The Evolution of Excellence 2010 - Graduate Studies
Transcription
The Evolution of Excellence 2010 - Graduate Studies
the evolution of university of pittsburgh school of medicine University of Pittsburgh University of Pittsburgh School of Medicine School of Medicine 1 1 Putting ExcellencePutting into Action Excellence into Action 4 4 New Faces & Fresh New Ideas Faces & Fresh Ideas 10 10 Part I: In the Beginning Part I: In the Beginning 24 24 News & Achievements News & Achievements 36 36 Part II: At the Confluence Part II: At the Confluence 44 44 News & Achievements News & Achievements 68 68 Part III: The Visionaries Part III: The Visionaries 78 78 Investing in a Winner Investing in a Winner 100 Departments 100 Departments How do we put excellence into action? At the University of Pittsburgh School of Medicine, excellence is an everyday pursuit (and a goal that is often attained), but that doesn’t make it easy to explain. While we can all agree that it is the goal, we still have to get out of bed in the morning with a vision, some particular habits of mind, and a strategy. What are they? When it comes to the care of patients, biomedical research, and education, I believe the key elements of turning excellence into action include an innovative and collaborative culture and a commitment to multi disciplinary, imaginative work. We begin with a promising substrate. In terms of one of our primary missions, which is to educate and train the finest clinicians and scientific investigators, this means selecting medical and graduate school applicants who, in addition to being exceptionally bright and accomplished, show creativity and leadership. These qualities are vital because important discoveries and difficult diagnoses do not typically announce themselves or fall into one’s lap. Creativity and leadership are required to make and advance the discoveries that come to define cutting-edge science and medicine. 1 In our faculty and investigators, we especially seek out and support those who recognize that crossing the frontiers of biomedical science requires teamwork. This is why the researchers in our new Center for Vaccine Research, for example, represent two health sciences schools (medicine and public health) and eight different academic departments, from pediatrics to pathology to microbiology and molecular genetics. The spirit of collaboration drives everything we do, from the scientists we recruit to the way we design the laboratories in which they conduct research. Investigators who come to Pittsburgh understand that they are expected to reach far beyond the confines of their departments and areas of expertise. This is why their laboratories have no walls. It’s why we build state-of-the art facilities where, for example, experts in geriatric medicine rub elbows with structural and computational biologists — because solutions to problems like Alzheimer’s and other neurodegenerative diseases may be found by illuminating the structure of protein molecules in the brain or by combining brain imaging studies with the quotidian details of environmental exposure. Over the past 11 years, since my arrival in Pittsburgh from the National Institutes of Health, I have watched the culture of excellence become ingrained and blossom here. I have watched it draw talented scientists and physicians from all over the world. I have seen independent evidence of it in the peer-reviewed publications and the external support garnered by our research programs. I invite you to read this progress report and see for yourself how this institution is putting excellence into action. Arthur S. Levine, MD Senior Vice Chancellor for the Health Sciences and Dean, School of Medicine Summer 2010 2 The Merits of Mutuality L ike a vast battery, the University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center (UPMC) together harness their distinct yet interdependent polarities to power what has arguably become the region’s most potent scientific and economic engine. “There’s no way that either of us can operate without total symbiosis,” says Arthur S. Levine, MD, senior vice chancellor for the health sciences and dean, School of Medicine, explaining that clinical revenue supports academics, and biomedical research gravitas distinguishes UPMC from other community hospital networks. A long-term affiliation agreement formalizes the relationship, outlining UPMC’s financial support of the medical school and ensuring that faculty, students, and residents have access to the hospitals for instruction, research, and clinical work. Clinical practices of medical school faculty members are codified into a UPMC subsidiary known as University of Pittsburgh Physicians. The agreement gives the University sole control over academic matters and administration of federally funded research and entitles Pitt to appoint a portion of UPMC’s Board of Trustees and Executive Committee. A member of the UPMC board also sits on the University Board of Trustees. While the legal distinctions are important, Pitt and UPMC share a much more important focus. Catalyzing the translation of research into pioneering clinical practice advances the missions of both and enhances science and patient care beyond the region, resulting in what UPMC President Jeffrey A. Romoff calls “really quite a success story.” 3 New Faces. Fresh Ideas. Top L / R: Davidson, Gladwin Bottom L / R: Sadovsky, Van Houten 4 Nancy E. Davidson, MD Mark T. Gladwin, MD Director, University of Pittsburgh Cancer Institute and UPMC Cancer Centers; Associate Vice Chancellor for Cancer Research; Hillman Professor of Oncology Professor of Medicine; Chief, Division of Pulmonary, Allergy, and Critical Care Medicine; Director, Vascular Medicine Institute Clinical / research interests: Role of hormones and receptors, particularly estrogen, in gene expression and cell growth in breast cancer Clinical / research interests: Nitrite in vasodilation, nitric oxide bioactivity, hemolysis-associated pulmonary hypertension in sickle cell disease Former president of the American Society of Clinical Oncology; former director of the Johns Hopkins University Kimmel Cancer Center Breast Cancer Program; honors include the Brinker International Award for Breast Cancer Research, the American Association for Cancer Research Women in Cancer Research Charlotte Friend Memorial Lectureship, and the National Cancer Institute Rosalind E. Franklin Award. Notable: Notable: “Although we call it one disease, breast cancer is in fact a whole bunch of different diseases. A lot of things have to go awry in a cancer cell, and they may be very different depending on the cell of origin. Increasingly, research is going to be very focused on specific biological subsets of breast cancer.” Quotable: Elected in 2010 to the council of the American Society for Clinical Investigation; discovered that nitrite is a stable, circulating storage pool for nitric oxide in the blood and that it is bioactivated under hypoxic conditions via a previously unknown interaction with hemoglobin, regulating both vasodilation and cellular resistance to low oxygen and ischemia Quotable: “What we’re doing is thinking of any disease where oxygen is low and nitric oxide might be useful — heart attacks, high blood pressure of the newborn — and in all these preclinical models, the nitrite is working. So coming to Pittsburgh is very exciting for me because now I have the opportunity to move this discovery into clinical practice. …Also, one of the ideal targets for nitrite is going to be solid organ transplantation, and Pittsburgh is obviously the center of the universe for that.” Yoel Sadovsky, MD Elsie Hilliard Hillman Professor of Women’s and Infants’ Health Research; Professor of Obstetrics, Gynecology, and Reproductive Sciences; Scientific Director, Magee-Womens Research Institute Clinical / research interests: Reproductive development and function, including mechanisms that determine placental development and differentiation; molecular mechanisms underlying gonadal function Notable: Excellence in Teaching Award, Association of Professors of Gynecology and Obstetrics; Society for Gynecologic Investigation President’s Achievement Award “Deciphering the underpinnings of reproductive sciences and embryonic development is critical to understanding the origins of human diseases. Conditions that shape our lives may originate in genetic and epigenetic intra-uterine influences. In fulfilling our goal to improve repro ductive health, we are pursuing a greater mission to improve the health of both women and men.” Quotable: Bennett Van Houten, PhD Richard M. Cyert Professor of Molecular Oncology; Professor of Pharmacology and Chemical Biology; Head, Molecular and Cellular Cancer Biology Program, University of Pittsburgh Cancer Institute Clinical / research interests: Structure-function studies of nucleotide excision repair proteins and mitochondrial dysfunction in neurodegenerative diseases and cancer Five-time National Institutes of Health Award of Merit recipient; NIH Director’s Award; Burroughs Wellcome Fund Scholar Award in Toxicology; former chief of extramural research and training, National Institute of Environmental Health Sciences Notable: “It’s very exciting to be able to become part of the University of Pittsburgh Cancer Institute, which has a strong research group interested in genome stability. Cancer is a consequence of an accumulation of mutations in critical cellular genes that control cell growth and differentiation. Our long-term goal is to translate findings in basic research into the clinic. A major area of research that has huge potential is the understanding of which DNA repair pathways have been altered in tumor cells so that specific therapeutic approaches can be tailored to specific tumors.” Quotable: 5 Cecilia W. Lo, PhD Rocky S. Tuan, PhD Dr. F. Sargent Cheever Professor and Chair of Developmental Biology Arthur J. Rooney Sr. Professor of Sports Medicine; Professor of Orthopaedic Surgery and Executive Vice Chairman for Orthopaedic Research; Director, Center for Cellular and Molecular Engineering Clinical / research interests: Discerning mechanisms underlying human congenital heart disease using large-scale genomic approaches, genetic screens, and chemical mutagenesis; translational research with genetic analysis using high-throughput sequencing and disease modeling with patient-derived induced pluripotent stem cells Secretary, Society of Developmental Biology; former director, Developmental Biology and Genetics Center, National Heart, Lung, and Blood Institute; editor-in-chief, Cell Communication and Adhesion; Associate Editor, Embryo Today; editorial board, Anatomical Record Notable: Quotable: “You never know where the discoveries will come from that will benefit a patient, whether it’s developing diagnostics, medication, or some other therapeutic tool. When basic science impinges on clinical medicine, it behooves us to really pursue it and bring that science to benefit the clinical population. I’m excited that we are at that boundary.” Thomas W. Kensler, PhD Professor of Pharmacology and Chemical Biology, School of Medicine; Professor of Environmental and Occupational Health, Graduate School of Public Health Clinical/research interests: Biochemical and molecular mechanisms of chemical carcinogenesis to identify prevention and treatment strategies, with particular emphasis on targeting the Keap1-Nrf2 adaptive response pathway; clinical trials of novel chemopreventive agents in populations at high risk for aflatoxin-induced hepatocarcinogenesis Society of Toxicology Translational Impact Award, 2009; AACR-American Cancer Society Award for Research Excellence in Cancer Epidemiology and Prevention, 2007 Notable: Quotable: “Prevention offers the best prospects for reducing morbidity and mortality from chronic diseases, including cancer. As succinctly noted by Mao Zedong, ‘Prevention is best. Health first.’ ” 6 Clinical / research interests: Musculoskeletal system development, growth, and function; regulation of adult stem cell biology; developing methods to engineer or regenerate musculoskeletal tissues Marshall R. Urist Award, Orthopaedic Research Society; Coventry Award, American Academy of Orthopaedic Surgeons; College of Fellows, American Institute of Medical and Biological Engineering; former chief, Cartilage Biology and Orthopaedics Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases; founding co-editor, Stem Cell Research and Therapy Notable: Quotable: “My research interests are focused on real-world biomedical challenges, with analysis done at the cellular and molecular levels, and solutions delivered using engineering approaches. Our research addresses the urgent need to develop novel therapies for degenerative musculoskeletal diseases, which represent the primary cause of disability. We are excited about promising adult stem cell and nanomaterial-based approaches we have developed to engineer and regenerate skeletal tissues that are being tested in animal models for future clinical applications.” Abhinav Humar, MD Professor of Surgery; Chief, Division of Transplantation Surgery; Clinical Director, Thomas E. Starzl Transplantation Institute Clinical / research interests: Examining clinical outcomes for adult and pediatric transplant patients; studying predictors of complications in transplant patients; conducting partial liver transplants and examining liver regeneration Helped to develop a liver transplant program at Jaslok Hospital and Research Center, a large teaching hospital in Mumbai, India; editorial board, Liver Transplantation; associate editor, Clinical Transplantation Notable: “We are working to provide what is one of the most comprehensive transplant programs to patients. I’m speaking of the clinical and research aspects of transplant, covering all of the different types of transplant — whether that’s adult, pediatric, liver, lung, heart, kidney, small bowel, pancreas, islet cells. Transplant is a big field, and I want to see that all aspects of it are available here for the patient — and available at a very high level.” Quotable: New Faces. Fresh Ideas. Top L / R: Lo, Tuan Bottom L / R: Kensler, Humar 7 New Faces. Fresh Ideas. Top L / R: Friedlander, Fox Bottom L / R: Sorkin, Celedón 8 Robert M. Friedlander, MD Ira J. Fox, MD Professor and Chair of Neurological Surgery Professor of Surgery; Director, Center for Innovative Pediatric Regenerative Therapies Clinical / research interests: Mechanisms of apoptosis, especially as mediated by the caspase apoptotic family, in neurologic diseases, stroke, and traumatic brain and spinal cord injuries; pathogenesis of neuro degenerative diseases, including amyotrophic lateral sclerosis (ALS) and Huntington’s disease; discovering novel approaches to reduce the effects of cell death in a variety of neurologic disorders Bayer Cerebrovascular Award, Joint Section of Cerebrovascular Surgery, 2002; Charcot Young Investigator Prize for research into ALS and related disorders, Motor Neurone Disease Association and Aventis Pharmaceutical, 2002; advisory council, National Institute of Neurological Disorders and Stroke Notable: Quotable: “My goal is to elevate our already eminent department to be a leader in neurosurgery, combining the very best clinical care with innovative translational neuroscience. I look forward to collaborating with so many gifted colleagues to develop future neurosurgical therapies.” Clinical / research interests: Treatments for liver cell dysfunction-based diseases; development of alternative ways to regenerate damaged liver cells; overcoming barriers to using liver cell transplants for treating hepatic diseases; gene therapy and stem cell research Former senior associate dean for research, University of Nebraska College of Medicine; Outstanding Investigator Award, University of Nebraska, 1999; sponsor of two investigator-initiated U.S. investigational new drug applications Notable: “Our goal is to have hepatocyte transplantation effectively replace organ transplantation for some patients with liver failure and life-threatening liver-based metabolic diseases. Through the collaborative atmosphere at the University of Pittsburgh, I am confident that we can accomplish this by developing multiple sources of donor liver cells, making hepatocyte transplantation available and effective for Quotable: patients with liver disorders.” Alexander Sorkin, PhD Richard Beatty Mellon Professor of Physiology and Chair of Cell Biology and Physiology Clinical/research interests: Mechanisms by which endocytosis and post-endocytic trafficking regulate the functions of transmembrane proteins such as receptors and transporters, with a specific focus on using the epidermal growth factor receptor and dopamine transporter as models Former professor of pharmacology, University of Colorado Health Sciences Center; founding member of the international consortium Receptor Tyrosine Kinase Signaling Network; named departmental teacher of the year in 2000 and cited for annual research award, 2002; editorial board, Molecular Biology of the Cell and Traffic Notable: “Understanding the basic molecular mechanisms controlling core cellular functions is imperative to the development of new approaches to and strategies for translational research. I came to Pittsburgh for a unique opportunity to pursue basic science research focusing on fundamental questions of cell biology. We can build on the department’s superb expertise in cell imaging, membrane trafficking, signaling, cell polarity, and physiology of channels, transporters, and receptors and enhance this research by integrating advanced systems-biology tech nologies such as proteomics, high-throughput RNA interference, and computational modeling.” Quotable: Juan Carlos Celedón, MD, DrPH Professor of Pediatrics and Chief, Pediatric Division of Pulmonary Medicine, Allergy, and Immunology, School of Medicine; Professor of Human Genetics, Graduate School of Public Health Clinical/research interests: Epidemiology of lung disease; genetic and environmental factors that influence asthma, allergic disease, and chronic obstruc tive pulmonary disease, generally and among Hispanics in particular; the relationships between intestinal flora early in life and susceptibility to allergic disease Former director, Human Genetics Research Unit, Brigham and Women’s Hospital; 2010 recipient of the A. Clifford Barger Excellence in Mentoring Award from Harvard Medical School Notable: “Asthma is the most common chronic disease among children in the United States. Most cases of asthma are diagnosed in early childhood, and current evidence suggests that early-life environmental exposures influence the development of asthma. By increasing our understanding of the interplay between early-life exposures and the genetics of asthma development, we should be able to improve the prevention, diagnosis, and treatment of this common disease.” Quotable: 9 Pitt & Pittsburgh &why? 10 Part I: In the Beginning Choosing a Medical School, Choosing This Medical School Some go to medical school almost in their own back yards. Others converge on Pitt Med from every imaginable compass point. Many have a breadth of experiences that belie their relative youth. And all have aspirations. Meet a sampling of students at the University of Pittsburgh School of Medicine. 11 I did my undergraduate work here at the University of Pittsburgh. I was a member of the medical school guarantee program, and I dual majored in biological sciences and physics and astronomy, with a minor in chemistry, so there’s an obvious love for science there. . .. In the last two years I started to do research in computational biology. I study BH3-only proteins and their role in the apoptotic pathway, which can play a role in cancer therapeutics and also in how sensitive cells are to radiotherapies. I started to fall in love with that work and decided that, ultimately, I would like to pursue an MD/PhD and do work in academic medicine. { { Sarah Sullivan / third year Nicki Zevola / second year } } I was born and raised in Charleston, West Virginia, which is about four hours down I-79. I stayed in West Virginia for my undergraduate degree and went to Marshall University. . ..When I was young, I lived during the summers with my grandparents in rural West Virginia, and a lot of my time was spent taking them to and from various medical appointments. So I got to see a lot of the barriers to care in the rural population. And I also got to observe a really unique relationship they had with their primary care physician. He was great . .. explaining problems in plain English, was great about preventive care and a whole number of things. ...When I was looking for schools to apply to, I initially chose Pitt because it was within the four- or five-hour radius, because family is very important to me. But, once I was here, I was really thrilled because not only did I find that people here are very warm and welcoming but I also found this Area of Concentration in Geriatric Medicine, which started my interest in medicine, and I’ve followed through with that. 12 Pitt & Pittsburgh &why? Part I: I n t he Beg in n in g I grew up in Chico, California, north of Sacramento. I went to school at the University of Wisconsin, Madison, where I studied engineering and did a master’s degree in biomedical engineering, with a mechanical focus. ... I loved the interaction of physical sciences and biological sciences, but I really felt that something was lacking in my everyday work. What was lacking was my interaction with people. That’s what led me to apply to medical school and want to become a physician. ... Pittsburgh was not especially on my radar when I was applying to medical schools, but it was the first place to give me an interview. . .. As soon as I got here, even though I was here for less than 24 hours, I just fell in love with the people who were here, the administration, the students I met. ... I just felt that they actually cared about my education. { Ben Sprague / second year } 13 { Bhumy Davé / Fourth year } I grew up just north of Chicago in a town called Skokie, Illinois. It is a place that is both socioeconomically very diverse as well as culturally very diverse. I went to undergrad at Washington University in St. Louis, where I majored in biology and minored in business. My outside interests ... included a lot of diversity work with our resident advisory committee. In addition, I was part of groups such as black women and Jewish women and a discussion group that explored issues of social justice. My passion for medicine started as a need to take care of some of the underserved populations in St. Louis. After my undergraduate career, I ... contemplated whether I wanted to do an MPH or go to medical school and then do an MPH as I gathered more experience. I chose the University of Pittsburgh partly because it has an Area of Concentration in Underserved Populations. ... After my first year of medical school, I got a chance to go to Zambia and worked at an antenatal clinic studying vertical transmission of HIV from a pregnant woman to her fetus. In my fourth year, I went to Swaziland and helped perform operations such as cesarean sections and hysterectomies. 14 Pitt & Pittsburgh &why? Part I: I n t he Beg in n in g I’m from Pittsburgh. I grew up in the North Hills and went to Notre Dame for undergrad. After that, I needed some time to sort myself out so I went to NIH [ National Institutes of Health ] and did basic cancer research for two years. During that time, I think, is when I discovered that I really wanted to do medicine. I knew that I didn’t want to spend all of my time in a lab, and that I needed to connect with people. I interviewed at a lot of medical schools. I came to Pittsburgh because I have roots here and because I think Pittsburgh is a special place. . ..When I came to medical school, I didn’t really know what kind of doctor I wanted to be, but I think I’m gradually figuring that out. I’m going into internal medicine, which will allow me to further explore what it means to be a doctor. The progression keeps going. { Sean Tackett / fourth year } 15 I thought I would go into journalism. But that ended up not being the case for me. What I did instead was research in medical ethics and social medicine, looking at disparities in health behaviors such as tobacco smoking and alcohol use. It was sort of through this circuitous path that I decided to go to medical school after undergrad at Wellesley College. …The reason I liked Pittsburgh was the Underserved Populations Area of Concentration. ... My interview day was the first time that I had ever been to this city. I didn’t know what to expect, but what I found is that it’s a beautiful city filled with really friendly people, and it’s been a wonderful place to live. I’m very happy with my choice. { 16 Wynne Lundblad / second year } Pitt & Pittsburgh &why? Part I: I n t he Beg in n in g I’m originally from Long Island, New York, both Amityville and Centereach. Each had very different demographics — Amityville was a very West Indian-heavy community, and Centereach was a very Caucasian, cosmopolitan sort of makeup. I went to Villanova University, where I studied biochemistry, and I also was very involved in the community in North Philadelphia while I was there. I did a lot of work with high school students, as well as middle school students, working to create cleaner and safer neighborhoods ... to bring about a different image for a lot of the single parent homes that the children were products of. The reason I chose medicine at a young age, actually around middle and high school, was that I had a lot of family members who succumbed to preventable diseases. At the heart of that was also a distrust of the medical field. I find tearing down the misconceptions and restoring that trust profoundly rewarding. { Bradley Stephens / fourth year } 17 The interdisciplinary nature of the program here helped me to experience different things before I needed to make a decision. I did three really good rotations. { Shanshan Cui / cell biology and physiology } The graduate program has numerous fantastic faculty to choose from to do world-class biomedical research. { J ared Knickelbein / MD/PhD student, immunology } If there’s one thing I can say about my mentor, it’s “collaboration.” He has a great open door policy. . . . Anybody can walk in. There’s always music on, and he’s very approachable. { Gina Coudriet / pathology } What I like most about my thesis project is that it is very translational in nature. It’s taking basic research discoveries and moving them into the clinic. { Angela Pardee / immunology } There’s a huge family atmosphere that runs through the whole city . . . and it extends down into my lab, which is the real reason I chose the University of Pittsburgh. { Austin Dulak / pharmacology and chemical biology } 18 Pitt & Pittsburgh &why? Part I: I n t he Beg in n in g … And Choosing a Graduate School Not all Pitt Med students are preparing to be physicians. Many — About 300 at any given time — are working toward PhD degrees in a basic or translational science field such as cell biology, immunology, or molecular virology, for example, through Pitt’s Interdisciplinary Biomedical Graduate Program. Others are in specialized graduate programs in emerging disciplines like biomedical informatics or computational biology. 19 Postdocs are a vital, productive segment of the University community. In Pitt’s med school alone, they number more than 500. 20 Learning to Fly E veryone knows that medical students earn their MDs, then move into a period of residency training — a highly structured and mentored transition between med school and an independent career. But what about the scads of PhDs graduating from medical schools, including Pitt’s, these days? They require a mentored transition, too, so that they can learn the ropes of academic medicine and blossom into independent investigators. Welcome to the world of the postdoctoral professional. Postdocs are a vital, productive segment of the University community. In Pitt’s med school alone, they number more than 500. Typically, they arrive after earning their PhDs at other top-tier institutions. (Exposure to new environments, new colleagues, and new mentors is considered key to professional development.) One of the side benefits of bringing scientific superstars to Pitt’s campus for the Senior Vice Chancellor’s Laureate Lectures and other events is that great scientists from outside institutions get an inside look at ongoing research here — an insight that sometimes leads to their PhD students being steered to Pittsburgh for a postdoc. Once in Pittsburgh, postdocs find a supportive community. The University of Pittsburgh Postdoctoral Association is a peer group that runs programs such as lunch meetings where postdocs develop research presentation skills. Another event, dubbed Data & Dine, is a scientific poster session and networking event that ends with 10 postdocs receiving travel grants to attend major conferences so they might present their research to wider audiences. Overarching support for postdocs in the health sciences comes from the Office of Academic Career Development, which provides a wide variety of professional development programs and services to coach postdocs in issues outside of laboratory research that go a long way in ensuring their success as scientists. The office also assists postdocs in securing their own funding as they transition to inde pendent researchers. The gold standard in this area is the National Institutes of Health Pathway to Independence Award, which was conceived as a way to bridge the gap between training and independent research. This unique award begins as a career development award lasting one to two years. Then, as a young scientist achieves a junior faculty position, the award evolves, supporting the establishment of a research program and transitioning to an award designated R01, the standard NIH award for individual scientists. Introduced in 2005, a Pathway to Independence Award provides an enormous boost to a young scientist’s career. As of summer 2009, postdocs in Pitt’s School of Medicine had won eight of these highly sought after awards. They support research in pharmacology, neurology, psychiatry, and pediatrics, among other areas. 21 What do former Secretary of State Colin Powell, former Secretary of Labor Elaine Chao, CNN chief medical correspondent Sanjay Gupta, MD, and Pitt School of Medicine alum J. Nadine Gracia, MD, MSCE, have in common? All were selected for the White House Fellows program, one of America’s most prestigious leader ship and public service training grounds for future policymakers. Only about a dozen fellows are chosen annually from among more than 1,000 applicants to spend a year getting an inside look at the workings of the federal government in Washington, D.C. From the outset of her 2008–2009 experience, Gracia juggled leadership seminars, state arrival ceremonies, domestic and international policy study trips, and community service. As a pediatrician and public health professional, she was placed at the Department of Health and Human Services, where she worked on several projects in the Office of the Secretary and the Office of Public Health and Science, including climate change and global health. In the last two months of her fellowship, she was assigned to the Office of the First Lady as a policy advisor, assisting with the development of the childhood obesity initiative. Gracia’s experience as a violence prevention researcher and associate of the Philadelphia Collaborative Violence Prevention Center also aided her service on the White House Council on Women and Girls. In addition to their full-time assignments, Gracia and the other White House fellows gathered several times a week for informal, off-the-record meetings with cabinet secretaries, public and private sector executives, and members of Congress. “It’s an incredible privilege and honor to have access to and meet with such extraordinary leaders,” she said of the experience. Gracia Goes to the White House 22 As a group, the fellows occasionally traveled to such places as Detroit, Chicago, Seattle, and New York City to meet with mayors, school super intendents, and CEOs to discuss public education, the economy, business technology, and national security. Their final trip was to Brazil and Argentina to discuss environmental issues and alternative energy sources with officials there. Gracia said her relationships with the other fellows were invaluable. “I’ve had the opportunity to meet people of diverse upbringings and pro fessions and, with them, to mature professionally and personally. I consider the fellows as family.” Upon completion of her White House fellowship in August 2009, Gracia was appointed and now serves as chief medical officer in the Office of Public Health and Science at the U.S Department of Health and Human Services. As a member of the Assistant Secretary for Health’s senior leadership team, she provides strategic program and policy guidance on a broad range of medical and public health issues, including environmental health, global health, adolescent health, and childhood obesity. Born in Northern California, she is a firstgeneration Haitian-American fluent in French and Haitian Creole. She recently returned from Haiti after working on earthquake relief and rebuilding efforts there. Paula Davis, assistant vice chancellor for diversity-health sciences at Pitt and former assistant dean of admissions in the School of Medicine, recalls Gracia’s passion for advocacy during her medical school years. “Nadine’s appointment as a White House fellow was, I think, a natural step in the progression of her career. In her medical school interview, she mentioned that she wanted eventually to play a role in policy. Her engagement as a student leader while here at Pitt was a fantastic base on which to build.” Prior to Pitt, Gracia graduated with honors in French from Stanford University. As a med student, she served as national president of the Student National Medical Association. After finishing medical school in 2002, she completed her pediatrics residency and served as chief resident at Children’s Hospital of Pittsburgh of UPMC before moving to Children’s Hospital of Philadelphia in 2006 to complete a general pediatrics research fellowship and earn a master’s degree in clinical epidemiology at the University of Pennsylvania. “Choosing to go to Pitt for medical school and to stay in Pittsburgh for residency was — and is — one of the best decisions I ever made,” Gracia said. “Pitt has a great commitment to students, teaching clinical excellence as well as fostering outside personal interests. I had great mentors who enabled and empowered me to pursue extracurricular activities. They enabled me to be a national leader and a medical student at the same time.” 23 NE WS. ACH I E VEMENTS. Pitt “Levels Up” in NIH Funding Amid fierce recession-fueled competition for research funding, the University of Pittsburgh has improved its ranking to fifth in the nation among academic institutions and their affiliates in funding from the National Institutes of Health (NIH) — a universally recognized benchmark of research excellence. Data for fiscal year 2008 show that Pitt received $432 million in NIH research support, with more than 90 percent of this funding coming to the University’s six Schools of the Health Sciences (Medicine, Public Health, Dental Medicine, Nursing, Pharmacy, and Health and Rehabilitation Sciences). Of this total, nearly 79 percent was awarded to the School of Medicine. In addition, Pitt ranks fifth out of more than 3,400 institutions nationwide in the number of individual grants awarded. As of April 2010, Pitt has received 330 awards through the American Recovery and Reinvestment Act totaling more than $173 million. “NIH ranking is the only objective metric that we have in a nationally competitive, peer-reviewed context,” said Arthur S. Levine, MD, senior vice chancellor for the health sciences and dean, School of Medicine. “While it is very difficult to measure the quality of education or patient care, such a research ranking means that we are well positioned to attract high quality students and residents, excellent faculty, and to offer superb patient care.” Pitt moved into the top 10 tier of institutions in 1997 and has steadily climbed the ranks within this elite group since then. Such notable shifts in ranking are rare, especially in an era of shrinking national biomedical research budgets combined with what has been characterized as the worst economic downturn since the Great Depression. Nevertheless, the University and the School of Medicine have more than doubled their NIH support since 1998. Pitt’s ranking for 2008 encompasses 990 individual grants to faculty members. 990 individual grants to faculty members $432 million Received in NIH research support ranked #5 out of more than 3,400 institutions 24 Physicians Selected for Elite Society A Hackam Monga Ferris Geller Niedernhofer Nikiforov Six New “Young Turks” They’re known as the Young Turks — members of the American Society for Clinical Investigation (ASCI), a prestigious organization of more than 2,800 physician-scientists who have achieved notable success relatively early in their careers. Among the School of Medicine’s most recent inductees, and their respective departments, are David J. Hackam, MD, PhD (Surgery), and Satdarshan (Paul) Monga, MBBS (Pathology), in 2009; Robert L. Ferris, MD, PhD (Otolaryngology), David A. Geller, MD (Surgery), and Laura J. Niedernhofer, MD, PhD (Microbiology and Molecular Genetics), in 2008; and Yuri E. Nikiforov, MD, PhD (Pathology), in 2007. Founded in 1908, ASCI is a well-established medical honor society with a clear preference for celebrating up-and-coming scholarly achievement in biomedical research. New members must be 45 or younger at the time of their election. mong the newest members of the Association of American Physicians (AAP) are Michael J. Fine, MD, MSc; Mark T. Gladwin, MD; David M. Rothstein, MD; Gary A. Silverman, MD, PhD; and Merrill J. Egorin, MD. Fine is professor of medicine and director, VA Center for Health Equity and Research. Gladwin is chief of the Division of Pulmonary, Allergy, and Critical Care Medicine and director of the Vascular Medicine Institute. Rothstein is professor of surgery, medicine, and immunology. Silverman is professor of pediatrics and chief of the UPMC Newborn Medicine Program. Also a 2009 recipient of a prestigious Cancer Foundation Translational Research Professorship from the American Society of Clinical Oncology, Egorin is professor of medicine and of pharmacology and chemical biology. Founded in 1885, AAP is dedicated to the pursuit of medical knowledge, experimentation and discovery in basic and clinical science, and the application of new findings to clinical medicine. Each year, 60 people are nominated for membership in recognition of excellence in their fields. Today, the association represents the best medical minds and provides a forum to promote friendship, create and disseminate knowledge, and provide role models for generations of upcoming physicians and scientists. Inductees for 2008 included Fadi G. Lakkis, MD, professor of surgery and immunology, Frank and Athena Sarris Professor of Transplantation Biology, and scientific director of the Thomas E. Starzl Transplantation Institute. 25 NE WS. AC H IE V E M ENTS. O’Toole Assumes Homeland Security Post T ara O’Toole, MD, MPH, founding director and, until recently, chief executive officer of the UPMC Center for Biosecurity and a professor of medicine and of public health at Pitt, is bringing her expertise in environmental protection and biosecurity to the Department of Homeland Security as under secretary for science and technology — a post with broad responsi bilities to conduct basic and applied research and tech nology development, testing, and evaluation to serve the department’s mission. “She is extraordinarily suited for the position,” said center deputy director and chief operating officer Thomas V. Inglesby, MD, who has now succeeded O’Toole as director of the Center for Biosecurity, which works to strengthen national security by reducing the risks of biological attacks, epidemics, and other destabilizing events. “She is unusually smart and articulate, she has a spine of steel, she has extraordinary management abilities, she can see around corners to anticipate problems, and she is very action- and change-oriented.” At her nomination hearing before the U.S. Senate Committee on Homeland Security and Government Affairs, O’Toole related that 26 the Soviet Union’s surprise launch of the Sputnik satellite in 1957 prompted the sub sequent investments by the United States in science education that sparked her career interests. “I believe it is possible to use science, technology, and American ingenuity to better understand, prevent, and if necessary, respond to terrorist attacks and natural disasters,” she said. Hat Tricks All Around H ockey fever is particularly acute in Pittsburgh since the Penguins’ Stanley Cup victory in 2009. So, please forgive us if we celebrate like a winger who just slapped three pucks past the goalie, but the University also scored a few hat tricks recently. The American Cancer Society (ACS) recognized three individuals from the School of Medicine with prestigious research professorships. Each receives a five-year, $400,000 grant. Jennifer Rubin Grandis, MD, the UPMC Head and Neck Surgical Research Professor in Otolaryngology, received a clinical research professorship. Grandis studies genetic abnormalities associated with head and neck squamous-cell carcinoma. She was recently elected to the board of directors of the American Association for Cancer Research; and she co-chairs the head and neck cancer working group of the Cancer Genome Atlas, a multidisciplinary effort of the National Cancer Institute and the National Human Genome Research Institute. Patrick Moore, MD, MPH, and Yuan Chang, MD, each received research professor ships to support their work on viruses linked to human cancers. (Read more on these collaborators on page 50.) “The research funds are not restricted,” says Moore. “This allows us to explore more cutting-edge areas of cancer research that we can’t fund through traditional grants.” In addition, chalk up three more Pitt faculty members among the ranks of the Institute of Medicine, an elite organization composed of today’s leaders in medical science, health care, and public health. Donald S. Burke, MD; David A. Lewis, MD; and David H. Perlmutter, MD, are prominent, long-standing researchers whose professional achievements have garnered them this recognition — one of the highest honors in the field. Burke, an expert in the prevention, diagnosis, and control of epidemic infectious diseases, is director of Pitt’s Center for Vaccine Research, associate vice chancellor for global health, UPMC Jonas Salk Professor of Global Health, and dean of the Graduate School of Public Health. Lewis, UPMC Professor of Translational Neuroscience, chair of the Department of Psychiatry, and director of the Translational Neuroscience Program and Conte Center for the Neurosci ence of Mental Disorders, has devoted more than 20 years to understanding brain circuitry disruptions in schizophrenia. Perlmutter, Vira I. Heinz Professor and chair of pediatrics, as well as physician-in-chief and scientific director of Children’s Hospital of Pittsburgh of UPMC, is well known for his basic research on alpha-1-antitrypsin deficiency, the most common genetic cause of childhood liver disease. Membership in the Institute of Medicine, determined through a highly selective process, is a distinction this trio now shares with 17 other University faculty members and only 1,775 others worldwide. First Person: Eradicating Smallpox S mallpox has played a pivotal role in every era of human history. No disease has been so greatly feared or worshipped — no disease has killed so many hundreds of millions of people nor so frequently altered the course of history itself. As I was growing up, however, I knew smallpox only as a name, a disease against which all children had to be vaccinated. That abruptly changed in 1947. So begins the account of D.A. Henderson, MD, MPH, in his book, Smallpox: The Death of a Disease, which is a personal account of leading a massive World Health Organization campaign from 1966 to 1977 that led to the eradication of smallpox, a disease that, as recently as 1967, had claimed 10 million victims and 2 million lives. Henderson, who holds the title 21st Century Professor of Medicine and Public Health in the Department of Medicine and is a distinguished scholar at the Center for Biosecurity of UPMC, says he wrote the book “to document the drama and challenge of public health and the potential of a cooperative international effort that even involved the U.S. and Soviet Union working together during some of the darkest days of the Cold War.” The book was published in June 2009 by Prometheus Press; to mark the occasion, Henderson was honored at a book launch on campus. 27 One-on-One with One Top Educator As a medical educator, Paul L. Rogers, MD, isn’t in a class by himself, but as Pitt’s first recipient of the Robert J. Glaser Distinguished Teacher Award from the Alpha Omega Alpha medical honor society, which selected him for this national award in 2008, he clearly stands apart. Rogers here reflects on that which he does so well. You weren’t originally hired to be an educator; where did your path in medical school education begin? I had no idea that education would end up being such a large part of my job. When I started here in 1987, the chair of our department asked if I would develop a fourth-year elective in critical care medicine — one didn’t exist at that time. I had no idea how to go about teaching. I learned from several of my mentors here how to create a curriculum so that it fit adult learners and wasn’t a typical didactic session. I sort of lucked into this role because, back in the early ’90s, the anesthesia department got the first human simulator, and I thought it would be a great tool to use with teaching. We could create rare, life-threatening situations that students could go perhaps their whole career in medical school and never see until they’re expected to manage such situations as interns. There’s a difference between sitting in a classroom, taking notes, and watching a PowerPoint presentation and actually being in a simulated crisis situation where the mannequin can reproduce physiology so that, if you’re doing the right management, it will respond appropriately. When I first started, I was teaching maybe 20 to 25 students a year, and now I teach 120 or more per year. We cover things from patients with critical illnesses to more common ones, and the students learn communication skills and motor skills with various pieces of equipment. It’s very lifelike. The more they practice, the more confident they are in any situation, and that’s what medical education should be about — training in a manner that’s safe for our patients and that doesn’t allow students to get into trouble. I just wish we’d had it when I was in my training. What do you think makes you successful as an educator? I just remember how I wanted to be treated as a student, and I try to hang on to those values of respecting the students, respecting their time, wanting to see them succeed, and not wanting them to fail at all. I can remember some of the things that happened to me, and I want to make sure these students don’t end up in the same kind of situations. Most of the scenarios we simulate in class happened to me at some point in my training. No one ends up at this point in their careers without being smart, but if you haven’t seen something or didn’t know to anticipate it, then it’s a surprise. So, I don’t let them get surprised. 28 What are some of the challenges facing medical education today? One is finding the time to be able to teach. Actually, the University of Pittsburgh has some unique opportunities that have allowed me to be a successful teacher. The dean’s educational credit units reimburse departments for the hours their faculty members teach. So, I get freed up for an hour a day. Another thing that is a challenge, but that Pitt does well, is recognizing and promoting people based on teaching effectiveness. When I started here, people told me that I’d never be promoted if I wanted to teach. Now, with the educational track, if you create curricula and have a means of evaluating their effectiveness, you can be recognized for that here. They’ve created the Academy of Master Educators to recognize good teachers. I gave a talk at the Society of Critical Care Medicine this past year on the importance of valuing the teacher in the academic setting, and most people who spoke with me did not have the same situation I have. I was hearing more people speak of teaching out of obligation at the end of their shifts; it’s not woven into the fabric of their day. Not everyone is so lucky. Have medical students changed since you first started teaching? I don’t think so. They all have a great fear that suddenly, at the end of their fourth year, they don’t know all there is to know. And, I tell them that’s OK; they’ll be learning the rest of their careers. The only thing they have to remember is that there are people around them who know more than they do, and they should feel free to go to those people and ask for guidance. There’s no way you can know all there is to know to be an intern. Do any particular teaching moments stand out for you? I hear a lot from former students that they’ve found themselves in real-life situations where none of the other interns knew what to do and hadn’t experienced anything like it before, but they did because we had gone over it in the simulations. I’m very fortunate because I don’t have to convince students that they need to learn these basic management skills. I know that it works because I get plenty of e-mails from people saying how they had to deal with someone who had, say, respiratory distress, and all the stuff we talked about in class came back because we had practiced it so many times. What are your goals now as an educator? Well, I used to say that I’d retire when I was 50 — but 50 got here in a hurry! What I would like to do, and have had opportunities to do, is mentor junior faculty so that when I do retire, this method of teaching continues. It’s a style that anybody who wants to put time into being an educator can do. They just have to be given the resources and opportunity. I have a pact with students not to embarrass them; my goal is to let them make mistakes in an environment where it doesn’t hurt anyone. They tell me that they want to see the consequences of their decisionmaking played out, so they can see what happens if they don’t manage patients’ care correctly. So, I tell them on day one that this is their opportunity to show me what they don’t know, and they need to feel comfortable getting up and making mistakes because it’s a much better place to make a mistake than in the real world. If you think about being able to teach one person to do something better than you did when you were an intern, it is a rare opportunity. The chance to teach 100 or more people to do something better is an honor. Paul L. Rogers, MD, professor and vice chair of education for critical care medicine, is also director of the School of Medicine’s Multidisciplinary Critical Care Training Program, a founding member of its Academy of Master Educators, vice president of the VA Pittsburgh Healthcare System, and director of the surgical care unit at the Veterans Affairs Medical Center. His critical care simulation course has the highest enrollment of any elective course in the School of Medicine. 29 NE WS. ACH I E VEMENTS. Internal Promotions Enrich Health Sciences Leadership A mong new School of Medicine department chairs are seven who were promoted from within, providing evidence of the University of Pittsburgh’s strong tradition of nurturing faculty talent for academic career advancement. They are Derek C. Angus, MBChB, MPH, Dr. Mitchell P. Fink Professor and chair of Critical Care Medicine; Kyongtae Bae, MD, PhD, professor and chair of radiology; Michael L. Boninger, MD, professor and chair of physical medicine and rehabilitation; David A. Lewis, MD, UPMC Professor of Translational Neuroscience and chair of psychiatry; Thomas E. Smithgall, PhD, William S. McEllroy Professor and chair of microbiology and molecular genetics; Lawrence R. Wechsler, MD, professor and chair of neurology; and Donald M. Yealy, MD, professor and chair of emergency medicine. A graduate of the University of Glasgow, Scotland, who also fulfilled his internal medicine residency there, Angus holds a dual appointment in health policy and management at Pitt’s Graduate School of Public Health. A four-time recipient of the Presidential Citation Award from the Society of Critical Care Medicine, Angus runs a large NIH-funded clinical and translational research group studying severe infection, sepsis, and multi-organ dysfunction and critical care delivery systems. He is a fellow of the Royal College of Physicians and has been named a 2009 Distinguished Investi gator by the American College of Critical Care Medicine. Bae earned his medical degree from the University of Chicago and his doctoral degree in bioengineering from the University of Pennsylvania. Also professor of bioengineering, he has repeatedly been recognized for his research achievements and holds nine patents for novel methods of lesion detection, injection of contrast medium, compression of computed tomography data, and other innovations. In addition, Bae is a recipient of a Clinical Trainees Research Award from NIH. He chairs the Electronic Imaging Committee of the National Lung Screening Trial and is vice chairman of a Genital-Urinary Disease Study Section at NIH. Boninger received his medical degree from Ohio State University and served as chief resident in physical medicine and rehabilitation at the University of Michigan. In addition to his duties as professor and chair of physical medicine and rehabilitation, he is associate dean for medical student research and medical director of the Human Engineering Research Laboratories for the VA Pittsburgh Healthcare System. Among his honors are a VA Stars and Stripes Healthcare (Pictured left to right) Kyongtae Bae, MD, PhD, Michael L. Boninger, MD, Donald M. Yealy, MD, Thomas E. Smithgall, PhD, David A. Lewis, MD, Lawrence R. Wechsler, MD, Derek C. Angus, MBChB, MPH 30 Network Annual Award for Research Achievement and a Young Academician Award from the Association of Academic Physiatrists. Boninger’s research focuses on assistive tech nologies, neuroprosthetics, management of spinal cord injury and dysfunction, and wheelchair-propulsion biomechanics. In addition to his duties as professor and chair of psychiatry, Lewis is medical director of Western Psychiatric Institute and Clinic and director of the NIMH-funded Conte Center for the Neuroscience of Mental Disorders. He earned his medical degree from Ohio State University and previously held academic appointments at the University of Iowa and the Scripps Clinic and Research Foundation. Lewis’s areas of research include the structure and function of cortical circuitry, prefrontal cortical inhibition and informationprocessing in schizophrenia, targeted drug design, and adolescent brain development. He is a member of the National Academy of Sciences’ Institute of Medicine, and he received the NARSAD Lieber Prize for Schizophrenia Research. Smithgall earned his doctoral degree in pharma cology at the University of Pennsylvania School of Medicine and completed postdoctoral training at the National Cancer Institute. He studies the structure, regula tion, and signaling mechanisms of proteins called Src tyrosine kinases and their involvement in the development of cancer and HIV/AIDS. In particular, Smithgall’s work has identified Src signaling proteins as potential therapeutic targets for chronic myelogenous leukemia. Smithgall is author of more than 200 publications, book chapters, and abstracts and holds two patents. Also director of the UPMC Stroke Institute, Wechsler earned his medical degree from the University of Pennsylvania and was chief resident and a fellow in cerebrovascular disease at Massachusetts General Hospital. A fellow of the Ameri can College of Physicians, Wechsler is former editor-in-chief of the Journal of Neuroimaging. He also serves as vice president for telemedicine in the physician services division of UPMC. His research focuses on the use of telemedicine in the treatment of stroke, imaging of acute stroke, clinical trials using thrombolytic therapy or devices, and stroke prevention. Yealy earned his medical degree from the Medical College of Pennsylvania and completed a residency and clinical research fellowship in emergency medicine at Pitt. He formerly served as associate professor of emergency and internal medicine at Texas A&M University Health Sciences Center. Yealy’s areas of research include the challenges of prehospital care, predictive risk modeling, racial disparities in congestive heart failure severity, and inflammatory cytokine response in pneumonia, sepsis, and pulmonary embolism. He is deputy editor of the Annals of Emergency Medicine and a former president of the Society for Academic Emergency Medicine. NE WS. AC H IE V E M ENTS. A Living Legacy in Molecular Endocrinology W Improving Health Care with Software I n many aboriginal cultures, the baobab tree is viewed in mystical terms because it provides food, water, shelter, and medicine. Gerry Douglas, a doctoral student in biomedical informatics, has been named a Technology, Entertainment, and Design (TED) fellow for his work as co-founder of Baobab Health, a nonprofit organization dedicated to improving health care in developing nations through medical informatics. One of 40 people chosen for an inaugural fellowship class from a pool of international applicants, Douglas presented his work on Malawi-headquartered Baobab Health during a TED conference in early 2009. Since 1984, TED conferences devoted to “ideas worth sharing” have been bringing together some of the world’s leading thinkers, and fellowship recipients are recognized as rising talents across multiple scientific and creative disciplines. Baobab has established several innovative approaches to using technology in health care, such as low-power, inexpensive touch screen, point-of-care-situated work stations designed to guide clinicians with limited computer experience through the diagnosis and treatment of patients using evidencebased protocols. hen it comes to success, Bert W. O’Malley, MD, knows whereof he speaks. As a biomedical researcher, he is known as the father of molecular endocrinology for his pioneering work on steroid hormones and nuclear receptors. He’s a recipient of the National Medal of Science, the nation’s highest scientific honor. Here at Pitt, where he earned a BS in 1959 and his MD in 1963, he is a Legacy Laureate, an honor reserved for the most distinguished alumni. Such credentials made O’Malley an obvious choice as the University’s commencement speaker (“Keep your feet on the ground and your eyes on the heavens,” he advised the 2009 graduates) and recipient of an honorary doctor of science degree (his fifth honorary doctorate). O’Malley, who currently chairs the Department of Molecular and Cellular Biology at Baylor College of Medicine and serves as the Thomas C. Thompson Professor of Cell Biology, does more than receive awards, however; he and his wife sponsor the School of Medicine’s Bert and Sally O’Malley Awards for Outstanding Medical Student Research. These annual awards recognize excellence in the execu tion of student scholarly projects, which have become an integral component of the medical school’s curriculum. Pitt alumni Bert and Sally O’Malley with the portrait that hangs in the Starzl BST 32 Medical students and faculty who want to extend their reach beyond these borders find direct support in the ample resources of the University’s Center for Global Health. Center for Global Health: Pitt Beyond Borders A s the world becomes more interconnected and once far-flung places don’t seem that far away anymore, the University of Pittsburgh aims to position itself in the thick of it all. “The sweet spot in global health is where science meets policy,” says Donald S. Burke, MD, the visionary behind Pitt’s new Center for Global Health, which is leading University-wide efforts to establish international partnerships in global health research, education, service, and policy. Wearing his three-cornered hat as associate vice chancellor for global health; dean, Graduate School of Public Health; and UPMC-Jonas Salk Professor of Global Health, Burke has a panoramic view of these opportunities. The center, he says, “builds on Pitt’s track record of significant discoveries and interdisciplinary partnerships and will draw on a range of expertise to work toward solutions to our most challenging global health problems.” The center’s core goal is to enable faculty and students to engage in the growing abundance of opportunities for global health research and education. “We’re here to help faculty and students navigate opportunities in other countries with support services, resources, and consultation to increase the number of Pitt people doing international work,” says center director Joanne Russell, and professional students and medical residents; holds lectures and “how to” workshops for researchers planning to work internationally; and sponsors a global health film series — all in an effort to hit that sweet spot. Jolly Good MPPM, RN. “We want to make AAAS Fellows the process of going beyond our borders easier and the quality of the experience better,” she adds. The center provides consultation to faculty members who are developing new courses, or modifying existing courses, with a global health component. It also supports graduate student research through the develop ment of international sites with a sufficient “Pitt presence” to enable student field work and offers grants for this work through its Student Global Travel Program. Recent awardees are conducting research on prenatal health care in rural Honduras and HIV/AIDS prevention in Cameroon, as well as working with a mobile health care unit in rural Kenya. To help develop Pitt’s global health community across health professions, the center offers training programs for undergraduate, graduate, F ellowship in the American Association for the Advancement of Science (AAAS) is a recognition conferred by members of the international organization on their peers, including these most recent honorees: Bernie Devlin, PhD, associate professor of psychiatry and of human genetics; George K. Michalopoulos, MD, PhD, Maud L. Menten Professor and chair of pathology; Herbert L. Needleman, MD, professor of psychiatry and of pediatrics, and Michael J. Zigmond, PhD, professor of neurology, of neurobiology, and of psychiatry. In addition, Michalopoulos received the 2009 American Society for Investigative Pathology’s Rous-Whipple Award for his work on the pathways of growth factors that lead to liver regeneration. 33 NE WS. AC H IE V E M ENTS. Hillier Honored with Parran Award A Science Rocks: Russell Makes Rolling Stone Top 100 T here was a time when the only way that a biomedical researcher would make it into the pages of a publication like Rolling Stone might be in a moment of fantasy. Reality check: No. 32 among “The 100 People Who are Changing America” in the magazine’s March 18, 2009, issue is Alan J. Russell, PhD, director of the McGowan Institute for Regenerative Medicine and University Professor in the Department of Surgery. Identified as “a medical futurist who is finding ways for the body to rebuild itself,” Rolling Stone says Russell’s signature move is wowing lecture audiences with photos of gruesome wounds healed with the pioneering techniques of regenerative medicine. When initially approached by the magazine for an interview, Russell thought it was a joke. Later, not knowing how the ranking would come out, he recalled thinking, “If I turn out to be No. 100, I’d rather not be on the list at all.” As it turned out, he had nothing to fear. 34 s an expert on a subject that is often cloaked in secrecy and shame, Sharon Hillier, PhD, has something to shout about. Hillier, professor of obstetrics, gynecology, and reproductive sciences and of microbiology and molecular genetics, is the recipient of the 2009 Thomas Parran Award from the American Sexually Transmitted Diseases Association. “As my daughter once explained to her fourth grade teacher, ‘My mom works on the kinds of infections nobody wants to get and almost nobody wants to talk about,’ ” Hillier quipped. Her work focuses on the role that different microorgan isms play in the female genital tract and how antibiotics and probiotics work to promote or prevent sexually transmitted infections. As the principal investigator for the Microbicide Trials Network, a worldwide initiative focused on preventing the sexual transmission of HIV, Hillier led a groundbreaking clinical study that demonstrated a 30 percent reduction in HIV infection among more than 3,000 at-risk women in the United States and southern Africa who used an investiga tional vaginal microbicide gel. The results were especially exciting, Hillier said, because it’s “the first thing that’s ever been proven to reduce the risk of getting HIV in women.” The Parran Award is named for Thomas Parran Jr., MD, who served as U.S. surgeon general from 1936 to 1948 and as the first dean of Pitt’s Graduate School of Public Health from 1948 to 1958. Goodpaster Conducts “Extreme Research” on Diabetes B ret H. Goodpaster, PhD, has literally gone to the end of the earth for his research. In 2002, he joined in the final 120-mile leg of the 680-mile, 62-day NovoLog Ultimate Walk to Cure Diabetes through Antarctica to the South Pole in order to study metabo lism and muscle function in a diabetic companion under extreme physical and environ mental conditions. At home at Pitt, where he is an associate professor of medicine, Goodpaster is known for his expertise in the effects of aging in skeletal muscle mitochon drial function, metabolism, insulin resistance, and obesity. His research has explored how weight loss and exercise work together, especially in the presence of type II diabetes; whether exercise can prevent the seemingly inevitable losses of strength and muscle mass in older adults; and the use of positron emission tomography for insight into insulin resistance in skeletal muscle. For significant contributions to understanding the fundamental mechanisms of aging, Goodpaster received the 2008 Nathan W. Shock Award from the National Institute on Aging. One More Honor for Transplant Pioneer Starzl T he honors keep coming for transplant pioneer Thomas E. Starzl, MD, PhD. This time it’s the Institute of Medicine’s 2009 Gustav O. Lienhard Award, which is funded by the Robert Wood Johnson Foundation to recognize “outstanding achievement in improving health care services in the United States.” Translation: Starzl created what is now one of the oldest and strongest transplant programs in the world and changed the lives of countless patients by advancing organ transplantation as a safe and effective remedy for many diseases and disorders. In doing so, he helped launch the research and clinical enterprise for which Pitt and UPMC are known today. To read more about this distinguished service professor of surgery in the School of Medicine, noted dog-lover, and director emeritus of the Thomas E. Starzl Transplantation Institute, go to http://pittmed.health.pitt.edu/May_2006/ onlystarzldaredto.pdf or page 76 of this report. 35 Pitt & Pittsburgh &why? Top to bottom: Luna, Schwartz, Niedernhofer, London, Robbins 36 Part II: At t h e Co n fl u e n c e Choosing a Medical School, Choosing This Medical School They swell the ranks of the School of Medicine faculty. No longer green and no longer puzzled about what is expected of them, they are the lifeblood of the medical school. Their bios run long with awards, funded biomedical research, scientific collaborations, and peer-reviewed publications. They are in the sweet spot of their careers. Here, at the confluence of vision and drive, they have achieved a perspective — a sense of what’s hot, what’s yesterday’s news, what might lie over the horizon. They believe they can help shape the future. 37 Take a listen as five accomplished and still-rising stars of academic medicine take stock of how they got to Pitt, where their scientific passions lie, and what’s next. ON THEIR SCIENTIFIC INTERESTS: Luna: My area of research is characterizing the changes that occur in the brain as we transition from adolescence to adulthood. We use functional magnetic resonance imaging and a suite of different neuroscience methods to really try to understand the nature of the behavioral changes that we see in normative development so we can then apply this knowledge to different populations, including clinical populations like ADHD [attention deficit hyperactivity disorder] and autism, but we also try to understand things like risk-taking behavior and we try to inform the judicial system. I direct the UPMC Cardiovascular Institute, and I am chief of the Division of Cardiology in the Department of Medicine. My laboratory studies the molecular and genetic basis of sudden cardiac death. London: Robbins: I was recruited by my then-department chair, Joe Glorioso, in 1990 and was involved in starting the gene therapy program, which went from a fledgling program to being a top-notch program and being recognized as one of the leaders in developing gene therapies, both pre-clinical and clinical. My lab evolved and became involved in developing biological therapies, in addition to gene therapy for autoimmune diseases and cancer. { Andrew Schwartz, PhD } in the Department of Neurobiology, in the vanguard of a new field called neuroengineering 38 Pitt & Pittsburgh &why? Part II: At t he Con flu en ce { Barry London, MD, PhD } cardiologist in the Department of Medicine, molded in the tradition of the classic physician-scientist My area of research is looking at the volitional control of movement. We’ve learned a lot of basic facts of how the brain controls these kinds of movements, and we’ve now been able to parlay that into a field called neuroengineering or brain-controlled interfaces. So for instance, we have monkeys that can control robot arms, which they can use to feed themselves. They can reach out, use these anthropomorphic arms to grasp objects, turn doorknobs, and to pick things up. We’ve gotten far enough now that we’re going to be starting human experiments and implementation very soon so in the next two years we’ll have spinal cord injured patients using devices similar to this. Schwartz: Niedernhofer: My research interests involve understanding the health impact of DNA damage. We study this either by studying human beings who have rare genetic disorders in which they are missing repair pathways that remove DNA damage from our genomes or by making mouse models of these human diseases. 39 ON PITTSBURGH: One of the reasons I came here was to be able to build a new program. In fact, we’ve actually helped to start the whole field of neuroengineering; and here in Pittsburgh, it has really blossomed. This is a highly interdisciplinary endeavor where we take physical medicine and rehabilitation, neurosurgery and neurology, robotics, bioengineering, materials science, statistics, and a number of other fields and combine them to actually make these devices work. So, right here in Pittsburgh, we have all that expertise not only here at Pitt in the School of Medicine but also at Carnegie Mellon University, which is one of the outstanding centers for engineering anywhere in the world. Schwartz: I came here back in 1996 after finishing my training at Mass General and then becoming junior faculty there. When I was in training, I received some very sage advice from a cousin London: of mine who is senior faculty there. He said that Mass General and the other parts of the Harvard system are wonderful places to train and wonderful places to be senior tenured professors, but that you should try not to be anything in between those two when you‘re there. One thing that I’ve noticed about Pitt is the interest that the senior faculty take in the younger faculty in really ensuring that they progress well, not only in terms of writing grants and planning projects, but just in terms of career path planning in general. Schwartz: I was just going to say the same thing. … When I was hired, I was one of seven people recruited in a single year. I think six of those seven faculty members got their first grant. Six of the seven got tenure, and all seven of us are still at the University of Pittsburgh. I think that really speaks very strongly for the environment here. Robbins: { Beatriz (Bea) Luna, PhD } neuroscientist in the Department of Psychiatry; winner of a Presidential Early Career Award for Scientists and Engineers 40 Pitt & Pittsburgh &why? There were seven of us in my fellowship group and four of us moved to Pittsburgh almost as a block in the mid-1990s. The environment for academic cardiology was quite lean, and there were very few places that were growing and developing. London: It’s an excellent backdrop for somebody who is interested in having a really exciting and busy career. The city is sophisticated enough that there are plenty of things to do but also easy enough to live in that it doesn’t interfere with your career at all. Niedernhofer: ON WHAT’S HOT IN BIOMEDICAL RESEARCH: Robbins: Recently, we got into a very exciting collaboration with Dr. Niedernhofer to study the biological mechanisms of aging. We’re now in the process of establishing a new research direction, which is developing therapies for age-related pathologies. Niedernhofer: We found a new link between DNA damage and the aging process. So we’re now studying, in a large collaborative program, how DNA damage promotes aging of multiple tissues. And because this is a systemic process, we need the help of collaborators who have expertise in multiple different tissues, stem cells, and signaling pathways. I’m often labeled as someone doing translational work; and, in fact, we are working toward that, but I also want to stress the impor tance of basic research because all translational experience comes from basic science. In my own case, we’re able to take neural activity and understand it enough so that we can actually use it to control devices. If we hadn’t done the basic science, we wouldn’t have the translational projects that we are trying to implement. Schwartz: Part II: At t he Con flu en ce Luna: My work is considered basic science — our primary aims are to really characterize normative behavior. Gaining this type of knowledge at this level, however, is essential if we are to really translate and inform what we know about clinical populations. We cannot start immediately with the clinical populations. We have to understand what is occurring in a normative system. As we understand more and more how the brain works, we can try to understand breakdowns in this normative process that can lead to conditions like schizophrenia and depression. Another buzz word you hear in medicine these days is “personalized medicine.” So in the case of cancer, what that would mean is perhaps taking a sample or a biopsy from a tumor and studying that a little bit in the laboratory so that you’d have an opportunity to tailor the cancer therapy for that individual patient. We’re really excited about some collaborative projects we have in multiple tumor areas at the Hillman Cancer Center to identify better biomarkers that would help predict which patients are going to respond to various therapeutic interventions. This takes a team of basic researchers who understand the biology of that biomarker or protein that you’re trying to measure, as well as clinical fellows and clinicians who will help you interface with the patient and collect tumor during a surgical procedure. So you get multiple disciplines, and you also get a team with all levels of training. You see the excitement as the team builds and learns something new about basic cancer biology. Niedernhofer: My laboratory studies sudden death. We implant cardioverter-defibrillators, which are basically fancy pacemakers that monitor your rhythm continuously and shock you if you try to die suddenly. We put 10 of these devices in for every person who actually has her life saved by the device. One of the things my lab is trying to do is to identify tests — biomarkers or genetic tests — that we can use to actually figure out who is at the highest risk of sudden death. Then, we’d potentially tailor the therapies so that the people who really need the devices understand that they really need them and are offered them, and the people who don’t need them so much don’t have them put in. London: 41 ON PITTSBURGH’S METEORIC RISE AND THE CHALLENGES OF GROWTH: The scientific environment and economic environment have changed dramatically; yet, the University of Pittsburgh remains nimble, remains growing, continues to recruit and build new programs. I think one of the most exciting things that we have here at the University is that, even though there is a lot of national negativism about research funding, Pittsburgh remains optimistic and definitely a place that continues to grow and build. Niedernhofer: Robbins: When I first came here, all of the research was being done in Scaife Hall, which is a very nice building, but extremely old with limited resources. Then, when I was recruited, there was a brand new 42 Biomedical Science Tower that was just opening, which was followed by Biomedical Science Tower 2 and then Biomedical Science Tower 3. The cancer center was housed within BST1 on a single floor; it has now expanded to a stand-alone cancer center with both a clinical wing and a basic research wing. There is the McGowan Institute for Regenerative Medicine, which is in a stand-alone building. There have been departments built, such as immunology and developmental biology, programs and developments, including zebrafish and stem cell biology. Each department has hired five to 10 new faculty members working in the cutting-edge areas of their respective fields. { Laura Niedernhofer, MD, PhD } in the Department of Microbiology and Molecular Genetics and the University of Pittsburgh Cancer Institute, exploring the fundamentals of DNA repair and how breakdowns in this cellular machinery contribute to cancer and aging Pitt & Pittsburgh &why? Part II: At t he Con flu en ce { Paul Robbins, PhD } molecular biologist probing the frontiers of gene therapy in the Department of Microbiology and Molecular Genetics However, an issue that has come up is that, as this campus has grown, it has gone from being housed in a single building to now being housed in buildings that sometimes are one, or two, three miles apart. The advantages are that the number of colleagues working in certain areas has expanded tremendously. So now we are in buildings that house many people with common interests. It takes more effort to try to interact with colleagues at different sites, which is something I think is going to remain a challenge. However, I think the advantages outweigh the challenges because of the large number of new collaborators who have been hired due to the expansion of the facilities. One of the hallmark developments over the 14 years I have been here is the huge amount of clinical growth at UPMC, which is closely associated with the University. Clearly, there is both value and challenge in such rapid growth. The good is the availability of large amounts of resources, the availability of huge numbers of patients, and the opportunity to do clinical and translational London: research on a scale that is quite unusual in an academic medical center. We are an academic medical center where we actually provide the majority of the clinical care in this region, which is really not common among academic medical centers. … Certainly among the MD faculty, there are tensions between the clinical jobs and the scientific and academic jobs. As we move forward in health care reform, one of the challenges is to not decouple those two, because I think it would be a complete disaster if we change the part of the system where academic physicians have both been taking care of patients and trying to identify and treat diseases. It clearly won’t happen here, but I think that one of the risks, as we try to save money, is that there might be an attempt to say that clinical care is clinical and research is research and the two shouldn’t talk to each other. 43 this just in … Steven D. Shapiro, MD, Jack D. Myers Professor and chair, Department of Medicine, and colleagues reported in Nature that macrophage elastase, also called matrix metalloproteinase-12, an enzyme known to play a key role in the development of emphysema, also defends against bacterial infection. The finding could lead to the development of new antimicrobial agents. Reporting in the Proceedings of the National Academy of Sciences, Ivet Bahar, PhD, John K. Vries Professor and chair, Department of Computational and Systems Biology, showed that proteins have an intrinsic ability to change shape, a characteristic that allows small molecules that may be attracted to a given protein to select the pattern most conducive to binding. The knowledge could drive drug discovery to explore compounds that most influence protein function, potentially targeting a multitude of diseases. J. Timothy Greenamyre, MD, PhD, UPMC Professor of Movement Disorders in the Department of Neurology, has received a $6.5-million grant from the National Institute of Environmental Health Sciences to study mitochondrial dysfunction in the pathogenesis of Parkinson’s disease. The fiveyear award adds to a $1 million challenge grant from the American Recovery and Reinvestment Act for work on gene-environment interactions in transgenic rat models of the disorder, estimated to affect some 500,000 people in the United States, with another 50,000 diagnosed each year. Fadi G. Lakkis, MD, Frank and Athena Sarris Professor of Transplantation Biology, has received a Basic Science Established Investigator Award from the American Society of Transplantation (AST) for his work in transplant immunobiology and tolerance, which, according to AST, “has helped to establish new paradigms.” Recipients of the 2009 awards were selected for the originality, innovation, and commitment 44 Ted Ross, PhD, associate professor they bring to the field of transplantation. of microbiology and molecular genetics, Center for Vaccine Research, and colleagues have developed techniques using virus-like particles that could produce vaccines for deadly infections like H1N1 influenza in as little as four months. Ross reported the findings, based on early trials of the new-style vaccines made against lethal strains like the 1918 and H1N1 flu, at a conference of the American Society for Microbiology. Olivera Finn, PhD, Distinguished Professor and chair, Department of Immunology, and colleagues have developed a vaccine directed against an abnormal variant of the cell protein MUC1, which is present and produced in excess in both inflammatory bowel disease (IBD) and colon cancer. The vaccine, which was effective in delaying the onset of IBD and inhibiting the development of colitis-associated colon cancer in transgenic mice, is currently being tested as a prevention measure in patients at high risk for developing colon cancer. Michael Tsang, PhD, assistant professor of micro- biology and molecular genetics, and colleagues have described an enzyme inhibitor that allows zebrafish to increase the number of cardiac progenitor cells and, therefore, influence the size of the developing heart. Reporting in Nature Chemical Biology, Tsang said the research could lead to a better understanding of heart development during embryogenesis and possibly treatments to restore normal function to damaged cardiac tissues. Susan G. Amara, PhD, Detre Professor and chair of neurobiology, has been named president-elect of the prestigious Society for Neuroscience, whose more than 40,000 members are dedicated to advancing our understanding of the brain and nervous system. Her term will begin in fall 2010. Using a unique method for revealing 45 … and this too chains of synaptically connected neurons, Peter Strick, PhD, professor of neurobiology and co-director of the Center for the Neural Basis of Cognition, uncovered new evidence that the brain’s basal ganglia and cerebellum are linked together to form an integrated functional network. The findings provide a “neural basis” for a cerebellar contribution to some of the disabling symptoms of basal ganglia disorders like Parkinson’s disease and dystonia and could point to new treatment approaches, Strick reported in the Proceedings of the National Academy of Sciences In 2009, Ateev Mehrotra MD, MPH, a Pitt assistant professor of medicine and member of the RAND–University of Pittsburgh Health Policy Institute, published the first assessment of the quality of care in retail clinics, which are typically staffed by nurse practitioners and offer care at lower costs. For patients with middle ear infections, sore throats, and urinary tract infections, Mehrotra found no difference in quality of care between retail clinics and more traditional settings, he reported in the Annals of Internal Medicine. A new imaging technique being developed by Seong-Gi Kim, PhD, professor of radiology, and colleagues delves into the middle cortical layer of the brain, using variations in blood volume as a marker for neural activity. As described in the journal NeuroImage, the system expands upon functional MRI, which measures changes to blood volume on the cortical surface where vessels are larger. Imaging deeper cortical layers offers a more localized response and could lead to new applications in imaging for stroke, dementia, and neurodegenerative disorders. Nature Neuroscience has published findings by Karl Kandler, PhD, associate professor of otolaryngology and of neurobiology, that illuminate a critical role for the co-release of the 46 neurotransmitter glutamate from inhibitory synapses in the development of sound localization circuits. The release of inhibitory and excitatory neurotransmitters from individual synapses results in what Kandler describes as “sort of like pushing the brake and the gas pedal at the same time.” Kandler and colleagues studied genetic VGLUT3 knockout mice, observing a number of consequences to disruption in glutamate transmission, including spontaneous seizure activity that could have bearing on conditions like auditory neuropathy in children. Fighting the flu can be tricky, but Elodie Ghedin, PhD, assistant professor of computational and systems biology, is armed with new perspective, thanks to viral sequencing. Ghedin and colleagues have found that some patients have infections caused by a mix of viral strains, making treatment especially difficult. If one strain is sensitive to antiviral medication and another resistant, antiviral treatment ultimately won’t work. Choosing a viral strain to build yearly vaccine stock also is more problematic with a mixed infection. Such viral mixes had been considered rare, but Ghedin’s work reveals that the threat is becoming far more common. Thank Judy L. Cameron, PhD, professor of psychiatry, for perhaps the best reason yet to exercise. A typical training regimen recommended for average, middle-aged people — running at a moderate pace for one hour a day over three months — appears to have a significant protective effect on dopamine-transmitting neurons in the striatum of nonhuman primates, the area of the brain most damaged in Parkinson’s disease, Cameron and colleagues have found. Dopamine transmission as measured by positron emission tomography and observation of movement-related symptoms in a comparison group of sedentary primates confirms the protective effect. 47 In 1985, Pittsburgh’s fledgling cancer institute consisted of a three-office suite tucked away somewhere on the University’s main campus. Today, it occupies a new stand-alone building complete with a clinical wing and a basic research wing. Achievement and expansion have become the norm at the University of Pittsburgh, which now boasts nearly 1.2 million square feet of research intensive space dedicated to the health sciences. The map on this page shows some — but not all — of the School of Medicine’s research hotspots. Twenty years ago, the University erected its first Biomedical Science Tower — a dramatic, 10-story announcement that Pittsburgh had entered the top tier of academic research institutions and had plans to stick around. In 2005 came BST3, which houses new Departments of Structural Biology and Computational and Systems Biology, as well as the federally funded regional biocontainment laboratory for studying infectious pathogens. One molecular biologist on faculty says, “The University has gone from being a very strong research environment to being one of the top research environments in the world because of its basic science, because of its translational science, and now because of its state-of-the-art facilities.” The Expanding University 1 3 5 McGowan Institute for Regenerative Medicine South Side Center for Biotechnology and Bioengineering Riverfront Bridgeside Point II Riverfront Cutting-edge technologies are part of everyday research at the McGowan Institute. In these labs, scientists work to perfect the replacement of tissue function with artificial or biohybrid organs. Others seek to awaken the body’s dormant abilities to make any new tissue from scratch. Their work offers hope for the thousands of patients who each year suffer bone, nerve, and soft tissue injury due to trauma, tumors, infection, or surgery. A prime example of interdisciplinary cooperation among the University’s schools, the Center for Biotechnology and Bioengineering is administered through the Swanson School of Engineering but maintains strong ties to the schools of the health sciences through its research focus on bioengineering, musculoskeletal research, and chemical and tissue engineering. 4 Bridgeside Point I Riverfront 2 Rivertech South Side Along the Monongahela River, the School of Medicine’s Department of Orthopaedic Surgery controls over 2,000 square feet of research-intensive laboratory space adjacent to the UPMC Sports Performance Complex, which includes indoor training facilities for the Pittsburgh Steelers and Pitt Panthers. 48 In addition to housing the Department of Environmental and Occupational Health in the Graduate School of Public Health and the Division of Clinical Pharmacology in the School of Medicine, Bridgeside Point I serves as a launching pad for biotech startups in the region. It’s the headquarters of the Pittsburgh Life Sciences Greenhouse. Here, biomedical researchers with great ideas (and oftentimes patents licensed from the University) come together with entrepreneurs, experienced business executives, and venture capitalists to bring marketable discoveries to fruition. The University of Pittsburgh is quickly occupying space in Bridgeside Point II, even in the midst of ongoing construction and expansion to this most recent Riverfront addition. Current and future tenants include the McGowan Institute for Regenerative Medicine, the Department of Orthopaedic Surgery’s Stem Cell Research Center, the Center for Cellular and Molecular Engineering, the Department of Microbiology and Molecular Genetics, and the Department of Psychiatry’s Translational and Basic Downtown Neuroscience Research Program. Allegheny River Monongahela River 6 7 9 12 Magee-Womens Research Institute (MWRI) Oakland Gold Building Oakland Parkvale Building Oakland Just down the hill from the hospitals, laboratories, and offices of the med school administration, the Gold Building has over 11,000 square feet of research space, mainly dedicated to genomics and proteomics. More than a dozen faculty members from Pitt’s Department of Biomedical Informatics have active research space in the Parkvale building, which is easily accessible from all points on Pitt’s main medical campus. Western Psychiatric Institute & Clinic Oakland 8 10 Hill Building Oakland Biomedical Science Tower 3 (BST3) Oakland MWRI is the first and largest research facility dedicated to the health of women and infants. It is recognized as a Center of Excellence in Women’s Health by the U.S. Department of Health and Human Services and a Women’s Health Career Development Center by the National Institute of Child Health and Human Development. Supporting more than 90 researchers, the institute’s laboratory space doubled in 2007 with the addition of a new facility across the street from Magee-Womens Hospital of UPMC. In the heart of Pitt’s main campus, the Hill Building houses research laboratories and active collaborations among researchers in the Departments of Critical Care Medicine, Neurological Surgery, and Physical Medicine and Rehabilitation. 14 Lawrenceville A towering 10-story steel and glass research facility in the heart of Oakland, the Biomedical Science Tower 3 is a model for building a collaborative research space. The University’s Center for Vaccine Research, Drug Discovery Institute, Pittsburgh Institute for Neurodegenerative Diseases, and Genomics and Proteomics Core Laboratories all make their homes in BST3, fostering numerous daily interactions among their investigators. BST3 also houses one of the largest zebrafish colonies in the world, with more than 10,000 separate tanks to maintain this incredibly versatile and increasingly important model organism for biomedical research. Shadyside 11 13 There’s no place like home, and Scaife Hall is truly the beating heart of the School of Medicine. Including the dean’s office, student lounges, the Falk Library of the Health Sciences, the Department of Medicine, a multitude of laboratories, and corridors that link directly to UPMC Presbyterian, Scaife is where generations of physicians and scientists have embarked upon and pursued a life in medicine. 12 11 10 8 9 7 Oakland 6 5 4 3 Scaife Hall Oakland Riverfront Pitt’s Department of Psychiatry hosts a hotbed of clinical, basic, and translational research activity in this 17-story building, where UPMC also concentrates its clinical psychiatric services. The building houses five federally funded centers of excellence in psychiatric research, as well as a sleep research lab. 13 University of Pittsburgh Cancer Institute Shadyside One of only 40 centers in the U.S. designated by the National Cancer Institute (NCI) as a comprehensive cancer center, the University of Pittsburgh Cancer Institute in 2007 received nearly $200 million in research grants and ranked 10th nationally in NCI funding. More than 30,000 patients receive premier cancer care here each year from more than 2,100 health care professionals specializing in surgical, medical, radiation, neuro-, and gynecologic oncology, as well as palliative care and behavioral medicine. 14 John G. Rangos Sr. Research Center at Children’s Hospital of Pittsburgh of UPMC Lawrenceville Opened in 2008, this 10-story building boasts enough space to accommodate the laboratory needs of 70 principal investigators and more than 350 physician scientists. Seven floors dedicated to medical research activities, a fully equipped conference center, and shared lab spaces based on a flexible and open design all work to make this state-of-the-art facility a hub of interdisciplinary and collaborative research. The newly established Department of Developmental Biology, chaired by Cecilia Lo, PhD, is headquartered here. An enclosed walkway connects the LEED-certified center to the new Children’s Hospital of Pittsburgh of UPMC. 1 South Side 1.375 MILES 2 49 Research Pair Has Gone Viral Y uan Chang and Patrick Moore are virus hunters. And if these were the Moore is a professor of microbiology and molecular opening lines of a novel, we might genetics, both in Pitt’s School of Medicine. The next describe them emerging from husband-and-wife team made a big splash in a helicopter at the epicenter of an 1994 when they discovered a virus that everyone Chang is a professor of pathology, while outbreak somewhere in the tropics. They would suspected was there, but nobody could find. draw blood from feverish patients, grow samples The mystery began when large numbers of AIDS of virus in culture, and finally peer through a patients began developing what had previously microscope at their wildly replicating quarry. been a very rare cancer — Kaposi’s sarcoma (KS). Everything about this cancer suggested that it was But hunting for pathogens isn’t what it used to be. Instead of growing them in a petri dish, caused by an infectious agent — one that was scientists use powerful genetic and computational making its presence known only because of the tools to ferret out suspect genes and link them depressed immune systems of AIDS patients. But together to reconstruct the virus that spawned nobody could find it. them. This is an approach that Chang and Moore — both MDs — helped to pioneer. day in 1993. It was entitled “Cloning the Difference Moore faxed a scientific article to Chang one Between Two Complex Genomes,” and it described using RDA, or representational difference analysis, to amplify the variant DNA in two nearly identical samples. In a novel use of RDA, Moore and Chang took a sample of healthy tissue and another of diseased tissue from the same KS patient and ran it through the RDA process. The difference between the two samples was a set of DNA sequences that looked like a new herpes virus, which was eventually dubbed Kaposi’s sarcoma herpes virus (KSHV). Moore and Chang’s laboratory at the University of Pittsburgh Cancer Institute is dedicated to the study of these oncoviruses, as viruses that cause cancer are called. Most of them appear to be like KSHV in that they are difficult to find and difficult to culture. Because oncoviruses don’t seem to replicate wildly in the way that influenza after environmental or ultraviolet radiation or common cold viruses do, they cannot be found exposure, often occurring in tandem with with traditional virology techniques that rely on other skin cancers. detection of virus particles. But Chang and Moore believe there are many more to be discovered, discovered and others Chang and Moore hope to estimating more than 20 percent of all cancer bring to light in the near future, the researchers cases have an infectious cause. are expanding the boundaries of molecular virology and tumor biology. The viruses themselves have Recently, the pair developed an in silico With these two of seven known oncoviruses technique to establish a database of transcriptomes genes that mirror human genes related to cell cycle for comparison with the human genome database. control, cell proliferation, prevention of apoptosis Because of the large number of comparisons that (programmed cell death), and immune modulation. can occur simultaneously using computers, the In other words, the virus has pilfered the genetic technique quickly yields candidate genes that may keys to tumor growth and tumor suppression — turn out to be viral. Using this approach, they keys that scientists might use to unlock doors that discovered in 2007 that a virus was behind an lead to cancer cures and cancer prevention. uncommon skin cancer called Merkel cell carcinoma (MCC). biology and said, ‘Here, study this,’ ” says Moore. “You know, it’s so obvious: These are the things Like KS, MCC often occurs in people with suppressed immune systems. In fact, most people with these viruses never develop cancer. As many as 80 percent of all individuals in the United States may be harmlessly infected with MCC virus by the time they reach age 50. But the cancer remains rare, with around 1,200 new cases diagnosed annually in this country. Moore and Chang have deduced that the virus usually coexists with the host, causing no disease and remaining undetected. However, in the face of immunosuppres sion or the immune system’s inability to recognize the virus, viral integration into the genome and the development of a mutation appear to be sufficient to set the tumor mechanisms into motion. MCC also shows an increased incidence “Here’s a virus that just laid out all this cell that are important for causing a tumor.” The Pittsburgh-Palermo Promise: Reaching Out With Ri.MED T hey come from many disciplines, but Pitt’s Ri.MED fellows share a passion for their Italian homeland and a “pinch me, I must be dreaming” appreciation for what they recognize as a killer opportunity to do ground-breaking science. “In all of Europe, there is nothing comparable to what Ri.MED offers,” says Salvatore Pasta, PhD, who trained as a mechanical engineer in Palermo and is now investigating thoracic aortic aneurysms. Working with David Vorp, PhD, professor of surgery and of bioengineering in the School of Medicine and the Swanson School of Engineering, respectively, Pasta is probing familiar concepts such as stress to materials. But now he studies the piece of work that is man, rather than man-made. “I am seeing and doing things that I could not have imagined,” Pasta enthuses of his work testing surgically-removed human aortic tissue, along with tissue-engineering research to build artificial blood vessels of a biodegradable polymer that look like the real thing. 53 Counting Pasta, the work of 13 postdoctoral fellows in Pittsburgh is being funded by the Ri.MED Foundation, a partnership of UPMC, the University of Pittsburgh School of Medicine, the Italian government, the Region of Sicily, and Italy’s National Research Council that was established in 2006. By early 2010, four more postdocs should be pulling stools up to benches in labs across the Pitt campus. Also in 2010, construction is projected to begin on the $398 million Biomedical Research and Biotechnology Center (BRBC) of Sicily, a state-of-the-art, 269,100-square-foot building with research laboratories, centralized core facilities, and first-class equipment. The center will be built in Carini, not far from Palermo’s Falcone-Borsellino Airport, and will be managed by the School of Medicine and UPMC. BRBC is expected to open by 2014. Upon their return, Ri.MED fellows will be among founding staff of BRBC, eventually projected to house some 500 scientists and support personnel pursuing basic research directed toward new drugs and vaccines, biomedical devices, tissue engineering and regenerative medicine, treatments for psychiatric and neurodegenerative disorders, and non-invasive imaging techniques. “We have signed agreements and continue to move forward,” says Arthur S. Levine, MD, senior vice chancellor for the health sciences and dean, School of Medicine, referring to a protocol signed in October 2009 between the Prefecture of Palermo and the Ri.MED Foundation. As scientific director of Ri.MED, Levine has been deeply involved in the project’s conception, formation, and direction, as well as in the selection of Ri.MED fellows from a pool of nearly 200 applicants. 54 “ In all of Europe, there is nothing comparable to what Ri.MED offers. I am seeing and doing things that I could not have imagined” — Salvatore Pasta, PhD Projected to open in 2014, the $398 million Biomedical Research and Biotechnology Center of Sicily follows a successful 10-year-plus partnership in Palermo’s specialty transplant hospital, the Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, pictured above. Also in October, six fellows took part in a daylong scientific symposium hosted by Levine and foundation officials in Palermo. They “performed brilliantly,” according to Levine. The group is making its mark in Pittsburgh, too, says Joan Lakoski, PhD, Pitt’s associate vice chancellor for academic career development and director of the Ri.MED fellows program. “Mentors have come to me and asked, ‘Can you get me another fellow?’ because these young scientists are real go-getters.” Fellows initially rotate through a handful of labs to help identify the best fit for their interests and abilities before formally settling on a long-term mentor. They meet once a month to work on scientific skill building, grant writing, making professional presentations, leadership, and management skills, says Lakoski. In addition, they take part in an annual course on research ethics. Sandra Cascio, PhD, ultimately chose to make the lab of immunology chair Olivera Finn, PhD, her Pittsburgh “research home.” At the 2009 Palermo symposium, Cascio presented work on isoforms of human MUC1 oncogene, a tumor antigen and biomarker of chronic inflammation. MUC1 isoforms — different forms of the same protein arising from related genes, or from the same gene because of alternative splicing — are a particular focus of her work on molecular mechanisms common to cancer and inflammation. Alternative splicing has a known correlation to cancer and other diseases. 55 “ Very few, if any, institutions are thinking along these lines.” — Arthur S. Levine, MD PLACEHOLDER PHOTO “Chronic inflammation can accelerate tumor progression,” explains Cascio, who earned a doctorate in clinical, applied, experimental oncology and tumor morphology in 2006 from the University of Palermo. She reported on the status of her team’s investigation into a protein complex called NF-κB. NF-κB proteins affect immune and inflammatory responses, are involved in cell growth and apoptosis, and are known to induce cytokines common to cancer and inflammation. Using human melanoma and lymphoma cell lines, Cascio found that MUC1 isoforms differently bind to and activate NF-κB and regulate expression of NF-κB target genes within a cell nucleus — particularly inflammatory cytokines. Because NF-κB is chronically activated in many inflammatory diseases, compounds to inhibit the proteins, including anti-oxidants, have become a focus for drug development. Understanding the interactions among MUC1 proteins — known to be tumorigenic — and NFκB could advance the development of therapeutic agents. Next, the team aims to pursue this work in vivo using MUC-positive and interleukin-10 knockout mice to better understand the influence of MUC1 on the cancer-inflammation cytokine network, Cascio says. Another fellow, Chiara Cipollina, PhD, is studying endogenous anti-inflammatory molecules, seeking ways to harness the body’s own regenerative response to chronic inflammation, a process that underlies much human illness, including neurodegenerative disorders, asthma, and cardiovascular disease. 56 Working in the lab of immunologist Olivera Finn, PhD, Sandra Cascio (above) studies the MUC1 oncogene and other molecular mechanisms common to cancer and inflammation. In mouse models (left), Finn and colleagues have shown that administering a MUC1 vaccine decreases intestinal inflammation that may lead to cancer. Mentor Bruce Freeman, PhD, UPMC Irwin Fridovich Professor and chair of pharmacology and chemical biology, credits Cipollina’s contributions as significant, saying she is part of a team that discovered “a brand new class” of profoundly antiinflammatory signal mediation molecules. Findings have been published in the prestigious scientific journal Nature Chemical Biology, and a patent filing is under review. Since the first Ri.MED fellows arrived in Pittsburgh in 2008, they have formed tight bonds, says Lakoski, not only with each other but with the University community. Such ties are paying — and will continue to pay — great benefits not only for Italy and Pittsburgh but, more importantly, for science and for scientists, says Levine. He likens Ri.MED to the Italian school of masters whose prodigious output helped to illuminate the Italian Golden Age of visual arts. “Very few, if any, institutions are thinking along these lines,” Levine says. Ri.MED, then, can be seen as a visionary response to current-age challenges, such as the economic pressure of health care reform in the United States and its potential impact on research support. Yet golden opportunities remain within reach. “This way, we maximize the opportunity for alternative hands to feed us,” says Levine. Ri.MED is an international scientific partnership that will surely enliven medicine for years to come. 57 NE WS. ACH I E VEMENTS. 3 4 5 6 7 8 2 9 10 11 Targeted Therapy for Schizophrenia S chizophrenia, a devastating mental illness affecting about one in every 100 individuals worldwide, causes significant impairments in cognitive, psychosocial, and occupational functioning. Most schizophrenia medications are decades old, treat only the most severe symptoms, and were discovered largely through serendipity. David A. Lewis, MD, UPMC Professor of Translational Neuroscience and chair of psychiatry, is taking a different approach to drug design, one that targets the underlying brain circuitry defects in schizophrenia. Previous research showed that schizophrenia patients have decreased signaling by the neurotransmitter gamma-aminobutyric acid (GABA) in an area of the brain known as the dorsolateral prefrontal cortex (DLPFC), which controls working memory. An experimental compound originally used to treat anxiety, MK-0777, increases the flow of ions through DLPFC GABA receptors, effectively “turning up the volume” on GABA signaling, Lewis said. Putting two and two together, he designed a clinical trial to test the effectiveness of MK-0777 on working memory problems in schizophrenia patients. As Lewis explained, “We identified a faulty brain circuit in schizophrenia, found an agent with characteristics that affect a specific molecular target in that circuit, and then tested it to see if it improved the function of the circuit in individuals with schizophrenia.” Early results showed that patients who received MK-0777 exhibited improved performance on cognitive tasks and in electroencephalogram tracings. Further testing is under way on what may prove to be the first new drug to emerge from schizophrenia research in recent years. 58 Luna Selected to Advise NIH Director B eatriz Luna, PhD, attributes her scientific achievements to being a “really, really curious” person. However, with accolades like receiving the Presidential Early Career Award for Scientists and Engineers and, more recently, being selected to serve on the Advisory Committee to the Director of the National Institutes of Health (NIH), one may suspect that intellectual rigor and hard work also come into play. Luna, associate professor of psychiatry and of psychology, is the first Pitt faculty member to serve on the advisory commit tee, which counsels the NIH director on major plans and policies, particularly matters concerning the allocation of funding and resources. She has garnered widespread attention for her research that focuses on imaging the adolescent brain to understand its structure and function. Neurobiologist Receives Presidential Early Career Award A s one of only 100 recipients of the latest Presidential Early Career Award for Scientists and Engineers (PECASE), Gonzalo E. Torres, PhD, assistant professor of neuro biology, is in select company. The five-year grant accompany ing the award will further his research on dopamine regulation in the brain and prospective new therapies for schizophrenia, Parkinson’s disease, and drug addiction. Since the PECASE program to recognize innovative researchers in the early stages of their careers was established in 1996 by President Bill Clinton, Torres is the fourth winner from the School of Medicine; the others are J. Peter Rubin, MD, in 2006; Beatriz Luna, PhD, in 2005; and Karl Kandler, PhD, in 2000. The awardees are honored at a White House ceremony. Lung Disease No “Mission Impossible” for Pitt’s Kaminski “I mpossible” is not a part of Dr. Naftali Kaminski’s vocabulary. Neither are “incurable,” “insurmountable,” or “unsolvable.” Perhaps that is why Kaminski, an MD associate professor of medicine, of pathology, and of computa tional and systems biology, and director of the Dorothy P. and Richard P. Simmons Center for Interstitial Lung Disease at UPMC, has taken on one of medicine’s most difficult diseases as his research focus. Idiopathic pulmonary fibrosis, or IPF, is a chronic, progressive lung disease affecting more than 100,000 patients in the United States. Other than lung transplantation, there is currently no known cure or definitive treatment for IPF; and, as its name implies, little is known about the molecular causes and pathways that lead to its development. “Approximately 10 percent of patients develop an acute phase that, in most cases, is lethal,” Kaminski explained. “There has been very little understanding of the molecular basis of this syndrome; but, because of the dedication of our patients and their families, we are getting closer to some answers.” To better understand the cellular mechanisms underlying IPF exacerbation and identify those patients at risk for more severe disease, Kaminski and colleagues compared global gene expression patterns in the lungs of patients with acute IPF exacerbations, those with stable IPF, and healthy controls. Their results, published in the American Journal of Respiratory and Critical Care Medicine, show that activity for nearly 600 genes differed significantly across all three groups. The upregulation of alpha-defensin genes, in particular, led to increased plasma defensin protein levels that were detectable in the peripheral blood of patients experiencing acute IPF exacerbation — a finding that could lead to the first biomarker blood test to identify IPF patients at risk for sudden deterioration of lung function. Kaminski’s pioneering work in the application of microarray technology to IPF is promising for generating new hypotheses regarding fundamental molecular events that underlie pulmonary fibrosis, identifying potential biomarkers for disease exacerba tions, and developing new therapeutic targets to protect and repair damaged lung tissue — in other words, to make what the medical establishment has heretofore considered impossible for IPF patients, finally possible. 59 NE WS. AC H IE V E M ENTS. Beta Cell Signaling Offers Clues to Diabetes A ndrew Stewart, MD, professor of medicine and head of the Division of Endocrinology and Metabolism in the Department of Medicine, doubles as traffic cop extraordi naire in the world of pancreatic beta cell signaling. His research focuses on identifying molecules that drive and halt beta cell replication and function, work that could greatly improve diabetes study models and spark new investigative avenues for diabetes treatment and research. In type 1 diabetes, insulin-producing pancreatic beta cells are destroyed by the body’s immune system. In type 2 diabetes, beta cells are also reduced by approximately 60 percent. In humans, these cells do not easily regenerate, and wide-scale pancreas or islet cell transplantation is limited by cost, markedly limited pancreas availability, and technical difficulties. In two back-to-back articles published in January and June of 2009 in Diabetes, the leading journal of the American Diabetes Association, Stewart and co-authors Nathalie Fiaschi-Taesch, PhD, and Todd A. Bigatel, MD, 60 reported the discovery of four beta cell cycle proteins that play key roles in either stimulating or inhibiting beta cell replication. First, the scientists found that human beta cells transfected with the genes that encode the cdk-6 and cyclin D1 proteins revved up their replication machinery. When those cells were then transplanted into diabetic mice, the animals’ insulin levels rose and their blood sugar levels normalized. Similarly, genetically engineered knockout mice lacking a “braking” cell cycle protein, pRB, demonstrated a marked increase in beta cell production. “This work provides proof-of-principle that the formation of new human beta cells can be stimulated and that the newly generated cells function effectively both in the lab and in a living animal,” Stewart said. Stewart cautions that beta cell regeneration does not correct the underlying autoimmune process destroying these cells in diabetes. “It’s now clear that both type 1 and type 2 diabetes are beta-cell deficiency diseases. And while we work on making more beta cells, our colleagues are trying to tackle the autoimmunity problems that cause a reduction in their number. Ultimately, both issues have to be addressed to develop a cure for diabetes.” He notes that these beta cell cycle replication molecules might one day be used to enhance therapeutic insulin-producing cell transplants, boost a patient’s remaining beta cell production capacity, or serve as targets for drugs that increase beta cell replication and insulin secretion. Thwarting Parasites L ook out, leishmaniasis: your days may be numbered. A parasitic infection thought to be among the world’s most overlooked diseases, leishmaniasis causes some 2 million infections a year and can lead to skin ulcers, fever, weight loss, and enlarge ment of the spleen and liver. Collaborating with scientists from the Walter Reed Army Institute of Research, a Pitt team led by John S. Lazo, PhD, Allegheny Foundation Professor of Pharmacology and Chemical Biology and director of the University’s Drug Discovery Institute, has identified compounds that could disrupt the parasite’s growth cycle. There is no vaccine or drug to prevent leishmaniasis, which is transmitted through sandfly bites. Interest in developing new treatments has grown because of the military presence in Afghanistan and Iraq, where the infection is common. Current treatments, used against the disease for the past 50 years, can have serious side effects. The organism is also rapidly becoming drug resistant. Lazo and Elizabeth R. Sharlow, PhD, research assistant professor of pharmacology and chemical biology, screened nearly 200,000 candidate drugs, using powerful computational techniques to test whole classes of high-concentration chemicals. Among the most promising they found is disulfiram, or Antabuse, a drug that causes acute alcohol sensitivity. Inexpensive and widely used for patients with alcoholism as a way to discour age drinking, the drug will be further developed to improve potency and efficacy. SRP- 6 Cellular Superhero I t’s the typical action plot — a villain set on destruction, a damsel in distress, and a hero who swoops in to save the day. That’s great for stories, but what about the real world? How about a protein with the ability to save cells that are in distress and kill harmful cells? Gary A. Silverman, MD, PhD, and Cliff J. Luke, PhD, of the Department of Pediatrics have found such a cellular superhero. SRP-6, a serine protease inhibitor, or serpin, protects cells by blocking protease damage to the walls of the lysosome, an organelle that holds powerful digestive enzymes. Without SRP-6, the lysosome bursts, and the cell dies. Silverman and Luke have made these breakthroughs in Caenorhabditis elegans, a 959-cell, transparent, microscopic worm whose genetic code is well known to scientists and is easily manipulated. While the simplicity of C. elegans may seem a long way from the complexity of humans, these studies make it clear that current approaches to cell preservation after an insult like stroke — using drugs or surgery to prevent further damage — may not target the right mechanism. Instead, a therapeutic intervention to enhance serpin function may be more effective at preventing cell death. Conversely, finding a way to block serpins like SRP-6 in cancer cells may provide a means to initiate tumor cell death while preserving healthy tissue. It’s all the elements of a heroic intervention — minus the red cape, of course. 61 NE WS. AC H IE V E M ENTS. Scientists have tended to ignore these usRNAs, believing them to be cellular waste too iny strands of RNA — some as small as 15 nucleotides — small to meaningfully track to previously dismissed as “cellular their genomic home. John’s work, like the best science, junk” are actually highly stable molecules that can regulate gene uncovers potential power in expression, according to research the unexpected. reported by Bino John, PhD, Genetic Markers Linked assistant professor of computa to Ulcerative Colitis tional and systems biology. So what? Until now, researchers lcerative colitis, a form have basically ignored most of inflammatory bowel of the genome to concentrate disease (IBD), produces chronic on the 3 percent of genes that abdominal distress, leaving encode proteins. Not John and those individuals who suffer his colleagues, who believe from it unable to work, travel, these minuscule RNA products, and perform basic life tasks. called unusually small RNAs It also increases their risk for (usRNAs), could lead to other diseases like colon cancer. new types of biomarkers for Because IBD tends to run in diagnosis, prognosis, and families, researchers were perhaps even identification anxious to determine whether of new drug targets. genetic factors affect the In recent years, scientists tendency to develop IBD and have recognized the importance variations in disease severity of small RNAs that generally from person to person. Genetic contain more than 20 molecular analysis has revealed more units called nucleotides. But than 30 genetic risk factors for the John team’s experiments Crohn’s disease, another form revealed for the first time that of IBD, but none had been RNAs as small as 15 nucleotides found for ulcerative colitis until are repeatedly and accurately recently. Richard Duerr, MD, produced across different associate professor of medicine tissue types. “We’ve identified and of human genetics, has thousands of them, present in identified a series of genetic a diversity that far exceeds markers associated with all other longer RNAs found ulcerative colitis. In doing so, in our study,” says John. he has laid the foundation for Detailed studies of microRNA studies examining IBD-associated in the Kaposi sarcoma-associated genetic variations and their herpes virus using computa functional significance. tional and experimental tools Ultimately, these studies may revealed a surprisingly vast open the door to development world of usRNAs, molecules so of targeted biological interven small that John calls them ideal tions to improve the lives of the for cell-to-cell transmission. many thousands of individuals Junk RNA? The Power of Words No way! W U worldwide who suffer from ulcerative colitis. 62 how? T hat would a com mencement be without a bit of sage advice? In addressing the 2009 graduates of his alma mater, Rosalind Franklin University of Medicine and Science, Arthur S. Levine, MD, senior vice chancellor for the health sciences and dean of the School of Medicine, related the power of words to the everyday practice of medicine and biomedical research: “Choose innovative and imaginative words as you wrestle with the latest setback in your research or a particularly difficult diagnosis,” he said. “Choose fearless words, especially in the face of seemingly insurmountable hurdles and risks. And choose words like ‘how’ or ‘why’ that can lead to probing or challenging questions because the difference between good medical science and great medical science is often in the quality of the questions asked.” In exchange for his insights, Levine received an honorary doctor of humane letters degree in recognition of his “outstanding achievements and contributions to medicine.” w Reynolds to Lead Institute on Aging C harles F. Reynolds III, MD, UPMC Professor of Geriatric Psychiatry and senior associate dean of the School of Medicine, has been chosen as the new chief of the University of Pittsburgh Institute on Aging. Internationally renowned in the field of geriatric psychiatry, Reynolds brings a wealth of expertise to the area’s elderly residents — one of the largest such populations in the nation — and to an institute that serves them. Reynolds’ research deals with mood and sleep disorders in later life, with a particular focus on treatment, including mental health services in primary care, the mechanisms of treatment response, and suicide prevention. Reynolds serves as director and principal investigator of the National Institute of Mental Healthsponsored Advanced Center for Interventions and Services Research in Late Life Mood Disorders and the John A. Hartford Center of Excellence in Geriatric Psychiatry, where he and his colleagues conduct treatment research to help elderly patients living with depression and other mood disorders. Of depression in the elderly population, Reynolds says, “The older generation of Americans has a very different personal model of what depression is…[but] it doesn’t mean that you’re crazy. Depres sion treatment is often a very straightforward medical undertaking.” The Institute on Aging’s mission is to improve and develop aging-related research programs that enhance the health and overall quality of life of older adults. It functions as a gateway to the many age-related research projects under way at the University of Pittsburgh. Molecular “Two-Step” Leads to Protein Clumps of Huntington’s Disease H untington’s disease, also known as Huntington’s chorea after the Greek word for “dance,” is a neurodegenerative condition resulting in involun tary writhing and twitching as well as cognitive and emotional disturbances. As in other neurodegenerative conditions like Alzheimer’s disease and amyotrophic lateral sclerosis (Lou Gehrig’s disease), protein aggregates, or clumps, form in the brain. The process by which these clumps form in individuals with Huntington’s disease has been identified by Ronald Wetzel, PhD, professor of structural biology, as an “aggregation two-step.” Huntingtin protein found in the aggregate clumps is where the mutation causing Hunting ton’s disease occurs. However, this protein is also present in normal cells, which prompts the question of what triggers disease onset. Wetzel has determined that the length of the huntingtin protein’s polyglutamine segment is critical for disease initiation; a segment twice as long as normal indicates a very strong chance of developing Huntington’s disease. The polyglutamine segment first disrupts the huntingtin protein at the N-terminus, initiating interactions that produce misfolding. Then, it consolidates the misfolded regions into stabilized protein clumps. This well-rehearsed protein choreography overwhelms the cell’s normal mechanisms to deal with misfolding, creating a toxic environment and a neurodegenerative danse macabre. Wetzel hopes that finding a mechanism to interrupt or redirect the polyglutaminebased protein misfolding may provide a therapeutic interven tion for Huntington’s disease as well as other aggregate-based neurodegenerative conditions. hy? “Choose fearless words, especially in the face of seemingly insurmountable hurdles and risks.” 63 NE WS. AC H IE V E M ENTS. Shielding Healthy Cells From Cancer-killing Radiation C Stem cell injections may turn cloudy corneas clear. Stem Cells Regenerate Corneal Tissue U sing stem cells harvested from donor human eye tissue and injected into the eyes of mice genetically bred to have defective corneas similar to scarred human ones, James L. Funderburgh, PhD, has reported the successful regeneration of corneal tissue. Within three months, in fact, the stem cells had remodeled the opaque scar tissue into a transparent, normal-appearing cornea. This breakthrough development was published in the April 2009 issue of Stem Cells. “Our experiments indicate that after stem cell treatment, mouse eyes that initially had corneal defects looked no different than mouse eyes that had never been damaged,” said Funderburgh, associate professor of ophthalmology. “We were surprised and delighted.” The normal-appearing corneas were still preserved a year later. Still ahead are plans to develop a protocol for a human clinical trial. 64 ollaborating with researchers from the National Cancer Institute (NCI), Jeff S. Isenberg, MD, MPH, associate professor in the Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, may be nearing a Holy Grail of cancer therapy: a way not only to protect healthy tissue from the toxic effects of radiation treatment but also to increase tumor death. More than half of all cancer patients receive at least some radiation therapy. Yet the same radiation that kills cancer cells often kills healthy tissue, leading to unwanted side effects like nausea, vomiting, skin sores, rashes, weakness, and fatigue, as well as scarring related to long-term exposure. Isenberg and NCI colleagues have identified a biochemical signaling pathway that can profoundly influence what happens to cells exposed to radiation. In mouse experiments, the team found that blocking the thrombospondin-1 molecule from binding to its cell-surface receptor, CD47, could give normal tissues nearly complete protection from standard and very high doses of radiation. “We almost couldn’t believe what we were seeing,” Isenberg said, adding that the protective effect occurred in skin, muscle, and bone marrow cells. At the same time, CD47 suppression delayed the regrowth of tumors in radiation-treated mice. It is not yet clear why disrupting the CD47 signaling pathway leads to these effects. It’s possible that radiation impairs the immune response to tumors even while killing tumor cells, yet CD47 suppres sion somehow keeps immune cells safe. The strategy also may make tumor cells more sensitive to attack by the patient’s immune system after treatment. Accessory Proteins Lead to New HIV Drug Candidates W hile probing an HIV protein essential to AIDS progression called Nef, Thomas E. Smithgall, PhD, William S. McEllroy Professor and chair of microbiology and molecular genetics, and his colleagues unlocked chemical secrets that could lead to novel treatments for the deadly infection. An important factor in HIV virulence, Nef remains a slippery character in drug discovery efforts because it lacks biochemical activity that can be directly measured. Undaunted, Smithgall’s team developed an assay to measure Nef function by co-opting one of its partners in crime, a protein called Hck that Nef activates in HIV-infected cells. Using Hck as a reporter for Nef activity, investigators screened 10,000 chemical compounds with automated high-throughput testing, searching for influence on the coupled proteins. Smithgall’s team found three likely suspects that inhibited Nef-Hck activity and interfered with HIV replication. One of these compounds was so effective that it suppressed viral growth in cell culture to undetectable levels. The discovery may be significant because there is evidence that people infected with HIV variants that have mutations in the Nef gene take substantially longer to develop disease symptoms or AIDS, Smithgall says. In animal models, disrupting Nef production or its interaction with Hck also appears to delay or prevent disease symptoms. Anti-HIV therapies currently target viral enzymes like reverse transcriptase or other viral-cell interaction factors. Aiming at Nef, though, could be useful in drug-resistant HIV strains and may slow its progression to AIDS. High-throughput screening of additional “accessory proteins” like Nef and Hck could help researchers to catch other drug targets red-handed too. Painting-by-Proteins: Demystifying the Architecture of HIV F or more than 25 years, scientists have been searching for ways to defeat HIV. In the November 2009 issue of the journal Cell, School of Medicine structural biologists Angela Gronenborn, PhD, Peijun Zhang, PhD, and their colleagues report a weakness that could be exploited by new drugs. Using nuclear magnetic resonance imaging and cryoelectron microscopy, Gronenborn, UPMC Rosalind Franklin Professor and chair, and Zhang, assistant professor, Department of Structural Biology, mapped critical capsid protein connections, or seams, in the complex of proteins that make up the viral genome’s coat. In addition, they detailed the atomic essentials and overall shape of HIV-1’s capsid protein assembly. About 1,500 copies of this assembly make up the capsid. “Our lab experiments show that if we replace a few of the pivotal stitches in the seam by mutation, the resulting viruses are less infectious or even non-infectious,” says Gronenborn. “The capsid, and therefore the virus, can no longer function properly.” Illustration of a molecular model of three protein sub-units and the seams where they meet to make up a structural interface in the HIV viral genome coat described by Gronenborn, Zhang, and colleagues. 65 Chet Mathis (above) and Bill Klunk (right) have landed big fish together, from the streams to the lab. The Flies that Bind F ly fishing is about preparation and patience. Your rig has to be right for the conditions, and your fly has to mimic the prey that are in season. You’ve got to read the water, know where the fish hide, and see the runs where they feed. It helps to be lucky, too, but as a famous scientist once quipped, chance favors the prepared mind. Success happens because you’ve gone looking for it in the right place. You’ve played out the scenarios hundreds of times in your mind’s eye — the dark shape rising, the swell of the water, the silver flash of the scales, the strike, and the snap of the rod to set the hook. Chet Mathis, PhD, and Bill Klunk, MD, PhD, are both fishing buddies and scientific co-investigators. Together, they’ve hauled in a few big catches, from steelhead trout in the Pennsylvania streams that feed Lake Erie to scientific discoveries that have changed the way we think about Alzheimer’s disease. For years, the only way to definitively diagnose Alzheimer’s disease was to examine the brain at autopsy. Pathologists and neurologists could stain samples of brain tissue to reveal the characteristic tangles of abnormal protein called amyloid-beta. But a living patient couldn’t get a definitive diagnosis, limiting therapy options and scientific research. Klunk and Mathis changed the field with the development of Pittsburgh Compound B (PiB), a radiolabeled dye that can safely be administered to a living patient and reveal the characteristic signs of Alzheimer’s disease. 66 Mild cognitive impairment (MCI) is the first symptomatic stage for what might eventually turn into Alzheimer’s disease, but there’s also the possibility that MCI could be related to medications, just a bad test day, or unrelated depression. Because drugs are available to slow the progression of Alzheimer’s disease, knowing whether an individual with MCI is actually showing early signs of Alzheimer’s could make a great difference in the quality of life for patients and their families. While Klunk and Mathis continue to develop this diagnostic tool, and perhaps some therapeutic tools as well, their work has earned major honors, including the MetLife Foundation Award for Medical Research in Alzheimer’s Disease; the Ronald and Nancy Reagan Research Institute Award for outstanding contributions to research, care, and advocacy for Alzheimer’s disease; and the Potamkin Prize, which has become known as the “Nobel Prize of neurology.” The biggest barrier to PiB imaging finding its way into the clinical setting is the imaging process itself, positron emission tomography (PET), which uses a radiolabeled compound to visualize the target of interest. At the moment, PiB is labeled with an isotope of carbon that is ideal for multiple studies because it has a half-life of about 20 minutes and clears the body in about two hours. The problem with this labeled version of PiB for clinical diagnosis is that the short half-life also necessitates that the compound be manufactured on-site immediately before use. Most clinical settings do not have the facilities to create radiolabeled compounds, so finding something a bit more stable that can be shipped from a central facility is a key element in taking this technique from bench to bedside. While it has been demonstrated that genetics can serve as a driver to advance Alzheimer’s disease, studies have also shown that healthy lifestyle choices that preserve attributes like vascular health help to prevent the disease. The question of how to prevent or slow the progression of the disease remains, for now, unanswered and keeps many researchers, including Klunk and Mathis, casting again and again for that elusive nibble, that glimpse of clarity. When asked if there is any connection between their fishing styles and their approach to the lab, the two smile and say that their work has become an entity unto itself. They used to escape it entirely while fishing. (The rule was that you could talk about fishing at work, but you couldn’t talk about work when fishing.) But it has become impossible to turn off the discussions about PiB. Klunk adds, with a chuckle, that even with their great success in the laboratory, probably the most special part of the pairing is the fishing. “You can always find a good collaborator,” he observes, “but how often will you find a fisherman who is crazy enough to hit the water before it’s light, stay until after it’s dark, and then go back again for more? Something like that is priceless.” 67 Pitt & Pittsburgh &why? 68 Part III: t h e v isi o n ari e s Choosing a Medical School, Choosing This Medical School Over the years, the University of Pittsburgh has attracted a number of transformational figures. They have found their way here from places as far away as Hungary and as close as the neighborhoods of this very city. Here are four who not only saw the future but dedicated themselves to making it reality. In the process, they eradicated a crippling disease from this country, transformed the treatment of women with breast cancer, created an academic powerhouse for biomedical research, and made liver transplantation a reality. Read on to learn how each found the School of Medicine to be the place from which he could change the world. 69 JULIUS YOUNGNER, SCD “This is one place we’ll never live,” Julius Youngner quipped to his wife one morning in 1946. They had spent a sweltering night in a Pittsburgh hotel with the window open. There was soot on the sheets. He could even taste it. Youngner was passing through town on his way to the National Cancer Institute (NCI) in Bethesda, Maryland. As he would later learn, change was already in the air in Pittsburgh. By 1949, Youngner had reached an impasse in his research at NCI. He was looking to grow virus in cell culture, but the cancer institute didn’t want viruses in its limited lab space. The scientific director gave him permission to spend two years in Pittsburgh, where Jonas Salk needed cell culture expertise. “They were growing [polio] virus in monkeys,” says Youngner, describing the work as brutal and laborious. After a few failed attempts, he found that cells harvested from monkey kidneys could be seeded with virus, which then replicated readily. In an ingenious step that eventually made it possible to produce large amounts of vaccine, Youngner employed a process familiar to pathologists but new to virology. He added a powerful proteolytic enzyme called trypsin, which separates individual cells from fragments of tissue, creating ideal conditions for replication of the virus in culture. When Youngner’s two years were up, NCI wanted him back. It was 1951. Youngner had established a robust cell culture technique, and the team was about to make a polio vaccine. There was no way he was leaving. “It was thrilling,” Youngner says, more than 50 years later. “I have never worked as hard, before or since. … I wrecked my eyes. At the time, I had a serious change in my correction because I was doing all this microscopy work.” 70 The team took nearly pure polio virus and added a precise amount of formaldehyde to kill it without destroying its ability to immunize against future infection. Youngner devised a simple color test to quickly reveal the presence of anti-polio antibodies in the blood of a vaccinated person. In 1954, this scientific team launched what Youngner calls “the greatest field trial in the history of medicine, and there will never be another like it.” They enrolled 1.8 million children in 12 states in a double-blind, placebo-controlled study of their vaccine. In the summer of 1955, an independent panel charged with evaluating the results declared the vaccine “a glorious success.” It was a seminal event in American history. Pittsburgh has remained home for Youngner throughout a remarkable career. Trypsinization remains an essential element of modern cell culture. He did important work on interferon, demonstrating that it was triggered by bacterial infection, not only by viral infection as had been supposed. With another Pitt colleague, he discovered a second type of interferon, now called gamma interferon, and revealed some of its distinctive properties. His interferon work led him to make great strides in understanding persistent viral infections. In recent years, he helped to develop the first live-virus vaccine for equine influenza, which is on the market now. Today, he remains a Pitt Emeritus Distinguished Service Professor of Microbiology and Molecular Genetics. While the polio vaccine helped to put Pittsburgh on the scientific map, Youngner believes it had a broader effect on science. “I think that it had the same effect that the Manhattan Project had in encouraging the federal government to invest money in science,” he says. “The success of the polio vaccine made Congress realize that the National Institutes of Health could be a center of excellence in science and that they could also give money to universities.” Pitt & Pittsburgh &why? Part III: t he vision ari es “It was thrilling,” Youngner says, more than 50 years later. “I have never worked as hard, before or since.” 71 Pitt & Pittsburgh &why? Part III: t h e visi o n ari e s “Understanding the biology of cancer so that its treatment is based on science is what I try to do.” 72 BERNARD FISHER, MD Bernard Fisher, Distinguished Service Professor of Surgery at the University of Pittsburgh and noted cancer researcher, is celebrated for his seminal studies that led to a new paradigm for the treatment of breast cancer in the late 1970s. A Pittsburgh native and 1943 graduate of the University of Pittsburgh School of Medicine, Fisher was a surgical resident when he realized that, although surgeons were performing technically remarkable operations, he and his colleagues had limited understanding of the biology of the diseases they were treating. Following a fellowship in surgical research at the University of Pennsylvania, Fisher returned to Pittsburgh in 1952 and established the university’s first laboratory of surgical research, where he began to ask basic questions about how cancer metastasized. In the lab, he tracked tumor cells traversing the blood, traced their course through the lymph and lymph nodes, and discovered that the two systems were so interconnected that the idea that tumor cells spread exclusively by way of the blood or lymph, as was believed at the time, was not tenable. Fisher had compelling evidence suggesting that cancer was a systemic disease that could metastasize unpredictably via both the blood and the lymph. As a consequence of his investigations, he found little scientific rationale for the radical operations that were the standard of care, such as radical mastectomy, in which surgeons removed the breast, the chest muscles, and the lymph nodes. He formulated a new hypothesis that was contrary to the one that supported radical mastectomy. Fisher is renowned for the randomized clinical trials that he conducted to test his hypothesis. In one such trial from 1971, he demonstrated for the first time that, in terms of survival, radical mastectomy was no more effective than removing only the breast and that neither was more effective than lumpectomy, which preserved the breast. In additional trials, he proved that survival rates were higher following treatment with systemic chemo therapy and/or hormonal therapy than after treatment with surgery alone. In 1992, Fisher demonstrated that tamoxifen could prevent breast cancer in high-risk women. As a founding member and chair (1967 to 1994) of the National Surgical Adjuvant Breast and Bowel Project, the research consortium through which his breast cancer trials were conducted, Fisher established its headquarters in Pittsburgh. By “traveling all over, sleeping in bad beds, eating bad food, and lecturing,” he enlisted more than 350 clinical centers and thousands of physicians to participate. He designed, implemented, and reported results from 31 randomized clinical trials involving almost 60,000 patients. Fisher says that the most important part of his career is often overlooked: “It was the laboratory research I conducted here at Pitt that led me to hypothesize that breast cancer was more often than not systemic by the time a patient came to the doctor and that there were complex biological interrelationships between the tumor and the host. The trials were a logical extension of my laboratory research, conducted to determine the credibility of my hypothesis. They were part of the scientific method that I used for clinical problem solving.” Fisher has been recognized with many honors, including the Albert Lasker Award for Clinical Medical Research, the Bristol-Myers Squibb Award for Distinguished Achievement in Cancer Research, and the American Cancer Society Medal of Honor. But he says that the greatest honor came on the occasion of the 2009 Bernard Fisher Lecture, which also commemorated his 90th birthday, when Pitt Chancellor Mark Nordenberg surprised him with an honorary doctor of science degree. Fisher’s concern today, as he continues his research, is that treatment for cancers such as those of the breast is once again being determined by untested theories. “I was trying through my work to establish therapeutic decision-making based on scientific evidence rather than empiricism,” he says. “A return to the use of ‘anti-science’ for such decisions must not be allowed to happen.” 73 THOMAS DETRE, MD It has been more than 40 years since Thomas Detre arrived in Pittsburgh to take the reins of the Department of Psychiatry at the University of Pittsburgh School of Medicine, but he continues to occupy a small, sparsely furnished office in Pitt’s Western Psychiatric Institute and Clinic. And, though it’s been more than 60 years since he left his native Hungary (after surviving the German occupation), Detre maintains the air of an erudite European gentleman. In a mellifluous, Hungarian baritone, he explains what compelled him to leave the faculty of Yale University after 15 years: “I was a tenured professor of psychiatry, and I decided that I had one or two more shots in my life to do something interesting.” Psychiatry was a field long-dominated by psychoanalysis. Detre envisioned a future in which psychiatry would be thought of as a biological science affiliated with pharmacology, epidemiology, and genetics. Pittsburgh offered the opportunity to create a new academic culture. Detre wanted to create a psychiatry department that was dedicated to clinical research first and foremost. And while he saw a malleable culture in Pittsburgh, he also saw one enormous, unexploited asset: Western Psychiatric Institute and Clinic (WPIC) — a facility with around 80 beds, plus medical offices and laboratories. He set about filling that space. Between 1974 and 1982, the department’s full-time faculty grew from 36 to nearly 150. “I told them they could do whatever they liked — as long as they are successful,” says Detre. One of the key elements to this success was an arrangement with the University under which the department retained control of clinical revenues so that Detre could reinvest in faculty recruitment, patient care, and research. The resultant strength of the academic enterprise led to improved stature for the University and the clinic, which in turn led to increased clinical revenues. 74 In 1982, Detre told the University’s chancellor that he was a candidate for a chair at another prestigious university. The chancellor asked Detre what he could possibly do for an encore there, having already built a psychiatry department up to national prominence. Why not stay in Pittsburgh and take on all the schools of the health sciences? Detre saw this as an opportunity to apply his model, which had changed WPIC from a lackluster regional facility to a leader in academic psychiatry, to an entire academic medical center. “I decided that was a good idea. I could do something really exciting,” says Detre, noting that the University was ranked number 36 among academic institutions receiving research funds from the National Institutes of Health (NIH). “The National Academy of Sciences published, I think in the 1980s, that the greatest impediment to progress in biomedical science is the lack of interdisciplinary collaboration.” Detre’s vision for the health sciences involved knocking down the artificial barriers that separated schools, departments, and even universities. “I like people who are collaborative,” Detre says. “I also thought that multidisciplinary centers of excellence would be the future for improved NIH funding, which indeed was the case. If you look at the records of the AAMC [Association of American Medical Colleges], between 1975 and ’95, the health sciences at Pitt comprised the fastest growing research enterprise in the United States.” Indeed, Pitt’s NIH ranking has climbed steadily over recent decades, finally cracking the top 10 in 1997 and continuing to ascend ever since. Detre shows off a nine-page list of multi disciplinary centers started during his tenure. It lists 63 centers, from AIDS to genetics to tissue engineering. These centers, he says, were the key to the University’s rapid climb, adding, “There is a wonderful symbiotic relationship between UPMC and the health sciences schools. If you look at other academic medical centers in the United States, this is rarer than you might think.” Pitt & Pittsburgh &why? Part III: t he vision ari es “There is a wonderful symbiotic relationship between UPMC and the health sciences schools. If you look at other academic medical centers in the United States, this is rarer than you might think.” 75 Pitt & Pittsburgh &why? Part III: t h e visi o n ari e s Starzl brought liver transplantation into the realm of the possible. It’s impossible to overstate the difficulty of accomplishing this. 76 thomas starzl, MD, PHD It’s been said that Thomas Starzl is happiest outside of the mainstream with his dogs. His office on the Pitt campus has long been a quiet (when the dogs aren’t barking), cramped set of rooms above an old pizza shop. When Starzl came to Pittsburgh in 1980, the medical school was gaining strength in many areas, but it still wasn’t considered a prime destination in academic medicine. Starzl changed that more than anyone. Starzl brought liver transplantation into the realm of the possible. It’s impossible to overstate the difficulty of accomplishing this. Half the blood in the body can flow through the liver in a single minute, and these procedures went on for many hours and innumerable pints of blood. Starzl possessed three things that nobody else had in combination. Although a handful of medical centers had access to the experimental drug cyclosporine, none had achieved Starzl’s special alchemy of combining it with steroids to better control suppression of the immune system. Second, Starzl had rare surgical skills. (“The best I’ve ever seen,” said one colleague. “Where others took two or three moves to get from A to B, Starzl would make a simple acrobatic maneuver that only he could perform.”) Finally, he had the drive, which was necessary because success in liver transplantation required more failure than most people could stomach. At the dawn of 2010, Starzl’s office remains above the old pizza shop. One dog sleepily waits at the bottom of the stairs, lifting its head to sniff any visitors and accept a pat on the head. Upstairs, another sighs contentedly from the couch as Starzl, dressed in a tan suit, prepares his vast collection of files — scientific papers, correspondence, research data — to be shipped to Pitt’s archives. At the University of Pittsburgh, Starzl remains an icon of achievement, a paragon of determination, and the sage of immunology. It’s this final role that has him most motivated today and keeps him lecturing and publishing. Now a Distinguished Service Professor of Surgery, Starzl describes the establishment of organ transplantation as a “practical success and an epistemologic collapse,” meaning there was a failure to understand the immunology of what was being accomplished. Since the first kidney transplants in the 1950s, it was believed that the immune system of an organ recipient would forever reject a donor organ. Therefore, the only hope for these patients was to dampen the immune response and maintain that state permanently with immunosuppressive drugs. Patients on daily doses of these powerful drugs often suffered terrible side effects, which eventually contributed to or caused their deaths. In 1992, Starzl and others reported that 30 transplant recipients were found to have white blood cells from organ donors scattered throughout their bodies many years after transplant. Far from being eternal enemies, cells from the donor and recipient seemed to have achieved a cease fire. This revelation suggested that there was a biological mechanism through which doctors could achieve tolerance in transplant recipients. The quest for tolerance continues today, with the University of Pittsburgh leading the way. When Pitt professor of plastic surgery W.P. Andrew Lee performed the first double hand transplant in the United States in 2009, he put his patient on the “Pittsburgh Protocol.” It begins with an infusion of donor bone marrow prior to transplantation, priming the patient to accept donor tissue. After transplantation, the patient receives reduced medication and gradual weaning of the dosage. The ultimate goal is a transplant recipient with no measurable side effects from medication. Whether used in transplantation of hands, hearts, or insulinproducing cells, this protocol comes directly from Starzl’s work on tolerance at what is now called the Thomas E. Starzl Transplantation Institute at the University of Pittsburgh School of Medicine. 77 Investing in a Winner E veryone likes to invest in a winner. The University of Pittsburgh is indeed fortunate that as our reputation and national rankings have continued to rise in recent years, so has the number of individuals, corporations, and foundations that recognize us as a wise investment. Thanks to this generosity, the schools of the health sciences, led by the School of Medicine, helped the University reach the $1 billion goal of its capital campaign, begun in 1997, nearly a year ahead of schedule. Our success has given us the confidence to move forward, expanding the campaign goal to $2 billion, with the expectation that, when complete, the campaign will have raised at least $1 billion for our six health sciences schools, of which $600 million will have been earmarked specifically for the School of Medicine. Since the formation of the University of Pittsburgh and UPMC Medical and Health Sciences Foundation in 2003, we’ve started to think differently about the way we engage our supporters. We know that philanthropy creates a partnership, which means responsibility on both sides to keep the lines of communication open so that we understand the things that each of us can do to have a positive effect on the way medicine is taught, the way research is funded, and the way health care is provided. The generosity of our alumni and friends is the key to our having the resources needed to remain an institution of choice for the best and brightest. For example, our School of Medicine is consistently ranked among the nation’s finest and competes directly with Harvard, Yale, and other leading institutions for prospective students, 78 but we don’t have the multi-billion-dollar endowments that many of those schools have. What will make the difference in our ability to attract and keep top students — and to ensure that they graduate without crippling debt — is our ability to offer the same type of financial assistance and scholarships that those schools are offering. At the same time, we need to keep recruiting and retaining top researchers and faculty members and to make the ongoing capital investments needed to ensure that we have the most up-to-date facilities in which they can do their work. Because of the growing need for investment in research, the School of Medicine is committed to further expansion of facilities, and that expansion is possible only through partnership with philanthropy. Likewise, as essential research funding from the National Institutes of Health continues to be unreliable, institutions like ours are finding that the gap can be made up only through private giving. It’s encouraging to see that more and more people are coming to understand that if they care about changing the face of academic medicine, then the University of Pittsburgh School of Medicine offers a wise investment. I can’t think of a better way to back a winner. Clyde B. Jones III President University of Pittsburgh and UPMC Medical and Health Sciences Foundation 79 Left to right: Kristy, Faye, and Katie Sampson A Foundation in Family M yles Sampson was told the pain he was feeling was an ulcer. But, after some encouragement from a friend, he sought a second opinion from James D. Luketich, MD, professor of surgery and chief, Division of Thoracic and Foregut Surgery, at the University of Pittsburgh School of Medicine. Dr. Luketich’s assessment was grim — stage IV esophageal tumor — and the survival rate low, but Mr. Sampson fought through surgery and chemotherapy to beat the cancer. He was so grateful that, in 2004, he created the Sampson Family Chair in Thoracic Surgical Oncology, which supports cancer research. A family man, avid outdoorsman, and successful real estate developer, Mr. Sampson was also a philanthropist whose commitment to giving only strengthened after his bouts with cancer (he also fought skin cancer). His wife, Faye Stahl Sampson, was already his partner in philanthropy at the Sampson Foundation; and he also involved his daughters, Katie and Kristy, in his charitable commitments. “After he was diagnosed with esophageal cancer, my father changed,” says Katie Sampson. “He focused even more on how he could make a positive impact in his community. He wanted to instill in us the idea of giving back, so he got Kristy and me involved.” A lifelong resident of western Pennsylvania, Mr. Sampson was deeply attached to his community and worked with area chapters of the Boy Scouts of America, YMCA, and Rotary International. After struggling with cancer, he became more involved with World Vision, a charity focused on the welfare of children, and fund-raised for and went on volunteer trips to South America with the organization. Myles Sampson was diagnosed with colon cancer in 2006, to which he unfortunately succumbed in 2007. His wife and daughters knew they had to continue giving in his name and were thankful to be able to do so through the Sampson Foundation, which Kristy Sampson Rodriguez now runs. While they had already given generously to the School of Medicine; the Heart, Lung, and Esophageal Surgery Institute; the University of Pittsburgh Cancer Institute (UPCI); and created the endowed chair (initially held by Dr. Luketich and soon to be held by Blair A. Jobe, MD, associate professor of surgery and director, esophageal research and esophageal diagnostics and therapeutic endoscopy), Kristy remembers wanting especially to donate to the UPMC Cancer Center’s Patient Assistance Fund. After Mr. Sampson’s death, Kristy and her family organized a fundraiser with her father’s friends and colleagues, generating $35,000 for the fund, which the Sampsons then matched. “Seeing what we went through with my dad — all the surgeries, chemotherapy, doctor visits — it was so hard,” Kristy says. “Emotionally, physically, and monetarily, it’s a huge burden. So, to be able to alleviate some of the financial burden for people who really can’t afford it is great.” In the future, the Sampson Foundation has interest in a different kind of gift to UPCI — one that sustains people’s quality of life during serious illness. Kristy, a yoga teacher, says, “My dad wasn’t into such things. If he couldn’t see it, touch it, smell it, it didn’t exist. But, in his last bout with cancer, I offered to lead him through some meditations, which he accepted. He was willing to do anything just to feel a little better, even if it didn’t promise miraculous healing. We want to look at how to make people’s quality of life better while they’re sick.” Kristy, Katie, and Faye are inspired by Myles, even if his passing is still difficult. “He was a really funny person. I miss his sense of humor and silly comments. He loved history, so even something like driving around town with him was always a lesson,” Kristy says. “He was extremely knowledgeable. You did not want to play Trivial Pursuit against him,” laughs Katie. “He was a great father.” Along with fond memories, these women are thankful to have the tradition of philanthropy that Mr. Sampson began. “It’s devastating that my dad’s not here anymore,” says Kristy. “But, if that’s the case, I’m so grateful that he left a foundation to us to carry on in his memory. It’s great to be able to help people in honor of my dad.” With grateful appreciation for their generosity, we acknowledge the following individual, corporate, and foundation donors whose contributions of $500 or more to the University of Pittsburgh School of Medicine, University of Pittsburgh Cancer Institute, and Western Psychiatric Institute and Clinic between January 2007 and June 2009 have supported us in our academic, research, and clinical missions. Elinor M. Abplanalp Kimberly M. and Peter M. Augustine Russell A. Acevedo, MD Susan and Thomas Aul Evangeline Evelyn and Nicholas A. Beldecos Angela and R. Kevin Adamek Joseph Ayala Elaine Bellin William J. Adams George Clifford Baacke II, MD Gerard Mark Benecki, MD Kathleen B. and Danny C. Aderholt Amber L. Bennett Adrianne Renee Aiken Thelma Ilyas Badwey and Robert E. Badwey, MD Adrianne and Curtis Aiken Bettye J. and Ralph E. Bailey Beverly and Jeffrey Berger Judith L. Albert Clara Baird Mary Murtland Berger Kathryn Albo and Vincent Charles Albo, MD Dr. Evan E. Baker Sondra R. Berk and Robert Norton Berk, MD Revva K. and Earl M. Benovitz Therezia Alchoufete Ruth Anne and Kenneth Raymond Balkey Margaret N. and Howard M. Alex Eugene Bang Patti and Sandy Berman Nicholas James Alfano Robert Baraff, MD Albert Michael Bernath Jr., MD Judith Allen and Thomas E. Allen, MD Walter D. Barker Marilyn U. and Guy P. Berner Ellie and Stewart Barmen James D. Berry III Jewel Damita Alleyne-Morris, MD Caroline and Robert Barmen Emily R. and Ronald Bianchini Jane K. France and Christian Allison Roger L. Barna Gretchen Bicehouse Dr. and Mrs. Ronald C. Allison Jennifer A. and David Barnard Khalid A. Al-Mojil J. David Barnes, Trustee Marjorie Romkes, PhD, and William Lyman Bigbee, PhD Michelle and Andrew Aloe Denise and Raymond L. Barry Jr. Mafalda Alvey Donna and Esteban Amaro Susan J. Bartlett and David L. Bartlett, MD Nitin R. Ambani, MD Eileen Maria Bartolomucci, PhD Marcel Binstock, MD Cheryl and Bruce A. Americus Edward J. Barvick, MD Patter and Thomas E. Birsic Joan G. Ehler Ammer, MD, and John L. Ammer, MD Judy L. Oliver, PhD, and David W. Bash, PhD Huberta F. and C. Scott Bishop Jodi M. Amos and Bryan Blair Amos, DMD Alecia Moyer-Basso and Ronald Basso L. Frank Bittner Jr. Herbert H. Anderson, MD Monette Green Basson, MD, and Geoffrey Hugh Basson, MD Astrid and John Frederick Bitzer III Nicholas E. Andrews ‡Richard W. Antemann, MD Bonnie Bantley Anton and Richard P. Anton, Esq. Linda Fishman Appel Dipak K. Basu, PhD Barbara A. Dappert, MD, and Michael J. Becich, MD, PhD Isabel Lubousky Beck, PhD Yoshio Arai, MD G. Nicholas Beckwith III, Trustee, and Dorothy B. Beckwith Nancy Levine Arnold, MD, and Robert M. Arnold, MD Dennis J. Beer, MD Edward J. Berman, MD Anne H. Bilos and Zenowy John Bilos, MD Renard L. Biltgen John G. Bistolas Charles W. Bitzer Susan Black George M. Blair Mary A. Sorrells and Harry Colbert Blair, MD Ruth E. Blake and ‡ Henry E. Blake Cathleen E. Blanton Estelle Edwards Blanton James Aronson, MD Steven C. Beering, MD, Trustee, and Jane Pickering Beering Robert F. Arthur Renée A. Beitman Patricia Ann Block, MD Charles P. Ashe, MD Elizabeth Ann Marcus, MD, and Ira Belcove Maryrose Benkoski Block and Robert Carl Block, MD Dennis L. Astorino ‡ before an individual’s name indicates the person is deceased Thomas P. Bleck, MD 81 Christine Ann Bloom, MD James I. Bucher, MD Mary and George M. Cheever Leland S. Blough Sr., MD Nancy Haar and Anthony Buffa Patricia Unger Bluestone and Charles D. Bluestone, MD Barbara R. Burger Geneva McKelvey and Steven Andrew Chernus Eva Tansky Blum, Esq., Trustee Mary S. Burt Gertrude Blumenschein, MD Jane and Rae R. Burton Frank Joseph Bobick, MD Nadine E. Bognar Tracy R. Seewald, MD and Steven A. Burton, MD Ramona and Fred W. Bohlander Cynthia S. and Lawrence S. Busch Suzanne and Robert Chute Christopher Adrien Bonnet, MD Sylvia and Sidney Busis, MD Rita and William Ciaramitaro Debby and Daniel Irvin Booker Sara Davis Buss and John W. Buss Jr. Lisa M. Cibik, MD Bernice A. Born Wesley James Buterbaugh Joseph J. Ciocca, MD Courtney B. and Carl W. Borntraeger Carolyn Mentzer Byham and William C. Byham Susan and Alan Citron Sylvia and Gregory Bosner Sarah and Rod Bourgeois Alexia Burland ‡Thomas E. Cadman, MD Shirley A. Chervenick and Paul A. Chervenick, MD John Chirigos Jean Hill Chisolm Roberta Marie Churilla Carl D. Citron Andrea G. and Rodger D. Citron May Boutros and Nihad M. Boutros, MD Frank V. Cahouet, Trustee, and Ann W. Cahouet Carol S. Citron and Stanley Robert Citron, Esq. Barbara I. and Gary K. Bowser Joseph E. Calderone Jr., MD Susan and Michael Boyle Kathryn A. and David J. Caliguiri Tanyia Harrison Clagette and Vaughn Stewart Clagette, MD Stephanie and Michael C. Bozic Dr. and Mrs. Lawrence A. Caliguiri Jean E. and David T. Clark Robert Whipple Bragdon, MD Joseph L. Calihan Connie W. and Bruce T. Cleevely Kathleen H. and James W. Braham J. Glenn Campbell George I. Clendaniel, PE Paula Brand Patricia H. Canfield, MD, and Thomas N. Canfield Mary and Jay W. Cleveland Jr. Paul J. Cardillo Michele McKenney and Charles C. Cohen Michael T. Carenzo H. Adam Cohen Jane M. Carey and John Timothy Carey, MD Jesse J. Cohen Samuel Wayne Braver Laurence Harvey Brenner, MD Barbara F. Caroff Leslie Ann Rodnan, MD, and John B. Cohen, MD Nancy Beranbaum Brent, MD, and David Alan Brent, MD Linda Carpenter Sandra S. and Richard A. Cohen David P. Carrier William George Combs, MD Mr. and Mrs. Damion Carufe Mark Conboy Margaret Anne Carver, MD Tonja and Alex Condron Louise Long Cashion and Robert T. Cashion William S. Conover Earl James Brink, MD Jen and J. Brooks Broadhurst Marie S. Chan and William J. Casp, MD Kelly Conrads and Thomas Patrick Conrads, PhD Sheryl and Jeffrey Sherwood Broadhurst Alvah R. Cass, MD Kelli L. and Robert W. Cook Thomas G. Cooney Sr. Lisa Brooke and ‡ John L.B. Brooke Margaretha L. Casselbrant, MD Richard George Cassoff, MD Charles E. Copeland, MD David E. Brougher, MD Frank Vincent Castello, MD The Estate of Dr. Leon and Mrs. Shelley Corbin Charles Kuang Ming Brown, MD, PhD Michelle Dorsten Catanzarite, MD Nancy Tressel Brown George W. Causey Trust Vera Jane Cornes and Cleon L. Cornes, MD Walter E. Brown Jr. Helen Denny Causey, MD, and Gilbert B. Causey, MD James J. Corrigan Jr., MD Virginia M. Brasuk, MD Paul William Braunegg Jr., MD Barry David Brause, MD Harmar Denny Brereton, MD Ann and Paul Richard Bridges Deborah Brill William O. Brown Jill A. Brufsky, PharmD, and Adam Brufsky, MD, PhD James F. Cawley William F. Cercone Jr. Marietta and Sam A. Cosentino Frank Joseph Costa, MD Joseph J. Cottrell Jr. Seth J. Brufsky Carol Marie Ceriani, MD Tamar Brufsky Robert C. Challener, MD Mary Sheehan Counihan and Peter J. Counihan, MD Stephen C. Bruno, MD Yvonne Ruoh Lei Chan, MD Walter Coury Janet Bryant Manisha Chaudhary and Preet M. Chaudhary, MD, PhD Caryn and Sam Covelli Brenda J. and Michael T. Buchart 82 Barry Maurice Chauser, MD Sharon Norrine Cowden, MD, and Jere L. Cowden James J. Coyne, MD Mary Jayne Becker Cramer and William Glenn Cramer Alida C. DeRubertis and Frederick R. DeRubertis Jr., MD Susan Criep De Santa-Cruz Lowrie C. Ebbert Kimberley Johnson Eberlein and Timothy Joseph Eberlein, MD Laura Lynne Cregan and Kevin M. Cregan, MD Thomas P. Detre, MD Frank H. Dettore Marion Bright Eck and Walter E. Eck, MD Albert A. Crimaldi, MD, PhD Patricia B. and Paul I. Detwiler Jr. Mary Ruth Sampson Eckman Kathleen Nagy Crock and Frederic W. Crock, MD Susan Lea Deutsch, MD, and Melvin Deutsch, MD Barbara B. Eckstein Barbara and Robert A. Crown Kimberly A. and John J. DeWaal Robert Henry Ehrhart, MD David W. Croyder Patricia Ann Dewar and James C. Dewar Susan and Eric Eichler Stephanie Buck Dewar, MD, and James C. Dewar Jr., MD Pamela Abbott Eisner Shirley Frost Diamond and Martin Diamond, MD Michael Emrick John V. Cuff, MD William Martin Curtin, MD Zelda Curtiss Diana L. and Ronald Samuel Cusano Margaret Shadick Cyert Elisa D. Harris and Ivo H. Daalder Ornella Mary Dachille Mildred Danch William E. Danko, MD Eileen D’Appolonia Frances C. Dauber and James H. Dauber, MD ‡Glorianne DiCola Ruth D. Egler Timothy Hammer Eisaman, MD Sylvia M. and Norman L. Elias Nina Encin Marianne B. and John C. DiDonato Perry H. Engstrom Jr., MD William Stephen Dietrich II, Trustee Donna and Brian Ennis Gary Dille Lana K. Ennis and Michael Francis Ennis, MD Gerald L. Dimmitt Elaine A. Dively Lee C. Dobler, MD Barbara A. and Arnold M. Epstein Marlene and Eugene Epstein Eric R. Erlbaum, MD Jamini Vincent Davies Rita L. Doll Malindi Davies Janet O. and William Jacob Donahue Kim G. Davis Thomas R. Donahue Sally A. Lysinger Evans and Terry Lynn Evans, MD Marian Ungar Davis Jean W. Donaldson Greg Ewing Ada and Stanford P. Davis Dr. Thomas Joseph Donohoe James Richard Eynon, MD Nancy Noel Davison and Thomas Michael Davison, MD Kathryn J. Olivier and Charles T. Dooly Gloria L. and Michael Fader Mr. and Mrs. Werner A. Dorig Ralph A. Falbo Jr. John Anthony Dawso Susan S. and Roy G. Dorrance III Jacob Chin-Gong Fan, MD Catherine D. DeAngelis, MD, Trustee, and James C. Harris Robert Henry Dorwart, MD Lisa and Steven A. Fanelli Harlan Neal Douglas, MD Janet C. and Pasquale V. DeBlasio Margaret W. and James R. Douglass Mary Snider Farley and Emerson D. Farley Jr., MD Harakh Dedhia, MD Sarah Downey Jerrold Delaney The Honorable and Mrs. Michael F. Doyle Rose Hammond Delaney, DrPH, and John F. Delaney Jr., DrPH, MD Beth A. Quill DelConte, MD, and Anthony DelConte III, MD Albert B. Deleo, PhD Benjamin P. Dell Geraldine W. Dellenback and Dr. Robert J. Dellenback Nancy B. and Peter V. Del Presto Rita S. Deluzio and Vincent C. Deluzio, Esq. Debra Kline Demchak and William S. Demchak ‡Dolores DeNardo and Joseph W. DeNardo Karen M. Esposito Margot L. Watt and Sebastian W. Fasanello Fiona and Stanley Druckenmiller Karen Wolk Feinstein, PhD, and Steven F. Feinstein Karen L. and Joseph L. Druzak Dennis Donald Ferguson, MD Barbara J. Dull Louise E. Ferguson and Albert B. Ferguson Jr., MD David Duncan Anna and Edward Dunlap Mary Jo and Terry Dunlap Mary Lou and Richard E. Durr ‡Sally Hoffman Durrant, Esq., and Robert Edwin Durrant, Esq. Michael M. Dvorsky Michael T. Dwyer III Pam Dzialowski and Kenneth Joseph Dzialowski, MD Robert Howard Ferguson, MD Lawrence Ferlan, MD Emilio A. Fernandez Arlene Butera Ferrante Mary Ellen Ferri and William A. Ferri Jr., MD Jeffrey D. Ferris Robert Louis Ferris, MD Alan I. Fields, MD Ellen H. and David L. DeNinno Patricia K. Eagon, PhD Julie Filipovich Robert Dennis Lisa Sawyer Earle and Martin F. Earle, MD Richard J. Finder, MD Katherine B. and Armand DeRose ‡ before an individual’s name indicates the person is deceased Caryn Fine, MD 83 Sheila R. and Milton Fine Lisa and Stephen D. Gallagher Lara L. Gorton Janis W. Fink and Mitchell P. Fink, MD Dr. C. B. Gambrell Kurt W. Gottschalk Diane Therese Gowski, MD Virginia M. and Richard L. Fischer Mary Ganguli, MD, MPH, and Rohan Ganguli, MD Ann Yeager Fisher and Henry Fisher Sandra J. and Alvaro Garcia-Tunon Estate of Sarah F. Graf Audrey Hillman Fisher and Timothy O. Fisher J. Henry Gardner Irene W. and Thomas C. Graham Michael Gaviser E. Jacqueline and Guy W. Fiske Joseph Mathew Gaydos Jr. Jennifer Grandis, MD, and Donald J. Grandis, MD David R. Fitzsimmons Mary Flahive Marne B. Geller and Dr. Peter B. Geller Lauren S. Flannery William Dean Genge Bonnie E. Gray and ‡ Jonathan E. Gray Jane C. and Michael J. Fleischauer Anthony Fernardo Gentile, MD Thomas B. Grealish Christy Fleming Jean Malinic Gentile, DMD, and Gary George Gentile Peter J. Greco Carolyn H. Geraci and Anthony R. Geraci, MD Rita Martin Green Kimberly and Curtis D. Fleming Ellen Brockman and Robert S. Flug Carol Ann Foley and Edward L. Foley, MD Donna L. and David A. Gerson ‡Elizabeth Graf, PhD Eleanor Ruth Grant Trust Bonnie Green Jack O. Greenberg, MD Patricia Greenhow Susan Follansbee and William P. Follansbee, MD Sylvia M. and Benjamin H. Getty Renée C. and Clarence Ford Lawrence M. Gilford, MD Robert W. Ford Olive Lee Gilliand Nancy J. and Clifford E. Forlines Martha S. and James A. Gingrich Wendy B. and Stephen A. Fornoff Richard Mark Ginsburg, MD Mary Josephine McKee Groppe and Carl William Groppe Jr., MD Tracy L. and J. Clifford Forrest Joan Boby Gitlin, MD Christine and Gerhard H. Gross Susan and Mark P. Gitomer Barry Grubbs Lee Byron Foster II, Trustee, and Isabel Foster Lisa and Paul Giusti Allen J. Grubman Lewis Glasser, MD James R. Grundtisch Elliott Foucar, MD Frances R. and James E. Glick Lawrence N. Gumberg Jodi L. and Stephen T. Fowler Daniel Glosser I. Ronald Fox, MD Robert Joel Gluckman, MD Marcia Morgan Gumberg and ‡ Stanley R. Gumberg Robert I. Fragasso J. Roger Glunt, Trustee, and Lee Glunt Nilakshi Gupta, MD Michael S. Francis Paul Francis, MD John Joseph Godleski, MD Sara and Alan R. Guttman Barbara E. Frates Carlotta M. Goetz Ralph J. Guzzo Sr. Thomas and Patricia Frauenheim Emily J. and Richard J. Goldberg Joel Edward Haas, MD Christina C. Friday and Gilbert A. Friday, MD Sally Weigler Golden and Thomas B. Golden Jr. Gregory S. Haberland Cynthia Aberman Friedman Mark Richard Friedman, MD Susan Pachtman Goldman and J. P. Goldman Lucynda R. and Henry L. Friel Jr. Stanley H. Goldmann Lynn Hudson Hale and Wayne Andrew Hale, MD Mr. and Mrs. Thomas P. Frizzell Lillian and Kenneth Goldsmith Thomas E. Hales John J. Fromen Jr., Esq. Jane and Neil Golub Vicki B. Hall Allison Fromm Paul Gongaware Anthony Halli Hilda Pang Fu and Freddie H.K. Fu, MD Ellen R. Goodman Mr. and Mrs. Bernard J. Hamilton Sandra Green Goodman and Lee S. Goodman L. Malcolm Hamilton Margaret Baldwin Conroy and Adam Joseph Gordon, MD Carol D. Hamilton and S. Sutton Hamilton, MD Shadely and Robert A. Gordon Dr. John Hampton Katie and Tucker Gordon Jennifer L. and John M. Hanley Ruth A. Modzelewski, PhD, and Michael C. Gorry Mary Forbes Hanna and ‡ Dwight C. Hanna III, MD ‡John Fortney Frank B. Fuhrer Jr. Kathryn Ann Fuhrer Robert Scott Furman, MD Jill Fusaro Barbara A. Gaines Richard C. Galiardo 84 Lesley Irene Gilbertson, MD Alan Greg Greenwald, MD Mary Jane and Carl G. Grefenstette Sara Margaret Bradley, MD, and Jeffrey R. Grieb Mr. and Mrs. R. P. Gustafson Margaret C. Hagberg, MD, and William C. Hagberg, MD Nancy Hamilton Gretchen Seitz Hansen Meredith and Kenneth S. Hilton Bernadette Frances Jabour, DO Loretta L. and Thomas M. Hanwell Charles B. Hintz Lori Z. and Thomas M. Hardiman Stanley A. Hirsch, MD Irene S. Jackson and James Fraser Jackson, MD Wilma Harkins and Hugh H. Harkins, MD Jean Hitchcock and John Hitchcock, MD Timothy D. Jacob, MD Duilla Puckett Harkins and Paul Duane Harkins, MD William A. Hite Jean and Samuel Jacobs, MD Jeremy T. Harper JoAnn Virginia Narduzzi, MD, and James D. Hockenberry Sandra L. Jaeger and Edward A. Jaeger, MD John L. Harrington, MD John Andrew Hodak, MD Dana and Franco Harris Ulton G. Hodgin Jr., MD Joyce Swartz Janeway and Timothy Janeway, MD C. Scott Harrison, MD Robert M. Hoffman Gineen A. Jarnevich Timothy Paul Hart, MD Cecilia McCartney Hofmann and Douglas Joseph Hofmann, MD Cecelia S. and Frank G. Jaworowski David Jacobs, MD Mary A. and George H. Hogarty Rosemarie Conte Jew and Edward Walter Jew Jr. Caryn Hasselbring, MD Susan S. Hogarty Eugene C. Johnson Lathe Haynes, PhD Kathleen N. and Lawrence P. Holleran Deborah B. and Milford L. Hazlet Laybn Hollis LaVonne Corley Johnson and Glen Johnson Londa and Grayson G. Heard Brenda F. and Gary S. Holter Brockton J. Hefflin, MD Sy M. Holzer, Trustee, and Cathy E. Holzer Peggy B. Hasley, MD, and Stephen Kinneman Hasley, MD Ruth Champlin Hefflin Geraldine M. Heibel and Richard Herman Heibel, MD Elmer J. Holzinger, MD Audrey Heidenreich and Fred P. Heidenreich, MD Anthony Horbal Edward William Heinle Jr., MD Robert F. Horsch, MD Sherry Marks Hellman and Martin Gary Hellman, MD Harriette Mathilda Horst, MD ‡Theodore R. Helmbold, MD Stephen Randall Holzman, MD Thomas O. Hornstein Jean L. Hort Julie K. Johnson Barbara C. and Lee Johnson Sarah H. and Lewis K. Johnson Gail Olitzky Johnson and Robert Riley Johnson, MD Susan J. Johnson Derlie and Fred B. Johnston II Gerald Samuel Johnston, MD Susan S. Johnston and Michael V. Johnston, MD Marilyn S. Johnstone and Graham Findlay Johnstone, MD Heidi and Robert E. Heltzel Janice L. Horwitz and Raymond L. Horwitz, MD Jane and James R. Helvey III Thomas B. Hotopp Barbara K. Hench and ‡ P. Kahler Hench, MD Margaret Ferry Houston, Esq., and John D. Houston II Jeffrey Lloyd Hendel, MD Susan W. and W. D. Howell Roberta E. Bauer Henkel, MD Lori Sobel Jubelirer and Brad Allen Jubelirer, MD John W. Hoyt, MD Sarah J. and C. Talbot Heppenstall Jr. Kevin David Judy, MD Joan R. Huber Harriet L. Herberman and Ronald B. Herberman, MD Diane and John B. Juve Howard L. Hudson, MD Sharona and Richard Juve Samuel Lawrence Huey Walter H. Juve Lynn M. and Steven J. Hughes Warren T. Kable Jr., MD Rebecca Prevost Hughey, PhD, and Charles Douglass Hughey, PhD A. Richard Kacin Howard Herberman, MD Sheila Herberman Peter John Karlovich Jr. and Steven R. Herforth Susan S. Hershenson and Lee M. Hershenson, MD Ellen and Warren Hulnick, DDS Richard A. Hundley Clyde B. Jones III ‡David William Jones, MD Davis Benton Jones III, MD Sharon and James S. Kaczynski Gwen A. and George Kaftan Isabelle Hertig, MD Myrna S. Hundstad Gayle Tissue and Yiannis Kaloyeropoulos Susan B. and David H. Hicks Stephen Warren Hunt III, PhD Suneet Kamath Dawne S. Hickton, Esq., Trustee, and David J. Hickton, Esq. Hollis T. Hurd Elaine Scheiner Kamil, MD, and Ivan J. Kamil, MD Tracy G. and J. Craig Hill Elizabeth A.Q. Huwar and Bryan Dylan Huwar, Esq. Carole and Daniel G. Kamin Maya Singh Hyland and William S. Hyland Elizabeth C. and Robert W. Kampmeinert Calvin IIda, MD, PhD Timothy L. Kane Mary Lee and Joe R. Irwin Robin Kanselbaum Margaret M. Hill and Jack B. Hill, MD Shirley Y. Hill, PhD Mary L. and Thomas M. Hill Shirley Hillegass William Talbott Hillman Eugene Hunter Hurst III Robert J. Kaminski, MD Dana Ellen and Larry S. Ivanco ‡ before an individual’s name indicates the person is deceased 85 Diane M. Faust and Barry C. Lembersky, MD Marianne Kanzius and ‡ John Kanzius Richard P. Krieger John Steven Karduck, MD Patricia Dowley Kroboth, PhD, and Frank J. Kroboth, MD Randolph D. Lerner, Esq. Francine Stein and Samuel S. Kasoff, MD Pamela and Scott Kroh Alan David Levenson Nancy Joan and Edward M. Krokosky Linda and Frank Kass Debra Caplan Levenson and David Jeffrey Levenson, MD Michele I. Kass Muriel E. Kropelin and James J. Kropelin, MD Greta Kassam and Amin Kassam, MD Carol A. and Leland H. Krotzer Robert C. Levin Patricia J. and William Kassling Beth E. and Michael R. Kuhn Sally M. Levin Neil Matthew Kassman, MD Cynthia Roth and James Vachon Kunkel, MD Ruth E. Levine and Arthur S. Levine, MD Rita Karp David Leland Katz, MD John Daryl Kristofic, MD Barbara K. LeStage Sandra and Mark Levin Nancy R. and John H. Kunkle Jr. Barry Levine Sally E. Kay George Kurtanich Claire and Lawrence Levine Amy M. and Dennis J. Kelleher Stephen C. Kusen Lois Galtz Levy Charles Francis Kelley Jr., MD Olabisi Olajuyin Kuye, MD Samuel Levy Kimberly Kelley and Edward Sean Kelley, MD Linda B. Kuzon and William M. Kuzon, MD, PhD Stanley Hurwick Levy, MD James E. Kelly, Esq. Thomas A. Labert Seena Goldman Lewine and Robert A. Lewine, MD Nancy and Donald R. Kennedy Susan Pace and Jeffrey Labovitz Anne Lewis Margaret Ann Kennedy and Francis B. Kennedy, MD Sheri S. Labovitz, Esq., and Steven Jay Labovitz, Esq. David A. Lewis, MD Nancy E. Davidson, MD, and Thomas Kensler, PhD Rebecca Lahniche Julia S. and Scott A. Lewis Margaret S. Lally, MD Sebastian Lewis Susan Lynne Kerr, MD Paul David Laman, MD Barbara Ann Kerwin, MD Susan and Scott M. Lammie Barbara Barnes, MD, MS, and Richard Ley Patricia A. Kettering and Donald L. Kettering, MD Frances S. Lancaster and Stewart L. Lancaster, MD Gauri J. Kiefer, MD, and Jan F. Keifer Michael Jay Landay, MD L. Robert Kimball Rhonda K. B. Landis, PhD, and Timothy Donald Landis, MD Kerry J. and David Liles Margaret Ann and Maxwell E. King Mary Rita King Alyson and Kenneth Lane Linda Sue and Eric Limbach Kathryn U. and Cary H. Klein Ann Marie Langerholc Carol and Mark Limbach Anne Marie Czyz-Klemens, DMD and Lee James Klemens, MD Mary C. and William B. Larkin Agnes Alice Lina, MD Valerie K. Larson and Arthur King Larson, MD Judith and Ronald Linaburg ‡Virginia Kaufman Barbara Kleyman and Thomas Ralph Kleyman, MD Robert J. Lewis Nancy and Henry M. Liao Cynthia P. Liefeld, PhD, and Paul Albert Liefeld, MD Brian Limbach Mary Laska Elizabeth R. Linhart and ‡ William O. Linhart Jr., MD Anthony Eloy Kline, PhD Timothy S. Laux Marion N. and Anthony M. Liotta Howard Allan Klions, MD Mark R. Leadbetter, MD Rebecca Lipman Esther Klionsky and Bernard Klionsky, MD Christi L. Lebak Kevin Leckenby Shelley Lipton, PhD, and Jeffrey Marc Lipton Donna Winovich Knisley and Eric Franz Knisley Patricia and Thomas LeClere Gordon Lisker Alberta M. Lee Frank Liu Byeong Chel Lee, PhD Shelby and Russell Livingston Sharon Lee and Kenneth K.W. Lee, MD Mary M. Lee Penny Loeb, MD, and John M. Loeb, MD Michael H. Lee Howard Loevner Kathleen M. Lee and Robert E. Lee, MD Catherine and Mark H. Loevner Freya Elizabeth Hory Lee, PhD, and William Lee, MD Virginia C. and James R. Loftis Sr. Paul E. Lego, Trustee, and Ann Sepety Lego Anna Lokshin, PhD Rex W. Knisley Koch Family Valerie R. Koch Denise Marie Kochanek and Patrick M. Kochanek, MD Beth Ann Hellerstedt, MD, and Darren Kocs, MD Karen Lyn and Tyler Kohn John Francis Kraus, MD Janet and Karl F. Krieger 86 Terri and Timothy Logan ‡ before an individual’s name indicates the person is deceased Richard Raizman, MD, (top right) and colleague Tsetan Sadutshang, MD, MPH, (left) talk with a patient at a clinic in Bir, Northern India. The Raizmans’ Path D orothy Raizman always knew that life with her husband, Richard Raizman, MD, would be interesting. Early in their marriage, after Dr. Raizman’s third year at the University of Pittsburgh School of Medicine, she accompanied him to Jamaica, where he worked as the sole physician in a small town called Junction. He was there under the auspices of Frances “Penna” Drew, MD, of Pitt’s then Department of Community Medicine and sponsored by a public health fellowship. “We lived in a 10-by-10 room in a farmhouse with a pig outside our window,” says Mrs. Raizman. “Patients paid 20 cents to see Richie. People walked for miles to the clinic, carrying Coke bottles containing their urine samples.” Equipped with only a stethoscope, Dr. Raizman honed his physical diagnosis skills. On Wednesday evenings, he held a men-only clinic where he played Elvis Presley tunes on his guitar in an effort to entice the young men and convince them to bring friends to undergo testing and treatment for gonorrhea — all to the sounds of rock ‘n roll. He never left until the last patient was seen. “The whole experience gave him a sense of being a physician, and it was a thrilling to watch him,” Mrs. Raizman says. The Raizmans’ experience in Jamaica speaks to the kind of doctor Richard was. His desire to serve patients led to his developing, with his colleague, Frank Costa, MD, one of the first outpatient surgical centers in Western Pennsylvania (Dr. Raizman, a gastroenterologist, believed that procedures like endoscopies and colonoscopies were easier on patients if they happened somewhere other than in a hospital but in a place that could still offer anesthesia and patient monitoring). Dr. Raizman’s love of helping people in developing nations led him to work with Tibetan refugees in Dharamsala, India. He volunteered his medical services and met and taught the art of endoscopy to the Dalai Lama’s physician, Tsetan Sadutshang, MD, MPH, with whom he formed a deep and lasting friendship. “The first time he traveled to Dharamsala, he arrived at the airport in Delhi at 2 a.m. and was led to an airplane that looked like a museum exhibit,” Mrs. Raizman recalls. “He boarded reluctantly but was more confident when a party of monks, led by Tenzin Gyatso, the Dalai Lama, boarded. All went well from there.” In subsequent trips, he visited monasteries in the south of India and near the border with Pakistan, each time identifying and treating patients’ ailments and taking biopsies, which were evaluated for him at UPMC and used as the basis for subsequent treatment. He passed on his love and knowledge of working in other countries to medical students at Pitt — where he sat on the Board of Visitors and was a clinical professor of medicine — by supporting an Area of Concentration in Global Health in the School of Medicine. The Raizmans created a scholarship for medical students and made a gift to the medical library. Then, Arthur S. Levine, MD, Pitt’s senior vice chancellor for the health sciences and dean of the School of Medicine, proposed a gift that addressed Dr. Raizman’s desire to both give to Pitt and address issues specific to developing nations — a vaccine research and discovery lab in Pitt’s Biomedical Science Tower 3. In addition to giving to Pitt, Dr. Raizman took up polo and began Polo for the Cure, which raised more than $1 million for the Leukemia and Lymphoma Society. True to his liberal arts background (a rarity in his med school class), Dr. Raizman was both a reader and a writer (he read history voraciously and wrote short stories and poetry), as well as a builder of model ships and a home carpenter. Dr. Raizman was diagnosed with neuroendocrine cancer and cared for by Kenneth K.W. Lee, MD, and J. Wallis Marsh, MD, both in Pitt’s Department of Surgery, who relieved him from cancer for years at a time so he could continue the medical work he loved so much and live an active, full life. Mrs. Raizman, in fulfillment of her husband’s wishes as well as her own, has arranged for a planned gift to the School of Medicine to establish an endowed chair in the Department of Surgery honoring Dr. Marsh. Dr. Raizman died of neuroendocrine cancer in late 2009 and left his family, medical community, and friends around the world with cherished memories — none more so than Dorothy, his wife of 42 years. “My husband could not be still,” she says. “He directed his energies to that which he cherished — his profession and humanism in all its forms.” 87 Linda M. Cadaret, MD, and Barry London, MD, PhD Alvin Markovitz, MD Debra S. Marks Anne Bahr McConnel and William O. McConnel Deborah C. and Dewey L. Long Stanley M. Marks, MD Tracy and Ted H. McCourtney Mary and Ronald E. Long Grace F. and Kevin J. Markum Leah M. McCullough Joan Harvey, MD, and Michael T. Lotze, MD Frank Irwin Marlowe, MD Andrea K. and Jerry M. McCutcheon John Charles Marous Jr., Trustee, and Lucine O’Brien Marous Michelle M. McDermott Jane V. and Howard M. Love Diana Love and J. Robert Love, MD, MSci Helen B. and Curtis R. Marquard Dr. Joseph V. McDonald Mignon J. and Waldemar J. Love Marian K. Marquis, MD, and William Edward Marquis Robert H. McDonald Jr., MD Donald J. Lovre Barbara F. and Bernard Mars Mary C. and William M. Lowry Audrey A. and Gerald E. McGinnis Peter Mars Jane Love McGraw and James H. McGraw IV ‡Miriam Erlich Lubow and ‡ Harry Lubow, MD Amy Krueger Marsh and F. Joseph Marsh John W. McDonald Jr. Barbara S. and William M. McGee Annette M. and Gary R. Luchini Joan Marshall Carol Zord McGrevin and Gene R. McGrevin Lynn and Robert V.D. Luft Sheldon Marstine Harriet G. McGuire Bradley Rene Martin, MD Christine Louise McHenry, MD, MATS Jacqueline A. and David Martin Consuelo H. McHugh Douglas J. Martin, MD Timothy A. McHugh, MD Virginia M. Martin and William Thomas Martin, MD Linda and David McKamish ‡Clara Luitz Christine Luketich and James D. Luketich, MD Niels Lund, MD Julianne M. Lunsford and L. Dade Lunsford, MD F. L. Lunson Mrs. Josephine B. Martinez Julie S. McLaughlin and Mark R. McLaughlin, MD Sherwood S. Lutz Gail Reede Jones, MD, and Mr. Jesse Mason Martha H. McLaurin Samuel S. Lyness, MD Myrna and Mark Mason Anne and John Maaghul Lynn Marie McMahon Darlene and Jack Mascaro Kathryn L. Macielak and James Rudolph Macielak, MD Alina Sanson Massaro and Joseph A. Massaro III Kathleen K. McMillen and Robert E. McMillen, MD Marjorie L. Maclachlan and William W.G. Maclachlan, MD Carolyn and Joseph Massaro Doreen Ann and John L. MacMillan Jerry Brian Magone, MD Lisa S. and John F. Magoun ‡Ruth Snyder Masters, MD Barbara A. Mateer, Penny Mateer, and John Mateer ‡Norman G. Mathieson, MD Deborah D. McMahon, MD ‡Jane Dee McNamara Kathleen Welsh McSorley and David McSorley Jeri and Michael Medress Anne R. Medsger and Thomas A. Medsger Jr., MD Reena Mahal and Baljeet S. Mahal, MD Peter F. Mathieson Withrow W. Meeker John Francis Mahoney, MD Susan M. and Geraldo John Matos David W. Mehlman Silva Arslanian-Makaroun, MD, and Michel S. Makaroun, MD David Michael Matter Hagai Meirovitch, PhD John Thomas Matthews III, MD Linda S. Serody and Alan Meisel Jean-Pierre Maurandy Ray Mekis Raymond J. Mauro John W. Mellors, MD Jane B. Maxwell Stephanie Wolk Mendel Rebekah Mazariegos and George V. Mazariegos, MD Emily Solomon Mendelson Frederick S. McAlpine, MD Patricia R. and Raymond Merena Clyde Edward McAuley, MD Mr. and Mrs. Michael M. Metz Jackson Howard McCarter, MD Beth and Robert W. Meyer David E. Malehorn, PhD Albert Malhmood Sharon Malley Stephanie F. Mallinger and Bernard Mallinger, OD Nancy and David J. Malone Richard Weaver Maloney, MD Carole J. Mankin and Henry J. Mankin, MD Barbara S. Mendlowitz Julia Rose Fielding, MD, and Keith Pinkney Mankin, MD Janet M. and Dennis C. McCarthy Richard M. Mann, MD Bruce A. McClane, PhD Don F. Manns A. Gregory McClure, MD Philip J. Migliore, MD Barry Edward Marchetto, MD Kathryn Kraus, MD, and Jonathan Knight McClure, MD Enrico Mihich, MD Marsha Davis Marcus, PhD, and Bernard David Marcus 88 Edward J. McClain Jr., MD Leslie Merrill McCombs Kate Meyers and James Meyers, MD ‡Jean Kaiser Migliorato, MD, and Dominic Migliorato Catherine P. Miklos and ‡ Bernard George Miklos, MD Dr. Bonnie L. Milas and Leo Joseph Milas Patricia A. Petrick, MD, and William W. Mullins Jr., MD Patricia L. and Philip W. Osborne Douglas Millar Dr. Marie R. Baldisseri and Srinivas Murali, MD Jonathan Ostroff Victoria Dunaevsky, MD, and Andrew D. Miller, MD Cedric B. Miller, MD Mr. and Mrs. Albert C. Muse Thaddeus A. Osial Jr., MD Saundra K. and Eugene J. O’Sullivan John Edward Ott, MD Linda Perlstein and John Miller Norma Jane Duncan Musgrave and Ross H. Musgrave, MD Kevin Miller Michelle and Darell Myers Kit and Arnold Palmer Thomas Kevin Miller, MD Lou René Myers and ‡ Gilbert Bradford Myers, MD Cathie M. and Raymond L. Palmer Tim Alan Miller, MD Laura Anne Pallan, MD Susanne M. Gollin, PhD, MS, and Lazar M. Palnick Marie F. and Arthur D. Miltenberger Marlee S. Myers, Esq., Trustee, and James R. Myers Frances Fraher Minno, Esq., and ‡ Alexander M. Minno, MD Barbara Deutsch Nadel and Alan Marc Nadel, MD Mary Panitch and Howard Barry Panitch, MD Mary J. Nagel and John Robert Nagel, MD Louis A. Paonessa Janet Lynn Misko Joan W. and Thomas E. Mistler Shana Robbins Neel Paul M. Paris, MD Nancy M. and Paul H. Mitchell Janet Rae Nelson David Parizer Thomas Anthony Modesto, MD Mr. and Mrs. Danny Kevin Park Lester R. Mohler, MD Dana Schaer Nestel and Daniel A. Nestel Rich R. Molcany James Allan Newcomb, MD Rudy Molnar Barbara Deriso, MD, and Donald H. Newman ‡Joseph Vincent Mirenda, MD Susan and Steven L. Monteverde Ruth M. and Edison Montgomery Kim and Jeffrey L. Moody Tracy Marie Moore, MD, and Jason E. Moore Margaret Palumbo Vicki Parada Michelle R. and Adam S. Parker Lisa and Mark Pasquerilla Maya S. Patel and Subodh G. Patel, MD Patrick Newton David Brice Patrick, MD Jean Swope Nickeson Susan and Alan Patricof Sandra and Clark Nicklas Kathleen and Demetrios T. Patrinos Laura J. Niedernhofer, MD, PhD Jeannette South-Paul, MD, and Michael D. Paul, MD Billee Gambill Moore and John H. Moore, MD Theresa L. Whiteside, PhD, and ‡ Thomas H. Nimick Jr. Yuan Chang, MD, and Patrick S. Moore, MD, MPH Eliot and Wilson Nolen Frank H. Pearl Marjorie J. Nord and Roland E. Nord, MD Barbara B. Pearson Beatrice and Samuel Moore Delynne J. Myers, MD, and John Jefferson Moossy, MD Michael Francis Moran Flo Mae Moravitz and ‡ Stanley Moravitz Jerald A. Moreton Beth Edwards Morgan and ‡ W. H. Morgan Devra Lee Davis, PhD, and Richard D. Morgenstern, PhD Janet and Donald I. Moritz Diane L. Moritz and Michael Joseph Moritz, MD Chancellor Mark A. Nordenberg, JD, Trustee, and Nikki Pirillo Nordenberg, PhD Suzanne O. Paul and Richard Paul, MD Margaret Mary Mateer and John R. Pearson Laure Croisille Peault, MD, PhD Carrie Elderkin Pecci and Gene Pecci Sharon Wilson Nystrom and Joel Erik Nystrom, MD Donna Lucas, MD, and Ronald V. Pellegrini, MD Jeff Oberg Mr. and Mrs. Ernest C. Pepples Jr. David Lee Obley, MD Alfred A. Perfett, MD Thomas J. O’Brien and George A. Griffith Perlow Family Elaine Pauley Oddis and Chester Vincent Oddis, MD Margaret Hall Offenbach and Jack Offenbach Dolores Nejak Perri and John A. Perri, MD Anita and Tony Perricelli Dino S. Persio Margaret Okonak D.N. and Solon A. Person III Joanne R. Oleck, MD Gertrude and John Petersen Lois A. Pounds Oliver, MD Anne Marie and William B. Petersen James A. Olsen William A. Petit Jr., MD Eric C. Olson Carolyn N. Pfefferle Nancy T. and Carl R. Moulton Phyllis J. Olson William C. Pfischner Jr., MD Dennis Mrdjenovich Sally Ann Johnson O’Malley and Bert William O’Malley, MD Linda P. and Kenneth R. Piercy Brian J. O’Mara Anne M. Pilewski and Joseph M. Pilewski, MD Constance T. and Bruce W. Morrison Perry and Bee Jee Morrison Faye and Dennis D. Mosco Marlene R. Moster, MD, and Mark Moster, MD Ernest J. Mrozek Donald M. Mrvos, MD Mark B. Orringer, MD ‡ before an individual’s name indicates the person is deceased Paul W. Pifer, MD 89 Wendy L. and Darryl E. Pingor Lillian Spang Rath Preeti and Ivan Pinto Marilyn Rattner Sharon Semenza and William Robinson Beth Holly Piraino, MD, and Paul Martin Piraino Raymond S. Raveglia Janet C. Rocco Lucile T. Rawson and Ian Grant Rawson, PhD Judith T. and Paul Andrew Rockar Jr. Sally and John Pirris John Pitarresi Maria and Fred P. Raymond Jane Roesch William H. Pitts, MD James Irving Raymond, MD Ann A. Rogers Mikhail Pivtoraiko Brian John Rayne Paul L. Rogers, MD Diane Marie and Michael P. Pochron Leslie and Mark E. Re Cynthia L. Poknis Sandra B. Rogers and ‡ Robert M. Rogers, MD Rosalie Barsotti and Tony Poli Paula M. Ferkull and Walter M. Rebovich Bruce Edward Pollock, MD Alexa and Mark Recchi Brian Ponty Susan H. Redfield and John Alden Redfield, PhD Barbara G. Poolos and C. James Poolos, MD Kristy Sampson Rodriguez Mr. and Mrs. Jeffrey A. Romoff Patricia Regan Rooney and Daniel M. Rooney Daniel L. Root Geoffrey Porges Mary Jane Reed, MD Barbara M. Rosenbach and Loren M. Rosenbach, MD Margaret V. Ragni, MD, MPH, and Frederick L. Porkolab, MD Candy and John C. Regan Joyce Rosenbaum Donna Marie and Anthony C. Rego Linda and James P. Rosenbloom Dr. and Mrs. Everett Francis Porter Thomas Merrill Reich David Leonard Rosenfeld, MD Helen and Henry Posner Frances Finn Reichl, PhD, and Eric H. Reichl Louisa S. Rosenthal Marsha M. Reichle Ellen Ascherman Roth, PhD, and Loren H. Roth, MD, MPH Janet M. Potter and Robert H. Potter, MD Cavan M. Redmond Lou Ann and Gregory D. Ross Stephen R. Powers Louise Reigh and Ernest E. Reigh, MD Veronica McClay Pratt, MD Scott Curtis Reinhart, MD Richard F. Prince Oscar M. Reinmuth, MD Jo Ann Scubelek-Prushinski Leo A. Ressa Janet P. Pry James Caldwell Rex Jr., MD Edward Vincent Puccio, MD Kristen and Richard J. Reynolds Farrell Rubenstein, Trustee, and Nancy Rubenstein Sally and Bryan S. Putt Barry Richard Reznick, MD Dorothy Duncan Ruhe Joann Hawkins Queenan and C. J. Queenan Jr. Judith and Russell Riben Kathleen M. Ruiz Margaret Rice Donald H. Quint, MD Margaret S. and Robert G. Runnette James H. Rice Mindy Goldstein Rabinowitz and Jay Steven Rabinowitz, MD Judy Ruskin and Stanley C. Ruskin Betty Sue and Larry Rich Alan J. Russell, PhD Ronald Rabinowitz, MD ‡Miriam Renton Richards Diane Dick Rowe and Clifford Ray Rowe Jr. Nancy Rozendal Jeffrey Rubenstein Cindy and Andrew Russell Anthony Ricottone, MD Jane Curle Rust and James O. Rust Sharon A. Riddler, MD Abby and Reid Ruttenberg Jonathan S. Raclin Carol J. and Patrick R. Riley Carita H. Ryburn Joseph Radic Carl L. Rinaldi Gary E. Ryker Beth Rahko and Peter S. Rahko, MD Beth Ann Day and Benjamin Rinzler David Lee Sanford Ryon, MD Dorothy Lowenthal Raizman, Esq., and ‡ Richard Eric Raizman, MD Mona and Robert W. Riordan Richard J. Saab, MD Ellen and Arnie Rissman Antonio Sacconaghi Rosemarie M. Rajasenan and Kiran K. Rajasenan, MD Peter D. Ritter Ester M. Saghafi Shankar Ramchandran, PhD Jennifer G. Gotto, MD, and Mark Roberts, MD Drs. Lois J. and Jurg X. Saladin Sidney Graydon Ranck Jr., MD Marc B. Robertshaw Robert Peter Randall, Trustee, and Rita M. Randall Tara A. and Bryan J. Robertson Paula Milner Rachelefsky and Marvin Alan Rachelefsky, MD Barbara Burnham Rankin and Fred Martin Rankin III E. Annette Robertson, MD, and John Joseph Robertson, MD Joseph Salkowitz, DMD Adrian A. Salmon Martin Salomon Marc Alan Saltzman, MD Mavis Jean and Norman Robertson Anne F. Sampson David Rath Stephen G. Robinson Kim and Ben Sampson Diana Mrvos Rath and Frank Eugene Rath Jr. Sylvia and Donald M. Robinson J. Faye Sampson 90 Pablo Jose Sanchez, MD Michael L. Santella, PhD Robert W. Santillo Athena Sarris and ‡ Frank Sarris Salvatore J. Savarino Janice Marie Savinis Teresa M. Savolskis Frances Bartosiewicz Saxon and George E. Saxon Sr. Dr. John Joseph Schaefer III Marion Weinman Schafer and Irwin A. Schafer, MD Joanne A. Schaub and David Harry Schaub, MD Mikell and A. William Schenck III Jodi Segal Sherber, MD, and Aaron Sherber Kenneth James Spangler Gene Victor Sherman, MD Elaine Specter, Esq., and Howard Alan Specter, Esq. Patricia M. Sherry and Michael McClain Sherry, MD Cynthia Maher Shestak and Kenneth C. Shestak, MD Balu B. Shetty Suzanne W. Shilling and Jack Walther Shilling, PhD Elizabeth A. and Eric A. Shiring Josephine Ollu Shively and John G. Shively, MD Ivan A. Shulman, MD ‡Sherman H. Siegel Angela More Scherder and Edward Anthony Scherder, DMD Patricia L. and Alan L. Siger Nancy Bernstein and Robert E. Schoen, MD, MPH Ben Silverman Melvin Jay Schorin, MD Virginia and Richard Simmons Bonita D. Schultz and Edward D. Schultz, MD Karen Shakoske and Henry Simonds Daniel G. Schultz, MD ‡Maxine W. Schultz Nancy McGuire Schwab Robert Louis Sciulli, MD Allan G. Scott, MD Evelyn Steranka Scott, MD, and Craig H. Scott, MD Marilyn Scott and ‡ John Harvey Scott, MD Meg and Gregg Searle Bonnie Seaton Laura Jean Sill and David C. Sill, MD Joseph S. Silverman, MD Juliet Hillman Simonds Gayle and William H. Simpson Gurmukh Singh, MD, PhD, MBA Elizabeth C.B. and Paul G. Sittenfeld Diane Mary Sixsmith, MD Jeffrey Wayne Spear, Esq. A. Lawrence Spencer C. N. Spencer Mary Jo and Frank M. Spinola Pamela L. Sprague Marie and Kevin J. St. Pierre Diane Dalton Stajduhar and Karl Conrad Stajduhar, MD Patricia D. and John A. Staley IV Christine Stanko Marisa Schmitt Steele, MD Paulette Paulakos Stefanik and David Francis Stefanik, MD Frank C. Steffan Lorene and Ronald C. Steffes Herbert Stein, MD Barbara J. and Louis A. Steiner Sharon and Adam Steinfurth Teresa Marie Steinkirchner, MD Deborah Shapira and Barry Stern, PhD Michael A. Stevens, MD Andrew Fyfe Stewart, MD Richard V. Skibbens, MD Marcia Stewart and Mervin S. Stewart, MD Mary Gluth Skubak and Richard Skubak Mary N. Stewart Sharon L. and Robert F. Slagle Jewel M. Slepchuk ‡Charles R. Sloan, MD Denise M. Stilley Lavina J. and Glenn E. Stinson Deborah M. and Gregory A. Storch H. Donald Stork Mary Kay Sedlacek Carol Ann Slomski, MD Darcy L. Sefer Robert Nathan Slotnick, MD, PhD Elizabeth Segel and David P. Segel, MD Nancy L. and James Smail Tracy and Evan J. Segal William E. Smeal, MD Susan L. Seigel and Charles J. Seigel, MD Bradford Davison Smith Jr., MD Stewart Sell, MD Jeanette Niemeyer Smith and Jan D. Smith, MD Nancy Nan-Szu Sun, MD Robert A. Sendall Katherine A. Servich Daria N. and R. Mark Smith Robert John Swansiger, MD Pat Shaffer and Theodore N. Shaffer Stephen Helmle Smith, PhD Cindy L. and David P. Swanson Joan D. Shanahan Sally M. and Lee F. Snyder Jennifer Swanson Christine and Thomas Shapero Rebecca C. Snyder Michael D. Swanson, MD William Guy Sharra, MD William I. Snyder Marcia H. and Perry R. Swanson Diana Kay Lemley, MD, and Paul Larew Shay, MD Irvin Quick Sobel, MD Nancy M. Swensen, MD, and Harold E. Swensen, MD Barbara and Herbert Shear Martin D. Sokoll, MD Finbar Sheehy Lenette M. Solano and Francis X. Solano Jr., MD Gracia Sheptak and Peter E. Sheptak, MD James W. Smith Jr., MD Judith Soberman, MD Nancy Story Somers, MD Jean C. and Charles J. Stout Carol A. Strausbaugh Kimberly Williams Streiff and John Joseph Streiff Jr., MD Victoria D. and Daniel Joseph Sullivan III Mark Surles Richard W. Sweringen ‡Charles M. Swindler Jr., MD Evelyn Oshinsky Talbott, DrPH, and John B. Talbott, MD Raymond V. Sozzi ‡ before an individual’s name indicates the person is deceased 91 Carol and Gene McGrevin The McGrevins: Doing What They Love A s far as life has taken them, Carol and Gene McGrevin have traveled together. They met at a high school in Pittsburgh; married in their senior year at the University of Pittsburgh; and, though they have now lived far from Pittsburgh for many years, they remain rooted to the University — not only as alumni but as a couple who are deeply committed to bettering the lives of others. The McGrevins have made contributions to the University that reflect significant parts of their lives. Some of their gifts include a scholarship for School of Education students named after Dr. McGrevin’s parents, Lois Lyden Zord and the Honorable Joseph Zord Jr. (Carol has a PhD in education.) Dr. McGrevin’s mother, also a Pitt alumna, was an educator and inspired her daughter to become a teacher, principal, and assistant superintendent before working in higher education. Mr. McGrevin has worked extensively in the business area of the health care industry, which sparked their interest in creating the McGrevin Postdoctoral Award for a student in the Department of Critical Care Medicine. They also established a trust that enhances the existing Zord Endowed Scholarship in Education and supports the School of Medicine in cancer research and scholarships for students specializing in cancer research or radiology. 92 The McGrevins’ gifts to the School of Medicine reflect another personal tie to the University. Dr. McGrevin’s mother was diagnosed with breast cancer in the 1970s when Dr. Bernard Fisher, a giant in the field of breast cancer research, was conducting a study that included the use of tamoxifen. (See story on page 72.) Mrs. Zord enrolled in his study and, within a year, was free of cancer and remained so for the rest of her life. “In fact,” Mr. McGrevin says, “she was on tamoxifen for 25 years. It saved her life.” Scholarships are important to the McGrevins because they know how essential higher education is. “It was critical for us to receive scholarships for college. We never would have achieved our goals without the education we had,” says Mr. McGrevin. “We feel it’s important to help students improve themselves and others through education.” In what they term “quasi-retirement,” the McGrevins continue to work in their respective fields of education and health care, traveling wherever their work, interests, and life take them (Dr. McGrevin was the School of Education graduation recognition speaker in 2010). But, they do most of it together. “Even if we’re just carrying each other’s luggage,” says Mr. McGrevin. Cynthia L. Talmadge Michael T. Vargo Burt Tansky, Trustee, and Rita J. Tansky George Edward Vates, MD, PhD Ellen May Mandel, MD, and Lawrence W. N. Weber, MD Molly Vates and Thomas S. Vates III, MD Janet F. Wei and Lawrence Ming Wei, MD Barbara A. Veazey Dorothy and John C. Weidman Jr. Andrea Cornell Veenis and Blake Conrad Veenis, MD Lori A. and Greg J. Weimer Ethel and Ronald Taub Kathleen and Stewart Taylor Stephanie M. and J. Mark Veenis Walter Joseph Telesz, MD Bernadette F. and Ken Vehec Joan Isenstein Weinstein and Sheldon Alan Weinstein, MD Ivan Velan Susan E. Weintraub Judith Tapper and Alan James Tapper, MD Barry Steven Tatar, MD ‡Esther F. Teplitz, MD Susan and Bruce Weiner Susan and Robert Weis Sue M. Challinor, MD, and Matthew J. Teplitz Peter J. Veldkamp, MD, MS Harold D. Thomas Jr., MD Margaret and Sam S. Vidnovic Judith Weisman, MD Ann E. Thompson, MD Millie and Rade Vignovic Donna Shupe Thompson and James S. Thompson, MD James B. Vincent Evelyn L. Weissman, MD, and Ira M. Weissman, MD Jay Vetere ‡Benjamin J. Weisband, MD Chelsea Virgile Lois Lofgren Werner and Gary Lee Werner, MD Sean Virgile Michael J. Werner Saralyn Vogel, MD, and Victor G. Vogel, MD Karen Werrin and S. Rand Werrin, DDS Janet Gillespie Titus, MD Virginia Marian Balderston, MD, and Theodore Vuchinich III, MD Patience D. and Paul G. Wessel Donna Marie Tomley and John E. Tomley, MD Alexander Simon Vujan Jr., MD Mark Ewing Thompson, MD Sara B. Thompson Susan Mitchell Dunmire, MD, and Samuel Aaron Tisherman, MD Mark Tomsho, MD Leslie R. Toney Justin J. Vujevich, MD Arleen C. and Donald J. Wagner Antoinette Marie Weston Francis Xavier Whalen Jr., MD Debi and Harold W. Wheeler III Joan Wheeler Barbara Trachtenberg Amy Kathleen and Eugene P. Wagner II David Paul Trachtenberg, MD Gertrude and Lawrence M. Wagner Dr. Michael Tranovich Suzanne P. and Richard L. Wagner Dina Raynolds and Vincent Trantolo Thomas J. Tredici, MD Jennifer A. Wahlig and Dr. John B. Wahlig The Honorable Leo J. Trich Jr. Matthew B. Waldman Barbara B. Troianos and Christopher A. Troianos, MD Diane Wallace Daniel Bernard Walsh, MD Juliann Summerville Truver Dr. Marina V. N. Whitman and Dr. Robert F. Whitman Marigal M. and Mason Walsh Jr. Susie Tsai and Mark Chung-Hsun Tsai, MD Dr. Alan L. Whitney Lisa J. and Peter J. Walsh Richard Ian Whyte, MD Elizabeth and Preston G. Walsh Phillips Wiegand Sr. Naomi and Peter Waltman Sarah Hayes Wiggin Wayne Charles Waltzer, MD Josephine H. and Donald Wiley Qingde Wang, MD, PhD Jeffrey W. Wangler Gloria Kohl Wilkins and Robert H. Wilkins, MD W. Alan Ward, MD Michelle E. Wilkinson, MD Janice and James I. Warren Charles Canaan Williams Jr., MD Anne Logan Washburn, MD, and W. Kenneth Washburn Jr., MD Janet M. Williams Aimee M. and James M. Usher Mary Chester Morgan Wasko, MD, and Jonathan Wasko Samuel C. Williamson Sandra L. Mort Usher and Thomas James Usher Casey Wasserman Priscilla Tsao, MD Mr. and Mrs. Robert A. Tschannen Asher Arthur Tulsky, MD Sue and Charles H. Turner Marie Limetti Uchic Shirl Unatin and ‡ Mark L. Unatin James I. Urbach, MD Jeff Usem Thomas Charles Valenza, MD Nancy C. Watson Nancy E. Wheeler Farley Walton Whetzel and Joshua C. Whetzel Jr. Christine A. Whitcomb and David C. Whitcomb, MD, PhD R. James White III, MD, PhD Priscilla and Joseph Whiteside John S. Williamson Amanda Smith Wilson and David Oscar Wilson, MD ‡George C. Wilson III Barbara and Roy H. Waugaman James Arthur Wilson, MD Paul Eugene Wawrzynski II, MD Linda T. and Robert R. Winter Marsha Lauterbach VanKirk Evan Lewis Waxman F. Thomas Witomski, MD Bonnie W. and Thomas L. VanKirk Carolyn Harding Weber, MD, and Jason Stuart Weber, MD Sara E. Wolbert Abigail Paik Van Brugge and Robert P. Van Brugge ‡ before an individual’s name indicates the person is deceased 93 Coprporate and Foundation Donors American College of Rheumatology Research Michael David Wolk, MD 1st Summit Bank American College of Surgeons Charles L. Wood Jr. A.S.P.E.N. Rhoads Research Foundation American Diabetes Association Lisa Wolf Patrick Wayne Wolfe, MD Deanna M. Armstrong, MD, and Thaddeus D. Woods, MD Abbott Laboratories American Diabetes Association Research Foundation Inc. American Federation for Aging Research William A. Woods, MD Abraxis Oncology Emma Jane Griffith Woolley, MD Active Media Services Inc. Maureen D. and Thomas R. Wright Adenopaint LLC William R. Wright Agilent Technologies Phyllis Wroblewski AIReS American Foundation for Surgery of the Hand Albert Yaksic Ajinomoto Co. Inc. American Geriatrics Society Linda Darby Yankes and Joseph Robert Yankes Jr., MD Albany Chapter of the Autism Society of America American Head and Neck Society Mike Yannazio Alco Parking Corporation Melissa Jane Yanover, MD Alcoa Foundation American Hepato-Pancreato-Biliary Association Caren Yao and Timothy Cheng-Sin Yao, MD Alcon Laboratories Inc. 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Any errors or omissions may be brought to the attention of the University of Pittsburgh and UPMC Medical and Health Sciences Foundation: 412-647-8462 or spaul@medschool.pitt.edu. 99 University of Pittsburgh School of Medicine Departments School of Medicine Department of Critical Care Medicine Senior Vice Chancellor for the Health Sciences and Dean, School of Medicine: Arthur S. Levine, MD Vice Dean: Steven L. Kanter, MD Senior Associate Dean: Charles F. Reynolds III, MD Associate Deans: Admissions and Financial Aid — Beth M. Piraino, MD Continuing Medical Education — Barbara E. Barnes, MD, MS Faculty Affairs — Ann E. Thompson, MD Graduate Medical Education — Rita M. Patel, MD Graduate Studies — John P. Horn, MD Medical Education — John F. Mahoney, MD Medical Scientist Training Program — Clayton A. Wiley, MD, PhD Medical Student Research — Michael L. Boninger, MD Postdoctoral Education — Joan M. Lakoski, PhD Student Affairs — Joan Harvey, MD Chair: Academic Affairs — Michael R. Pinsky, MD Clinical Operations — Arthur J. Boujoukos, MD Education — Paul L. Rogers, MD Professional Development — Ann E. Thompson, MD Research — John Kellum, MD Division Chiefs: Adult Critical Care Medicine — Arthur J. Boujoukos, MD Hospitalist Services — Adam Akers, MD Pediatric Critical Care Medicine — Robert C. Clark, MD Department of Dermatology Chair: Medical Education — Kathleen D. Ryan, PhD Medical Education Technology — J.B. McGee, MD Medical Student Research — Janet Amico, MD; Allen L. Humphrey, PhD; Cynthia Lance-Jones, PhD; Philip Troen, MD Student Affairs and Diversity Programs — Chenits Pettigrew Jr., PhD Louis D. Falo, MD, PhD Department of Developmental Biology Assistant Deans: Graduate Medical Education — Frank J. Kroboth, MD Derek C. Angus, MBChB, MPH Vice Chairs: Chair: Cecilia Lo, PhD Department of Emergency Medicine Chair: Donald M. Yealy, MD Vice Chair: Clifton W. Callaway, MD, PhD Division Chiefs: EMS — Ronald N. Roth, MD Veterans Affairs — Rajiv Jain, MD Toxicology — Kenneth D. Katz, MD Department of Anesthesiology Department of Family Medicine Chair: John P. Williams, MD Vice Chairs: Basic Science — Yan Xu, PhD Education — Rita M. Patel, MD Clinical Operations — Mark E. Hudson, MD Clinical Research — Jacques E. Chelly, MD, PhD, MBA Pain Medicine — Doris K. Cope, MD Chair: Jeannette E. South-Paul, MD Department of Immunology Chair: Olivera J. Finn, PhD Deparment of Medicine Chair: Steven D. Shapiro, MD Vice Chairs: Department of Biomedical Informatics Chair: Michael J. Becich, MD, PhD Vice Chair: Gregory F. Cooper, MD, PhD Department of Cell Biology and Physiology Chair: Alexander Sorkin, PhD Vice Chair: Simon C. Watkins, PhD Department of Computational and Systems Biology Chair: Ivet Bahar, PhD Clinical Affairs — John J. Reilly Jr., MD Education — Wishwa N. Kapoor, MD, MPH Faculty Development — Ora A. Weisz, PhD Quality Improvement and Patient Safety — Robert M. Palmer, MD, MPH Research — G. David Roodman, MD, PhD Division Chiefs: Cardiovascular Institute — Barry London, MD, PhD Clinical Pharmacology — Robert A. Branch, MD Endocrinology and Metabolism — Andrew F. Stewart, MD Gastroenterology, Hepatology, and Nutrition — David C. Whitcomb, MD, PhD General Internal Medicine — Wishwa N. Kapoor, MD, MPH Geriatric Medicine — Neil M. Resnick, MD 100 Hematology/Oncology — Nancy E. Davidson, MD Division Chiefs: Infectious Diseases — John W. Mellors, MD Developmental and Regenerative Medicine — Pulmonary, Allergy, and Critical Care Medicine — Mark T. Gladwin, MD Renal-Electrolyte — Thomas R. Kleyman, MD Rheumatology and Clinical Immunology — Larry W. Moreland, MD Gerald P. Schatten, PhD Diagnostic Ultrasound — Lyndon M. Hill, MD General Obstetrics and Gynecology — Edward Sandy, MD, MBA Gynecologic Oncology — Joseph L. Kelley, MD Gynecologic Specialties — Mitch Creinin, MD Department of Microbiology and Molecular Genetics Chair: Thomas E. Smithgall, PhD Department of Neurobiology Chair: Susan G. Amara, PhD Department of Neurological Surgery Chair: Robert M. Friedlander, MD Reproductive Endocrinology and Infertility — Joseph S. Sanfilippo, MD, MBA Reproductive Genetics — Aleksander Rajkovic, MD, PhD Reproductive Infectious Diseases and Immunology — Harold Wiesenfeld, MD Urogynecology and Pelvic Reconstructive Surgery — Halina Zyczynski, MD Maternal Fetal Medicine — Hy Simhan, MD, MSc Obstetrical Specialties — Robert Kaminski, MD Vice Chairs: Academic Affairs — Ian F. Pollack, MD Department of Ophthalmology Education — Douglas S. Kondziolka, MD, MS Chair: Research — C. Edward Dixon, PhD Vice Chairs: Joel S. Schuman, MD Pediatric Neurosurgery — Ian F. Pollack, MD Information Technology, International Service, and Operations — Robert J. Noecker, MD Neurological Spine — Richard M. Spiro, MD Medical and Resident Education — Evan L. Waxman, MD, PhD Division Chiefs: Research — Robert L. Hendricks, PhD Department of Neurology Chair: Lawrence R. Wechsler, MD Vice Chairs: Academic Affairs — J. Timothy Greenamyre, MD, PhD Clinical Affairs — Lawrence R. Wechsler, MD Division Chief: Ophthalmology and Visual Sciences Research Center — Robert L. Hendricks, PhD Department of Orthopaedic Surgery Freddie H. Fu, MD, DSci (Hon) Research — Steven H. Graham, MD, PhD Chair: Veterans Affairs — Paula R. Clemens, MD Senior Vice Chair: Division Chiefs: Executive Vice Chairs: Cognitive and Behavioral Neurology — Oscar L. Lopez, MD Clinical Services — James D. Kang, MD Epilepsy — Anto Bagic, MD, MSc Orthopaedic Research — Rocky S. Tuan, PhD General Neurology — John J. Doyle, MD Musculoskeletal Cellular Therapeutics — Johnny Huard, PhD Headache — Robert G. Kaniecki, MD Translational Research — Constance R. Chu, MD Movement Disorders — J. Timothy Greenamyre, MD, PhD Education — Vincent F. Deeney, MD Neuroimmunology/ Multiple Sclerosis — Rock Heyman, MD Pediatric Orthopaedic Surgery — W. Timothy Ward, MD Morey S. Moreland, MD Neuromuscular — David Lacomis, MD Vascular Neurology/ UPMC Stroke Institute — Tudor Jovin, MD Department of Otolaryngology Chair: Department of Obstetrics, Gynecology, and Reproductive Sciences Chair: W. Allen Hogge, MD Vice Chairs: Gerald P. Schatten, PhD Jonas T. Johnson, MD Vice Chairs: Clinical Operations — Robert L. Ferris, MD, PhD Education — David Eibling, MD Research — Jennifer R. Grandis, MD Education — Daniel I. Edelstone, MD Executive — Robert P. Edwards, MD Faculty Affairs — Sharon L. Hillier, PhD Research — Yoel Sadovsky, MD 101 University of Pittsburgh School of Medicine Departments Department of Pathology Chair: George K. Michalopoulos, MD, PhD Department of Physical Medicine and Rehabilitation Chair: Michael L. Boninger, MD Vice Chairs: Vice Chairs: Alan Wells, MD, DMS Clinical Program Development — Michael Munin, MD Pathology Services — Samuel A. Yousem, MD Clinical Services — Louis E. Penrod, MD Division Chiefs: Medical Education — Wendy Helkowski, MD Anatomic Pathology — Samuel A. Yousem, MD Anatomic / Surgical Pathology — Samuel A. Yousem, MD Head and Neck Pathology — Leon Barnes Jr., MD Neuropathology — Clayton Wiley, MD, PhD Transplantation Pathology — Anthony J. Demetris, MD Neuropsychology and Rehabilitation Psychology — Joseph H. Ricker, PhD Research — Amy K. Wagner, MD Department of Psychiatry David A. Lewis, MD Molecular Anatomic Pathology — Yuri Nikiforov, MD, PhD Chair: Laboratory Medicine — Alan Wells, MD, DMS Vice Chair: Hematopathology — Steven H. Swerdlow, MD Clinical Affairs — Kenneth C. Nash, MD Immunopathology — Bruce S. Rabin, MD, PhD Department of Radiation Oncology Molecular Diagnostics — Jeffrey A. Kant, MD, PhD Chair: Clinical Chemistry — Harry Blair, MD Vice Chair: Joel S. Greenberger, MD Clinical Microbiology — A. William Pasculle, ScD Transfusion Medicine — Darrell J. Triulzi, MD Department of Pediatrics Chair: David H. Perlmutter, MD Division Chiefs: Adolescent Medicine — Pamela J. Murray, MD, MPH Infectious Diseases — Antoinette L. Darville, MD Cardiology — Steven A. Webber, MBChB Child Advocacy and Injury Prevention — Janet E. Squires, MD Developmental and Behavioral Pediatrics — Robert B. Noll, PhD Paul C. Gaffney Diagnostic Referral Service — Basil J. Zitelli, MD Clinical Affairs — Dwight E. Heron, MD Department of Radiology Chair: Kyongtae Bae, MD, PhD Executive Vice Chair of Research: David Gur, ScD Department of Structural Biology Chair: Angela Gronenborn, PhD Department of Surgery Chair: Timothy R. Billiar, MD Vice Chair: Clinical Services — Andrew B. Peitzman, MD Division Chiefs: Pediatric Emergency Medicine — Richard A. Saladino, MD Cardiac Surgery — (vacant) Endocrinology — Dorothy J. Becker, MBBCh General Surgery — Andrew B. Peitzman, MD General Academic Pediatrics — Alejandro Hoberman, MD Pediatric Surgery — George K. Gittes, MD Hematology/Oncology — A. Kim Ritchey, MD Plastic and Reconstructive Surgery — W.P. Andrew Lee, MD Immunogenetics — Massimo M. Trucco, MD Surgical Oncology — David L. Bartlett, MD Medical Genetics — Gerard Vockley, MD, PhD Thoracic and Foregut Surgery — James D. Luketich, MD Newborn Medicine — Gary A. Silverman, MD, PhD Transplantation Surgery — Abhinav Humar, MD Child Neurology — Ira Bergman, MD Vascular Surgery — Michel S. Makaroun, MD Nephrology — Carlton Bates, MD Pediatric Gastroenterology — Mark E. Lowe, MD, PhD Department of Urology Pulmonary Medicine, Allergy, and Immunology — Chair: Juan Carlos Celedón, MD, DrPH Joel B. Nelson, MD Steven G. Docimo, MD Rheumatology — Raphael Hirsch, MD Vice Chair: Weight Management and Wellness — Silva A. Arslanian, MD Division Chief: Department of Pharmacology and Chemical Biology Chair: Bruce A. Freeman, PhD Vice Chairs: Academics — Peter Friedman, PhD Education — Donald DeFranco, PhD Research — Edwin Levitan, PhD 102 Pediatric Urology — Steven G. Docimo, MD Board of Visitors (as of April 14, 2010) Edward J. Benz Jr., MD James L. Madara, MD President and Chief Executive Officer Robert J. Alpern, MD Former Chief Executive Officer of the University of Chicago Medical Center and University Vice President for Medical Affairs Former Dean of the Biological Sciences Division and Pritzker School of Medicine Dean and Ensign Professor of Medicine University of Chicago Dana Farber Cancer Institute Yale School of Medicine Karen H. Antman, MD Provost, Boston University Medical Campus Dean, Boston University School of Medicine G. Nicholas Beckwith III Chairman and Chief Executive Officer Arch Street Management LLC Jordan J. Cohen, MD Henry J. Mankin, MD Edith M. Ashley Professor of Orthopaedic Surgery Emeritus Harvard Medical School Ross H. Musgrave, MD Distinguished Clinical Professor of Surgery University of Pittsburgh School of Medicine Arthur H. Rubenstein, MBBCh Association of American Medical Colleges Executive Vice President of the University of Pennsylvania for the Health System Dean, University of Pennsylvania School of Medicine Catherine D. DeAngelis, MD, MPH Larry J. Shapiro, MD Editor-in-Chief Executive Vice Chancellor for Medical Affairs and Dean President Emeritus Journal of the American Medical Association Washington University in St. Louis School of Medicine Ronald G. Girotto Allen M. Spiegel, MD President and Chief Executive Officer Marilyn and Stanley M. Katz Dean The Methodist Hospital System Albert Einstein College of Medicine of Yeshiva University Jonathan D. Gitlin, MD Steven A. Wartman, MD, PhD Assistant Vice Chancellor for Maternal and Child Health Affairs Associate Dean for Clinical Affairs James C. Overall Professor and Chair President Association of Academic Health Centers Department of Pediatrics, Vanderbilt University Savio L.C. Woo, PhD Physician-in-Chief, Monroe Carell Jr. Children’s Hospital Professor and Chair Department of Gene and Cell Medicine at Vanderbilt Mount Sinai School of Medicine Antonio M. Gotto Jr., MD, DPhil Stephen and Suzanne Weiss Dean Professor of Medicine Provost for Medical Affairs Joan and Sanford I. Weill Medical College of Cornell University Michael M.E. Johns, MD Chancellor Emory University William K. Lieberman President Lieberman Companies 103 Credits Photographers and Illustrators Cathie Bleck, page 3 Terry Clark, pages 10, 12 –18, 36, 38 – 40, 42– 43, 68, 71–72, 76, 80 This report was produced by the Office of Academic Affairs, Health Sciences. Margaret C. McDonald, PhD, MFA Associate Vice Chancellor for Academic Affairs Joshua Franzos, pages 1, 4, 7, 8, 28, 49, 52–53 (top of page), 54, 57 Stephen J. Byers Chuck Staresinic Directors David Johnson, pages 50–51 Staff Bill Klunk, MD, PhD, and Chet Mathis, PhD, page 66 Jared Leeds, page 8 (bottom right) Annie O’Neill, pages 30 –31 Joshua Roberts, pages 22 –23 Kevin Sprouls, page 25 Jacob Thomas, courtesy of Decozone, page 35 Billy Weeks, page 92 Other Photo and Image Credits Pages 20–21: Mystery of the Missing Migrants © Estate of Charley Harper 2010 Page 27: Courtesy of Prometheus Books Page 32 (bottom right): University of Pittsburgh, Center for Instructional Development and Distance Education Michele Baum Jacqueline Janos Lisa Lorence Brandon Millward Maureen Passmore Jennifer Petrie-Signore, PhD Tricia Pil, MD Cathy Steinitz Carol Tatrai Special production assistance provided by Theresa Ratti, Office of Faculty Affairs, and Paul D. Silver, University of Pittsburgh and UPMC Medical and Health Sciences Foundation. Designed by Landesberg Design, Pittsburgh, PA Printed by Broudy Printing Inc., Pittsburgh, PA Page 33: Courtesy of Vincent Lee, MD Page 34: Copyright, Wenner Media LLC, 2009, all rights reserved. Reprinted with permission. Page 48 – 49 (map inset photos): Courtesy of Children’s Hospital of Pittsburgh of UPMC, the University of Pittsburgh School of Medicine, and Visit Pittsburgh Page 52 (passport image, right): Courtesy of Sandra Cascio, PhD Page 54: Science images courtesy of Salvatore Pasta, PhD Page 55: Courtesy of UPMC Page 56: Reprinted with permission, from Cancer Prevention Research 2010 April, vol. 3(4), 438-46, fig. 1 Page 58: Courtesy of Paul Frank Industries Page 60: Courtesy of Andrew Stewart, MD Page 64: Courtesy of James L. Funderburgh, PhD Page 65: Courtesy of Peijun Zhang, PhD Pages 68 and 75: Courtesy of the Detre Archive Collection, Falk Library of the Health Sciences, University of Pittsburgh Page 78: Courtesy of Clyde B. Jones III Page 87: Courtesy of the Raizman family 104 University of Pittsburgh School of Medicine 401 Scaife Hall 3550 Terrace Street Pittsburgh, PA 15261 412-648-8975 www.health.pitt.edu The University of Pittsburgh is an affirmative action, equal opportunity institution. School of Medicine