The main interest of our laboratory is the discovery and characterization of gene mutations in patients with myelodysplastic syndrome (MDS) with the long term goal of understanding the molecular mechanisms that control abnormal hematopoiesis. MDS results from the expansion of one or more dominant hematopoietic clones that contain initiating mutations, while transformation from MDS to acute myeloid leukemia (AML) occurs as these clones accumulate additional progression factors (including point mutations in genes and cytogenetic abnormalities). Current projects include the following:
Discovery of gene mutations that occur in the genomes of hematopoietic cells from patients with myelodysplastic syndromes (MDS)
Our laboratory is using high-throughput genomic resequencing to analyze candidate genes that may be important for the pathogenesis of MDS. Functional studies of mutant genes will be performed to understand how the normal and abnormal gene products affect hematopoiesis.
Characterization of genomic copy number alterations in MDS
Small chromosomal abnormalities, undetectable by standard cytogenetic analysis, may contribute directly to MDS pathogenesis. To address this possibility, we are using an array comparative genomic hybridization (aCGH) platform that contains ~385,000 long oligomer probes spanning the entire genome with 6 kilobase average spacing. This platform can detect cytogenetically "silent" copy number changes in the genomes of hematopoietic cells from MDS patients. We are annotating the genes encompassed by these copy number changes and evaluating their contribution to MDS pathogenesis using both mouse models systems and primary human cells.
Define the molecular mechanisms that control abnormal hematopoiesis in MDS
Several genes located on a chromosomal region that is commonly deleted in MDS have been implicated in hematopoiesis. The laboratory is utilizing RNA interference (RNAi) in primary human and murine hematopoietic cells to study how gene dosage alters hematopoiesis. Knockout mice are being generated for specific MDS candidate genes in order to directly study their contribution to hematopoiesis in mice.
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Characterization of APL cells Morphology by May-Grunwald Giemsa staining and flow-cytometric analysis for Gr-1 and c-kit is shown for one splenic tumor arising in a PR mouse and in two independent PU.1+/- mice expressing PR (PRxPU.1+/-). Numbers represent the percentage of cells in each quadrant.
From: Walter MJ, Park JS, Ries RE, Lau SK, McLellan M, Jaeger S, Wilson RK, Mardis ER, Ley TJ
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| 1990 | BS, American University, Washington, DC |
| 1995 | MD, St. Louis University School of Medicine, St. Louis, MO |
| 1992-1993 | Howard Hughes Medical Institute - National Institutes of Health Research Scholar, Bethesda, MD (Steven Jacobson, PhD, Mentor) |
| 1995-1996 | Intern in Medicine, Johns Hopkins Hospital, Baltimore, MD |
| 1996-1998 | Resident in Medicine, Johns Hopkins Hospital, Baltimore, MD |
| 1998-1999 | Hematology-Oncology Fellow, Washington University Medical Center, St. Louis, MO |
| 1999-2000 | Assistant Chief of Service (Chief Medical Resident), Johns Hopkins Hospital, Baltimore, MD |
| 2000-2004 | Hematology-Oncology Fellow, Washington University Medical Center, St. Louis, MO |
| 2001-2004 | Post-Doctoral Fellow, Washington University, St. Louis, MO (Timothy Ley, MD, Mentor) |
| 2004-2005 | Instructor of Medicine, Washington University School of Medicine, St. Louis, MO |
| 2005-present | Assistant Professor of Medicine, Washington University School of Medicine, St. Louis, MO |
| 2005-present | Assistant Professor of Genetics, Washington University School of Medicine, St. Louis, MO |
| American Society of Hematology |
| 1998 | American Board of Internal Medicine |
| 2002 | American Board of Internal Medicine, Oncology |
| 2002 | American Board of Internal Medicine, Hematology |
| 1991 | Eben J. Carey Memorial Award in Anatomy, St. Louis University School of Medicine |
| 1991-1992 | American Federation for Aging Research Fellow, Research Scholarship in Geriatric Pharmacology, St. Louis University School of Medicine, St. Louis, MO |
| 1991-1992 | Hartford Fellow, John A. Hartford Foundation for Geriatric Research, St. Louis University School of Medicine, St. Louis, MO |
| 1992-1993 | Howard Hughes Medical Institute - National Institutes of Health Research Scholar, Bethesda, MD |
| 1994 | Alpha Omega Alpha Honor Medical Society, St. Louis University School of Medicine |
| 1995 | Medical Degree with Distinction in Research, St. Louis University School of Medicine |
| 2003-2004 | Leukemia Research Foundation Physician-Scientist Postdoctoral Fellowship |
| 2003-present | NHLBI Loan Repayment Program recipient |
| 2005-2007 | American Society of Hematology Scholar Award |
| 2007-present | Howard Hughes Medical Institute Physician-Scientist Early Career Award |