Educational Immersion Experience Title: Genetic Risk for Pulmonary Injury in Sepsis Mentor(s): Timothy Buchman, Ph.D., M.D., and Barbara Zehnbauer, Ph.D. Location: S. Kingshighway Building Educational goals: 1) Understand the importance of associations of polymorphisms in candidate genes or candidate gene pathways with predisposition to sepsis-associated, adverse pulmonary outcomes 2) Understand methods that employ both human and murine systems to study genetic predisposition to inflammatory airway disease during and after sepsis Weeks 1-3: Participate in laboratory meeting (1 hour/week) Select candidate gene or candidate gene pathway to study pulmonary outcome of sepsis; identify murine vs. human system (6 hours/week) Meet with Drs. Buchman and Zehnbauer (1 hour/week) Weeks 3-6: Participate in laboratory meeting (1 hour/week) Participate in experimental approach development and performance of murine experiments (4 hours/week) Begin analysis of human data (2 hours/week) Meet with Drs. Buchman and Zehnbauer (1 hour/week) Weeks 7-9: Participate in laboratory meeting (1 hour/week) Preliminary analysis of murine experiments(3 hours/week) Continue analysis of human data (3 hours/week) Meet with Drs. Buchman and Zehnbauer (1 hour/week) Weeks 10-12: Participate in laboratory meeting (1 hour/week) Complete analysis of murine and/or human data (6 hours/week) Present one hour seminar concerning association of candidate gene variation and severity of sepsis-associated pulmonary disease (1 hour/week) Meet with Drs. Buchman and Zehnbauer (1 hour/week) Suggested reading(s): Vyas D, et al. Epithelial apoptosis in mechanistically distinct methods of injury in the murine small intestine. Histology & Histopathology. 22(6):623-30, 2007 Freeman BD, et al. Genetic research and testing in critical care: surrogates' perspective. Critical Care Medicine. 34(4):986-94, 2006 Chung TP, et al. Molecular diagnostics in sepsis: from bedside to bench. Journal of the American College of Surgeons. 203(5):585-598, 2006 Husain KD, et al. Mechanisms of decreased intestinal epithelial proliferation and increased apoptosis in murine acute lung injury. Critical Care Medicine. 33(10):2350-7, 2005 Wizorek JJ, et al. Sequence makes a difference: paradoxical effects of stress in vivo. Shock. 22(3):229-33, 2004 Saleh M, et al. Differential modulation of endotoxin responsiveness by human caspase-12 polymorphisms. Nature. 429(6987):75-9, 2004 Tabrizi AR, et al. Genetic markers in sepsis. Journal of the American College of Surgeons. 192(1):106-17, 2001