BIOGRAPHICAL SKETCH NAME POSITION TITLE JACOB, TONY GEORGE Assistant Professor, Department of Anatomy, AIIMS, New Delhi EDUCATION/TRAINING INSTITUTION AND LOCATION Government Medical College, University of Calicut, Kozhikode, Kerala, India Maulana Azad Medical College, University of Delhi, Delhi, India National Board of Examinations, New Delhi, India All India Institute of Medical Sciences, New Delhi, India DEGREE M.B.B.S. MM/YY FIELD OF STUDY 05/2002 Medicine and Surgery 04/2006 Anatomy- Surgical anatomy and histogenesis of the ethmoid D.N.B. (Anatomy) 07/2007 Anatomy Ph.D. 09/2013 Experimental Acute Pancreatitis M.D. (Anatomy) A. Personal Statement I am a medical graduate and have an M.D. in anatomy from Delhi Universtiy for which the topic of my study was the histogenesis and surgical anatomy of the human ethmoid sinus. The work established many morphometric parameters that could be useful to an endoscopic sinus surgeon. Wanting to extend my ability to pose questions and find answers to them in a more effective manner, I joined the Department of Anatomy at the All India Institute of Medical Sciences, New Delhi, India, which is a premiere medical institute in South Asia There I stared work with various projects in stereology, which is a specialized and state of the art morphometric technique, with Professor T.S. Roy using the StereoInvestigator software. Thereafter, in 2008 I enrolled myself as a Ph.D. candidate with Prof. Roy. Since then, I have been working on the pathogenesis of acute pancreatitis. During the course of my doctoral studies, we in our laboratory established the caerulein injection model of AP in mice, a first in India. We tried to study the role of cytokines in the pathogenesis of severe acute pancreatitis in the caerulein-induced mouse model for which purpose we used thalidomide and curcumin for their known role as anti-cytokine agents in various studies of inflammatory conditions similar to the different types of pancreatitis. We confirmed the presence of inflammation not only biochemically but also histopathologically. Biochemical tests like estimation of plasma amylase, tissue myeloperoxidase activity to estimate neutrophilic infiltration and plasma cytokine levels using ELISA and Luminex platform indicated the presence of inflammation. Further, the histopathological techniques like staining of tissue sections with hematoxylin and eosin, PAS, Masson’s trichrome, silver staining for reticular fibres, transmission electron microscopy and immuno-electron microscopy revealed that endoplasmic reticular stress may have a significant role to play in the pathogenesis of the disease. This finding we tried to confirm by various molecular biological techniques like Western blotting and quantitative RT-PCR. The drugs thalidomide and curcumin, used separately in the study, showed that the former ameliorated systemic manifestations of severe AP, like lung and kidney damage; whereas the latter helped to decrease the local pancreatic injury. To ensure that the drug was available for having any effect we determined the circulating concentration of the drugs and its level in the pancreatic tissue by using the technique of HPLC and tandem Mass Spectroscopy. During my term as a PhD student, I also had the opportunity of availing the Sandwich Fellowship for six months in 2010, offered by the Government of France. I worked at the Unit 624 of INSERM at Marseille. During that period, I worked with already available knock-out mice (for the protein TP53INP1) to study the effect of AP on the mutant strain miRNome. The data for the miRNome from the micro-array from an Affymetrix platform was further confirmed by the expression of the particular miRNAs by quantitative real time PCR using Taqman chemistry. I also tried to see the effect of various cellular stresses like oxidative, heat, and nutrient stress in three different cell types (primary pancreatic acinar culture, 3T3, MiaPaCa). Currently, as an Assistant Professor at AIIMS, New Delhi, in addition to the caerulein model of acute pancreatitis, I am also working with two surgical models of acute pancreatitis in rats. We have replicated some of our work in the mice in this model, in order to study species specificity of a particular injurious agent and its effect on the animal. So far, the findings of the experiments have been consistently pointing to a mechanism of injury and cell death that is quite different from the canonical teaching of enzyme activation and autodigestion. I am taking this work forward currently by exploring some of the death pathways in the pancreas induced by severe acute pancreatitis. This study on cell death and consequent inflamamtion, would have direct impact on clinical practice related to acute inflammatory conditions entailing necrotizing cell death. B. Positions and Honors Positions and Employment 2001-2002 Medical Intern, Government Medical College, Calicut, Kerala, India 2003-2006 Junior Resident, Department of Anatomy, Maulana Azad Medical College, BahadurshahZafarMarg New Delhi 2006-2007 Senior Resident, Department of Anatomy, Maulana Azad Medical College, Bahadurshah Zafar Marg New Delhi, India 2007-2009 Senior Resident, Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India 2010 Sandwich Fellow, Unité 624, INSERM, Marseille, France (June to December). 2009-2012 Research Associate, Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India 2012-2013 Doctoral Fellow, Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India 2013-2014 Assistant Professor, Department of Anatomy, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. 2014- date Assistant Professor, Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India Other Experience and Professional Memberships 2008Reviewer, Journal of Biosciences 2008Reviewer, Clinical Anatomy 2009Reviewer, Anatomical Sciences Education 2009Faculty, Part I MRCOG course, Royal College of Obstetricians and Gynaecologists, Northern Zone- India. 2013Member, Governing Board, Holy Family College of Nursing, New Delhi, India 2014 Reviewer for National Medical Journal of India, BMC-Gastroenterology, Pancreas, Journal of Anatomical Society of India 2014 Life member- Anatomical Society of India, Association of Gerontology, India. Honors 1998 1998 2001 2014 2014 Gold Medal from Anatomical Society of India, Kerala Chapter Raman Ezhuthassan Memorial Gold Medal in Physiology, Government Medical College, Calicut, Kerala, India. The Bayliss Gold Medal in Medicine, Government Medical College, Calicut, Kerala, India. RV Tilak Gold medal for young investigators from the Association of Gerontology, India Adjunct faculty at Jiwaji University, Gwalior for M.Sc. Neurosciences course. C. Selected Peer-reviewed Publications 1. Ruchika Gupta, Alok Sharma, P J Mahanta, Jacob TG, S K Agarwal, T S Roy, Amit K Dinda. Focal Segmental Glomerulosclerosis in Idiopathic Membranous Glomerulonephritis: A Clinicopathological and Stereological Study. Nephrol Dial Transplant (2009) 1–5 2. Sharma P, Pati HP, Mishra PC, Dinda AK, Gupta R, Sharma A, Jacob TG. Inability of immunomorphometric assessment of angiogenesis to distinguish primary versus secondary myelofibrosis. Anal Quant CytolHistol. 2011;33(4):236-44. 3. Jacob TG, Raghav R, Kumar A, Garg PK, Roy TS. Duration of injury correlates with necrosis in caerulein-induced experitmental acute pancreatitis: implications for pathophysiology. Int J Exp Pathol (95) 2014:199-208. 4. Jacob TG, Sreekumar VI, Roy TS, Garg PK. Electron-microscopic evidence of mitochondriae containing macroautophagy in experimental acute pancreatitis: implications for cell death. Pancreatology. 2014, 14(6):454-8. 5. TJ George. Anatomy and Medical Education. Anat Sci Ed 1:48 (2008). 6. Jacob TG. The history of teaching anatomy in India: from ancient to modern times. Anatomical Sciences Education (6) 2013:351-358. 7. Jacob TG. Fast-track medical course and its implications. Anat. Sc Education (7) 2014:329. 8. Jacob TG, Kaul JM. Morphology of the Olfactory Fossa – a new look. J Anat Soc India (63) 2014:30-35. 9. Muthu R, Sharma S, Jacob TG, Bhardwaj DN, Nag TC, Roy TS. The human trochlear and abducens nerves at different ages - a morphometric study. Aging Dis. 2014 18;6(1):6-16