Gerald P. Linette, M.D., Ph.D.

Gerry Linette
  • Assistant Professor
    • Department of Medicine
      • Oncology Division
        • Medical Oncology Section
    • Department of Neurological Surgery
  • Clinical interests
    • Neuro-oncology
    • Melanoma
  • Research interests
    • Immunologic approaches for the treatment of cancer
    • Pathogen-specific CD8 immunity

Research

Human Cancer Immunology

The identification of melanocyte-lineage restricted antigens (such as gp100 and MART1/Melan-A) that are over-expressed in metastatic melanoma serves as the starting point for vaccine strategies to elicit tumor specific effector T cells. Recent data from our laboratory shows that melanoma specific cytotoxic T lymphocytes (CTL) can be isolated from patients that are immunized with gp100 melanoma antigen peptide-pulsed dendritic cells (DC). In a phase I clinical trial, all 12 patients had detectable circulating melanoma-peptide specific CTL after DC vaccination. Our interest is to develop additional clinical trials using DC to hyper-immunize patients with advanced melanoma. Immunological monitoring of patients is essential toward understanding the kinetics and magnitude of melanoma antigen specific CTL after immunization. Full characterization of antigen-specific CTL from immunized patients is viewed as a high priority. Tumor profiling will be done longitudinally to assess mechanisms of resistance and immune evasion. The long term goal is to create effective immunotherapies for patients with advanced melanoma.

Glioma Biomarkers

The standard treatment for human glioblastoma multiforme (grade IV astrocytoma) is surgical resection followed by radiation with concurrent temozolomide followed by adjuvant temozolomide. Despite recent advances with addition of chemotherapy, most patients develop disease progression by 12 months. In a collaborative effort with members of the Neuro-Oncology faculty, my interest is to develop new clinical trials utilizing novel biomarkers to stratify patients into treatment groups evaluating investigational therapies. The long term goal is to employ a biomarker based strategy to select optimal first line treatment for patients with glioblastoma multiforme.

Array

Hierarchical clustering of cDNA gene expression data in patients with newly diagnosed stage I-III breast cancer
Cases with pathological complete response are underlined.

From: Stec J, Wang J, Coombes K, Ayers M, Hoersch S, Gold DL, Ross JS, Hess KR, Tirrell S, Linette G, Hortobagyi GN, Fraser Symmans W, Pusztai L
Comparison of the predictive accuracy of DNA array-based multigene classifiers across cDNA arrays and Affymetrix GeneChips.
J Mol Diagn 2005 Aug;7(3):357-67

Biographical Sketch

Education

1976-1980 BS (Biology), St. Joseph's University, Philadelphia, PA
1984-1990 MD/PhD (Microbiology), Georgetown University School of Medicine, Washington, DC

Post-graduate Training

1990-1992 Intern and Resident, Medicine, Barnes Hospital, St. Louis, MO
1992-1995 Research Fellow, Molecular Oncology, Washington University, St. Louis, MO
1995-1998 Clinical Fellow, Hematology-Oncology, Massachusetts General Hospital, Boston, MA
2005 Visiting Scientist, Neuro-Oncology Branch, NIH/NCI/NINDS, Bethesda, MD

Academic Appointments

1980-1984 Research Specialist in Immunology, Department of Medicine, University of Pennsylvania, Philadelphia, PA
1995-1998 Clinical and Research Fellow, Department of Medicine, Harvard Medical School, Boston, MA
1998-2001 Instructor, Department of Medicine, Harvard Medical School, Boston, MA
2001-present Assistant Professor of Medicine, Washington University School of Medicine, St. Louis, MO

Industry Experience

2002-2004 Director, Molecular Oncology, Millennium Pharmaceuticals, Inc., Cambridge, MA

Hospital Service

2001-present Medical Director, Melanoma Service, Siteman Cancer Center
2005-present Medical Director, Neuro-Oncology Service, Siteman Cancer Center
2006-present Medical Director, GMP Facility, Siteman Cancer Center

Board Certification

1997 Diplomate, American Board of Internal Medicine
1999 Diplomate, American Board of Internal Medicine (Medical Oncology)

Awards & Honors

1988 Special Commendation for Pre-doctoral Presentation, IV International Conference on AIDS, Stockholm, Sweden
1992 Post-Graduate Medical Scientist, Washington University School of Medicine
1997 PhRMA Fellow in Clinical Pharmacology
2000 NIH/NCI Research Career Development Award

Editorial Boards

2000-present International Journal of Cancer, reviewer
2000-present Clinical Cancer Research, reviewer
2001-present Gene Therapy,  reviewer
2002-present Cancer Investigation, reviewer
2003-present British Journal of Dermatology, reviewer
2005-present Clinical and Experimental Dermatology, reviewer
2006-present PLoS Medicine, reviewer
2007-present Journal of Nuclear Medicine, reviewer

Professional Memberships

1996 American Society of Hematology
1997 American Society of Clinical Oncology
1998 American Society of Immunologists
1998 American Society for Cancer Research
2000 International Society for Cellular Therapy
2007 Society for Neuro-Oncology

Major Committee Assignments

1996-2001 MGH Melanoma Disease Center
1998-1999 DFCI/PCC Gynecologic Oncology Subcommittee on Immunotherapy
1999-2001 Harvard Cancer Center, Committee on Cancer Immunology
2001-present Siteman Cancer Center, Melanoma Program
2005-present Siteman Cancer Center, Neuro-Oncology Program
2006-present NCCN Central Nervous System Cancers Panel, member
2006-present Washington University, Human Studies Committee, member

Updated: April 21, 2008

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