
Cardiometabolic Health Conference, Boston, MA, 10/24/2015.
Published Cases of SGLT2 and DKA. AACE Conference on DKA and SGLT-2 Inhibitors,
Dallas, TX, 10/25/2015.
New Medications in the Management of Diabetes in Adults. Optum Medical Directors
Conference, Las Vegas, NV, 11/5/2015.
Non-Insulin Approaches to the Management of Type 2 Diabetes. PRIMED Conference, Los
Angeles, CA, 11/10/2015.
Lecture to Trainees: What Thyroid Tests Should I Order? 15th International Thyroid
Congress, Orlando, FL, 10/18/2015.
Meet the Professor Session: Technical and Clinical Implications in Thyroglobulin Assays.
15th International Thyroid Congress, Orlando, FL, 10/21/2015.
Hussein N. Yassine, MD
Liver Sinusoidal Endothelial Cell Progenitor Cells and Liver Regeneration. Columbia
University Medical Center, New York, NY, 6/1/2015.
Liver Sinusoidal Endothelial Cells and Liver Regeneration, Pediatric Acute Liver Failure of
Undetermined Cause: A Clinical Research Workshop. NIH-National Institute of Diabetes
and Digestive and Kidney Diseases, Bethesda MD, 10/16/2015.
Liver Sinusoidal Endothelial Cells and Fibrosis, Special Interest Group Program: Antifibrotic
Strategies at the Brink of Translation. American Association for the Study of Liver
Disease, San Francisco, CA, 11/13/2015.
Caroline Hwang, MD
The Impact of Diet on the Pathogenesis and Management of IBD. Oregon Health Sciences
University, Gastroenterology Grand Rounds, Portland OR, 2/2015.
Controversies in Inflammatory Bowel Disease. Southern California Society of
Gastroenterology Post-Digestive Disease Week Symposium, Laguna Niguel CA, 6/2015.
Gregory E. Idos, MD
Premalignant Lesions of the Gastrointestinal Tract, Liver and Pancreas: Standards of Care.
Colorectal Cancer Screening and Surveillance, USC Continuing Medical Education,
Pasadena, CA, 7/18/2015.
Golgi Stress Response is Associated with Anti-HIV Drug-Induced ER Stress and Liver Cell
Injury. American Association for the Study of Liver Diseases 2015, San Francisco, CA,
11/14-18/2015.
Neil K. Kaplowitz, MD
Anisha Shaker, MD
Edy E. Soffer, MD
Endoscopic Treatment Modalities for Gastroparesis. American Society for Metabolic and
Bariatric Surgery (ASMBS) Obesity Week-End, ASMBS Annual Clinical Symposium,
Las Vegas, NV, 6/2015.
How to Program a Gastric Stimulator. American Society for Metabolic and Bariatric Surgery
(ASMBS) Obesity Week-End, ASMBS Annual Clinical Symposium, Las Vegas, NV,
6/2015.
Pathophysiology of Gastroparesis: American Society for Metabolic and Bariatric Surgery
(ASMBS) Obesity Week-End. ASMBS Annual Clinical Symposium, Las Vegas, NV,
6/2015.
Andrew A. Stolz, MD
Anabolic Steroid-Associated Liver Injury, Liver Injury from Herbal and Dietary Supplements.
NIH-American Association for the Study of Liver Diseases Workshop, Bethesda, MD,
5/4-5/5/2015.
Overview of Current Status of Human, Animal and in Vitro Hepatic Tests Systems,
Hepatotoxicity SIG American Association for the Study of Liver Diseases Meeting, San
Francisco, CA, 11/13/2015.
Biliary Strictures: US, CT, MRCP, EUS, ERCP Whats Appropriate for Diagnosis
and Planning? The Basics of ERCP: Introduction to Endoscopic Ultrasound. 22nd
International Symposium on Pancreatic and Biliary Endoscopy, Cedars Sinai Medical
Center, Los Angeles, CA, 2015.
Colorectal Cancer Screening: Current Evidence-Based Guidelines. Medical Grand Rounds,
Verdugo Hills Hospital, Glendale, CA, 2015.
Controversies in Advanced Endoscopy: Endoscopic Ultrasonography. Annual Post-Digestive
Disease Week Symposium, Southern California Society of Gastroenterology, Laguna
Niguel, CA, 2015.
Premalignant Lesions of the Gastrointestinal Tract, Liver and Pancreas: Standards of Care
2015. The Keck School of Medicine of USC, Pasadena, CA, 2015.
The Pressure is Still On: Update in Hypertension 2015. USC Contemporary Topics in Internal
131
Michael Hochman, MD
New Models in Primary Care. 2015 Society for Healthcare Strategy and Market
Development, Executive Dialogue, Amelia Island, FL, 3/3-4 2015.
Adult Malnutrition: Physician Awareness and Treatment. Medical Grand Rounds, Glendale
Adventist Medical Center, Glendale, CA, 2015.
Advances in Anti-Obesity Therapeutics. Medical & Surgical Grand Rounds, St. Vincent
Medical Center, Los Angeles, CA, 2015.
Aging Gracefully: Nutrition Support for the Geriatric Patients. 43rd Annual USC Internal
Medicine Conference, Los Angeles, CA, 2015.
Critical Care Nutrition: Promoting GI Tolerance Through Interal Nutrition. Critical Care
Noon Conference, University of Washington Harborview Medical Center, Seattle, WA,
2015.
Medical Nutrition Support for Chronic Kidney Disease. 43rd Annual USC Internal Medicine
Conference, Los Angeles, CA, 2015.
Medical and Surgical Treatment of Adult Obesity. Medical Grand Rounds, Providence Holy
Cross Medical Center, Mission Hills, CA, 2015.
Novel Advances in Obesity Therapeutics. Resident Lecture Series, Keck Hospital of USC,
Los Angeles, CA, 2015.
Nutrition Support for Critical Care. Medical Grand Rounds, Torrance Memorial Medical
Center, Torrance CA, 2015.
Obesity and the Physicians Role and Responsibility. Medical Grand Rounds, St. Frances
Medical Center, Lynwood, CA, 2015.
Physician Awareness and Diagnosis of Malnutrition. 43rd Annual USC Internal Medicine
Conference, Los Angeles, CA, 2015.
Dohwa Kim, MD
Palliative Care CME Conference. Good Samaritan Medical Center, Los Angeles, CA,
4/22/2015.
Edward Lee, MD
Addressing the Quality Gap in Cardiovasular Care in the Developing World. Western
Regional Meeting, American Federation for Medical Research, Carmel, CA, 1/30/2015.
Venous Thromboembolism. 1st Annual USC Contemporary Topics in Internal Medicine,
Pasadena, CA, 11/7/2015.
Jennifer R. Marks, MD
Eye Conditions for the Generalist. 1st Annual USC Contemporary Topics in Internal
Medicine, Pasadena, CA, 11/2015.
Sharon E. Orrange, MD
The Upshot to Upkeep, Hot Topics in Primary Care. Jonathan Club Womens Lecture Series,
Los Angeles, CA, 10/2015.
Sunita Puri, MD
Holding Difficult Conversations with Families Who Want Everything Done: Strategies for
Advanced Communication. Los Angeles Internal Medicine Residency Noon Conference
Lecture, Kaiser Permanente, Los Angeles, CA, 1/10/2015.
The Heart of the Matter: Goals of Therapy Conversations for Patients with Heart Failure. Los
Angeles Department of Cardiology Noon Conference, Kaiser Permanente, Los Angeles,
CA, 2/25/2015.
Hospice and Palliative Medicine: An Introduction for Medical Residents. Los Angeles
Internal Medicine Residency Noon Conference Lecture, Kaiser Permanente, Los Angeles,
CA, 3/20/2015.
The Ethics of Cardiac Device Deactivation: Approaching Decision-Making with Patients and
Families. Los Angeles Department of Cardiology Noon Conference, Kaiser Permanente,
Los Angeles, CA, 3/25/2015.
Palliative Medicine and End of Life Care for the Surgical Patient: CME Presentation. West
Los Angeles Department of Surgery, Kaiser Permanente, Los Angeles, CA, 4/28/2015.
Patrick E. Sarte, MD
Consultant Etiquette in Palliative Care. Lecture to VA Palliative Care fellows, VA of West Los
Angeles, Los Angeles, CA, 9/2015.
Michael D. Wang, MD
43rd Annual USC Diagnostics & Therapeutic Skills in Internal Medicine Course. Geriatrics
Lecturer, Kona, Hawaii, 3/2015.
1st Annual USC Contemporary Topics in Internal Medicine Symposium, Pasadena, CA,
11/2015.
Hematology
Preet M. Chaudhary, MD, PhD
Role of KSHV-Encoded Viral FLICE Inhibitory Protein (vFLIP) K13 in Cell Signaling: Basic
Mechanisms and Therapeutic Implications. Cedars Sinai Medical Center Cancer Institute
Hematology/Oncology Grand Rounds, Los Angeles, CA, 1/13/2015.
Role of KSHV-Encoded Viral FLICE Inhibitory Protein (vFLIP) K13 in Cell Signaling: Basic
Mechanisms and Therapeutic Implications. Nohl Division of Hematology and Center for
the Study of Blood Diseases Grand Rounds, Los Angeles, CA, 1/16/2015.
Targeted Drug Development for KSHV-Associated Malignancies. California Cancer
Consortium Conference, Pasadena, CA, 8/9/2015.
Howard A. Liebman, MD
Casey L. OConnell, MD
57th American Society of Hematology Annual Meeting and Exposition Education Session:
Incidental Pulmonary Embolism, Orlando, FL, 12/2015.
Ilene C. Weitz, MD
Reversal Strategies of Old and New Oral Anticoagulants. Henry Mayo Hospital, Valencia,
CA, 2/5/2015.
Infectious Diseases
Emily Blodget, MD
Brad Spellberg, MD
Darren W. Wong, MD
Urgent-Start PD: Approaches and Challenges. Annual Dialysis Conference, New Orleans,
LA, 1/31/2015.
Renal Replacement Therapy in Decompensated Cirrhosis. Annual Dialysis Confreence, New
Orleans, LA, 2/2/2015.
Urgent-Start Peritoneal Dialysis. National Kidney Foundation CNNT Spring Clinical
Meetings, Dallas, TX, 3/28/2015.
Urgent-Start PD Update. UC Irvine Nephrology Grand Rounds, Long Beach Veterans
Administration Campus, Long Beach, CA, 3/30/2015.
132
Mitra K. Nadim, MD
Evolving Technology to Treat the Patient with Resistant Hypertension. 19th Annual Max R.
Gaspar Symposium: Contemporary Management of Challenging Vascular Conditions,
Millennium Biltmore Hotel Los Angeles, CA, 9/17/2015.
Oncology
Tanya B. Dorff, MD
Fasting and Oxidative Stress Resistance: What Have We Learned so Far? USC Norris Cancer
Center Grand Rounds, University of Southern California, Los Angeles, CA, 4/2015.
Radium223: Defining Timing, Patients, and Duration with Limited Data. American Society of
Clinical Oncology Annual Meeting, Chicago, IL, 6/2015.
Next-Generation Angiogenesis Inhibitors and Renal Cell Cancer Agents in Development.
California Cancer Consortium Meeting, Pasadena, CA, 8/2015.
Advanced Prostate Cancer Management. Society of Utah Medical Oncologists,
Salt Lake City, UT, 9/2015.
Prostate Cancer. Comprehensive Oncology Board Review Course, Seattle, WA, 9/2015.
Zea Borok, MD
Ching-Fei Chang, MD
Anthony B. El-Khoueiry, MD
Phase 1/2 Safety and Antitumor Activity of Nivolumab in Patients With Advanced
Hepatocellular Carcinoma: Oral Presentation in Clinical Science Symposium. ASCO
Annual Meeting, Chicago, IL, 2015.
Hepatocellular and Hepatobiliary Cancers: 11th Annual California Cancer Consortium
Conference. CME, The Medical Educator Consortium, Pasadena, CA, 8/7-9/2015.
Annual Meeting and SU2C-AACR Progress Review Team Visit: VARI-SU2C Epigenetic
Dream Team, Grand Rapids, MI, 8/24-28/2015.
Terese C. Hammond, MD
Barbara J. Gitlitz, MD
ALK, HSP 90 and Combos: AT 13387. International Association for the Study of Lung
Cancer, 15th Annual Targeted Therapies of Lung Cancer Meeting, Santa Monica, CA,
2/19/2015.
Antibody/Antibody Congugates: AGS 003. International Association for the Study of Lung
Cancer, 15th Annual Targeted Therapies of Lung Cancer Meeting, Santa Monica, CA,
2/19/2015.
FGFR +/- VEGFR, PDGFR/Angiogenesis; EPH. International Association for the Study of
Lung Cancer, 15th Annual Targeted Therapies of Lung Cancer Meeting, Santa Monica,
CA, 2/21/2015.
Targeting EphB4 in Metastatic Head & Neck Squamous Cell Carcinoma. SoCal Head & Neck
Consortium, City of Hope, Duarte, CA, 3/7/2015.
Personalized Therapy for Lung Cancer. Lung Cancer in 2015: A Multidisciplinary Update.
USC Multidisciplinary Lung Cancer Program, Pasadena, CA, 4/18/2015.
Lung Cancer Diagnosis and Treatment: An integrated care model in the era of targeted
therapy. 2015 Pulmonary and Critical Care Medicine Regional Symposium, Southern
California Permanente Medical Group, Anaheim, CA, 4/25/2015.
Novel Targeted Pathways in Non-Squamous NSCLC: EGFR, ALK, ROS-1, and more. 10th
Annual New Orleans Summer Cancer Meeting, New Orleans, LA, 7/18/2015.
Amir Goldkorn, MD
AXIN2 Predicts Prostate Cancer Recurrence and Promotes an Invasive, Cancer Stem-Like
Phenotype. WAFMR Outstanding Investigator Plenary Session Presentation, Carmel, CA,
1/2015.
Cancer Stem Cells: Defining, Tracking, and Targeting an Elusive Phenotype. UCSD Sanford
Consortium Research Seminar, San Diego, CA, 2015.
Circulating Tumor Cells in Urologic Malignancies: Leveraging Novel Technologies to
Elucidate Disease Biology and Improve Clinical Outcomes. UCLA Urology Grand
Rounds, Los Angeles, CA, 2015.
Insomnia: Implications and Treatment. CME Invited Lecture, Citrus Valley Medical Center,
Covina CA, 4/7/2015.
Diagnosis/Management of Pulmonary Arterial Hypertension. CME Invited Lecture, Citrus
Valley Medical Center Conference Center, Covina, CA, 4/21/2015.
Chronic Thromboembolic Pulmonary Hypertension: What you Need to Know? CME Invited
Lecture, Providence Tarzana Medical Center, Tarzana, CA, 4/27/2015.
Update: Non-infectious interstitial lung disease. CME Invited Lecture, Citrus Valley Medical
Center Conference Center, Covina, CA, 6/9/2015.
Prevention of PE/DVT. CME Invited Lecture, Providence Tarzana Medical Center, Tarzana
CA, 7/13/2015.
Interstitial Lung Disease. CME Invited Lecture, West Hills Medical Center, West Hills, CA,
8/7/2015.
Interstitial Lung Disease. CME Invited Lecture, Northridge Hospital Education Auditorium,
Northridge, CA, 8/18/2015.
Bassam Yaghmour, MD
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis. Vermont Lung
Center, University of Vermont, Burlington, VT, 4/8/2015.
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis. The Ohio State
University, Columbus, OH, 5/6/2015.
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis: Integrative
Respiratory Physiology and Pathophysiology Program, University of Wisconsin, Madison,
WI, 5/29/2015.
Effects of Endoplasmic Reticulum Stress on Epithelial Injury and Fibrosis. Center for
Comparative Respiratory Biology and Medicine, University of California, Davis, CA,
6/5/2015.
Rheumatology
Stratos Christianakis, MD
James S. Hu, MD
Sarcoma: The Medical Oncologists Viewpoint. Asia Pacific Network Dinner, Los Angeles,
CA, 2/28/2015.
Systemic Treatment of Chordoma: A Medical Oncologists View. Chordoma Foundation
Symposium, University of Southern California, Los Angeles, CA, 3/14/2015.
Sarcoma: Latest and Greatest. California Consortium Conference, Pasadena, CA, 8/9/2015.
Christy A. Russell, MD
Breast Cancer The Road Forward. A SABCS and ASCO update. Kaiser Permanente
Inaugural Multi-Disciplinary Oncology Symposium, Long Beach, CA, 6/13/2015.
First, a Lump in a Breast: Personalized Medicine for Breast Cancer. The 24th Annual Cancer
Surveillance Program Educational Symposium, Los Angeles, CA, 8/7/2015.
Endocrine Therapy for DCIS. 17th Annual Lynn Sage Breast Cancer Symposium, Chicago,
IL, 11/1/2015.
Current and Future Treatment of HER2-Positive Breast Cancer: Expert Advice for Clinicians.
University of Texas Health Science Center at San Antonio; CTRC Institute for Drug
Development Oncology Conference, San Antonio, TX, 11/18/2015.
Michelle Koolaee, DO
San Antonio Breast Cancer Symposium Update. 2nd Annual USC Multidisciplinary Breast
Cancer Symposium, Los Angeles, CA, 1/17/2015.
HER-2 Directed Therapy in Breast Cancer. Scripps 35th Annual Conference: Clinical
Hematology and Oncology, San Diego, CA, 2/17/2015.
Optimal Management of the Pre-Menopausal Patient with Estrogen Receptor-Positive Breast
Cancer. Scripps 35th Annual Conference: Clinical Hematology and Oncology, San
Diego, CA, 2/17/2015.
Optimal Multidisciplinary Treatment of Breast Cancer. USC Keck School of Medicine Deans
Clinical Lecture Series, Los Angeles, CA, 3/4/2015.
One Physicians Journey in Balancing Work with Cancer Patients. 15th Annual USC
Psychosocial Seminar, Los Angeles, CA, 3/12/2015.
Adjuvant Therapy of Breast Cancer. 21st Annual NOCR Meeting, Las Vegas, NV, 3/13/2015.
133
Peer-Reviewed Publications
Cardiovascular Medicine
Fong MW, Shavelle D, Weaver FA, Nadim MK: Renal Denervation in Heart Failure.
Current Hypertension Reports 17(4), 2015.
Chang PM, Patel AR, Aziz P, Shah MJ: Fasciculoventricular Accessory Pathways Following
Repair of Ventricular Septal Defects. HeartRhythm Case Reports 1:331-336, 2015.
Chang PM, Powell B, Jones PW, Carter N, Hayes D, Saxon LA: Implantable CardioverterDefibrillator Programming Characteristics, Shocked Rhythms, and Survival Among Patients
Under Thirty Years of Age. Heart Rhythm, submitted, 2015.
Garg PK, McClelland RL, Jenny NS, Criqui MH, Greenland P, Rosenson RS, Siscovick DS,
Jorgensen N, Cushman M: Lipoprotein-Associated Phospholipase A2 and Risk of Incident
Cardiovascular Disease in a Multi-Ethnic Cohort: The Multi-Ethnic Study of Atherosclerosis.
Atherosclerosis 241(1): 176-82, 2015.
Vaikunth SS, Uzunyan MY, Shinbane JS, Baker CJ, Starnes VA, Chang PM: Interrupted
Aortic Arch from the Neonate to the Adult: A Comparison and Contrast. World Journal for
Pediatric and Congenital Heart Surgery, submitted, 2015.
Fung E, Fong MW, Correa AJ, Yoon AJ, Grazette LP: Fulminant Eosinophilic Myocarditis
Following ICD Implantation in a Patient with Undisclosed Nickel Allergy. Int J Cardiol
[Epub ahead of print], 2015.
Alexy T, Pais E, Wenby RB, Mack WJ, Hodis HN, Kono N, Wang J, Baskurt OK, Fisher TC,
Meiselman HJ: Abnormal Blood Rheology and Chronic Low Grade Inflammation: Possible
Risk Factors for Accelerated Atherosclerosis and Coronary Artery Disease in Lewis Negative
Subjects. Atherosclerosis 239:248251, 2015.
Azarbal A, Clavijo L, Gaglia MA: Antiplatelet Therapy for Peripheral Arterial Disease
and Critical Limb Ischemia: Guidelines Abound, but Where are the Data? J Cardiovasc
Pharmacol Ther 20(2):144-56, 2015.
Clavijo LC, Maya J, Carlson G, Angiolillo DJ, Teng R, Caplan R, Price MJ: Platelet
Inhibition with Ticagrelor versus Clopidogrel in Hispanic Patients with Stable Coronary
Artery Disease with or without Diabetes Mellitus. Cardiovasc Revasc Med 16(8):450-4, 2015.
Elsayed S, Clavijo LC: Critical Limb Ischemia. Cardiology Clinics 33(1): 37-47, 2015.
Hanna DB, Post WS, Deal JA, Hodis HN, Jacobson LP, Mack WJ, Anastos K, Gange
SJ, Landay AL, Lazar JM, Palella FJ, Tien PC, Witt MD, Xue X, Young MA, Kaplan
RC, Kingsley LA: HIV Infection Is Associated with Progression of Subclinical Carotid
Atherosclerosis. Clin Infect Dis 61(4):640-50, 2015.
Price MJ, Clavijo L, Angiolillo DJ, Carlson G, Caplan R, Teng R, Maya J: A Randomised
Trial of the Pharmacodynamic and Pharmacokinetic Effects of Ticagrelor Compared
with Clopidogrel in Hispanic Patients with Stable Coronary Artery Disease. J Thromb
Thrombolysis 39(1):8-14, 2015.
Hodis HN, Mack WJ, Shoupe D, Azen SP, Stanczyk FZ, Hwang-Levine J, Budoff MJ,
Henderson VW, for the Early versus Late Intervention Trial with Estradiol Research Group:
Methods and Baseline Cardiovascular Data from the Early versus Late Intervention Trial with
Estradiol Testing the Menopausal Hormone Timing Hypothesis. Menopause 22:391401,
2015.
Patel P, Dhillon A, Popovic ZB, Smedira NG, Rizzo J, Thamilarasan M, Agler D, Lytle
BW, Lever HM, Desai MY: Left Ventricular Outflow Tract Obstruction in Hypertrophic
Cardiomyopathy Patients without Severe Septal Hypertrophy: Implications of Mitral Valve
and Papillary Muscle Abnormalities Assessed Using Cardiac Magnetic Resonance and
Echocardiography. Circ Cardiovasc Imaging 8(7):e003132, 2015.
Jung M, Parrinello CM, Xue X, Mack WJ, Anastos K, Lazar JM, Selzer RH, Shircore
AM, Plankey M, Tien P, Cohen M, Gange SJ, Hodis HN, Kaplan RC: Echolucency of
the Carotid Artery Intima-Media Complex and Intima-Media Thickness have Different
Cardiovascular Risk Factor Relationships: the Womens Interagency HIV Study. J Am Heart
Assoc4(2):e001405, 2015.
Carlson SK, Chang PM, Doshi RN: Prolapse of Pacemaker Leads Resulting in Complete
IVC Obstruction in an Adult Congenital Patient. The Journal of Innovations in Cardiac
Rhythm Management 6:2117-2120, 2015.
Karim R, Stanczyk FZ, Brinton RD, Rettberg J, Hodis HN, Mack WJ: Association of
Endogenous Sex Hormones with Adipokines and Ghrelin in Postmenopausal Women. J Clin
Endocrinol Metab 100:50815, 2015.
Carlson SK, Doshi RN: Device Therapy for Acute Systolic Heart Failure and Atrial
Fibrillation. Card Electrophysiology Clin 7(3): 469-477, 2015.
Miller VM, Jenkins GD, Biernacka JM, Heit JA, Huggins GS, Hodis HN, Budoff MJ,
Lobo RA, Taylor HS, Manson JE, Black DM, Naftolin F, Harman SM, de Andrade M:
Pharmacogenomics of Estrogens on Changes in Carotid Artery Intima-Medial Thickness and
Coronary Arterial Calcification: Kronos Early Estrogen Prevention Study. Physiol Genomics
[Epub ahead of print], 2015.
Doshi R: Atrial Fibrillation Detected via Remote Monitoring: Big Data Solutions for
Big Problems--or Just More Questions? The Journal of Innovations in Cardiac Rhythm
Management 6:18811883, 2015.
Doshi RN: My Best Case, My Worst Case. The Journal of Innovations in Cardiac Rhythm
Management, in press, 2015.
Doshi RN: Interview with Rahul N. Doshi, MD, FACC, FHRS on Leadless Multi-Sensor
Wireless Monitoring. The Journal of Innovations in Cardiac Rhythm Management (6): 20572058, in press, 2015.
Fung E, Jarvelin M-R, Doshi RN, Shinbane JS, Carlson SK, Grazette LP, Chang PM,
Sangha RS, Huikuri HV, Peters NS: Electrocardiographic Patch Devices and Contemporary
Wireless Cardiac Monitoring. Frontiers in Physiology 6:149, 2015.
Huntsinger M, Rabara R, Peralta I, Doshi RN: Current Technology to Maximize Cardiac
Resynchronization Therapy Benefit for Patients with Symptomatic Heart Failure. AACN
Advanced Critical Care 26:329-40, 2015.
Reddy VY, Exner DV, Cantillon DJ, Doshi R, Bunch J, Tomassoni GF, Friedman PA, Estes
III M, Ip J, Niazi I, Plunkitt K, Banker R, Porterfield J, Ip JE, Dukkipati SR: Percutaneous
Implantation of an Entirely Intracardiac Leadless Pacemaker. The New England Journal of
Medicine 373(12):1125-35, 2015.
McNamara DM, Elkayam U, Alharethi R, Damp J, Hsich E, Ewald G, Modi K, Alexis
JD, Ramani GV, Semigran MJ, Haythe J, Markham DW, Marek J, Gorcsan J 3rd, Wu WC,
Lin Y, Halder I, Pisarcik J, Cooper LT, Fett JD; IPAC Investigators: Clinical Outcomes for
Peripartum Cardiomyopathy in North America: Results of the IPAC Study (Investigations of
Pregnancy-Associated Cardiomyopathy). J Am Coll Cardiol 66(8):905-14, 2015.
Miller VM, Lahr BD, Bailey KR, Hodis HN, Mulvagh SL, Jayachandran M: Specific
Cell-Derived Microvesicles: Linking Endothelial Function to Carotid Artery Intima-Media
Thickness in Low Cardiovascular Risk Menopausal Women. Atherosclerosis 246:21-28,
2015.
Stein JH, Ribaudo HJ, Hodis HN, Brown TT, Tran TT, Yan M, Lauer-Brodell E, McComsey
GA, Kelesidis T Dub MP, Murphy RL, Currier JS: A Prospective, Randomized Clinical
Trial of Antiretroviral Therapies on Carotid Wall Thickness: AIDS Clinical Trial Group study
A5260s. AIDS 29:1775-83, 2015.
Dai W, Herring MJ, Hale SL, Kloner RA: Rapid Surface Cooling by Thermo Suit System
Dramatically Reduces Scar Size, Prevents Post-Infarction Adverse Left Ventricular
Remodeling, and Improves Cardiac Function in Rats. Journal of the American Heart
Association 4(7), 2015.
Dow JS, Bhandari A, Hale SL, Kloner RA: Does Gender Influence the Incidence or Serverity
of Reperfusion-Induced Cardiac Arrhythmias? Springer Plus 4:96, 2015.
Hale SL, Kloner RA: Dabigatran Treatment: Effects on Infarct Size and the No-Reflow
Phenomenon in a Model of Acute Myocardial Ischemia/Reperfusion. Journal of Thrombosis
and Thombolysis 39(1): 50-54, 2015.
Kloner RA: New Observations Regarding Post-Ischemia/Reperfusion Myocardial Swelling.
Journal of the American College of Cardiology 65(4):324-326, 2015.
Kloner RA: Testosterone and Cardiovascular Health: Safety of Treatment of Hypogonadism.
Sexual Medicine Reviews 3: 56-62, 2015.
Ng TM, Goland S, Elkayam U: Relaxin for the Treatment of Acute Decompensated Heart
Failure: Pharmacology, Mechanisms of Action, and Clinical Evidence. Cardiol Rev [Epub
ahead of print], 2015.
Kloner RA, Dai W, Shi J, Hale SL, Ceste M: Rebuilding the Infarcted Heart with NonCellular Material. Regenerative Medicine, in press, 2015.
Chaudhry MA, Correa A, Lee C, Yoon A, Grazette L, Saremi F, Fong MW: Modern Day
Management of Giant Cell Myocarditis. Int J Cardiol 178:82-84, 2015.
Kloner RA, Shi J, Dai W: New Therapies for Reducing Post-Myocardial Left Ventricular
Remodeling. Ann Transl Med 3(2):20, 2015.
Kraus AS, Pasha EP, Mackin DR, Alkatan M, Kloner RA, Tanaka H: Bilateral Upper Limb
134
Oskui PM, Kloner RA, Burstein S, Zhiroff K, Kartub BR, Economides C, Brook J, Mayeda
GS: The Safety and Efficacy of Peripheral Vascular Procedures Performed in the Outpatient
Setting. Journal of Invasive Cardiology 27(5): 243-249, 2015.
Hsu JC, Saxon LA, Jones PW, Wehrenberg S, Marcus GM: Utilization Trends and Clinical
Outcomes in Patients Implanted with a Single- vs a Dual-Coil Implantable CardioverterDefibrillator Lead: Insights from the ALTITUDE Study. Heart Rhythm 12(8):1770-5, 2015.
Schwartz BG, Qualls C, Kloner RA, Laskey WK: Relation of Total and Cardiovascular
Death Rates to Climate System, Temperature, Barometric Pressure and Respiratory Infection.
Am J Cardiology 116 (8):1290-1297, 2015.
Maurer MS, Adamson PB, Costanzo MR, Eigler N, Gilbert J, Gold MR, Klapholz M, Saxon
LA, Singh JP, Troughton R, Abraham W: Rationale and Design of the Left Atrial Pressure
Monitoring to Optimize Heart Failure Therapy Study (LAPTOP-HF). J Card Fail 21(6):479488, 2015.
Shi J, Dai W, Hale SL, Brown DA, Wang M, Han X, Kloner RA: Bendavia Restores
Mitochondrial Energy Metabolism Gene Expression and Suppresses Cardiac Fibrosis in the
Border of the Infarcted Heart. Life Sciences, in press, 2015.
Stankowski RV, Kloner RA, Rezkalla SH: Cardiovascular Consequences of Cocaine Use.
Trends in Cardiovascular Medicine 25 (6): 517-526, 2015.
Mooney DM, Fung E, Doshi RN, Shavelle DM: Evolution from Electrophysiologic to
Hemodynamic Monitoring: the Story of Left Atrial and Pulmonary Artery Pressure Monitors.
Frontiers in Physiology 6:271, 2015.
Konecny T, Friedman PA, Sanon S, Rihal CS, Mulpuru SK: Percutaneous Trans-Apical
Access with Closure for Ventricular Tachycardia Ablation. Circ Arrhythm Electrophysiol
8(2):508-11, 2015.
Konecny T, Geske JB, Ludka O, Orban M, Brady PA, Abudiab MM, Albuquerque FN,
Placek A, Kara T, Sahakyan KR, Gersh BJ, Tajik AJ, Allison TG, Ommen SR, Somers VK:
Decreased Exercise Capacity and Sleep-Disordered Breathing in Patients with Hypertrophic
Cardiomyopathy. Chest 147(6):1574-81, 2015.
Stolker JM, Lim MJ, Shavelle DM, Morris DL, Angiolillo DJ, Guzman LA, Kennedy KF,
Weber E, Zareh M, Neumayr RH, Zenni MM: Pooled Comparison of Regadenoson versus
Adenosine for Measuring Fractional Flow Reserve and Coronary Flow in the Catheterization
Laboratory. Cardiovasc Revasc Med 16(5):266-71, 2015.
Konecny T, Ludka O, Orban M, Abudiab MM, Brady PA, Konecny V, Kara T, Soucek M,
Dhoble A, Macedo P, Allison TG, Tajik AJ, Ommen SR, Somers VK: Decreased Exercise
Capacity and Sleep Disordered Breathing in Patients with Hypertrophic Cardiomyopathy.
Chest, [Epub ahead of print], 2015.
Sung G, Bosson N, Kaji AH, Eckstein M, Shavelle D, French WJ, Thomas JL, Koenig W,
Niemann JT: Therapeutic Hypothermia after Resuscitation From a Non-Shockable Rhythm
Improves Outcomes in a Regionalized System of Cardiac Arrest Care. Neurocrit Care [Epub
ahead of print], 2015.
Konecny T, Noseworthy PA, Kapa S, Cooper LT, Mulpuru SK, Sandhu GS, Asirvatham S:
Endomyocardial Biopsy-Integrating Electrode at the Bioptome Tip. Ther Adv Cardiovasc Dis
9(3):66-9, 2015.
Youssef G, Guo M, McClelland RL, Shavelle DM, Nasir K, Rivera J, Carr JJ, Wong
ND, Budoff MJ: Risk Factors for the Development and Progression of Thoracic Aorta
Calcification: The Multi-Ethnic Study of Atherosclerosis. Acad Radiol 22(12):1536-45, 2015.
Qamruddin S, Huang HW, Mehra A, Bonyadlou S, Yoon AJ: ST Segment Elevation ECG
Changes During Pharmacologic Stress with Regadenoson. Clinical Nuclear Medicine,
submitted, 2015.
Yoon AJ, Sohn J, Grazette L, Fong MW, Bowdish M: Pan-Cardiac Cycle Fixed Mitral
Valve Opening in an LVAD Patient Presenting with Hemorrhagic Shock. Echocardiography,
submitted, 2015.
Ruzek L, Konecny T, Soucek F, Konecny D, Mach L, Ommen SR, Kopecky SL, Nishimura
RA: Phosphodiesterase 5 Inhibitor Use in Men with Hypertrophic Cardiomyopathy. Am J
Cardiol 116(4):618-21, 2015.
135
DuBose SN, Hermann JM, Tamborlane WV, Beck RW, Dost A, DiMeglio LA, Schwab KO,
Holl RW, Hofer SE, Maahs DM, Type I Diabetes Exchange Clinic Network and Diabetes
Prospective Follow-up Registry (including Peters AL): Obesity in Youth with Type I
Diabetes in Germany, Austria, and the United States. J Pediatr 167(3)627-32, 2015.
Eby EL, Curtis BH, Gelwicks SC, Hood RC, Idris I, Peters AL, Bergenstal RM, Jackson
JA: Initiation of Human Regular U-500 Insulin Use is Associated with Improved Glycemic
Control: a Real-World US Cohort Study. BMJ Open Diabetes Res Care 3(1):e000074, 2015.
Espeland MA, Probstfield J, Hire D, Redmon JB, Evans GW, Coday M, Lewis CE, Johnson
KC, Wilmoth S, Bahnson J, Dulin MF, Green JB, Knowler WC, Kitabchi A, Murillo AL,
Osei K, Rehman SU, Cushman WC, Look AHEAD Research Group (including Peters AL),
ACCORD Study Group: Systolic Blood Pressure Control Among Individuals with Type 2
Diabetes: a Comparative Effectiveness Analysis of Three Interventions. Am J Hypertens
28(8):995-1009, 2015.
Fisher L, Polonsky WH, Hessler DM, Masharani U, Blumer I, Peters AL, Strycker LA,
Bowyer V: Understanding the Sources of Diabetes Distress in Adults with Type 1 diabetes.
J Diabetes Complications 29(4):572-7, 2015.
Fox LA, Mubasher M, Wolfsdorf JI, Buckingham BA, Peters AL, Tamborlane WV, Schatz
DA, Maahs DM, Miller KM, Beck RW, T1D Exchange Clinic Network: Characteristics of
Youth with Type 1 Diabetes with and without a Parent with Type 1 Diabetes in the T1D
Exchange Clinic Registry. J Diabetes [Epub ahead of print], 2015.
Heinemann L, Fleming GA, Petrie JR, Holl RW, Bergenstal RM, Peters AL: Insulin Pump
Risks and Benefits: a Clinical Appraisal of Pump Safety Standards, Adverse Event Reporting,
and Research Needs: a Joint Statement of the European Association for the Study of Diabetes
and the American Diabetes Association Diabetes Technology Working Group. Diabetes Care
38(4):716-22, 2015.
Heinemann L, Fleming GA, Petrie JR, Holl RW, Bergenstal RM, Peters AL: Insulin Pump
Risks and Benefits: a Clinical Appraisal of Pump Safety Standards, Adverse Event Reporting
and Research Needs. a Joint Statement of the European Association for the Study of Diabetes
and the American Diabetes Association Diabetes Technology Working Group. Diabetologia
58(5):862-70, 2015.
Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, Peters AL,
Tsapas A, Wender R, Matthews DR: Management of Hyperglycemia in Type 2 Diabetes,
2015: a Patient-Centered Approach. Update to a Position Statement of the ADA and the
EASD. Diabetes Care 38:140-149, 2015.
Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, Peters AL,
Tsapas A, Wender R, Matthews DR: Management of Hyperglycaemia in Type 2 Diabetes,
2015: a Patient-Centered Approach. Update to a Position Statement of the American
Diabetes Association and the European Association for the Study of Diabetes. Diabetologia
58(3):429-42, 2015.
Lu Y, Pyatak EA, Peters AL, Wood JR, Kipke M, Cohen M, Sequeira PA: Patient
Perspectives on Peer Mentoring: Type 1 Diabetes Management in Adolescents and Young
Adults. The Diabetes Educator 41:59-68, 2015.
Marquez R, Anderson A, Wing RR, West DS, Newton RL, Meacham M, Hazuda HP, Peters
A, Montez MG, Broyles ST, Walker M, Evans-Hudsnall G, The Look AHEAD Research
Group: The Relationship of Social Support with Treatment Adherence and Weight Loss in
Latinos with Type 2 Diabetes. Obesity, submitted, 2015.
Padilla M, Peters AL: Diabetes and Cardiovascular Disease Risk Factors as Influenced by
Race and Ethnic Background. Curr Cardiovasc Risk Reports, submitted, 2015.
Peters AL, Buschur E, Buse JB, Cohan P, Dimer J, Hirsch I: Euglycemic Diabetic
Ketoacidosis: a Potential Complication of Sodium Glucose Cotransporter 2 Inhibition.
Diabetes Care 38:1687-93, 2015.
Peters AL, Pollom RD, Zielonka JS, Carey MA, Edelman SV: Biosimilars and New Insulin
Versions. Endocr Pract 21(12):1387-94, 2015.
Pownall HJ, Bray GA, Wagenknecht LE, Walkup MP, Heshka S, Hubbard VS, Hill J, Kahn
SE, Nathan DM, Schwartz AV, Johnson KC; Look AHEAD Research Group (including
Peters AL): Changes in Body Composition over 8 Years in a Randomized Trial of a Lifestyle
Intervention: the Look AHEAD Study. Obesity (Silver Spring) 23(3):565-72, 2015.
Raynor HA, Anderson AM, Miller GD, Reeves R, Delahanty LM, Vitolins MZ, Harper P,
Mobley C, Konersman K, Mayer-Davis E; Look AHEAD Research Group (including Peters
AL): Partial Meal Replacement Plan and Quality of the Diet at 1 Year: Action for Health in
Diabetes (Look AHEAD) Trial. J Acad Nutr Diet 115:731-42, 2015.
Romley JA, Gong C, Jena AB, Goldman DP, Williams B, Peters A: Association Between Use
of Warfarin with Common Sufonylureas and Serious Hypoglycemic Events: Retrospective
Cohort Analysis. BMJ 351:h6223, 2015.
Sepah SC, Jiang L, Peters AL: Long-Term Efficacy of an Online Diabetes Prevention
Program: 2-Year Study Outcomes. J Med Internet Res 17(4), 2015.
Sequeira PA, Pyatak EA, Weigensberg MJ, Vigen CP, Wood JR, Ruelas V, Montoya L,
Cohen M, Speer H, Clark S, Peters AL: Lets Empower and Prepare (LEAP): Evaluation
of a Structured Transition Program for Young Adults With Type 1 Diabetes. Diabetes Care
136
Stevens GD, Shi L, Vane C, Nie X, Peters AL: Primary Care Medical Home Experience and
Health-Related Quality of Life Among Adult Medicaid Patients with Type 2 Diabetes. J Gen
Intern Med 30(2):161-8, 2015.
Unick JL, Neiberg RH, Hogan PE, Cheskin LJ, Dutton GR, Jeffery R, Nelson JA, Pi-Sunyer
X, West DS, Wing RR, Look AHEAD Research Group (including Peters A): Weight Change
in the first 2 months of a lifestyle intervention predicts weight changes 8 years later. Obesity
(Silver Spring) 23(7):1353-6.
Weinstock RS, DuBose SN, Bergenstal RM, Chaytor NS, Peterson C, Olson BA, Munshi
MN, Perrin AJ, Miller KM, Beck RW, Lilijenquiest DR, Aleppo G, Buse JB, Kruger D,
Bhargava A, Goland RS, Edelen RC, Pratley RE, Peters AL, Rodriguez H, Ahmann AJ, Lock
JP, Garg SK, Rickels MR, Hirsch IB, T1D Exchange Severe Hypoglycemia in Older Adults
with Type I Diabetes Study Groups: Risk Factors Associated with Severe Hypoglycemia in
Older Adults with Type I Diabetes. Diabetes Care [Epub ahead of print], 2015.
Weissberg-Benchell J, Hood K, Laffel L, Heinemann L, Ball D, Kowalski A, Peters A,
Damiano E, Schiller M, Davis A, Beck S, Barnard K: Toward Development of Psychosocial
Measures for Automated Insulin Delivery. J Diabetes Sci Technol [Epub ahead of print],
2015.
Willi SM, Miller KM, DiMeglio LA, Klingensmith GJ, Simmons JH, Tamborlane WV,
Nadeau KJ, Kittelsrud JM, Huckfeldt P, Beck RW, Lipman TH; T1D Exchange Clinic
Network (including Peters AL): Racial-Ethnic Disparities in Management and Outcomes
among Children with Type 1 Diabetes. Pediatrics 135(3):424-34, 2015.
Angell T, Lechner M, Ngyuen C, Nicoloff J, LoPresti J: Clinical Features and Hospital
Outcomes in Thyroid Storm: A Retrospective Cohort Study. JCEM 100: 451-59, 2015.
Bentley-Lewis R, Aguilar D, Riddle MC, Claggett B, Diaz R, Dickstein K, Gerstein HC,
Johnston P, Kober LV, Lawson F, Lewis EF, Maggioni AP, McMurray JJ, Ping L, Probstfield
JL, Solomon SD, Tardif JC, Wu Y, Pfeffer MA, ELIXA Investigators (including Shaw
SJ): Rationale, Design and Baseline Characteristics in Evaluation of Lixisenatide in Acute
Coronary Syndrome, a Long-Term Cardiovascular End Point Trial of Lixisenatide versus
Placebo. Am Heart J 169(5):631-638.e7.
Pfeffer MA, Claggett B, Diaz R, Dickstein K, Gerstein HC, Kober LV, Lawson FC, Ping L,
Wei X, Lewis EF, Maggioni AP, McMurray JJ, Probstfield JL, Riddle MC, Solomon SD,
Tardif JC, ELIXA Investigators (including Shaw SJ): Lixisenatide in Patients with Type 2
Diabetes and Acute Coronary Syndrome. N Engl J Med 373(23):2247-57, 2015.
Netzel BC, Grebe SK, Carranza Leon BG, Castro MR, Clark PM, Hoofnagle AN, Spencer
CA, Turcu AF, Algeciras-Schimnich A: Thyroglobulin (Tg) Testing Revisited: Tg Assays,
TgAb Assays and Correlation of Results with Clinical Outcomes JCEM 100:E1074, 2015.
Stagnaro-Green A, Dogo-Isonaige E, Pearce E, Spencer C, Gaba N: Marginal Iodine
Status and High Rate of Subclinical Hypothyroidism in Washington DC Women Planning
Conception. Thyroid 25:1151-4, 2015.
Kimzey MJ, Kinsky O, Yassine HN, Tsaprailis G, Stump CS, Monks TJ, Lau SS: 2015 Site
Specific Modification of the Human Plasma Proteome by Methylglyoxal. Toxicology and
Applied Pharmacology 289(2):155-62, 2015.
Yassine HN, Trenchevska O, He H, Borges C, Nedelkov D, Mack W, Kono N, Koska J,
Reaven PD, Nelson RW: Serum Amyloid A Truncations in Type 2 Diabetes Mellitus. PLOS
ONE 10(1):e0115320, 2015.
Yassine HN, Trenchevska O, Ramrakhiani A, Parekh A, Koska J, Walker RW, Billheimer
D, Reaven PD, Yen FT, Nelson RW, Goran MI, Nedelkov D: The Association of Human
Apolipoprotein C-III Sialylation Proteoforms with Plasma Triglycerides. PLoS One
10(12):e0144138.
137
BK, Gallinger SJ, Gauderman WJ, Giles G, Green R, Haile R, Harrison TA, Hoffmeister
M, Hopper JL, Hudson TJ, Jacobs E, Iwasaki M, Jee SH, Jenkins M, Jia WH, Joshi A, Li L,
Lindor NM, Matsuo K, Moreno V, Mukherjee B, Newcomb PA, Potter JD, Raskin L, Rennert
G, Rosse S, Severi G, Schoen RE, Seminara D, Shu XO, Slattery ML, Tsugane S, White E,
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Infectious Diseases
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147
Federal Grants
Principal Investigator / Co-Investigator
Agency
Direct Cost
Indirect Cost
Total Cost
Beginning
Date
End
Date
319,995
47,087
367,081
8/21/12
5/31/15
CARDIOVASCULAR MEDICINE
Hodis, Howard
Hodis, Howard
6,008
3,905
9,913
6/4/15
5/31/16
Hodis, Howard
18,900
18,900
5/1/09
5/31/15
Shavelle, David
13,084
4,527
17,611
6/1/14
4/30/17
357,986
55,519
413,505
274,558
52,617
327,175
7/21/14
6/30/16
5,494,789
2,768,621
8,263,410
7/1/10
3/31/15
Buchanan, Thomas
551,692
152,104
703,796
9/23/11
6/30/16
Page, Kathleen
138,391
11,146
149,537
8/2/11
4/30/16
Page, Kathleen
45,574
29,556
75,130
7/1/14
6/30/16
Peters, Anne
50,624
50,624
6/1/13
5/31/18
422,759
96,192
518,951
9/30/99
7/31/15
Yassine, Hussein
127,131
10,170
137,301
12/1/12
4/30/17
7,105,519
3,120,407
10,225,925
174,517
114,095
288,612
4/1/13
3/31/18
DeLeve, Laurie
215,028
139,190
354,218
8/1/14
7/31/18
Hwang, Caroline
5,887
3,789
9,676
7/1/14
9/30/15
Ji, Cheng
34,074
22,119
56,193
5/15/15
4/30/17
290,753
158,511
449,264
3/1/97
2/28/15
49,950
30,969
80,919
7/1/03
3/31/15
282,591
179,298
461,889
4/1/04
2/28/20
167,761
104,666
272,427
7/1/13
8/31/18
Saito, Takeshi
113,652
73,516
187,168
8/20/14
7/31/16
Saito, Takeshi
70,424
45,679
116,103
4/1/15
3/31/20
Shaker, Anisa
167,929
13,434
181,363
7/1/11
1/31/17
Shaker, Anisa
4,644
3,019
7,663
8/1/15
7/31/17
Shao, Ling
156,444
12,516
168,959
9/3/14
7/31/19
143,163
92,774
235,937
9/1/14
8/31/16
207,458
95,695
303,153
9/30/08
6/30/18
991,098
451,577
1,442,675
1/1/99
12/31/18
3,075,374
1,540,844
4,616,218
HEMATOLOGY
Chaudhary, Preet/Matta, Hittu
135,387
62,268
197,655
6/1/10
3/31/15
Liebman, Howard
16,380
12,359
28,739
2/15/13
1/31/16
148
Indirect Cost
Total Cost
Beginning
Date
End
Date
149,841
11,171
161,012
9/18/12
8/31/17
TOTAL HEMATOLOGY
301,608
85,798
387,406
Agency
Merchant, Akil
INFECTIOUS DISEASES
Dube, Michael
444,535
117,677
562,213
4/1/12
3/31/16
498,399
298,591
796,990
12/1/13
11/30/15
Spellberg, Brad
16,541
10,724
27,265
9/1/14
8/31/19
Spellberg, Brad
166,353
97,816
264,169
7/1/14
3/31/16
Spellberg, Brad
71,649
46,214
117,863
7/1/14
3/31/16
Spellberg, Brad
157,699
25,413
183,112
7/1/14
7/31/16
Spellberg, Brad
126,533
78,492
205,024
10/1/14
7/31/16
Spellberg, Brad
10/1/14
7/31/16
23,788
15,396
39,184
1,505,497
690,323
2,195,821
42,791
27,742
70,533
9/1/15
8/31/18
University of Maryland
(NIDDK)
13,977
13,977
7/1/15
6/30/16
84,622
55,004
139,626
8/1/15
7/30/16
141,390
82,746
224,135
ONCOLOGY
Agus, David/Macklin, Paul/Ruderman,
Daniel/Mumenthaler, Shannon/Lenz,
Heinz-Josef
586,917
154,381
741,299
9/5/13
7/31/17
412,112
266,741
678,853
9/10/14
8/31/19
4,097,604
2,438,932
6,536,537
12/1/96
11/30/15
60,926
15,841
76,766
9/23/11
9/22/16
Lenz, Heinz-Josef
55,210
35,886
91,096
7/1/15
6/30/16
241,360
156,273
397,632
4/1/13
3/31/18
88,411
57,025
145,436
7/1/12
6/30/16
125,909
81,211
207,120
4/17/14
2/28/19
60,719
15,787
76,505
3/1/09
2/28/15
5,796,231
3,269,179
9,065,411
TOTAL ONCOLOGY
Proteogenomics Research
Institute (NIH)
69,794
45,337
115,131
3/3/15
2/9/16
342,026
220,943
562,969
7/1/13
6/30/17
675,164
272,334
947,498
8/25/11
6/30/16
145,756
94,455
240,211
9/23/11
6/30/16
264,822
159,081
423,903
8/1/13
6/30/18
1,497,562
792,151
2,289,713
15,805
10,222
26,027
8/4/14
7/31/15
TOTAL RHEUMATOLOGY
15,805
10,222
26,027
21,782,721
10,166,787
31,949,509
RHEUMATOLOGY
Stohl, William
University of Oklahoma
(NIAID)
149
Other Grants
Principal Investigator/ Co-Investigator
Agency
Direct Cost
Indirect Cost
Total Cost
Beginning
Date
End
Date
CARDIOVASCULAR MEDICINE
Chang, Philip
1,758
264
2,021
7/1/12
Present
Chang, Philip
Boston Scientific
7,661
1,915
9,577
3/25/11
Present
Chang, Philip
Canadian Heart
Research Centre
640
160
800
6/19/13
Present
Chang, Philip
MD Primer
640
160
800
4/9/13
Present
Chang, Philip
9,446
2,362
11,808
12/4/12
Present
Chang, Philip
Boston Scientific
17,364
4,341
21,706
11/20/13
Present
Chang, Philip
Boston Scientific
4,722
1,181
5,903
11/11/13
Present
Clavijo, Leonardo
Montreal Heart
Institute
3,547
1,241
4,788
10/24/13
Present
Clavijo, Leonardo
27,116
2,712
29,827
11/21/14
Present
Clavijo, Leonardo
Abbott Fund
6,108
611
6,719
7/1/14
Present
Clavijo, Leonardo
Interventional/Cardiology Fellowship
Medtronic Inc.
23,905
23,905
7/1/14
Present
Clavijo, Leonardo
Astra Zeneca
10,300
2,575
12,875
6/13/13
Present
Clavijo, Leonardo
Astra Zeneca
36,757
9,189
45,946
11/25/13
Present
Doshi, Rahul
Crt Implant Strategy Using the Longest Electrical Delay for Non-Left
Bundle Branch Block Patients (Enhance Crt)
3,244
811
4,055
4/9/14
Present
Doshi, Rahul
35,767
8,942
44,709
2/14/14
Present
Doshi, Rahul
Cardiac Pacemakers
15,126
3,781
18,907
9/10/14
Present
Fong, Michael
Proteus Digital
Health
6,052
1,513
7,565
12/1/14
Present
Garg, Parveen
PAREXEL
International
8,095
2,024
10,119
5/1/15
Present
Grazette, Luanda
Novartis
2,602
651
3,253
8/10/12
Present
Grazette, Luanda
Novartis
65,177
16,294
81,471
7/1/13
Present
Lawrence, Tracy
44,659
7,268
51,926
9/24/10
Present
Lawrence, Tracy
112,466
39,363
151,829
2/25/15
Present
Matthews, Ray
1,667
417
2,084
5/9/08
Present
Matthews, Ray
Quintiles
6,320
1,580
7,900
2/21/08
Present
Matthews, Ray
24,456
6,114
30,570
12/6/10
Present
Matthews, Ray
1,591
398
1,989
11/28/12
Present
Matthews, Ray
Abbott Vascular
Solutions
1,400
350
1,750
3/22/13
Present
Matthews, Ray
Libra Medical
8,242
2,061
10,303
9/12/14
Present
Matthews, Ray
3,000
750
3,750
10/15/15
Present
Mehra, Anilkumar
5,720
1,430
7,150
10/11/06
Present
Mehra, Anilkumar
800
200
1,000
7/25/07
Present
Shavelle, David
USpella Registry
ABIOMED
21,935
5,484
27,419
6/30/10
Present
Shavelle, David
Abbott Vascular
Solutions
6,562
1,641
8,203
10/20/12
Present
Shavelle, David
Cardiovascular
Clinical Science
Foundation
7,287
1,822
9,109
12/18/12
Present
Shavelle, David
ZOLL
56,437
14,109
70,547
8/15/14
Present
Shavelle, David
Maquet
Cardiovascular
1,280
320
1,600
9/26/14
Present
Shavelle, David
36,306
9,077
45,383
12/23/14
Present
Yoon, Andrew
Respicardia
58,121
14,530
72,651
9/18/13
Present
684,278
167,638
851,916
150
Agency
Direct Cost
Indirect Cost
Total Cost
Beginning
Date
End
Date
12,406
3,102
15,508
10/9/14
Present
United BioSource
Carmichael, John
Novartis
11,760
2,940
14,700
8/27/14
Present
Carmichael, John
Novo Nordisk
18,854
4,713
23,567
2/11/15
Present
Page, Kathleen
Doris Duke
Charitable
Foundation
74,231
5,938
80,170
7/1/12
Present
Page, Kathleen
American Diabetes
Association
231,698
56,845
288,542
1/1/14
Present
Page, Kathleen
American Heart
Association
99,267
9,726
108,993
1/1/14
Present
Page, Kathleen
American Heart
Association
4,768
4,768
1/1/14
Present
Peters, Anne
PAREXEL
International
73,660
18,415
92,075
10/13/14
Present
Yassine, Hussein
American Heart
Association
30,787
3,079
33,865
7/1/15
Present
Yassine, Hussein
Alzheimer's
Association
7,852
785
8,637
10/1/15
Present
Yassine, Hussein
American Heart
Association
11,441
1,144
12,585
7/1/12
Present
576,724
106,687
683,411
450
450
8/1/15
Present
450
450
Association of
American Medical
Colleges
Sidney Stern
Memorial Trust
7,936
1,984
9,920
7/1/14
Present
Hwang, Caroline
Robarts Clinical
Trials
30,700
7,675
38,375
6/18/14
Present
Hwang, Caroline
Pharmaceutical
Product
Development
2,787
697
3,484
6/13/14
Present
Hwang, Caroline
Pharmaceutical
Product
Development
2,253
563
2,816
6/24/14
Present
Idos, Gregory
Myriad
131,452
32,863
164,315
5/6/14
Present
Khemichian, Saro
SC Liver Research
Consortium
5,640
1,410
7,051
7/17/12
Present
Khemichian, Saro
5,603
1,401
7,004
1/28/14
Present
Khemichian, Saro
University of
Florida
11,274
2,818
14,092
8/21/14
Present
Khemichian, Saro
Clinical Financial
Services
24,275
6,069
30,344
1/8/15
Present
Khemichian, Saro
Clinical Financial
Services
10,348
2,587
12,935
12/17/14
Present
Khemichian, Saro
Ocera Therapeutics
1,680
420
2,100
11/25/13
Present
Khemichian, Saro
Salix
3,717
929
4,647
11/4/13
Present
Kim, Brian
inVentive Health
4,516
1,129
5,645
3/16/15
Present
Noureddin, Mazen
63,237
15,809
79,046
2/20/14
Present
Shaker, Anisa
American
Gastroenterological
Association
69,235
69,235
7/1/12
Present
Quintiles
13,733
3,433
17,166
1/23/15
Present
388,385
79,788
468,173
HEMATOLOGY
Gill, Parkash
Pfizer
86,927
39,117
126,044
3/1/15
Present
Kelly, Kevin
Aptiv Solutions
256,943
64,236
321,179
9/30/13
Present
Kelly, Kevin
INC Research
120,756
30,189
150,946
8/15/14
Present
151
Indirect Cost
Total Cost
Beginning
Date
End
Date
INC Research
20,556
5,139
25,695
1/27/15
Present
ICON Clinical
Research
19,156
4,789
23,945
4/3/15
Present
Kelly, Kevin
Curis
45,170
11,293
56,463
3/13/15
Present
Kelly, Kevin
Oncolytics Biotech
1,200
300
1,500
5/22/15
Present
Liebman, Howard
Immunomedics
640
160
800
12/21/07
Present
Liebman, Howard
Amgen
1,280
320
1,600
6/30/09
Present
Liebman, Howard
CFS Clinical
20,041
5,010
25,051
9/5/14
Present
Liebman, Howard
CFS Clinical
18,361
4,590
22,951
2/11/15
Present
Liebman, Howard
Boehringer
Ingelheim
16,924
4,231
21,155
5/13/15
Present
Merchant, Akil
Pfizer
18,274
11,695
29,970
10/28/13
Present
Merchant, Akil
ImmunoGen
4,640
1,160
5,800
5/12/10
Present
Merchant, Akil
Novartis
37,522
9,381
46,903
10/18/12
Present
Merchant, Akil
Talon Therapeutics
640
160
800
5/6/14
Present
Merchant, Akil
ICON Clinical
Research
1,680
420
2,100
8/8/13
Present
Merchant, Akil
ICON Clinical
Research
41,536
10,384
51,920
9/25/13
Present
Merchant, Akil
SynteractedHCR
108
27
135
7/25/14
Present
Merchant, Akil
SCRI Development
Innovations
16,600
4,150
20,750
5/1/14
Present
Mohrbacher, Ann
Novartis
1,600
400
2,000
1/8/10
Present
Mohrbacher, Ann
Celgene
3,680
920
4,600
12/7/11
Present
Mohrbacher, Ann
PAREXEL
International
11,081
2,770
13,851
10/15/12
Present
Mohrbacher, Ann
Sigma-Tau
Pharmaceuticals
7,776
1,944
9,720
11/15/04
Present
Mohrbacher, Ann
Pomalidomide, Bortezomib and Low-Dose Dexamethasone vs. Bortezomib and Low-Dose Dexamethasone
Celgene
24,960
6,240
31,200
5/23/14
Present
O'Connell, Casey
PPD Development
1,440
360
1,800
11/17/09
Present
O'Connell, Casey
ICON Clinical
Research
15,346
3,837
19,183
8/25/09
Present
O'Connell, Casey
INC Research
432
108
540
11/8/10
Present
O'Connell, Casey
Astex
246,501
61,625
308,126
12/17/10
Present
O'Connell, Casey
ICON Clinical
Research
4,788
1,197
5,985
5/13/13
Present
O'Connell, Casey
ICON Clincial
Research
3,840
960
4,800
5/12/11
Present
O'Connell, Casey
INC Research
20,013
5,003
25,016
3/26/15
Present
O'Connell, Casey
Ockham
Development
Group
19,032
4,758
23,790
1/13/15
Present
O'Connell, Casey
Pharmaceutical
Research
Associates
35,549
8,887
44,436
4/22/15
Present
Ramsingh, Giridharan
Tower Cancer
Research
Foundation
36,152
36,152
7/1/14
Present
Ramsingh, Giridharan
Leukemia and
Lymphoma Society
161,635
17,941
179,576
1/1/15
Present
Tulpule, Anil
PPD Development
3,148
787
3,935
1/6/10
Present
Tulpule, Anil
Teva
1,301
325
1,626
3/29/10
Present
Agency
Kelly, Kevin
Kelly, Kevin
152
Indirect Cost
Total Cost
Beginning
Date
End
Date
MedNet Solutions
1,360
340
1,700
9/24/10
Present
Quintiles
22,098
5,524
27,622
12/30/10
Present
Tulpule, Anil
ICON Clincial
Research
98,008
24,502
122,510
10/23/13
Present
Weitz, Ilene
Pharmaceutical
Research
Associates
2,519
630
3,149
10/1/12
Present
Weitz, Ilene
Quintiles
27,460
6,865
34,325
8/29/14
Present
Weitz, Ilene
Appellis
Pharmaceuticals
20,601
5,150
25,751
6/17/15
Present
1,499,275
367,825
1,867,100
Agency
Tulpule, Anil
Tulpule, Anil
TOTAL HEMATOLOGY
INFECTIOUS DISEASES
Dube, Michael
inVentive Health
3,991
998
4,989
3/6/13
Present
Dube, Michael
PPD Development
6,525
1,631
8,156
7/23/13
Present
Dube, Michael
Pharmaceutical
Product
Development
55,511
13,878
69,389
5/9/14
Present
Jones, Brenda
Qiagen
49,256
12,314
61,570
1/29/14
Present
Sattler, Fred
L.K. Whittier
Foundation
50
50
9/14/15
Present
Spellberg, Brad
BioAIM
134,563
22,808
157,371
7/1/14
Present
249,896
51,629
301,525
9,575
2,394
11,969
12/18/13
Present
223,183
55,796
278,978
10/1/13
Present
232,758
58,189
290,947
ICON Clinical
Research
Qazi, Yasir
Novartis
ONCOLOGY
Agus, David
Millennium
16,386
4,097
20,483
7/1/09
Present
Agus, David
PPD Development
3,144
786
3,930
6/28/10
Present
79,937
16,004
95,941
9/9/14
Present
Breast Cancer
Research
Foundation
41,151
148
41,299
10/1/13
Present
Breast Cancer
Research
Foundation
23,897
4,779
28,676
10/1/15
Present
Helmsley
Charitable Trust
154,369
15,437
169,806
2/20/15
Present
Barzi, Afsaneh
Genentech
16,988
4,247
21,235
7/1/13
Present
Barzi, Afsaneh
Xbiotech
8,326
2,082
10,408
8/22/13
Present
Barzi, Afsaneh
EMD Serono
7,922
1,980
9,902
11/6/13
Present
Dorff, Tanya
Bristol Myers
Squibb
1,791
448
2,239
5/13/10
Present
Dorff, Tanya
Mediviation
20,973
5,243
26,216
1/10/11
Present
Dorff, Tanya
Bristol Myers
Squibb
48,696
12,174
60,870
8/23/12
Present
Dorff, Tanya
Cabozantinib (XL184) vs. Prednisone in Metastatic CastrationResistant Prostate Cancer Patients who Have Received Prior
Docetaxel
Exelixis
8,121
2,030
10,151
5/28/13
Present
Dorff, Tanya
Aragon
Pharmaceuticals
13,215
3,304
16,519
1/12/15
Present
El-Khoueiry, Anthony
SEPHB4-HAS
L.K. Whittier
Foundation
45,112
45,112
4/1/15
Present
El-Khoueiry, Anthony
VARI-SU2C
Van Andel
Research Institute
13,960
1,396
15,356
9/24/14
Present
El-Khoueiry, Anthony
Bayer Healthcare
22,466
5,617
28,083
12/18/08
Present
153
Indirect Cost
Total Cost
Beginning
Date
End
Date
Medical Univ Of
South Carolina
8,876
2,219
11,095
9/25/09
Present
Genentech
24,727
6,182
30,909
5/5/10
Present
Prism Biolab
11,731
2,933
14,664
2/14/11
Present
El-Khoueiry, Anthony
Bristol Myers
Squibb
51,989
12,997
64,986
3/24/11
Present
El-Khoueiry, Anthony
Novartis
1,440
360
1,800
6/24/12
Present
El-Khoueiry, Anthony
Pfizer
130,263
32,566
162,829
6/18/12
Present
El-Khoueiry, Anthony
Piramal Life
Science
33,418
8,354
41,772
12/17/12
Present
El-Khoueiry, Anthony
Bristol Myers
Squibb
163,216
40,804
204,020
11/12/12
Present
El-Khoueiry, Anthony
Nektar
1,859
465
2,324
10/19/12
Present
El-Khoueiry, Anthony
Bristol Myers
Squibb
214,363
53,591
267,954
3/18/13
Present
El-Khoueiry, Anthony
Astex
33,940
8,485
42,425
4/29/13
Present
El-Khoueiry, Anthony
Piramal Life
Science
30,481
7,620
38,101
5/2/13
Present
El-Khoueiry, Anthony
Nektar
21,764
5,441
27,205
5/1/13
Present
El-Khoueiry, Anthony
Jina
6,004
1,501
7,505
11/7/13
Present
El-Khoueiry, Anthony
Oncomed
45,721
11,430
57,151
4/2/14
Present
El-Khoueiry, Anthony
Exelixis
38,831
9,708
48,539
5/6/14
Present
El-Khoueiry, Anthony
Daiichi
130,379
32,595
162,974
6/27/14
Present
El-Khoueiry, Anthony
Celgene
14,095
3,524
17,619
12/11/14
Present
El-Khoueiry, Anthony
Bristol Myers
Squibb
93,347
23,337
116,684
7/31/14
Present
El-Khoueiry, Anthony
Pfizer
154,187
38,547
192,734
8/12/14
Present
El-Khoueiry, Anthony
Novartis
28,694
7,174
35,868
4/15/14
Present
El-Khoueiry, Anthony
Astra Zeneca
34,107
8,527
42,633
1/9/15
Present
El-Khoueiry, Anthony
Astra Zeneca
37,104
9,276
46,380
12/30/14
Present
El-Khoueiry, Anthony
Pfizer
17,064
4,266
21,330
5/1/15
Present
El-Khoueiry, Anthony
Healthcare
Pharmaceuticals
21,525
5,381
26,907
6/15/15
Present
El-Khoueiry, Anthony
Abraxis
Biosciences
33,923
8,481
42,404
4/4/08
Present
Garcia, Agustin
Puma Biotech
7,557
4,793
12,350
6/18/14
Present
Garcia, Agustin
Imclone Systems
9,786
2,447
12,233
2/11/11
Present
Garcia, Agustin
Novartis
869
217
1,086
4/10/12
Present
Garcia, Agustin
Eisai
43,959
10,990
54,949
8/9/12
Present
Garcia, Agustin
Merrimack
85,571
21,393
106,963
5/29/12
Present
Garcia, Agustin
Nektar
5,828
1,457
7,285
6/28/12
Present
Garcia, Agustin
Galena Biopharma
17,651
4,413
22,063
9/12/12
Present
Garcia, Agustin
Merrimack
8,960
2,240
11,199
10/10/12
Present
Garcia, Agustin
Incyte
2,960
740
3,700
11/5/12
Present
Agency
El-Khoueiry, Anthony
El-Khoueiry, Anthony
El-Khoueiry, Anthony
154
Indirect Cost
Total Cost
Beginning
Date
End
Date
Sanofi-Aventis
15,806
3,952
19,758
11/9/12
Present
Genentech
10,052
2,513
12,566
5/1/13
Present
Garcia, Agustin
Novartis
9,892
2,473
12,365
6/1/13
Present
Garcia, Agustin
Pfizer
21,793
5,448
27,242
3/31/14
Present
Garcia, Agustin
Janssen Research
9,080
2,270
11,350
2/14/14
Present
Garcia, Agustin
Celldex
Therapeutics
6,558
1,639
8,197
2/10/14
Present
Garcia, Agustin
Tesaro
6,200
1,550
7,751
6/17/14
Present
Garcia, Agustin
Abbvie
23,107
5,777
28,884
9/25/14
Present
Garcia, Agustin
Angiochem
30,269
7,567
37,836
9/18/14
Present
Garcia, Agustin
Aeterna Zentaris
21,580
5,395
26,975
3/18/14
Present
Garcia, Agustin
Incyte
24,298
6,075
30,373
5/6/14
Present
Garcia, Agustin
Clovis
13,688
3,422
17,110
5/5/14
Present
Gitlitz, Barbara
Addario Lung
Cancer Medical
Institute
3,563
344
3,906
8/6/14
Present
Gitlitz, Barbara
Synta
7,820
1,955
9,775
10/16/12
Present
Gitlitz, Barbara
Ziopharm
2,206
551
2,757
8/30/12
Present
Gitlitz, Barbara
GlaxoSmithKline
3,040
760
3,800
4/29/13
Present
Gitlitz, Barbara
Astex
96,660
24,165
120,825
5/2/13
Present
Gitlitz, Barbara
Ventirx
57,529
14,382
71,911
2/4/14
Present
Gitlitz, Barbara
Clovis
50,365
12,591
62,957
9/5/14
Present
Gitlitz, Barbara
Millennium
14,773
3,693
18,466
3/17/15
Present
Gitlitz, Barbara
Ignyta
8,200
2,050
10,250
5/8/15
Present
Gitlitz, Barbara
Novartis
11,216
2,804
14,020
12/18/14
Present
Gitlitz, Barbara
Osi
2,243
561
2,804
3/29/07
Present
Gitlitz, Barbara
Merck KGaA
4,760
1,190
5,950
6/12/07
Present
Goldkorn, Amir
Prostate Cancer
Foundation
51,157
45,753
96,910
1/1/13
Present
V Foundation for
Cancer Research
59,144
6,004
65,148
10/1/10
Present
Gross, Mitchell
Janssen Research
28,647
7,162
35,809
7/21/14
Present
Hu, James
Sarcoma Alliance
For Research
4,900
4,900
5/13/15
Present
Hu, James
Eisai
30,051
7,513
37,564
9/22/11
Present
Hu, James
Janssen Research
4,957
1,239
6,196
5/24/13
Present
Hu, James
Threshold
24,496
6,124
30,620
12/21/12
Present
Hu, James
Daiichi
16,524
4,131
20,655
8/31/15
Present
Lenz, Heinz-Josef
Cabazitaxel in Refracto
Weill Cornell
Medical College
11,192
3,287
14,479
1/29/14
Present
Lenz, Heinz-Josef
Merck KGaA
58,205
25,089
83,294
2/9/15
Present
Lenz, Heinz-Josef
Bristol Myers
Squibb
28,188
11,235
39,423
12/18/13
Present
Lenz, Heinz-Josef
Newlink Genetics
1,440
360
1,800
1/5/09
Present
Agency
Garcia, Agustin
Garcia, Agustin
155
Agency
Direct Cost
Indirect Cost
Total Cost
Beginning
Date
End
Date
Lenz, Heinz-Josef
Novartis
16,011
4,003
20,014
10/7/10
Present
Lenz, Heinz-Josef
Nektar
25,657
6,414
32,072
7/27/09
Present
Lenz, Heinz-Josef
Newlink Genetics
2,791
698
3,488
7/16/10
Present
Lenz, Heinz-Josef
Genentech
211,193
52,798
263,992
10/19/11
Present
Lenz, Heinz-Josef
Bayer Healthcare
2,456
614
3,070
6/13/12
Present
Lenz, Heinz-Josef
Genentech
4,807
1,202
6,009
10/23/12
Present
Lenz, Heinz-Josef
Novartis
28,004
7,001
35,005
6/11/13
Present
Lenz, Heinz-Josef
Prism Pharma
22,079
5,520
27,599
9/4/13
Present
Lenz, Heinz-Josef
Genentech
170,233
42,558
212,791
8/28/13
Present
Lenz, Heinz-Josef
Oncomed
3,505
876
4,381
4/1/14
Present
Lenz, Heinz-Josef
Pfizer
18,141
4,535
22,676
10/23/14
Present
Lenz, Heinz-Josef
Taiho
38,782
9,695
48,477
3/4/14
Present
Lenz, Heinz-Josef
EMD Serono
9,409
2,352
11,761
4/23/14
Present
Lenz, Heinz-Josef
Bayer Healthcare
58,790
14,698
73,488
4/28/14
Present
Lenz, Heinz-Josef
Boston Biomedical
36,732
9,183
45,915
8/11/14
Present
Lenz, Heinz-Josef
Oncomed
17,628
4,407
22,035
4/1/14
Present
Lenz, Heinz-Josef
Bayer Healthcare
16,221
4,055
20,276
11/26/14
Present
Lenz, Heinz-Josef
Bristol Myers
Squibb
47,629
11,907
59,537
8/13/14
Present
Lenz, Heinz-Josef
EMD Serono
18,933
4,733
23,666
9/16/14
Present
Lenz, Heinz-Josef
EMD Serono
17,049
4,262
21,311
10/27/14
Present
Lenz, Heinz-Josef
Incyte
81,258
20,315
101,573
11/21/14
Present
Lenz, Heinz-Josef
Nintedanib plus Best Supportive Care (BSC) vs. Placebo plus BSC in
Patients with Colorectal Cancer Refractory to Standard Therapies
Boehringer
Ingelheim
28,073
7,018
35,091
4/9/15
Present
Lenz, Heinz-Josef
Taiho
13,600
3,400
17,000
4/24/15
Present
Nieva, Jorge
Astra Zeneca
12,568
3,142
15,710
2/5/15
Present
Nieva, Jorge
Clovis
14,336
3,584
17,920
2/23/15
Present
Nieva, Jorge
Genentech
12,200
3,050
15,250
7/27/15
Present
Pinski, Jacek
Sanofi-Aventis
26,119
6,530
32,649
5/31/12
Present
Quinn, David
University of
Michigan (SU2C)
6,403
640
7,043
8/1/12
Present
Quinn, David
Pfizer
2,240
560
2,800
6/28/09
Present
Quinn, David
GlaxoSmithKline
1,040
260
1,300
8/15/11
Present
Quinn, David
Imclone Systems
22,121
5,530
27,652
8/29/11
Present
Quinn, David
Dendreon
88
22
110
11/23/11
Present
Quinn, David
Dendreon
1,728
432
2,160
12/17/11
Present
Quinn, David
Oncogenex
Technologies
6,304
1,576
7,880
2/17/12
Present
Quinn, David
Arqule
18,772
4,693
23,465
11/18/11
Present
156
Indirect Cost
Total Cost
Beginning
Date
End
Date
Aveo
2,204
551
2,755
1/30/13
Present
Bristol Myers
Squibb
22,573
5,643
28,216
3/17/13
Present
Quinn, David
Aveo
2,675
669
3,344
7/18/13
Present
Quinn, David
Hoosier Oncology
Group
15,221
3,805
19,026
12/12/13
Present
Quinn, David
Dendreon
4,812
1,203
6,015
2/19/14
Present
Quinn, David
SFJ
11,138
2,784
13,922
8/6/14
Present
Quinn, David
Puma
Biotechnology
23,900
5,975
29,875
11/25/13
Present
Quinn, David
Bayer Healthcare
41,246
10,312
51,558
10/8/14
Present
Quinn, David
Genentech
50,918
12,730
63,648
8/18/14
Present
Quinn, David
BAY 73-4506
Bayer Healthcare
44,834
11,209
56,043
10/27/14
Present
Quinn, David
Novartis
52,824
13,206
66,030
7/1/14
Present
Quinn, David
Novartis
14,560
3,640
18,200
6/24/14
Present
Quinn, David
Bristol Myers
Squibb
26,206
6,552
32,758
3/10/15
Present
Quinn, David
Merck
51,976
12,994
64,970
2/3/15
Present
Quinn, David
13,736
3,434
17,170
7/21/15
Present
Quinn, David
Tokai
Pharmaceuticals
16,524
4,131
20,655
10/5/15
Present
Ricker, Charite
University of Calif.
Berkeley (CBCRP)
25,065
9,107
34,172
8/1/12
Present
Bernadette
Pabillare
16,134
3,227
19,361
7/1/10
Present
Russell, Christy
Avantis
4,180
1,045
5,225
12/20/05
Present
Russell, Christy
Breast Cancer
International
3,040
760
3,800
5/23/03
Present
Siegel/Hu, James
St. Baldrick's
Foundation
30,312
30,312
11/26/14
Present
Tripathy, Debasish
Puma
Biotechnology
1,152
288
1,440
3/11/13
Present
Wong, Michael
Prometheus
4,159
1,040
5,198
6/1/12
Present
Wong, Michael
Amgen
22,239
5,560
27,799
9/29/14
Present
Wong, Michael
Novartis
12,701
3,175
15,876
6/19/13
Present
4,393,474
1,080,551
5,474,024
Agency
Quinn, David
Quinn, David
TOTAL ONCOLOGY
Integrated
Diagnostics
10,281
2,570
12,852
7/15/13
Present
Balekian, Alex
ICON Clincial
Research
2,500
625
3,125
8/14/15
Present
Barbers, Richard
University Health
Network
7,858
4,179
12,036
4/10/13
Present
Barbers, Richard
Quintiles
37,138
9,285
46,423
2/23/15
Present
Ganesh, Sivagini
MD Primer
2,492
623
3,115
8/5/11
Present
Ganesh, Sivagini
University Internal
Medicine
Associates
1,460
365
1,825
5/14/12
Present
Ganesh, Sivagini
United BioSource
5,776
1,444
7,220
10/16/13
Present
Ganesh, Sivagini
Pharmaceutical
Research
Associates
9,200
2,300
11,500
7/7/14
Present
157
Indirect Cost
Total Cost
Beginning
Date
End
Date
Cystic Fibrosis
Foundation
13,547
13,547
7/1/08
Present
Cystic Fibrosis
Foundation
998
170
1,168
2/1/15
Present
Rao, Adupa
Cystic Fibrosis
Foundation
40,114
3,209
43,323
1/1/15
Present
Rao, Adupa
Gilead Sciences
2,483
621
3,104
12/6/11
Present
Rao, Adupa
Quintiles
2,520
630
3,150
9/6/13
Present
Rao, Adupa
Mapi USA
1,240
310
1,550
2/26/14
Present
Rao, Adupa
Quintiles
53,377
13,344
66,721
2/25/14
Present
Rao, Adupa
Premier Research
Group
14,360
3,590
17,950
8/31/14
Present
Rao, Adupa
SynteractedHCR
16,503
4,126
20,629
11/20/14
Present
Rao, Adupa
SynteractedHCR
15,980
3,995
19,975
7/7/15
Present
237,828
51,386
289,213
Agency
Rao, Adupa
Rao, Adupa
RHEUMATOLOGY
Jacob, Chaim
202,163
16,173
218,336
4/1/14
Present
Jacob, Chaim
217
217
2/1/10
Present
Stohl, William
INC Research
640
160
800
5/29/09
Present
Stohl, William
ICON Clincial
Research
8,023
2,006
10,028
5/10/10
Present
Stohl, William
Quintiles
37,987
9,497
47,484
6/14/12
Present
Stohl, William
Quintiles
84,601
21,150
105,751
5/29/14
Present
Stohl, William
Quintiles
2,240
560
2,800
4/3/13
Present
Stohl, William
Quintiles
8,945
2,236
11,181
10/13/14
Present
Stohl, William
ICON Clincial
Research
12,084
3,021
15,105
5/12/15
Present
Stohl, William
GlaxoSmithKline
26,133
6,533
32,666
10/27/05
Present
96,463
7,717
104,180
2/1/15
Present
112,630
9,010
121,641
2/1/13
Present
Nat'l Multiple
Sclerosis Society
115,464
11,167
126,630
7/1/12
Present
707,589
89,230
796,819
8,970,655
2,052,922
11,023,578
TOTAL RHEUMATOLOGY
158
159