2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Vineet Bhandari, MD, DM Professor of Pediatrics, Obstetrics and Gynecology Pediarics (Neonatology) Office Location NCB, Suite #7410 Phone Number 215-762-7595 E-mail vinet.bhandari@drexelmed.edu Amount of time you are available for direct student supervision: At least 3 days a week. Any specific skills required: Some basic knowledge of molecular biology techniques (RNA, protein extraction and detection by PCR, western blotting) would be useful Project Information: Project Name Role of hyperoxia-induced injury in developing lungs and brain. Project DescriptionRU$UHDRI,QWHUHVW Our research laboratory is interested in understanding the pathogenesis of hyperoxia-induced injury to the developing lung and brain in order to develop therapeutic targets to ameliorate the same. The clinically-relevant condition(s) would be Bronchopulmonary Dysplasia in the premature neonate, and its association with developmental delay. Our lab uses transgenic and knockout mice models to study the above, in addition to in vitro work, utilizing molecular biology techniques to conduct the experimental studies. Currently we are focused on understanding the role of various micro-RNA, ion channels and mesenchymal stem cells in modulating the pulmonary and brain phenotype in neonatal mice exposed to hyperoxia. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Wilbur B. Bowne, MD Associate Professor of Surgery, Biochemistry, and Molecular Biology Surgery Office Location 245 N 15th Street (NCB), Suite 7150 Phone Number 215-762-1647 E-mail wilbur.bowne@drexelmed.edu Amount of time you are available for direct student supervision: 15 hours per week - 2 postdoctoral research fellows (Surgical residents) will also be present in the lab. Any specific skills required: Previous experience with cell cultures or with rodents preferred but not required. Project Information: Project Name Targeting MDM-2 overexpression in human stem-like and mature colon cancer cells as an anti-cancer therapy for treatment of peritoneal carcinomatosis Project Description or Area of Interest Peritoneal carcinomatosis (PC) from pancreatic, colon and gastric cancer represents a grim prognosis for patients. Novel therapies are sorely needed to provide effective treatment strategies for these patients. Recent studies have shown that tumorspecific cancer stem cells may be the cause of drug resistance, local recurrence, and the earliest signs of metastasis. Our laboratory is focused on developing anticancer drugs that selectively target and kill cancer cells, with the hypothesis that these therapies will eliminate CSCs as well. Two such drugs discovered in our laboratory called PNC-27 and PNC-28 are derived from the murine-double-minute (MDM-2) protein binding domain of p53 attached to a membrane penetrating sequence, called penetratin. These peptide constructs have been shown to induce rapid, targeted, cancer cell necrosis by binding to MDM2 on the cancer cell membrane causing pore-formation and cancer membrane cell lysis. Remarkably, PNC-27 has been shown to efficiently kill cancer cells while sparing untransformed cells. Thus, this peptide may prove to be an effective targeted treatment strategy for patients with lethal PC. Our laboratory ihas shown the effectiveness of this peptide in treatment of colon cancer peritoneal carcinomatosis in a nude mouse xenograft model using real-time in-vivo bioluminescence imaging. This strategy will be used in our preclinical studies to determine the treatment efficacy of these peptides against lethal peritoneal surface malignancies and colon cancer stem cells. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Tara Davis, Ph.D. & Sandhya Kortagere, Ph.D. Assistant Professor; Associate Professor Biochemistry & Molecular Biology, Microbiology & Immunology Office Location 245 North 15th Street, M.S. 497/Lab 10.127; G81 Phone Number 215-762-4234 (office) / 215-762-4218 (lab), 215-991-8135 E-mail tara.davis@drexelmed.edu Amount of time you are available for direct student supervision: Any specific skills required: Project Information: Project Name Project Description or Area of Interest Purpose: Drs. Davis and Kortagere are collaborating on a research program focused on the design of unique and novel small molecules to target a class of human enzyme called the cyclophilins. Individual projects within this program target individual cyclophilins; there are 17 cyclophilins in humans, and many are viable drug targets, including some that could lead to eventual anti-viral or anti-cancer drugs. Other projects focus on cyclophilins whose function is less well understood, and where small molecules may help to decode their particular activities within the cell. Historically, efforts to screen for new inhibitors of cyclophilin activity have been hampered by the high similarity of cyclophilin proteins to each other; our effort uses high-resolution structures of the cyclophilin family to guide structure-based screening of thousands of compounds to find unique small molecules targeting each cyclophilin. Goals: Dr. Kortagere is an expert in the design of small molecules to target biologically relevant protein targets (https://www.drexelmed.edu/Home/AboutOurFaculty/SandhyaKortagere.aspx). Dr. Davis is an expert in cyclophilin function, and an x-ray crystallographer - a technique commonly used to study protein structure (https://www.drexelmed.edu/Home/AboutOurFaculty/TaraDavis.aspx). Students interested in the research program will spend time in both labs, benefitting from the experience of both Professors. As outlined in greater detail below, students successfully completing the co-op experience can be expected to have basic competency in: • Foundational concepts surrounding protein structure, including how to visualize and manipulate protein and small molecule structure using standard graphical software (PyMOL) • Understanding of small molecule docking to protein structure in silico (AutoDock, GOLD) • Protein purification using standard protocols, including large-scale production, multi-step purification utilizing affinity and size exclusion chromatography • Biophysical methods to measure small molecule binding to protein, including Surface Plasmon Resonance (SPR) and/or Isothermal Calorimetry (ITC) • Protein crystallization, crystal harvesting and cryoprotection, in-house data collection There are three aspects to this project; summer students will receive a truncated version of these goals for their project term. Aspect 1: Student will commute to Center City Campus for training sessions with Dr. Davis. Students will be trained in the basic concepts of protein structure, including reading assignments from textbooks (Chapters 3-4 of Lehninger, for example), primary literature, and software tutorials. Much of this time will be spent learning how to visualize the three-dimensional structure of human cyclophilins using PyMOL, along with tutorials on how to manipulate structure within PyMOL. Cyclophilin activity and function will also be discussed. Aspect 2: Student will commute to Queen Lane Campus for training sessions with Dr. Kortagere. Students will be trained to dock small molecules of interest into individual cyclophilin structures. Students will be trained to use Autodock and/or GOLD molecular docking programs and to dock small molecules to the binding pockets of cyclophilins. Students will then analyze the docked models and learn to design customized scoring schemes to optimally rank the docked protein-ligand complexes. The best ranking molecules will be synthesized or purchased from chemical libraries (10-15 compounds) in order to test with in vitro experiments, including NMR and co-crystallization with the respective cyclophilins, to validate docked poses during weeks 7-24. Students interested in pursuing in-depth analysis will also have the opportunity to run molecular dynamics simulations (~100ns) on select few ligand-protein complexes. Aspect 3: Experiments are performed at Center City Campus with Dr. Davis. Depending on the outcome of the docking experiments in weeks 4-6, the student may learn a variety of various wet lab techniques, including: • expression and purification of cyclophilin protein; • quantifying the affinity of small molecule(s) for purified cyclophilin protein; • crystallization of apo or liganded forms of cyclophilin; • activity assays testing either cyclophilin isomerase activity, or RNA splicing modulation, for comparison to inhibitor-based assays with small molecules; • PCR-based protocols to produce mutant protein based on structural or enzymatic results; • cell-based assays on human cells to measure effect of small molecule uptake on RNA splicing activity. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Tara Davis, PhD Assistant Professor Biochemistry & Molecular Biology Office Location 245 North 15th Street, M.S. 497/Lab 10.127 Phone Number 215-762-4234 (office) / 215-762-4218 (lab) E-mail Tara.Davis@DrexelMed.edu Amount of time you are available for direct student supervision: Any specific skills required: N/A Project Information: Project Name Project Description or Area of Interest The Davis Lab studies the way in which protein:protein interactions impact the function of the spliceosomal machinery in the context of pre-mRNA splicing. Many human disease pathologies arise from aberrations in pre-mRNA processing, which leads to the expression of malfunctioning proteins in cells. Therefore there is a great and pressing need to better understand the underlying mechanism of the spliceosome, the complex and dynamic machinery which accomplishes pre- mRNA splicing in human cells. Although the spliceosome is a large and dynamic piece of macromolecular machinery, its cellular function and the regulation of that function are likely mediated by individual protein:protein interactions between the hundreds of accessory proteins that associate tightly with the core machinery composed of RNA. Therefore, understanding the nature of specific protein:protein interactions will help us understand spliceosome assembly, catalysis, and splice choice – both within and outside of the context of the machinery in cells. Position Description (1): The main responsibilities of the job include performing standard molecular biology and biochemical experiments under the supervision of senior lab personnel; organizing and analyzing data in an electronic notebook format; and communicating scientific results to supervisors and peers in both oral and written format. Prior laboratory experience is preferred but not necessary. The desired candidate is dedicated, hard- working, organized, and inquisitive. Current projects focus on the characterization of several proteins found in catalytic spliceosome (PPIL3, PCBP1, PPIG, and ZCCHC10). These proteins have been found to interact with each other in yeast two-hybrid studies, but the behavior of the purified proteins in solution has not been quantified. Major milestones of the project include optimizing expression and purification protocols for these proteins; once optimized, their binding will be characterized in solution using chromatographic methods and quantified using biophysical approaches. Crystallographic screening will be attempted in order to obtain structural information for the PPIL3:PCBP1 and/or the PPIG:ZCCHC10 complexes. In a complementary set of experiments, these genes will be knocked down at the RNA level using silencing RNA technology, and the physiological effect of these knockdowns will be evaluated using in vitro splicing assays and at the transcriptome level using microarrays. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Megan R Detloff Instructor Neurobiology & Anatomy Office Location Queen Lane Room 184e Phone Number 215-991-8286 E-mail mdetloff@drexelmed.edu Amount of time you are available for direct student supervision: 8 hr/week. Any specific skills required: Helpful to have experience handling rodents, experience with tissue sectioning and immunohistochemistry. Project Information: Project Name Strength training to reduce nociceptive afferent plasticity and neuropathic pain after spinal cord injury Project Description or Area of Interest Spinal cord injury (SCI) impairs normal sensation causing chronic neuropathic pain in nearly 80% of people with SCI. One type of neuropathic pain is allodynia, where normally innocuous stimuli are perceived as painful. That is, everyday activities like wearing a t-shirt or being covered by a bed sheet is painful. It is a complex phenomenon that is refractive to treatment, largely because the mechanism(s) responsible for its development and sustainment remain elusive. There are four types of primary sensory neurons whose afferents synapse in the dorsal horn and transmit pain and sensory information. These neuron classes are distinct in function, size, as well as where they terminate within the dorsal horn. There are 4 classes of primary afferent fibers that terminate in the dorsal horn of the spinal cord: Ab fibers which transmit innocuous sensory information terminating in laminae III and IV; Ad fibers which transmit noxious and innocuous information and terminate in laminae I and V; peptidergic c-fibers which terminate in lamina I and the outer layer of lamina II; and non-peptidergic c-fibers which terminate in the inner layer of lamina II. In addition, these classes of primary sensory neurons exhibit distinct/unique molecular phenotype that may further define their functionality in the transmission of painful information. That these different classes of primary sensory neurons have distinct molecular phenotypes, responding to different factors and terminate in discrete spinal cord laminae suggests that they may play distinctive roles in sensory transmission under normal as well as neuropathic conditions. Dramatic, aberrant sprouting of peptidergic c-fibers into the deep dorsal horn occurs above, at and below the SCI epicenter in clinical as well as experimental SCI. This sprouting correlates with an increase in the development of neuropathic pain. Our lab has shown that SCI-induced mechanical allodynia is associated with an increase in the distribution of both peptidergic and non-peptidergic c fibers, and that rehabilitative aerobic exercise can prevent this aberrant plasticity. Whether post-injury strength training exercise will have similar effects is unknown. Therefore, we will test the hypothesis that rehabilitative strength training will modulate nociceptive afferent plasticity while reducing the incidence of SCI-induced neuropathic pain. This project will test whether strength training exercise will modify nociceptive afferent plasticity in the cervical dorsal horn resulting in attenuated SCI-induced neuropathic pain. Experiments will use a unilateral C5 contusion model of spinal cord injury paired with the isometric pull task as a novel strength training rehabilitation to test this hypothesis. A battery of behavioral tests will determine the incidence of neuropathic pain. The distribution of nociceptive afferents in the dorsal horn complimentary to the induction and persistence of pain will be established. This study is impactful because it could establish strength training as an additional rehabilitative strategy to prevent SCI-induced pain. Student role: Assist and perform microsurgical procedures, post-operative care of rodents, exercise training, behavioral assessment of sensation in rodents, spinal cord and dorsal root ganglion tissue processing,lesion analysis, data analysis. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Eileen K. Jaffe Adjunct Biochemistry Faculty at Fox Chase Cancer Center Biochemistry and Molecular Biology Office Location Fox Chase Cancer Center Phone Number 215 728-3695 E-mail Eileen.Jaffe@fccc.edu Amount of time you are available for direct student supervision: Any specific skills required: Project Information: Project Name Optimizing crystallization conditions for determining the structure of phenylalanine-stabilized fully-activated phenylalanine hydroxylase Project Description or Area of Interest Dysfunction of the enzyme phenylalanine hydroxylase (PAH) is the root cause of most forms of phenylketonuria (PKU) and/or hyperphenylalaninemia (1, 2). PAH functions to maintain phenylalanine (Phe) at levels sufficient for the body’s need for protein biosynthesis but below neurotoxic levels. This delicate control is accomplished by Phe acting as an activator of PAH in response to a protein-containing meal. Despite the success of a protein-restrictive diet in preventing permanent neurological damage in infants and children with PKU, there is a clear need for additional therapeutic measures to counteract the behavioral and psychiatric problems associated with adolescents and adults who struggle with the necessary dietary restrictions (1). New therapeutics can arise from a thorough understanding PAH structure. In 2013 we described a novel structural paradigm for PAH activation by Phe, which consists of two different tetrameric PAH conformations (3). One conformation represents an auto-inhibited enzyme form with basal activity, which is functional when Phe levels are low. We have recently solved the X-ray crystal structure of this auto-inhibited tetrameric form (4), which represents a major contribution to the field. The second tetramer represents the activated form of the enzyme, which is stabilized by allosteric Phe binding when Phe levels are elevated. The goal of the proposed DUCOM medical student summer fellowship project is to optimize crystallization conditions that will allow determination of the structure of the Phe-stabilized activated PAH tetramer. Determining this structure will provide a long-needed target for structure-based design/discovery of small-molecule therapeutics that can stabilize activated PAH to serve patients throughout life. Our 2013 proposal for PAH regulation predicted that the activated PAH structure would relieve an autoinhibitory interaction seen in our current crystal structure and would contain a new inter-subunit protein-protein interface that defines the location of allosteric Phe binding. This new interface is a target for developing a drug that will stabilize activated PAH. Transformation from the autoinhibited to the activated form is predicted to include significant repositioning of structural domains within each subunit. The medical student summer fellow would work closely with graduate student Emily Arturo to optimize crystallization conditions in the presence of Phe. The laboratory already has copious amounts of purified full length mammalian PAH. The search for suitable crystallization conditions is being carried out initially on a Mosquito robotic instrument using a variety of commercial screening kits. Conditions will be optimized by making small systematic changes in the crystallization solutions. In the event that promising crystals are obtained, the medical student may participate in screening these crystals for diffraction quality. The medical student may also participate in harvesting the crystals to be mailed to Argonne National Laboratory for remote data collection. Alternative approaches – If necessary, alternative forms of PAH can be used to derive a crystal structure for the Phe-stabilized, high-activity PAH tetramer. These forms include 1) an N-terminal truncation lacking the autoinhibitory peptide, 2) full-length PAH that is phosphorylated at Ser16, or 3) a phosphomimic PAH variant S16E. It is possible that the medical student may participate in the purification of these alternate forms of PAH. References 1. Camp KM, et al. (2014) Phenylketonuria Scientific Review Conference: state of the science and future research needs. Mol Genet Metab 112(2):87-122. 2. Blau N, Shen N, & Carducci C (2014) Molecular genetics and diagnosis of phenylketonuria: state of the art. Expert review of molecular diagnostics 14(6):655-671. 3. Jaffe EK, Stith L, Lawrence SH, Andrake M, & Dunbrack RL, Jr. (2013) A new model for allosteric regulation of phenylalanine hydroxylase: implications for disease and therapeutics. Arch Biochem Biophys 530(2):73-82. 4. Arturo E, et al. (2016) The First Structure of Full-Length Mammalian Phenylalanine Hydroxylase Reveals the Architecture of an Auto-inhibited Tetramer. Revised manuscript under review by Proc. Natl. Acad. Sci. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Simon Giszter Professor Neurobiology and Anatomy Office Location 247 Queen Lane Phone Number 215 991 8412 E-mail sgiszter@drexelmed.edu Amount of time you are available for direct student supervision: 4 hours per week, with postdoctoral and senior graduate assistance at other times. Any specific skills required: Engineering or quantitative background, or neurophysiological experience Project Information: Project Name Neural recording and neural plasticity in spinal cord and cortex in spinal cord injury, rehabilitation and BMI tasks Project Description or Area of Interest We seek to understand how cortex and spinal cord activity is altered by spinal cord injury, rehabilitation after spinal cord injury and novel therapies such as brain machine interface devices. Our focus is on motor control in particular, and novel device designs. Projects can be customized to match student focus and passions, subject to the main emphases and methods used in the lab. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Haviva M. Goldman, Ph.D. Associate Professor Neurobiology and Anatomy Office Location Room 252 Queen Lane Phone Number 215-991-8467 E-mail hgoldman@drexelmed.edu Amount of time you are available for direct student supervision: I am around the lab/in my office most days for consultation/training. Any specific skills required: Experience with microscopy & image analysis is preferred, not required. Computer programming experience in Matlab also a plus. Project Information: Project Name Bone Remodeling, Morphology and Skeletal Fragility Project Description or Area of Interest Project: Skeletal fragility can be generalized as the skeleton’s increased susceptibility to fracture, which may be caused by poor bone quality and/or quantity. Bone loss occurs throughout the aging process, and it may additionally be affected by numerous variables, one of which may bone size. Previous research has demonstrated that a relationship exists between external bone size and tissue level mechanical properties, such that more slender bones have increased mineralization and decreased porosity, resulting in a higher tissue modulus relative to more robust individuals who tend to increase porosity in order to minimize mass. We have hypothesized that this modulation reflects a suppression of intracortical (BMU based) remodeling in more slender bones. This could lead to unrepaired microdamage in slender boned individuals and an increased skeletal fragility. Further, as intracortical remodeling is a central biological process that occurs throughout growth and with aging, lifelong suppression of remodeling would have significant effects on bone properties and fracture risk. The goal of this study is to quantify static histomorphometric measures of bone turnover in adult cortical bone samples in order to determine the relationship between bone robustness and intracortical remodeling. The medical student involved in this project will learn about a variety of microscopy and imaging techniques used to characterize the microstructural and geometric properties of bone. They will be specifically involved in analyzing 2D images of bone structure in order to assess remodeling differences between slender and robust bone phenotypes. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Erica Golemis, Ph.D. Co-Leader, Molecular Therapeutics Program, Fox Chase Cancer Center Biochemistry & Molecular Biology Office Location Fox Chase Cancer Center, W406 Phone Number 215-728-2860 E-mail erica.golemis@fccc.edu Amount of time you are available for direct student supervision: Available personally most of summer; senior staff available all summer for supervision. Any specific skills required: Experience with cell culture, molecular biological or biochemical experiments a plus Project Information: Project Name 1) Hereditary risk factors in kidney cancer. 2) Role of targeted cancer therapies in regulating cilia. Project Description or Area of Interest 1) Hereditary risk factors in kidney cancer. We have been using exome sequencing coupled with cell culture based functional testing to identify new factors contributing to familial risk for cancer. Recent evidence suggests that in some cases, kidney cancer may arise from hereditary components, but in contrast to cancers such as prostate or breast cancer, risk factors are poorly understood. We will be function testing new gene variants we have identified as potential sources of kidney cancer risk based on exome sequencing, using and expanding approaches we have recently described. Relevant reading from our group is Arora et al, Gastroenterology 2015 (PMID: 26344056) and Nicolas et al, Oncotarget 2015 (PMID: 26485759). 2) Role of targeted cancer therapies in regulating cilia. Most human cells have a single cilium, protruding like an antenna and serving as a signaling hub. We and others have established that dynamic control of cilia during the cell cycle and in cell transformation is regulated by oncogenes that serve as targets for current cancer therapies. Over 500,000 individuals in the US suffer from ciliopathies (diseases such as polycystic kidney disease, linked to abnormal ciliary function). Our data suggests that use of specific targeted cancer drugs in these patients may be extremely disfavored, due to exacerbation of symptoms. We will be extending results from a large in vitro screen, characterizing means of ciliary control. Relevant reading from our group is Pugacheva et al, Cell 2007 (PMID: 17604723), and Seeger-Nukpezah et al, Nat Rev Nephrol 2015 (PMID: 25870008). 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department John D Houle Professor Neurobioogy and Anatomy Office Location Queen Lane Room 184 Phone Number 215-991-8295 E-mail jhoule@drexelmed.edu Amount of time you are available for direct student supervision: 8-10 hrs each week Any specific skills required: Any of the following skills would be helpful for this study but are not required: immunocytochemistry, confocal microscopy, cryostat sectioning. Project Information: Project Name Axon regeneration after spinal cord injury: role of integrins in regulating growth within a peripheral nerve graft Project Description or Area of Interest Injury to the adult spinal cord results in limited regeneration of damaged central nervous system (CNS) axons and poor return of function. This can be solved in part by providing an appropriate substrate for axon growth (such as a peripheral nerve graft, PNG) which allows axons to bypass the inhibitory environment of the injured spinal cord. One issue though is the continuing problem of how to facilitate or enhance axon growth back into the spinal cord to form new synaptic contacts. Axons readily grow to the distal end of the PNG but the majority (~95%) fail to extend beyond the PNG to interact with spinal cord neurons. Treatment of the injured spinal cord with an enzyme (chondroitinase) to digest inhibitory molecules (chondroitin sulfate proteoglycans) of the extracellular matrix results in outgrowth by about 20% of regenerating axons within a PNG. Preliminary data suggest that the physical/chemical interaction between axons and Schwann cells within the PNG may contribute to failure of axons to extend back into the spinal cord. Particularly we are interested in defining the role of integrins in anchoring growing axons to the laminin coating around Schwann cells, thereby limiting further growth. The proposed summer project will be to use immunocytochemistry and confocal microscopy to examine the expression of axon and Schwann cell specific integrins during different stages of axonal growth and to use specific inhibitors to disrupt the bond between two as an approach to increase growth beyond the PNG. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Eileen K. Jaffe Adjunct Biochemistry Faculty at Fox Chase Cancer Center Biochemistry and Molecular Biology Office Location Fox Chase Cancer Center Phone Number 215 728-3695 E-mail Eileen.Jaffe@fccc.edu Amount of time you are available for direct student supervision: Any specific skills required: Project Information: Project Name Optimizing crystallization conditions for determining the structure of phenylalanine-stabilized fully-activated phenylalanine hydroxylase Project Description or Area of Interest Dysfunction of the enzyme phenylalanine hydroxylase (PAH) is the root cause of most forms of phenylketonuria (PKU) and/or hyperphenylalaninemia (1, 2). PAH functions to maintain phenylalanine (Phe) at levels sufficient for the body’s need for protein biosynthesis but below neurotoxic levels. This delicate control is accomplished by Phe acting as an activator of PAH in response to a protein-containing meal. Despite the success of a protein-restrictive diet in preventing permanent neurological damage in infants and children with PKU, there is a clear need for additional therapeutic measures to counteract the behavioral and psychiatric problems associated with adolescents and adults who struggle with the necessary dietary restrictions (1). New therapeutics can arise from a thorough understanding PAH structure. In 2013 we described a novel structural paradigm for PAH activation by Phe, which consists of two different tetrameric PAH conformations (3). One conformation represents an auto-inhibited enzyme form with basal activity, which is functional when Phe levels are low. We have recently solved the X-ray crystal structure of this auto-inhibited tetrameric form (4), which represents a major contribution to the field. The second tetramer represents the activated form of the enzyme, which is stabilized by allosteric Phe binding when Phe levels are elevated. The goal of the proposed DUCOM medical student summer fellowship project is to optimize crystallization conditions that will allow determination of the structure of the Phe-stabilized activated PAH tetramer. Determining this structure will provide a long-needed target for structure-based design/discovery of small-molecule therapeutics that can stabilize activated PAH to serve patients throughout life. Our 2013 proposal for PAH regulation predicted that the activated PAH structure would relieve an autoinhibitory interaction seen in our current crystal structure and would contain a new inter-subunit protein-protein interface that defines the location of allosteric Phe binding. This new interface is a target for developing a drug that will stabilize activated PAH. Transformation from the autoinhibited to the activated form is predicted to include significant repositioning of structural domains within each subunit. The medical student summer fellow would work closely with graduate student Emily Arturo to optimize crystallization conditions in the presence of Phe. The laboratory already has copious amounts of purified full length mammalian PAH. The search for suitable crystallization conditions is being carried out initially on a Mosquito robotic instrument using a variety of commercial screening kits. Conditions will be optimized by making small systematic changes in the crystallization solutions. In the event that promising crystals are obtained, the medical student may participate in screening these crystals for diffraction quality. The medical student may also participate in harvesting the crystals to be mailed to Argonne National Laboratory for remote data collection. Alternative approaches – If necessary, alternative forms of PAH can be used to derive a crystal structure for the Phe-stabilized, high-activity PAH tetramer. These forms include 1) an N-terminal truncation lacking the autoinhibitory peptide, 2) full-length PAH that is phosphorylated at Ser16, or 3) a phosphomimic PAH variant S16E. It is possible that the medical student may participate in the purification of these alternate forms of PAH. References 1. Camp KM, et al. (2014) Phenylketonuria Scientific Review Conference: state of the science and future research needs. Mol Genet Metab 112(2):87-122. 2. Blau N, Shen N, & Carducci C (2014) Molecular genetics and diagnosis of phenylketonuria: state of the art. Expert review of molecular diagnostics 14(6):655-671. 3. Jaffe EK, Stith L, Lawrence SH, Andrake M, & Dunbrack RL, Jr. (2013) A new model for allosteric regulation of phenylalanine hydroxylase: implications for disease and therapeutics. Arch Biochem Biophys 530(2):73-82. 4. Arturo E, et al. (2016) The First Structure of Full-Length Mammalian Phenylalanine Hydroxylase Reveals the Architecture of an Auto-inhibited Tetramer. Revised manuscript under review by Proc. Natl. Acad. Sci. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Pooja Jain, Ph.D. Professor Microbiology and Immunology Office Location Queen Lane Campus, Labs G69 & G74 Phone Number 215-991-8393 E-mail pjain@drexelmed.edu Amount of time you are available for direct student supervision: At least 1 hour each day and a senior lab person will oversee student training. Any specific skills required: Not necessarily but previous laboratory experience will be a plus. Project Information: Project Name Restoring anti-viral immunity during HTLV-associated cancer and neuroinflammatory disease Project DescriptionRU$UHDRI,QWHUHVW Worldwide, 20 million people are infected with HTLV-1, a majority of which remain asymptomatic carriers (ACs), while a few develop ATL or HAM/TSP with no effective treatment or vaccine for either disease state. The exact mechanism(s) of disease pathophysiology remain unresolved with a big question of high proviral load in HAM/TSP patients despite vigorous cellular immune response (primarily directed towards viral transactivator protein Tax)? Our initial studies implicated programmed death (PD)-1 receptor and its ligand, PD-L1 as potential underlying factors for observed immune cells’ dysfunctions leading to viral persistence and disease progression, primarily in HAM/TSP patients. PD-1:PD-L1/PD-L2 are the members of immunoglobulin superfamily (IgSF) co-signaling molecules and have been linked with CD8 T-cell exhaustion during chronic viral infections. Several members of this family play critical role in regulating antigen-specific immune responses. Thus far, PD-1 and CTLA-4 pathways have been extensively studied; and blocking antibodies against these have shown clinical benefit in the setting of both cancer and chronic viral infections. More recent data suggest that blocking multiple inhibitory receptors simultaneously may improve T-cell based therapies, but further studies are required to clarify the role of each inhibitory receptor-ligand pair, as listed above. Moreover, the clinical applicability of checkpoint blockade remains to be tested with respect to neuroinflammatory diseases especially those associated with chronic infection, such as HAM/TSP, NeuroAIDS, etc. Interestingly, HTLV-1 provides a good model for both and thus, we find it significant to investigate the role of key inhibitory receptors/ligands in HTLV-1 infection and test their combined blockade as potential immunotherapeutic strategy to restore immune cell functions in HAM/TSP patients. Given the latest identity of a functional lymphatic system within the CNS (Louveau et al., Nature, 2015), it has become crucial to elucidate the role of these immune balancing pathways in the context of neuroinflammation. Therefore, this approach is both timely and highly significant with great potential of being successful. While this approach should help in restoring functions of pre-existing antiviral immunity in patients, activating new CTLs to mimic polyclonal CD8 T-cell response found in ACs will be the key for a successful immunotherapeutic intervention of HTLV-associated diseases. Therefore, we propose to systematically identify T-cell epitopes presented by HTLV-1-infected cells that define protective immunity in silent carriers alongside blocking inhibitory pathways in order to fully restore T-cell functions in chronically infected patients. These studies will advance the current understanding of a human chronic viral infection, and bring the field closer to finding a better treatment or cure for HTLV-1-associated diseases. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Dr. Suresh Joshi Assistant Professor, Director, Center for Surgical Infection & Biofilm Microbiology and Immunology Office Location 245 N. 15th Street Mail Stop 1013A Phone Number 215-762-8431 E-mail Suresh.Joshi@drexelmed.edu Amount of time you are available for direct student supervision: Any specific skills required: Definite background of microbiology lab work/research Project Information: Project Name 1. Studies on non-thermal plasma-activated novel antimicrobial products 2. Drug synergy approach in control of MDR Acinetobacter baumannii Project Description or Area of Interest Project 1:Studies on non-thermal plasma-activated novel antimicrobial products Our laboratory is engaged in investigating the mechanisms of antibacterial and antibioflm aspects of plasma-activated products, including studies on wound infection and healing. The student must have a strong interest in research and background in microbiology or infection control. Cell and Molecular Biology techniques are preferred. Project 2: Drug synergy approach in control of MDR Acinetobacter baumannii Ongoing studies on the mechanisms underlying the resistance and the action of drug synergy compounds. Strong interest in research; and background in microbiology, and Cell Biology or Molecular Biology techniques are required. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Sandhya Kortagere Title Associate Professor Department Microbiology & Immunology Office Location G81 Phone Number 215-991-8135 E-mail sandhya.kortagere@drexelmed.edu Amount of time you are available for direct student supervision: 70% Any specific skills required: Experience in handling rats Project Information: Project Name In vivo screening of novel small molecules for treating Parkinson's disease Project Description or Area of Interest Our laboratory is interested in developing novel therapeutics for treating the motor and cognitive symptoms of Parkinson's disease (PD). We have recently characterized small molecules that may have the property of modifying the disease in addition to treating the symptoms. These small molecules can be neuroprotective and/or delay the onset of the motor symptoms of PD. In this proposal we would like to assess these features of the compounds in a rodent model of PD. Results from this study will provide further insights into the mechanism of action of these compounds in vivo. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department J. Yasha Kresh Professor and Research Director Cardiothoracic Surgery and Medicine (Cardiology) Office Location 6320 NCB (Hahnemann Univ Campus) Phone Number 215 762-1703 E-mail jkresh@drexelmed.edu Amount of time you are available for direct student supervision: No restriction on time commitment (not subject to time limitation) Any specific skills required: Aptitude and interest in Bio-Physics, Fluid Mechanics, Bio-Engineering, Mathematical Modeling (CFD), Flow Visualization Project Information: Project Name Cardiac Structure-Function: Helical Morphology, Torsional Motion, Spiral Flow Biologically-inspired spiral laminar-flow generation: Biophysical regulation and emulation of epigenetic vascular states Project Description or Area of Interest Historically, much of the research conducted has been at the interface of medicine and engineering, dedicated to the discovery and development of innovative methodologies (molecular/cellular therapies) and technologies (organ function replacement, surgical robotics, and cellular replacement therapies) for the treatment of CV system disorders. These efforts draw upon a large multidisciplinary knowledge base, applying the thinking, phenomena, techniques, and technology of cardiovascular biophysics, molecular biology, cellular and tissue engineering, mathematical / computational biology and systems science theory. The basic research encompasses integrative aspects of cardiovascular structure-function, studying the functional relationships between intercellular and extracellular mechano-transduction signaling. The applied research targets therapies to repair / replace the failing pump function of the heart using regenerative tissue engineering and mechanical cardiac replacement device design technologies. More recently, we have embarked on a number of new (and highly translational) projects in the area of cardiac valve design and enhancement of their performance dynamics, engineering functional 3D tissue models, digital kitting (personalized designs) of cardiovascular implants (multi-leaflet valves, vascular prosthesis) and smart clothing. Functional Architecture of the Heart: Torsional Contraction and Vortical Flow: The heart has been viewed as a 'simple' pressure-propulsion pump, generating the needed force responsible for blood-flow throughout the circulatory system. Most of not all treatments modalities to correct and/or replace cardiac structural abnormalities are rooted in this oversimplified conceptualization. Not until very recently has the recognition of the torsional (twisting and untwisting) motion of the ventricles during ejection and filling has gained a winder recognition of its clinical relevance. Much of this occurred in the past decade with the advent and of sophisticated non-invasive dynamic 3-D (Echo, MRI) imaging of the blood-flow velocity, exhibiting spiraling / vortical streamlines / patterns. The epigenetic significance (molecular signaling, adaptation, pathogenesis) of this more complex, momentum imparted, spiral flow in normal physiology and its alteration in heart failure and how it relates to vascular pathophysiologic states (atherosclerosis, thrombosis) will be elucidated in the ongoing and future studies. Using biomimicry by which the helical (spiral winding) structure of the contracting heart muscle band gives rise to vortical / rotational circulatory flow are inspiring the design of vascular prosthesis (grafts / stents) and mechanical circulatory assist devices. In particular, the (patho)physiological importance of spiral-laminar flow (endothelial shear-stress distribution, turbulence / secondary flow formation) in the atheroma prone regions of the circulation (e.g. aortic arch, carotid-artery bifurcation) will be the focus of the Summer Research Project. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Dong Heun Lee, MD Assistant Professor of Medicine Internal Medicine (Divsion of Infectious Diseases and HIV Medicine) Office Location 245 North 15th Street, MS461, NCB 6417, Philadelphia, PA, 19102 Phone Number 215-762-4697 (Pager 41481) E-mail Dong.lee@drexelmed.edu Amount of time you are available for direct student supervision: About one to two half day per week. Any specific skills required: Interest and passion for clinical research. It would be great if has basic knowledge of data process and statistical analysis. Interest in Infectious Diseases and organ transplant. Project Information: Project Name Evaluation of listing process in HIV infected patients for renal transplantation Project Description or Area of Interest After the introduction of combination antiretroviral therapy (cART), mortality and morbidity associated with HIV disease improved dramatically.(1) Patients with HIV diseases are no longer struggling with opportunistic infections, but rather suffering from chronic medical conditions including malignancy and end organ diseases. (2) HIV infected patients in need of organ transplantation experience the same frustration as uninfected patients on the wait list due to limited organ availability. Death is not uncommon among patients who are on the wait list. Solid organ transplantation in HIV infected patients was controversial as it may further suppress the immune system and expose opportunistic infections. A series of solid organ transplantations was performed and it was reported to be safe and to improve the quality of HIV patients’ lives. (3) (4) In 2003, the prospective-multicenter cohort was organized to evaluate outcomes of liver and kidney transplantation. This study addressed HIV-specific risks of transplantation and also addressed the information that was necessary to manage medical and psychosocial complications in this population. (5) The outcome of the transplantation in this cohort was acceptable with no increases in complications associated with HIV infection. However, more rejections were observed at the beginning. Both graft and patient survival rates were equivalent to those of transplants performed on an elderly population. On November 21, 2013, President Barack Obama signed the law the HIV Organ Policy Equity (HOPE) Act, legalizing the use of HIV infected organs for transplantation into HIV infected patients, which is an operation rooted from experience in South Africa. In 2010, Muller and colleagues reported their experience using HIV infected kidney donors for 4 patients. (6) They further explored the possibility of using HIV infected donors on 10 more patients and reported all transplanted patients had well controlled HIV infection during follow up period. They concluded use of HIV-infected donor would benefit HIV infected patients with end stage renal diseases. (7) In a mathematical model using the database analysis, it was estimated that 500 donors might be added to the pool with the addition of HIV donors in U.S. (8) This will allow a significant increase in the number of transplantations for HIV infected patients who are waiting for organ transplantation. Despite the expected increase in the number of transplantations for in HIV infected patients, there is scant information about the number of patients who are waiting for transplantation. Data is not available on HIV-status among patients awaiting organ transplants, so it is hard to know how many patients on the wait list are HIV-positive. However, HIV infected patients who came for renal transplantation evaluation tend to not complete the full evaluation, which allows them to be actively listed for transplantation.(9) Among 309 potentially-eligible HIV patients only 20% completed the evaluation process to be listed compared to 73% in HIV negative patients. The main barriers were obtaining HIV related information from providers and the inability to complete the work up related to transplantation. The average times for listing was 16 months from the initial evaluation, which was much longer than in HIV negative patients. This may be related to the social economic status of patients, requiring further supports in order to complete the evaluation process. In order to prepare for the impact of available organs from HIV infected donors in the U.S., a more-detailed understanding of the evaluation process and the clinical characteristics of HIV infected patients who are waiting for organ transplantation is required. This will require an in-depth analysis of potential recipients, specifically examining the evaluation process, the cause of kidney failure, co-morbidities, vaccination status, HIV resistance, and cART that will affect future immunosuppressant use. Understanding the patient’s socio-economic status and current support system will allow for planning a support system for post transplantation care. Having an understanding of the HIV patients who are in the evaluation process can further speed up the process and help prepare for the transplantation by allocating the appropriate organs. We propose to do this through a retrospective chart review of individuals with HIV who have been evaluated and are on the wait list for kidney transplantation. In this way, we hope to provide a greater insight into the feasibility of simplifying listing process of HIV infected recipients for transplantation. We decided to describe the characteristics of HIV patients who came for evaluation of kidney transplantation in order to have a better understanding and also find the gaps that may be filled to improve the process. Objective The purpose of this study is to determine the evaluation process of HIV infected individuals for kidney transplantation and to describe the clinical characteristics of patients who are referred to transplant center in order to fill improve in the gaps in the evaluation process. 1. RH, Jr., Dworkin MS. Trends in diseases reported on U.S. death certificates that mentioned HIV infection, 1987-1999. Journal of acquired immune deficiency syndromes. 2002;29(4):378-87. PubMed PMID: 11917243. 2. Strategies for Management of Antiretroviral Therapy Study G, El-Sadr WM, Lundgren J, Neaton JD, Gordin F, Abrams D, et al. CD4+ count-guided interruption of antiretroviral treatment. The New England journal of medicine. 2006;355(22):2283-96. doi: 10.1056/NEJMoa062360. PubMed PMID: 17135583. 3. Stock PG, Roland ME, Carlson L, Freise CE, Roberts JP, Hirose R, et al. Kidney and liver transplantation in human 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Eishi Noguhi Associate Professor Biochemistry and Molecular Biology Office Location NCB 11319 Phone Number 215-762-4825 E-mail enoguchi@drexelmed.edu Amount of time you are available for direct student supervision: Approx. 1 hr per day. However, graduate students and lab manager are often available to guide a medical student. Any specific skills required: Basic biochemistry and molecular biology techniques, cell culture experience, microbial culture. Project Information: Project Name Role of Maf1 in lifespan regulation Project Description or Area of Interest We will establish the role of Maf1 as a critical target of the mTOR pathway, which plays a central role in controlling cell growth, proliferation, metabolism, ultimately regulating cellular lifespan and senescence. This pathway has significant clinical relevance; mTOR inhibition ameliorates multiple age-related diseases in animal models including Alzheimer's disease, Parkinson's disease, and idiopathic senile cardiomyopathy. Thus, the identification of additional mediators of mTOR will provide novel drug targets that may be valuable in several disease states. We will use human cells to establish the role of Maf1 in mammalian lifespan regulation. We will downregulate Maf1 and examine general aging-related phenotypes, including elevation of ROS, protein oxidation, and DNA damage under calorie-restricted conditions. We may also consider investigating mitochondrial function and lipid metabolism as they relate to lifespan regulation and insulin signaling. These experiments will establish mechanisms of Maf1 in lifespan extension. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Juan Lucas Poggio, MD, MS, FACS, FASCRS Associate Professor of Surgery Surgery Office Location 245 N. 15th Street, MS 413 Phone Number 6103313720 E-mail Juan.Poggio@DrexelMed.edu Amount of time you are available for direct student supervision: Any specific skills required: None Project Information: Project Name Best teaching tools from the medical student perspective. Project Description or Area of Interest This survey looks at evaluating which methods are seen as most beneficial in teaching medical students during surgical rotations. Tool to answer question will be a survey. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Juan Lucas Poggio, MD, MS, FACS, FASCRS Associate Professor of Surgery Surgery Office Location 245 N. 15th Street, MS 413 Phone Number 6103313720 E-mail Juan.Poggio@DrexelMed.edu Amount of time you are available for direct student supervision: Any specific skills required: Some knowledge on database analysis and regression analysis preferred but not required Project Information: Project Name Comparison between laparoscopic and open lysis of adhesions for small bowel obstruction Project Description or Area of Interest Evaluate morbidity and success of both laparoscopic and open approaches to lysis of adhesions for small bowel obstruction 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Juan Lucas Poggio, MD, MS, FACS, FASCRS Associate Professor of Surgery Surgery Office Location 245 N. 15th Street, MS 413 Phone Number 6103313720 E-mail Juan.Poggio@DrexelMed.edu Amount of time you are available for direct student supervision: Research done with co-investigator Dr. Zulfiya Orynbayeva, PhD, Research Assistant Professor Department of Surgery, Drexel University College of Medicine Any specific skills required: Teaching and education on methodology and experiments provided Project Information: Project Name “Bioenergetic Signature of Colon Cancer” Project Description or Area of Interest Study the role of oxidative capacity and SLC13A(2,3) in bioenergetic reprogramming of colon tumor 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Juan Lucas Poggio, MD, MS, FACS, FASCRS Associate Professor of Surgery Surgery Office Location 245 N. 15th Street, MS 413 Phone Number 6103313720 E-mail Juan.Poggio@DrexelMed.edu Amount of time you are available for direct student supervision: Research done with co-investigator Dr. Zulfiya Orynbayeva, PhD, Research Assistant Professor Department of Surgery, Drexel University College of Medicine Any specific skills required: Biostatistics knowledge preferred but not required Project Information: Project Name Retraction of pathologic specimens after surgery and effects on pathologic analysis Project Description or Area of Interest We hypothesize that there is significant differences between intraoperative measurments of specimen and postoperative pathologic measurements. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Juan Lucas Poggio, MD, MS, FACS, FASCRS Associate Professor of Surgery Surgery Office Location 245 N. 15th Street, MS 413 Phone Number 6103313720 E-mail Juan.Poggio@DrexelMed.edu Amount of time you are available for direct student supervision: Any specific skills required: Proactive attitude, hard work, and commitment. Statistical analysis knowledge and software use is preferable Project Information: Project Name Several projects which vary from robotic surgery and database analysis to factors affecting success in medical school Project Description or Area of Interest Robotic Surgery Colon and Rectal Cancer and national database analysis ( access to care, outcomes according to income, geographic location, education, insurance and ethnicity) Quality improvement research Medical education and medical schooltools to predict success Projects are developed with me from conception to planification, application of methodology, evaluation of results and conclusion with the goal to result in poster or oral podium presentations and peer reviewed publication 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Ramesh Raghupathi Professor Neurobiology and Anatomy Office Location Room 277, Queen Lane campus Phone Number 215-991-8405 E-mail ramesh.raghupathi@drexelmed.edu Amount of time you are available for direct student supervision: 2-3 hours/day Any specific skills required: Interest in brain injury Project Information: Project Name Interventions to ameliorate long term behavioral deficits following repetitive concussions Project DescriptionRU$UHDRI,QWHUHVW Both student and professional athletes are at risk of suffering from the long-term consequences of multiple concussions. This has been highlighted and documented in retired NFL players whose brains show signs of chronic degeneration. Student athletes complain of cognitive problems, emotional disability and psychiatric symptoms during their high-school and college careers. Importantly, men and women suffer distinct sets of behavioral problems. We have established a clinically-relevant rodent model of repetitive mild concussions wherein we have demonstrated deficits in cognition, increased impulsive behavior, and decreased sensitivity to pain that is evident for 1-2 months after the injury. We have two approaches designed to reduce these behavioral problems: (1) a pharmacological approach using agents that target the dopamine system (eg amantidine), and (2) physical activity (eg forced exercise using a treadmill). The current project is designed to compare the efficiency of these two interventions in both male and female rodents with the idea that the efficacy of the intervention may depend on the sex and/or the behavioral outcome being measured. The project will entail that the student will learn aspects of brain injury (concepts), behavior (methods and data analysis), and pharmacology (drug dosing and delivery). 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Scott D. Richard Chief of Gynecologic Oncology OB/GYN Office Location 230 N Broad St., Rm 1536 South Tower Phone Number 215-762-2640 E-mail Scott.Richard@drexelmed.edu Amount of time you are available for direct student supervision: 20 hours per week Any specific skills required: Previous experience with cell cultures or with rodents preferred but not required. Project Information: Project Name Treatment of Peritoneal Dissemination of Multi-Drug Resistant Ovarian Cancer with Synthetic Cell-Cycle Derived Peptide. Project Description or Area of Interest There are 25,000 newly diagnosed women with ovarian cancer every year in the United States, at a median age of 63. Particularly problematic is that most of these women (61%) are diagnosed at a late stage, as the anatomy makes peritoneal “seeding” more likely. 5-year survival remains below 50% overall, and around 25% for those with metastases. Peritoneal dissemination of ovarian cancer portends a grim prognosis, hence the need for innovative therapies. We have been investigating novel synthetic peptides modeled on a key domain of the p53 gene product, PNC-27 and PNC-28. Originally designed to hijack the apoptosis apparatus and induce tumor cell death, subsequent studies have shown a different, membranolytic mechanism of action; sparing of untransformed cells remains a hallmark feature. Multidrug resistant ovarian cancer offers the perfect paradigm for preclinical testing of peptide efficacy and safety. Medical student fellows will work directly with both MDs and PhDs in a collaborative multidisciplinary basic science/translational laboratory with a strong track record of working with students. Opportunities will be provided for additional projects including clinical outcomes and health services research. This project is perfect for those interested in gynecologic oncology, obstetrics and gynecology, surgical oncology, general surgery, medical hematology-oncology, radiation oncology, women’s health, geriatrics, palliative care, internal medicine, drug development, rational drug design, public health, medical innovation, or anyone interested in the nexus of basic science research and clinical therapeutics. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Christian Sell Associate Professor Department Pathology Office Location NCB 5219 Phone Number 215-762-8367 E-mail christian.sell@drexelmed.edu Amount of time you are available for direct student supervision: 7 days a week Any specific skills required: some basic bench skills would be a plus. Project Information: Project Name Influence of mitochondrial variation on neurocognitive status and longevity. Project Description or Area of Interest Mitochondria are the central energy producing organelles in mammalian cells. Mitochondria produce 92% of cellular ATP, critical metabolic intermediates, and play critical roles in calcium regulation, thermogenesis, and apoptosis. Within the cell, mitochondria exist as a highly dynamic network that is actively remodeled through fission and fusion events. The mitochondrial genome is found within the matrix of the mitochondria and, unlike the multi-chromosome configuration of nuclear DNA, which contains both introns and exons, the mitochondrial genome is intronless, circular and approximately 16,569 base pairs in size for humans. Depending on cell type, circular mitochondrial DNA copies can range from 1000 to 8000 per cell. Mitochondrial haplogroups have been found to be associated with an increased risk of several neurodegenerative disorders and potentially with differences in longevity, and an increase in the number of deletions and mutations within the mitochondrial genome occurs with age. HIV-1-infected patients are prone to premature aging and dementias, such as Alzheimer's disease and HIV-associated neurocognitive disorder (HAND). HAND is thought to be caused by a combination of viral infection and side effects from antiretroviral therapy. Antiretroviral therapies are known to damage mitochondria and this damage is thought to contribute to HAND and premature aging. Given that the HIV-1-infected population is now aging (26% of HIV-1-infected individuals were >50 in 2011 and this percentage is increasing) the identification of patients at risk for mitochondrial dysfunction and neurocognitive decline is critical for clinical management and will become increasingly important as this patient population continues to age. In a collaborative effort involving infectious disease specialists, clinical neuropsychologists, and basic scientists; we have examined genetic variation within the mitochondria genome in a population of primarily African American HIV-1-infected patients that have undergone extensive cognitive evaluation and found that a subset of these variants correlate with specific aspects of neurocognitive function and status. Some variants appear to be protective while others convey a greater risk for neurocognitive decline. We predict that the variants that are neuroprotective will also enhance longevity. We propose to move this study forward by first enrolling additional patients for neurocognitive assessment and genomic sequencing to increase the statistical power of the study and second, examining the mitochondrial genome of healthy centenarians for genetic variation associated with enhanced longevity. The successful candidate will be involved in patient recruitment, sample processing, and some data analysis. Both clinical skills and basic research skills would be involved and the student will act as a go between for the laboratory and clinical sites. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Todd Strochlic V.M.D., Ph.D. Assistant Professor Department Biochemistry and Molecular Biology Office Location New College Building - Room 11315 Phone Number 215-762-3664 E-mail Todd.Strochlic@drexelmed.edu Amount of time you are available for direct student supervision: May 15, 2016 - August 15, 2016 Any specific skills required: Some experience with basic techniques in molecular and cell biology preferred Project Information: Project Name Investigating the role of MK2 kinase signaling in inflammatory breast cancer Project Description or Area of Interest Inflammatory breast cancer (IBC) is a relatively rare but highly aggressive form of locally invasive breast cancer accounting for approximately 5% of all breast cancer cases. Because the disease initially resembles mastitis and there is usually no palpable mass, patients are frequently diagnosed late in the progression of the disease with advanced metastatic spread. As a result, IBC carries a guarded to poor prognosis and has a 5-year disease-free survival rate of only 40%, the lowest of all breast cancer types. Given the poor survival rate and aggressive nature of this form of breast cancer, surprisingly little is known regarding its genetic and biochemical basis, underscoring the need for further investigation into the molecular etiology of IBC in order to improve patient outcome. As critical regulators of cell signaling pathways, protein kinases play key roles is mediating cell growth, proliferation, and motility and are frequently mutated in human cancers. We have obtained preliminary data indicating that the stress-activated protein kinase MK2 (MAPKAP kinase 2) is hyperactive in IBC compared to non-IBC cells. We have found that shRNA-mediated knockdown of MK2 decreases the secretion of IL-6 and IL-8, pro-inflammatory cytokines critical for the proliferation of IBC cells, indicating that MK2 is involved in this process. To further characterize a role for MK2 kinase signaling in IBC, we conducted a proteomic screen to identify novel substrates of this kinase in the SUM149 IBC cell line. Using this approach, we have identified and validated a novel MK2 substrate, the DNA helicase RecQL, an enzyme implicated in the maintenance of genomic integrity. Our overall hypothesis is that MK2 drives the progression of IBC by both promoting the secretion of pro-inflammatory cytokines and by regulating the activity of RecQL. Experiments to test these hypotheses will utilize techniques including molecular cloning, site-directed mutagenesis, protein expression and purification, Western blotting, and cell proliferation and motility assays. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Zsofia Szep Assistant Professor of Medicine Department of Medicine Division of Infectious Diseases and HIV Medicine Office Location 1427 Vine St 412 Phone Number 267-507-6738 E-mail zsofia.szep@drexelmed.edu Amount of time you are available for direct student supervision: 20 hours per week Any specific skills required: Assist with data collection and data entry during the summer of 2016 Project Information: Project Name Incorporating Screening for Pre-exposure Prophylaxis into Rapid HIV Testing in a High Risk Neighborhood in Philadelphia Project Description or Area of Interest Pre-exposure prophylaxis (PrEP) is a bio-medical HIV prevention strategy that involves the use of antiretroviral medications to reduce HIV acquisition among at-risk individuals. PrEP trials have shown efficacy among MSM, heterosexual men and women and intravenous drug users (IDUs). Although the U.S. Food and Drug Administration approved PrEP in 2012, adoption of PrEP in real-world clinical settings has been slow. Reasons for slow adoption include lack of access to providers willing to prescribe PrEP, cost and low PrEP knowledge among high-risk populations. Despite slow adoption overall, implementation studies in France and in England in the MSM population have shown highly successful results with 86% reduction in HIV acquisition. A recent study from San Francisco documented no new cases of HIV infections among 650 MSM using PrEP despite high-risk sexual behaviors. Given its potential to curb HIV transmission, scale up of PrEP, that includes targeted efforts for at-risk populations is warranted. The uptake of PrEP could, however, be increased if individuals in high-risk settings were screened for, educated about PrEP during rapid HIV testing and then referred to a clinic where practitioners feel comfortable providing PrEP care (prescribing PrEP and quarterly follow-up). Through this application, we will incorporate PrEP screening into HIV rapid testing in Kensington a low income neighborhood with concentrated HIV/STD and a large Latino population. To the best of our knowledge, there have been no studies of PrEP implementation studies targeting a high-risk Latino community. We propose the following specific aims and select hypotheses: Aim #1: To pilot a screening tool for PrEP screening during rapid HIV testing and link those who qualify into PrEP Care H1: Incorporating PrEP screening into HIV testing will identify individuals who qualify for PrEP. H2: Rates of PrEP eligibility in Kensington will meet or exceed those in implementation studies. Aim #2:To identify factors associated with failure to link to PrEP Care among individuals who qualify for PrEP H3: Predisposing factors, enabling factors, and perceived need will be associated with non-linkage to PrEP care. Aim #3: To evaluate rapid HIV testers’ knowledge and attitudes about PrEP prior to and after incorporating screening for PrEP into rapid HIV testing. H4: Tester knowledge and attitudes toward PrEP will improve from baseline to follow-up and this will be associated with higher comfort providing referrals to PrEP care. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Claudio Torres Associate Professor Pathology Office Location NCB, 5610 Phone Number 215-762-1783 E-mail claudio.torres@drexelmed.edu Amount of time you are available for direct student supervision: As required Any specific skills required: Although not absolutely necessary, knowledge of some basic laboratory techniques such as use of pipettes and preparation of solutions is desirable Project Information: Project Name Role of Cellular Senescence on Neurodegenerative Disease Project DescriptionRU$UHDRI,QWHUHVW Aging is the greatest risk factor for the development of neurodegenerative disease, however the aspects of the aging process that predispose to the development of brain pathology are largely unknown. A recent advance in the basic biology of aging, that may have implications for brain disorders, is the recognition by our laboratory that senescent astrocytes and neurons can be identified in vivo. Astrocytes are the most abundant cell type in the brain with critical roles in brain physiology and neuronal function. However, little is known about the changes that occur in these cells during aging and neurodegenerative disease. Recently, we have reported that human astrocytes activate a senescence program in response to oxidative stress or exhaustive replication. Astrocytes are very sensitive to oxidative stress and we hypothesized that astrocyte senescence may occur in neurodegenerative disorders or inflammatory episodes, such as Alzheimer’s disease (AD). Brain tissue from AD patients contains a significantly higher number of astrocytes and neurons expressing markers of senescence than age-matched controls. The demonstration that senescent cells accumulate in aged and AD brains, and that these cells lose functionality, creates a new paradigm for aging-related pathologies and AD. These studies will finally enhance our understanding of why age is the major risk factor for AD independent of gene mutations, and will lead the way to interventions aimed to delay cellular senescence or reduce the effects of senescent cells in AD progression. The project to be developed during the time frame of a summer rotation could be included as part of some of our current research projects shown below. Specific goals for the summer project will be defined in conjunction with the student. 1. Verify the extent of astrocyte and neuron senescence in brains affected by AD and frontotemporal lobar degeneration (FTLD) by analyzing functional markers of senescence including chromatin condensation and telomere dysfunction, and epigenetics changes in histones. 2. Evaluate the relationship between oxidative stress on astrocyte and neuron senescence. 3. Evaluate the ability of senescent astrocytes to influence microglial activation and neuronal senescence. We hypothesize that specific factors secreted by senescent astrocytes, such as cytokines and miRNAs, influence neuronal and microglial homeostasis to contribute to the pathogenesis of AD. We are studying effects on neuron survival, microglial activation and the identification of secreted factors involved in the process. 4. Evaluate relation HIV-1 and cellular senescence. We hypothesize that HIV-1 infection induces the senescent program in the brain cells. We will perform an evaluation of astrocyte and neuron senescence in the brain after HIV infection. In addition, we are evaluating the role of viral factors, antiviral drugs and drugs of abuse such cocaine and morphine on the cellular senescence program in vitro. 2016 Medical Student Summer Research Fellowship Project List Faculty Sponsor Title Department Eileen K. Jaffe Adjunct Biochemistry Faculty at Fox Chase Cancer Center Biochemistry and Molecular Biology Office Location Fox Chase Cancer Center Phone Number 215 728-3695 E-mail Eileen.Jaffe@fccc.edu Amount of time you are available for direct student supervision: Any specific skills required: Project Information: Project Name Optimizing crystallization conditions for determining the structure of phenylalanine-stabilized fully-activated phenylalanine hydroxylase Project Description or Area of Interest Dysfunction of the enzyme phenylalanine hydroxylase (PAH) is the root cause of most forms of phenylketonuria (PKU) and/or hyperphenylalaninemia (1, 2). PAH functions to maintain phenylalanine (Phe) at levels sufficient for the body’s need for protein biosynthesis but below neurotoxic levels. This delicate control is accomplished by Phe acting as an activator of PAH in response to a protein-containing meal. Despite the success of a protein-restrictive diet in preventing permanent neurological damage in infants and children with PKU, there is a clear need for additional therapeutic measures to counteract the behavioral and psychiatric problems associated with adolescents and adults who struggle with the necessary dietary restrictions (1). New therapeutics can arise from a thorough understanding PAH structure. In 2013 we described a novel structural paradigm for PAH activation by Phe, which consists of two different tetrameric PAH conformations (3). One conformation represents an auto-inhibited enzyme form with basal activity, which is functional when Phe levels are low. We have recently solved the X-ray crystal structure of this auto-inhibited tetrameric form (4), which represents a major contribution to the field. The second tetramer represents the activated form of the enzyme, which is stabilized by allosteric Phe binding when Phe levels are elevated. The goal of the proposed DUCOM medical student summer fellowship project is to optimize crystallization conditions that will allow determination of the structure of the Phe-stabilized activated PAH tetramer. Determining this structure will provide a long-needed target for structure-based design/discovery of small-molecule therapeutics that can stabilize activated PAH to serve patients throughout life. Our 2013 proposal for PAH regulation predicted that the activated PAH structure would relieve an autoinhibitory interaction seen in our current crystal structure and would contain a new inter-subunit protein-protein interface that defines the location of allosteric Phe binding. This new interface is a target for developing a drug that will stabilize activated PAH. Transformation from the autoinhibited to the activated form is predicted to include significant repositioning of structural domains within each subunit. The medical student summer fellow would work closely with graduate student Emily Arturo to optimize crystallization conditions in the presence of Phe. The laboratory already has copious amounts of purified full length mammalian PAH. The search for suitable crystallization conditions is being carried out initially on a Mosquito robotic instrument using a variety of commercial screening kits. Conditions will be optimized by making small systematic changes in the crystallization solutions. In the event that promising crystals are obtained, the medical student may participate in screening these crystals for diffraction quality. The medical student may also participate in harvesting the crystals to be mailed to Argonne National Laboratory for remote data collection. Alternative approaches – If necessary, alternative forms of PAH can be used to derive a crystal structure for the Phe-stabilized, high-activity PAH tetramer. These forms include 1) an N-terminal truncation lacking the autoinhibitory peptide, 2) full-length PAH that is phosphorylated at Ser16, or 3) a phosphomimic PAH variant S16E. It is possible that the medical student may participate in the purification of these alternate forms of PAH. References 1. Camp KM, et al. (2014) Phenylketonuria Scientific Review Conference: state of the science and future research needs. Mol Genet Metab 112(2):87-122. 2. Blau N, Shen N, & Carducci C (2014) Molecular genetics and diagnosis of phenylketonuria: state of the art. Expert review of molecular diagnostics 14(6):655-671. 3. Jaffe EK, Stith L, Lawrence SH, Andrake M, & Dunbrack RL, Jr. (2013) A new model for allosteric regulation of phenylalanine hydroxylase: implications for disease and therapeutics. Arch Biochem Biophys 530(2):73-82. 4. Arturo E, et al. (2016) The First Structure of Full-Length Mammalian Phenylalanine Hydroxylase Reveals the Architecture of an Auto-inhibited Tetramer. Revised manuscript under review by Proc. Natl. Acad. Sci.