Donald B. DeFranco - US grants
Affiliations: | University of Pittsburgh, Pittsburgh, PA, United States |
Area:
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The funding information displayed below comes from the NIH Research Portfolio Online Reporting Tools and the NSF Award Database.The grant data on this page is limited to grants awarded in the United States and is thus partial. It can nonetheless be used to understand how funding patterns influence mentorship networks and vice-versa, which has deep implications on how research is done.
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High-probability grants
According to our matching algorithm, Donald B. DeFranco is the likely recipient of the following grants.Years | Recipients | Code | Title / Keywords | Matching score |
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1985 | Defranco, Donald B | F32Activity Code Description: To provide postdoctoral research training to individuals to broaden their scientific background and extend their potential for research in specified health-related areas. |
Maintenance of Structural Domains Within Chromosomes @ University of California San Francisco |
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1986 — 1989 | Defranco, Donald B | R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Glucocorticoid Regulation of Retroviral Transcription @ University of Pittsburgh At Pittsburgh A glucocorticoid dependent enhancer within the long terminal repeat (LTR) of Moloney murine sarcoma virus (MoMSV) has been identified that coresides with a hormone independent enhancer. The long term goal of this project is to examine within MoMSV and related C-type retroviruses, the relationship between distinct transcriptional regulatory elements, and uncover genetic strategies by which multiple regulatory properties are superimposed. Transient transfections will be performed into different cell types with in vitro generated MoMSV mutants to identify specific sequences that are necessary for hormone dependent and independent enhancers and reveal any cell type specificity of enhancer activity. We will also analyze glucocorticoid effects on the expression of endogenous C-type proviruses. Intact and hybrid MoMSV proviruses will be generated in various cell types by stable transfections, in order to test the effect of proviral context and examine the kinetics, cell type specificity and cellular heterogeneity of the glucocorticoid response of C-type retroviruses. In addition, the transcriptional effects of glucocorticoids on endogenous xenotropic proviruses will be studied and viral sequences reponsible for the hormone response identified by cDNA cloning. Finally, we will analyze the molecular basis for the differential activity of distinct MoMSV enhancers in undifferentiated embryonal carcinoma cells. Both transient and stable transfections will be performed with MoMSV DNA to examine both cis- and trans-acting mechanisms that influence glucocorticoid regulated expression. |
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1989 — 1993 | Defranco, Donald Benedict | N/AActivity Code Description: No activity code was retrieved: click on the grant title for more information |
Oncogene Effects On Glucocorticoid Regulation of Gene Expression @ University of Pittsburgh The effects of a v-mos oncoprotein on glucocorticoid-induction of metallothionein-1 (Mt-1) gene expression have been evaluated using the rat 6m2 cell line, in which expression of the p85gag- mos oncogene, and consequently transformation, are temperature- sensitive (ts). The p85gag-mos oncogene, and consequently transformation, are temperature-sensitive (ts). The temperature-dependent expression of p85gag-mos in 6m2 cells resulted in only a transient dexamethasone induction of Mt-1 levels, that rapidly declined to uninduced levels despite the continued presence of hormone. Nuclear run-on assays will be performed to determine to what extent transient induction of Mt-1 mRNA levels reflect v-mos effects on transcription. The examination of the kinetics and reversibility of desensitized Mt- 1 expression, using both temperature-shift experiments and hormone withdrawal and restimulation, will reveal whether v-mos accelerates a "normal" deinduction process or affects an independent desensitization pathway. Glucocorticoid regulated expression, both positive and negative of endogenous and transfected genes will be analyzed in various ts v-mos- transformed cell types. These analyses will determine whether oncoprotein effects can be distinguished for hormonal responses that may be cell type specific and subject to multi-hormonal control. They will also allow corrorlations, if any exist, between v-mos mediated alterations in hormone regulated gene expression and glucocorticoid receptor function. |
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1991 — 2011 | Defranco, Donald Benedict | K04Activity Code Description: Undocumented code - click on the grant title for more information. R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Intracellular Mechanisms of Glucocorticoid Action @ University of Pittsburgh At Pittsburgh DESCRIPTION: (Adapted from applicant's description) Extracellular matrix (ECM) effects on gene regulatory events are hypothesized to occur, in part, through a direct effect on the nuclear matrix. The role of the ECM in several biological processes is now well established and much is known about the multiple signaling pathways that are activated by ECM interactions with the integrin family of cell surface receptors. The point of contact between the ECM and integrins occurs at specialized structures termed focal adhesions. While various second messenger systems mobilized at focal adhesion may be used to transmit ECM-directed signals to changes in gene expression, there also appears to be a "physical" link between the ECM and the nuclear matrix. This application presents evidence that HIV-5 (hydrogen peroxide-inducible clone-5), a protein associated with focal adhesions, acts to potentiate glucocorticoid receptor transactivation. Furthermore, HIC-5 does not appear to be restricted to focal adhesions, as a fraction has been localized to the nuclear matrix. Finally, LIM domains of Hic-5 were found to interact with a transactivation domain of the glucocorticoid receptor ( i.e. GR. tau2) that encodes a nuclear matrix-targeting signal. The four Specific Aims that will be pursued in this application are as follows: 1) To identify amino acids within the GR.tau2 domain that are required for Hic-5 interaction, 2) To map functional domains of Hic-5 that influence GR transactivation, 3) To identify the mechanism of Hic-5 potentiation of GR transactivation, and 4) To examine whether Hic-5 participates in ECM regulation of GR function. Cellular responses to ECM clearly play a role in physiologically relevant steroid hormone responses in specific target tissues. Furthermore, alteration in focal adhesion protein function (e.g. paxillin) has been detected in metastatic prostate cancer. Thus the mechanistic analysis of LIM domain protein involvement in steroid receptor subnuclear trafficking and transactivation proposed in this application could increase our understanding of how cell attachment to the ECM influences gene expression both during normal development and in pathophysiological conditions. |
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1992 — 1996 | Defranco, Donald Benedict | N/AActivity Code Description: No activity code was retrieved: click on the grant title for more information |
Nucleocytoplasmic Shuttling of Steroid and Thyroid Hormone Receptors @ University of Pittsburgh We have developed an assay that permits the in vivo monitoring of steroid receptor protein nuclear export. In this assay co-cultured heterologous cells are fused using polyethylene glycol to generate multi-nucleated heterokaryon with shared cytoplasm. Since only one of the two cell types used to generate a heterokaryon will contain receptor protein within its nucleus (i.e. the donor cell), any receptor detected within the heterologous nucleus of the original receptor cell type (i.e. recipient cell) must derive from protein that exported from the donor cell nucleus. This assay will be used to determine whether the glucocorticoid, progesterone, and thyroid hormone receptors possess the capacity to export in isolation when fused to heterologous proteins that do not normally have this capacity. We anticipate that this system of analysis will provide novel insights into the mechanisms that regulate bi-directional movement of proteins across the nuclear envelope. |
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1995 — 1998 | Defranco, Donald B | R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Glucocorticoid Receptor Function in Hypothalamic Cells @ University of Pittsburgh At Pittsburgh We have recently shown that the GT1-3 and GT1-7 cell lines, derived from gonadotropin-releasing hormone (GnRH) neurons of the rat hypothalamus, express immunoreactive glucocorticoid receptors (GRs). The GRs within these cell lines are functional and can activate transcription from exogenously introduced glucocorticoid responsive promoters, decrease expression of the endogenous GnRH gene, and repress transcription from transfected GnRH promoters. These results support the hypothesis that glucocorticoid effects on the reproductive axis could be mediated by the direct action of GRs contained within GnRH neurons. In this proposal we plan to investigate the molecular mechanisms of glucocorticoid repression of GnRH neurons. In this proposal we plan to investigate the molecular mechanisms of glucocorticoid repression of GnRH gene expression. One of our specific aims is to identify sequences within the mouse GnRH promoter that are responsible for glucocorticoid mediated repression. Various deletion and point mutants of the mouse GnRH promoter will be tested for glucocorticoid repression upon transient transfection into the GT1-7 cell line. These analyses should identify the minimal promoter segment required for glucocorticoid repression and reveal whether this negative glucocorticoid response element (nGRE) also possesses any other overlapping transcriptional regulatory elements. We also plan to determine whether repression of mouse GnRH promoter activity involves direct DNA binding of the GR and/or other GT1-7 cell nuclear factors. Segments of the mouse GnRH promoter, including the putative nGRE, will be tested for their ability to be bound in vitro by purified GR, or nuclear factors extracted from isolated GT1-7 nuclei. The results of these studies should reveal whether glucocorticoid repression of GnRH transcription is associated with alterations of promoter bound transcription factors, perhaps including the GR. Finally, we plan to examine the effect of glucocorticoids on GnRH secretion and gene expression in vivo. GT1-7 cells will be attached to Cytodex beads and perifused to determine whether glucocorticoids alter GnRH secretion. Effects of glucocorticoids on GnRH mRNA expression in vivo will be assessed by a sensitive solution hybridization/RNase protection assay and by in situ hybridization using two rat models, adult males and immature females treated with estradiol to induce gonadotorpin surges. |
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2000 — 2001 | Carthew, Richard Pipas, James (co-PI) [⬀] Defranco, Donald Benedict Campbell, Gerard Chapman, Deborah (co-PI) [⬀] |
N/AActivity Code Description: No activity code was retrieved: click on the grant title for more information |
Development of An Advanced Light Microscopy Facility @ University of Pittsburgh The Advanced Light Microscopy Facility at the University of Pittsburgh is currently used for basic biomedical research in cell, molecular, and developmental biology. It is an indispensable tool for many users at the university. The research programs that will use the upgraded facility include several that address the basic causes of diseases such as colon cancer, cystic fibrosis, and neurodegenerative diseases such as spinal ataxia, Alzheimers, and Huntington's chorea. This facility is presently composed of two units, a confocal microscope and an image analysis system. Confocal microscopes use lasers as a light source to visualize biological specimens. This allows researchers to see individual proteins within cells of a tissue sample. It has opened up a new way of studying biology with microscopy. One example of its power is that in 1999, it was used to discover the existence of stem cells in the adult brain. This discovery overturned decades of dogma and promises new methods to treat afflictions of the nervous system caused by disease or injury. |
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2000 — 2004 | Defranco, Donald B | R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Oxidative Stress and Neurodegeneration @ University of Pittsburgh At Pittsburgh Description (From the applicant's abstract): The Hsp90-binding benzoquinoid ansamycin, geldanamycin (GA) protects Ht22 cells and immature primary rat cortical neuron cultures from glutamate induced oxidative toxicity. Furthermore, preliminary results suggest that GA given during resuscitation improves neurological outcome in rats subjected to global ischemia induced by asphyxial cardiac arrest. GA binding to HSP90 disrupts various intracellular signaling pathways and leads to induction of Hsp70, depletion of the Raf-1 protooconcogene, and reduced activation of downstream targets of Raf-1, ERK-1 and ERK-2. The downregulation of ERK activation caused by GA treatment might be an important component of its neuroprotective activity since inhibition of an ERK activating kinases (i.e. MEK-1) also protects against oxidative toxicity in Ht22 cells and primary rat cortical neuron cultures. We hypothesize that manipulation of Hsp90 function may be a useful strategy to impact various signal transduction pathways in vivo that trigger neuronal cell death. The identification of the molecular mechanisms involved in neuroprotection associated with pharmacological manipulation of Hsp90 function is the major goal of this application. In specific aim 1 we will determine the impact of Hsp90 regulated signaling pathway on glutamate-induced oxidative toxicity in the Ht22 mouse hippocampal cell line and address the following questions. Does Hsp70 induction contribute to the protective effects of Hsp90 binding drugs in vitro? Is persistent ERK activation necessary and sufficient for glutamate-induced oxidative toxicity in Ht22 cells? Does glutamate-induced oxidative toxicity affect other members of the MAPK family (i.e. JNK/SAPK and P38MAPK)? In specific aim 2 we will determine the impact of Hsp90-regulated signaling pathways on glutamate-induced oxidative toxicity in immature primary rat cortical neuron cell cultures. Are GA and U1026 protective against oxidative toxicity in immature primary rat cortical neuron cell cultures? What biochemical events are associated with neuroprotective effects of Hsp90-binding drugs in immature primary rat cortical neuron cultures? Finally in Specific Aim 3 we will determine whether Hsp90 binding drugs are effective post-treatment neuroprotective agents in rat models of global ischemia. Do Hsp90-binding drugs improve neurological outcome following asphyxial cardiac arrest or middle cerebral artery occlusion? Do Hsp90-binding drugs induce Hsp70 in vivo? Do Hsp90-binding drugs affect MAPK activation in vivo? |
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2004 — 2007 | Defranco, Donald Benedict | R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
The Life History of Mitochondria in Neurons @ University of Pittsburgh At Pittsburgh DESCRIPTION (provided by applicant): Mitochondria are semi-autonomous organelles essential for the function of all mammalian tissues. In order to support cell function, mitochondria have to be delivered to the site of energy demand, and are presumably retrieved when they reach the end of their effective life. The architecture of neurons is such that the effective delivery and retrieval of mitochondria from the distal parts of projection neurons represents a significant challenge and a remarkable accomplishment. However, the mechanisms by which this challenge is met, together with the most basic information of the birth, life and death of mitochondria, is poorly understood in the context of central neurons. The central theses of this project are (a) that the normal generation, delivery, retrieval and degradation of mitochondria (collectively termed "mitochondrial homeostasis") are essential for the maintenance of neuronal function, (b) that these processes are regulated to support changes in neuronal function, and (c) that neurotoxins may injure neurons in part by interfering with one or more of these processes. We will start to address these concepts in the following experimental questions: 1) What are the basic properties of mitochondrial delivery and retrieval in healthy neurons? 2) Do neurotoxins alter mitochondrial movement?, 3) Is mitochondrial biogenesis restricted to neuronal cell bodies, and is biogenesis altered by injury? and 4) Where are mitochondria degraded? Addressing these questions will provide an unprecedented insight into the life history of mitochondria in central neurons, and will highlight an important new parameter for consideration in the mechanism underlying neurodegenerative disease. |
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2005 — 2012 | Defranco, Donald Benedict | T32Activity Code Description: To enable institutions to make National Research Service Awards to individuals selected by them for predoctoral and postdoctoral research training in specified shortage areas. |
Predoctoral Training in Pharmacological Sciences @ University of Pittsburgh At Pittsburgh [unreadable] DESCRIPTION (provided by applicant): This Predoctoral Training Program is designed to provide a broad education in the Pharmacological Sciences leading to the Ph.D. degree. The Pharmacological Sciences Training Program (PSTP) is based primary in the Department of Pharmacology at the University of Pittsburgh School of Medicine, but includes faculty from four schools within the University and sixteen departments including Anesthesiology, Cell Biology and Physiology, Chemistry, Environmental and Occupational Health, Neurobiology and Pharmaceutical Sciences. Graduate students entering this program are first recruited into the Interdisciplinary Biomedical Graduate Program where they start a program that includes core didactic education and research rotations. Students then transfer into the specialized PhD program of their choice and become candidates for support by the PSTP in their second year. The training program provides graduate classes in the essential elements of modern pharmacology, including neuropharmacology, cancer pharmacology, cardiovascular pharmacology, signal transduction and drug discovery, and also the elements of quantitative pharmacokinetics, pharmacodynamics and drug metabolism. Students choose mentors from a well-funded faculty in one of four research areas: Cancer Pharmacology, Signal Transduction, Drug Discovery or Cell and Organ System Pharmacology. Following completion of the comprehensive exam and a dissertation proposal, students are engaged full time in research in the third and subsequent years of this program. The PSTP also emphasizes training in the responsible conduct of research and provides training in skills that promote professional development. The PSTP thus provides a contemporary and exciting training opportunity for motivated students within a rich research environment, and aims to generate Ph.D. graduates with a broad understanding of the discipline of pharmacology. [unreadable] [unreadable] |
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2015 — 2019 | Defranco, Donald B. Hughey, Rebecca P Kleyman, Thomas R. |
T35Activity Code Description: To provide individuals with research training during off-quarters or summer periods to encourage research careers and/or research in areas of national need. |
Training in Renal, Gi, Endocrine, and Epithelial Biology @ University of Pittsburgh At Pittsburgh ? DESCRIPTION (provided by applicant): The goal of the University of Pittsburgh School of Medicine Short-Term Medical Student Training Program in Renal, GI, Endocrine and Epithelial Biology is to foster an interest in scientific investigation as a career objective for medical students. We provide students with an opportunity to participate in biomedical research with highly qualified mentors and role models. Our program supports a summer research training experience for medical students between the first and second year of medical school. This program is designed to introduce students to a rigorous approach to scientific inquiry in basic science or clinical investigation, with a focus on three major areas of research: (1) renal and epithelial cell biology, (2) digestive and hepatic disorders, and (3) endocrinology and diabetes. Trainees are selected by an executive committee on the basis of student-authored project proposals developed with and endorsed by faculty members of the training program. Faculty members serve both as research trainers and as mentors. |
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2016 — 2020 | Defranco, Donald B. | U54Activity Code Description: To support any part of the full range of research and development from very basic to clinical; may involve ancillary supportive activities such as protracted patient care necessary to the primary research or R&D effort. The spectrum of activities comprises a multidisciplinary attack on a specific disease entity or biomedical problem area. These differ from program project in that they are usually developed in response to an announcement of the programmatic needs of an Institute or Division and subsequently receive continuous attention from its staff. Centers may also serve as regional or national resources for special research purposes, with funding component staff helping to identify appropriate priority needs. |
Impact of Cox?2 On Estrogen Receptor Beta Action in Prostate Epithelial Cells @ University of Pittsburgh At Pittsburgh Project Summary: Prostatic inflammation is a common feature of symptomatic benign prostatic hyperplasia (BPH) and may alter epithelial cell proliferation and tissue homeostasis in BPH through cytokine induction of proinflammatory signaling mediators such as cyclooxygenase-2 (Cox-2). Cox-2 is overexpressed in luminal epithelial cells of BPH tissue but predominantly in regions of chronic inflammation. One clinical trial reported only a short-term benefit of a Cox-2 inhibitor (i.e. nonsteroidal anti-inflammatory agents [NSAIDs] such as rofecoxib) in reducing LUTS symptoms when combined with a 5AR inhibitor. The mechanism responsible for the limited clinical effectiveness of Cox-2 inhibition is not known. In the human BPH-1 prostate epithelial cell line (which expresses high basal levels of Cox-2), pharmacologic or molecular ablation of Cox-2 expression limits the protective effects of ERß through selective disruptions in steroidogenic enzyme expression leading to a reduced production of ERß ligands from testosterone. We therefore hypothesize that the limited effectiveness of NSAIDs in current BPH clinical trials is due to disruptions in prostatic steroidogenic pathways that generate ligands for the tissue protective ERß. Four Aims are proposed to test this hypothesis: Aim 1 will determine the impact of Cox-2 on ERß ligand production in PrECs. Aim 2 will identify genome-wide basal and ERß-regulated gene expression patterns influenced by acute or long-term adaptive responses to Cox-2 overexpression in PrECs. Aim 3 will identify the impact of Cox-2 and ERß on targets relevant to polarized epithelial cell function in 3- dimensional cultures of PrECs and ERß knockout mice. Aim 4 will determine the impact of Cox-2 on ERß signaling in human prostate explants and a rodent model of prostatic inflammation |
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2017 — 2021 | Defranco, Donald B. Monaghan-Nichols, A Paula (co-PI) [⬀] |
R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Selective Glucocorticoid Action in the Developing Brain @ University of Pittsburgh At Pittsburgh The life-threatening, emotional and economic burdens of premature birth (~12% of pregnancies) have been greatly alleviated by antenatal treatment with synthetic glucocorticoids (sGCs). Antenatal sGCs accelerate tissue development reducing respiratory distress syndrome (RDS) and intraventricular hemorrhage (IVH) in premature infants, but they can affect developmental processes in the brain and trigger adverse behavioral and metabolic outcomes later in life. While postnatal management of IVH and RDS has greatly improved over the last 40 years, sGC dosing regimens have remained the same since their inception. There are also significant sex differences in outcome and infant mortality in response to antenatal sGCs. We have identified a novel sGC pathway that impacts embryonic neural stem/progenitor cell (NSPC) function. Specifically, sGC-activated site-specific phosphorylation of glucocorticoid receptor (GR) directs it to specific genomic targets, some of which regulate NSPC proliferation. We hypothesize that select genomic (phospho-GR target genes) GR pathways in NSPCs activated by antenatal sGCs impact gender-specific NSPC function. The innovative and state-of-the-art approaches proposed will identify novel molecular targets and pathways responsible for sex- and dose-specific effects of antenatal sGCs in fetal brain. Aim 1 will utilize peripheral blood mononuclear cells (PBMCs) from newborn umbilical cord blood (UCB) to examine the impact of antenatal sGC treatment in humans on GR gene targets and site-specific phosphorylation previously established to be PBMC biomarkers in adults with increased risk for neuropsychiatric disorders. Ex vivo studies with UCB PBMCs will reveal whether antenatal sGC exposure in vivo generates long-term effects on GR response. Aim 2 will identify dose- and sex-specific effects of sGCs on NSPC function in vitro and in vivo through manipulation of the major efflux transporters (Mdr-1 family) that regulate sGC accumulation in the brain. Aim 3 will determine the genomic effects of GR phosphorylation at serine 220 on NSPC function in vitro and in vivo. Aim 4 will determine effects of antenatal sGCs on emotional and cognitive behavior in adult offspring. From these studies, novel biomarkers will be identified in unique GR pathways that are associated with sex-specific, adverse neurodevelopment effects of antenatal sGCs in preterm or full term infants. |
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2020 | Defranco, Donald B. Hughey, Rebecca P Kleyman, Thomas R. |
T35Activity Code Description: To provide individuals with research training during off-quarters or summer periods to encourage research careers and/or research in areas of national need. |
Training in Renal, Gi, Endocrine and Epithelial Biology @ University of Pittsburgh At Pittsburgh The goal of the University of Pittsburgh School of Medicine Short-Term Medical Student Training Program in Renal, GI, Endocrine and Epithelial Biology is to foster an interest in scientific investigation as a career objective for medical students. We provide students with an opportunity to participate in biomedical research with highly qualified mentors and role models. Our program supports a summer research training experience for medical students between the first and second year of medical school. This program is designed to introduce students to a rigorous approach to scientific inquiry in basic science or clinical investigation, with a focus on three major areas of research: (1) renal and epithelial cell biology, (2) digestive and hepatic disorders, and (3) endocrinology, metabolism and diabetes. Trainees are selected by an executive committee on the basis of student-authored project proposals developed with and endorsed by faculty members of the training program. Faculty members serve both as research trainers and as mentors. |
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2020 — 2021 | Defranco, Donald B | R21Activity Code Description: To encourage the development of new research activities in categorical program areas. (Support generally is restricted in level of support and in time.) |
A Novel Glucocorticoid With Limited Adverse Effects in Neonatal Brain @ University of Pittsburgh At Pittsburgh Bronchopulmonary dysplasia (BPD) remains a significant complication of prematurity with an incidence of 7% in all preterm infants and nearly 70% in infants born ?28 weeks. Current clinical strategies to mitigate the development and progression of BPD include mechanical ventilation and pharmacologic therapy including surfactants and long-acting synthetic glucocorticoids (sGCs) such as dexamethasone (Dex). While postnatal sGCs limit inflammation and reduce BPD progression in neonates, they carry a significant risk of adverse effects on neurodevelopment leading to long-lasting alterations in brain structure and function. Specifically, recent outcome studies of neonatal sGC therapy have demonstrated increased risk for cerebral palsy, with noted dosage and timing differences. As a result, current clinical practice guidelines of the American Academy of Pediatrics do NOT recommend high-dose Dex; ?there is insufficient evidence to make a recommendation regarding treatment with low-dose dexamethasone?. In summary, there remains a need for a GC pharmacotherapy for BPD in neonates that will have beneficial anti-inflammatory and lung maturation effects, but limited adverse reactions, particularly in the brain. Since rodent neonates are susceptible to analogous adverse neurodevelopmental effects of postnatal sGCs as humans, they provide an opportunity to perform mechanistic studies and identify targets and modalities for more directed, novel sGC therapeutics. Ciclesonide (CIC) is a new generation inhaled sGC currently approved for the treatment of asthma and allergic rhinitis. It is a prodrug that is converted by carboxylesterases (CESs) enriched in the lower airway of adults into the active compound desisobutyryl-Ciclesonide (des-CIC), a highly potent agonist for the glucocorticoid receptor. CIC is approved as an alternate therapy in children 5 years of age and older and is being evaluated in a Phase 3 clinical trial for treatment of allergic rhinitis in children as young as 2 years old. We hypothesize that neonatal exposure to the sGC prodrug, CIC, will NOT trigger the demyelination, astrogliosis or cerebellar damage in neonatal brain caused by Dex, due to limitations in accumulation of and/or response to des-CIC, the active metabolic product of CIC. Experiments in this proposal utilize a novel ?humanized? knockout mouse line that is ablated of the plasma Es-1 gene in order to more closely approximate CIC metabolism in humans, which unlike rodents lack plasma CES. Specific aims will 1) measure the accumulation of free and fatty acid- conjugated des-CIC in various neonatal tissues of male and female Es-1-/- mice and assess the ontogeny of Ces gene expression in neonatal brain and lung, and 2) measure in vivo biological responses to CIC in brain and lung of male and female Es-1-/- neonatal mice. Given the established safety of CIC in very young children, the clinical translation of our proposed studies to human neonates could be expedited, particularly given the limited safe therapeutic options currently available for treating or preventing BPD in susceptible premature infants. |
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2021 | Defranco, Donald B Monaghan-Nichols, A Paula (co-PI) [⬀] Sampath, Venkatesh |
R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
A Safer Glucocorticoid to Treat Neonatal Lung Injury With Limited Adverse Neurologic Effects @ University of Pittsburgh At Pittsburgh Bronchopulmonary dysplasia (BPD) remains a significant complication of prematurity affecting nearly 70% in infants born ?28 weeks. Current pharmacologic strategies to mitigate the development and progression of BPD include administration of long-acting synthetic glucocorticoids (sGCs) such as dexamethasone (Dex). Several randomized clinical trials establish that sGC therapy targeted to preterm infants with evolving lung injury decreases BPD risk substantially, but encumber significant risks related to adverse somatic growth and long-lasting alterations in brain structure and function. Therefore, there remains an urgent need for GC pharmacotherapy for BPD in neonates that will provide beneficial anti-inflammatory and lung maturation effects, but limited adverse effects on the brain. Ciclesonide (CIC) is a new generation inhaled sGC currently approved for the treatment of asthma and allergic rhinitis that does not cause systemic adverse effects often observed with other sGCs. Clinical trials also demonstrate no adverse effects of CIC beyond placebo in 2-year olds. We hypothesize that CIC will attenuate hyperoxia-mediated acute lung injury in neonates but NOT trigger the demyelination, astrogliosis, microglia activation or neuronal damage in neonatal brain caused by systemically administered sGCs such as Dex. Three Specific Aims are proposed to test this hypothesis with a multi-disciplinary team possessing the ability to simultaneously investigate in vitro mechanisms and highly relevant rodent models of neonatal lung injury. Aim 1 will determine the mechanisms by which CIC prevents hyperoxia-induced acute lung injury and alveolar remodeling in experimental BPD. Aim 2 will identify the transcriptomic responses to CIC within individual cell types of neonatal mouse lungs using scRNA-Seq. Aim 3 will compare the acute and long-term consequences of neonatal Dex versus CIC exposure on brain architecture and behavior. This study has potential to identify CIC as an effective sGC therapy for BPD with brain- sparing effects, addressing the current dearth of therapies to prevent and/or treat BPD in preterm infants. |
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