Timothy A. Graubert, M.D.

Tim Graubert
  • Associate Professor
    • Department of Medicine
      • Oncology Division
        • Stem Cell Biology Section
    • Department of Pathology & Immunology
  • Clinical interests
    • Bone marrow transplantation
  • Research interests
    • Genetic basis of human myeloid leukemias

Research

My laboratory studies the molecular pathogenesis of myeloid leukemias. We are interested in defining inherited genetic susceptibility factors and somatically acquired mutations important for disease initiation and progression. Specific diseases of interest to our group include: the myelodysplastic syndromes (MDS), acute myeloid leukemia (AML), and MDS/AML arising as a consequence of prior chemotherapy (t-MDS/AML). Both mouse models and correlative studies using human samples are utilized.

Current projects include:

Genomics of myelodysplastic syndromes. A large panel of primary human MDS and patient-matched normal (germline) samples have been obtained. Samples are screened for acquired DNA lesions by high-throughput gene resequencing, array-based comparative genomic hybridization, and array-based mRNA/miRNA profiling. Novel mutations are further characterized using tissue culture and mouse model systems.

Susceptibility to therapy-related MDS/AML (t-MDS/AML). This project addresses the hypothesis that the risk of iatrogenic secondary leukemias is influenced by inherited genetic susceptibility factors. We are testing this hypothesis in human populations by candidate gene and genome-wide association studies. In addition, we have identified inbred mouse strains that are susceptible or resistant to t-MDS/AML. Intercross strategies are utilized to define the underlying genetic basis of t-MDS/AML susceptibility in mice.

Identification of copy number variants. In addition to single nucleotide polymorphisms (SNPs), large scale DNA copy number gains and losses are an important source of germline genetic variation in mammalian genomes. We are using array-based comparative genomic hybridization to measure copy number variation in mouse and human genomes. We have developed novel bioinformatic tools to identify copy number variants, define their boundaries, and relate these gains and losses to phenotypic variation in mice and humans.

MDS deletions

Chromosomal deletions in patients with myelodysplastic syndrome

(A) Diagram of the region on the long arm of human chromosome 5q31.2 that is commonly deleted in patients with MDS.
(B) A custom high resolution oligonucleotide array containing 385,000 probes across human chromosome 5 was used to measure copy number in DNA samples from MDS bone marrow cells compared to matched, unaffected tissue (skin) from the same patient. The negative log2 ratio between 86.2 Mbp and 155.7 Mbp (arrows) reflects an acquired (somatic) copy number deletion in the MDS sample.
(C) Expanded view demonstrates monoallelic copy number loss within the commonly deleted interval.

From: Graubert TA, Payton MA, Shao J, Walgren RA, Monahan RS, Frater JL, Walshauser MA, Martin MG, Kasai Y, Walter MJ
Integrated genomic analysis implicates haploinsufficiency of multiple chromosome 5q31.2 genes in de novo myelodysplastic syndromes pathogenesis.
PLoS ONE 2009;4(2):e4583

Biographical Sketch

Education

1984 BA (Biology and Philosophy), Dartmouth College, Hanover, NH
1988 MD, Harvard University, Boston, MA

Post-graduate Training

1988-1989 Intern in Internal Medicine, Yale-New Haven Hospital, New Haven, CT
1989-1991 Resident in Internal Medicine, Yale-New Haven Hospital, New Haven CT
1991-1993 Research Fellow in Hematology (Nancy Berliner lab), Yale School of Medicine, New Haven, CT
1993-1995 Fellow in Hematology-Oncology, Washington University School of Medicine, St. Louis, MO
1995-1999 Post-doctoral Research Associate (Tim Ley lab), Washington University School of Medicine, St. Louis, MO

Academic Positions

1997-1999 Instructor, Department of Medicine, Washington University School of Medicine, St. Louis, MO
1997-present Attending Physician, Barnes-Jewish Hospital, St. Louis, MO
1999-2007 Assistant Professor, Departments of Medicine and Pathology & Immunology, Washington University School of Medicine, St. Louis, MO
1999-2007 Research Associate Member, Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO
2001-present Director, High Speed Cell Sorter Core Laboratory, Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO
2007-present Associate Professor, Departments of Medicine and Pathology & Immunology, Washington University School of Medicine, St. Louis, MO

Appointments & Committees

2002-2005 Organizer, Stem Cell Biology Group, Washington University School of Medicine
2003 Organizing Committee for Stem Cell Symposium, Washington University School of Medicine
2004-present Oncology Fellowship Training Committee

Board Certification

1991-2012 Internal Medicine (ABIM)
1997-2017 Medical Oncology (ABIM)

Honors & Awards

1984 Rufus Choate Scholar, Dartmouth College
1984 Phi Beta Kappa, Dartmouth College
1984 Summa cum laude, Dartmouth College
1984-1988 Alfred K. Priest Fellowship
1985 Harvard Summer Research Award
1999-2004 Physician-Scientist Training Grant, NHLBI, NIH
2000 Faculty Scholar Award, American Society of Hematology
2001 Excellence in Mentoring Award, Washington University

Professional Societies & Organizations

1988-1990 American Medical Association
1992-present American Society of Hematology
1993-1995 American College of Physicians
2005 NIH Clinical Oncology (CONC) Study Section, ad hoc
2006, 2007 ASH subcommittee on AML, abstract review panel and session moderator
2007 NIH Modeling and Analysis of Biological Systems (MABS) study section, ad hoc
2007-2010 Leukemia & Lymphoma Society study section, Translational Research Program
2008 NIH Hematopoiesis (HP) Study Section, ad hoc