Faculty News Dr. Marmar Appointed New Chairman of Psychiatry charles marmar, MD, has been appointed the new chairman of the Department of Psychiatry. A leading expert on post-traumatic stress disorder (PTSD), Dr. Marmar joins NYU Langone Medical Center from the University of California, San Francisco (UCSF), where he was professor and vice chair of psychiatry, and the San Francisco Veterans Affairs Medical Center, where he was associate chief of staff for mental health and director of the center’s Posttraumatic Stress Disorder Research Program. Dr. Marmar’s wide-ranging research on PTSD has included investigations into the link between the disorder and changes in brain function and anatomy, identification of risk factors, and studies of prevalence in different populations, including combat veterans, law enforcement officers, rape survivors, political refugees, and earthquake victims. He was one of the principal investigators for the National Vietnam Veterans’ Readjustment Study, the first systematic exploration of PTSD among Vietnam veterans. He is currently principal investigator on over a half-dozen PTSD-related research projects, including a recent $3.5 million grant from the U.S. Department of Defense to develop biomarkers of PTSD for use in diagnosing and treating troops returning from Iraq and Afghanistan. In addition to his many academic publications, Dr. Marmar has contributed to numerous textbooks on the psychiatric effects of traumatic stress and also maintains a clinical practice focused on trauma and grief counseling. After receiving his bachelor’s and medical degrees from the University of Manitoba in Winnipeg, Canada, Dr. Marmar completed his residency training in psychiatry and neuropharmacology at the University of Toronto, and in traumatic stress and grief at UCSF, where he joined the faculty in 1978. He is past president of both the Society for Psychotherapy Research and the International Society for Traumatic Stress Studies. • a recent $10 million grant from the National Institutes of Mental Health established a new center devoted to schizophrenia research and treatment at NYU Langone Medical Center and its affiliate, the Nathan S. Kline Institute for Psychiatric Research. The Silvio O. Conte Center for Schizophrenia Research, named after the late U.S. congressman, a champion of mental health research, will be headed by Daniel C. Javitt, MD, PhD, professor of psychiatry. It will investigate a promising approach to treating this surprisingly common and misunderstood mental illness, which affects one in every 100 people over the course of their lives. Dr. Javitt has spent much of his career investigating the link between a brain transmitter called glutamate and schizophrenia. “For many years, overproduction of the neurotransmitter dopamine was thought to be the main cause of schizophrenia,” explains Dr. Javitt. “But excess dopamine doesn’t account for schizophrenia’s cognitive symptoms, such as the inability to decipher vocal tones.” Instead, his research suggests that schizophrenia is caused primarily by dysfunction in one of the receptors, or binding sites, on neurons to which the neurotransmitter glutamate binds. 24 This type of receptor is called N-methylD-aspartate (NMDA), and it plays a critical role in memory, learning, and the ability of the brain to adapt to changes in the environment. Several drugs of abuse, such as PCP (angel dust) and ketamine (special K), cause symptoms that resemble schizophrenia by blocking NMDA receptors, suggesting that these important receptors may be functioning abnormally in individuals with schizophrenia. Dr. Javitt and his colleagues in the new center will be investigating how NMDA receptors influence brain function as well as evaluating medications that boost the receptors’ activity. “Several naturally occurring amino acids—glycine, D-serine, and sarcosine—improve symptoms significantly in large doses,” he notes, adding that these compounds raise NMDA receptor production. Also promising are glycine-transport inhibitors, which block removal of glycine from the brain, allowing glycine levels to build up without need for supplements. (Dr. Javitt holds several patents related to the use of D-serine, along with other compounds used to treat schizophrenia.) “Current schizophrenia medications have troublesome mental and physical side effects, so compliance is often very poor,” says Dr. Javitt. “The hope is that these newer treatments can control or prevent cases, so that current medications won’t be needed.” • NYU Physician fall 2009 P h oto g r a p h b y j o h n a b b ot t ( b ot to m ) $10 Million Grant to Dr. Javitt Establishes Silvio O. Conte Center for Schizophrenia Research Faculty News Dr. Lowenstein Dr. Keefe Appointed Chairman of Receives NYU’s Obstetrics and Gynecology Distinguished Teaching Award P HOTOGRA P H S BY JOHN ABBOTT ( TO P R I GHT ) AN D JO S H UA BR I GHT ( BOTTOM ) david l. keefe, MD, has been appointed Jerome Lowenstein, MD, professor of medicine (nephrology), has been named a recipient of NYU’s 2008–2009 Distinguished Teaching Award. A graduate of both NYU (’53) and NYU School of Medicine (’57), Dr. Lowenstein is famous for converting his research and clinical insights into innovative approaches to teaching medical students and young physicians—a process he called “rewarding, exciting, and intellectually stimulating.” A founding editor of the Bellevue Literary Press, he is credited with transforming the teaching of cell biology through his book Acid and Basics: A Guide to Understanding Acid-Base Disorders, published in 1993. Dr. Lowenstein “personifies the humanistic physician,” wrote Dean and CEO Robert I. Grossman, MD, in recommending him for the award, “and has inspired an entire generation of medical students, house staff, and colleagues to follow in his footsteps to become caring healthcare professionals.” • chairman of the Department of Obstetrics and Gynecology. Dr. Keefe brings a unique blend of skills to his new position, including extensive experience in both clinical care and basic science, as well as a record of innovative medical leadership. He joins NYU Langone Medical Center after serving as the James M. Ingram Professor and Chair of Obstetrics and Gynecology at the University of South Florida, where he helped implement well-received procedural improvements in the department’s clinical ob-gyn program at Tampa General Hospital. A physician researcher, Dr. Keefe has devoted his laboratory research to stem cell and embryo biology, establishing an impressive publishing record of more than 150 papers and abstracts. Before joining the University of South Florida, Dr. Keefe headed the Division of Reproductive Medicine and Infertility at Brown University, where his research team investigated how oocytes reprogram the genome during early development and during an experimental process called therapeutic cloning, or somatic cell nuclear transfer, which is used to obtain stem cells from oocytes. The team’s work received many honors, including the General Program Prize of the American Society for Reproductive Medicine. Dr. Keefe also holds several patents relating to his team’s research on in vitro fertilization techniques. During his time at Brown, Dr. Keefe was also invited by Jack Welch, then CEO of General Electric, to become one of the first U.S. physicians to study “lean management” business techniques, which use in-depth analyses of work processes and customer needs to achieve quality and productivity gains. Dr. Keefe received his undergraduate degree from Harvard College and his medical degree from Georgetown University School of Medicine. He did postgraduate training in medicine, obstetrics, and psychiatry at Yale–New Haven Hospital, Cambridge Hospital/ Harvard Psychiatric Service, and the University of Chicago, followed by fellowships at Northwestern University and Yale University School of Medicine. He has been a reviewer for the American Journal of Obstetrics & Gynecology and the New England Journal of Medicine, among other publications, and belongs to numerous professional associations. • Peter M. Kilbridge, MD, Named Chief Information Officer Peter M. Kilbridge, MD, has been named chief medical information officer at NYU Langone Medical Center. Previously, Dr. Kilbridge was based at St. Louis Children’s Hospital and Washington University School of Medicine, where he led the institution’s inpatient electronic medical records initiative and was executive director of its Pediatric Computing Facility. During his career, he also held a National Laboratory of Medicine– sponsored fellowship in the Medical Informatics Library at Massachusetts General NYU Physician fall 2009 Hospital, and he served Duke University as chair of its Health System Medication Committee and as associate chief information officer for patient safety and clinical effectiveness. A graduate of Case Western Reserve School of Medicine, Dr. Kilbridge completed a residency in general pediatrics and a fellowship in pediatric cardiology at Boston’s Children’s Hospital. • 25