{"id":1256,"date":"2017-07-28T23:05:52","date_gmt":"2017-07-29T06:05:52","guid":{"rendered":"http:\/\/depts.washington.edu\/cfrtc\/?p=1256"},"modified":"2019-02-13T17:48:26","modified_gmt":"2019-02-14T01:48:26","slug":"rdp-pilot-salipante","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/cfrtc\/rdp-pilot-salipante\/","title":{"rendered":"RDP Pilot &#8211; Salipante"},"content":{"rendered":"<p>[et_pb_section fullwidth=&#8221;on&#8221; specialty=&#8221;off&#8221;][et_pb_fullwidth_slider admin_label=&#8221;Fullwidth Slider&#8221; show_arrows=&#8221;on&#8221; show_pagination=&#8221;on&#8221; auto=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; module_id=&#8221;interior&#8221;][et_pb_slide background_image=&#8221;https:\/\/depts.washington.edu\/cfrtc\/wp-content\/uploads\/2014\/12\/microscope11.jpg&#8221; background_color=&#8221;#ffffff&#8221; alignment=&#8221;center&#8221; background_layout=&#8221;dark&#8221; \/][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section][et_pb_row][et_pb_column type=&#8221;1_4&#8243;][et_pb_sidebar admin_label=&#8221;Pilots Sidebar&#8221; orientation=&#8221;left&#8221; area=&#8221;et_pb_widget_area_7&#8243; background_layout=&#8221;light&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;]<\/p>\n<h1 style=\"text-align: center;\">RDP Pilot: Mechanisms and fitness of spontaneous aztreonam resistance in Pseudomonas aeruginosa<\/h1>\n<p><strong>P.I.:<\/strong> <a href=\"http:\/\/depts.washington.edu\/labweb\/Faculty\/salipante_steve.htm\" target=\"blank\">Stephen Salipante, MD, PhD<\/a><br \/>\nAssistant Professor, Laboratory Medicine<\/p>\n<p>This proposal aims to investigate the mechanisms of spontaneous aztreonam resistance in Pseudomonas aeruginosa, a major bacterial pathogen in CF. Aztreonam is a relatively new inhaled antibiotic used to treat CF patients, yet the potential for aztreonam resistant P. aeruginosa to arise through spontaneous mutations is currently unknown, and may represent a significant threat to the efficacy of that antibiotic in clinical use. Using a paradigm of experimental evolution and whole genome sequencing, we aim to catalog the mutations capable of conferring increased resistance to aztreonam, and to explore their effects on bacterial fitness in patient airways.<\/p>\n<p>In the first year, we performed experimental selection studies and whole genome characterization of evolved P. aeruginosa isolates in order to identify recurrent genomic lesions which are associated with aztreonam resistance. We validated the effects of many of these mutations experimentally, and have additionally characterized the mutations occurring in CF clinical isolates with an aztreonam resistance phenotype.<\/p>\n<p>In the second year, we have explored the secondary consequences of aztreonam resistance causing mutations on bacterial fitness, resistance to other antibiotics, and pathogenicity in mammalian hosts.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pilot 12: Identification of Biomarkers for Cystic Fibrosis Associated Nephrotoxicity<\/p>\n<p>P.I.:  \tNeal Paragas, PhD<br \/>\n\tResearch Assistant Professor,<br \/>\n\tMedicine (Nephrology<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>P.I.: <a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/steven-e-kahn-m-b-ch-b\/\" target=\"_blank\">Steven Kahn, MB, ChB<\/a><br \/> Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p><a href=\"http:\/\/depts.washington.edu\/metab\/directory\/faculty\/kristina-utzschneider-m-d\/\" target=\"_blank\">Kristina Utzschneider, MD<\/a><br \/> Associate Professor of Medicine<br \/> Metabolism, Endocrinology and Nutrition<\/p><p>With the increased life expectancy of patients with cystic fibrosis (CF), other co-morbidities have become apparent in these patients. One of these is abnormal glucose metabolism, where CF-related diabetes (CFRD) is common. More recently, another abnormality of glucose metabolism has been recognized; namely late hypoglycemia following oral glucose loading. In this study, we propose to test the hypothesis that the post-glucose load hypoglycemia observed in patients with CF results from a deficient counterregulatory hormone response and\/or an insulin response that is exaggerated and delayed. This increased insulin response could be the result of an exaggerated incretin hormone response or altered gastric emptying. To address this hypothesis, we will perform a 3-hour oral glucose tolerance test during which we will measure counterregulatory, islet and incretin hormone responses and determine the rate of gastric emptying using acetaminophen. To determine whether patients with CF and late hypoglycemia also have episodes of hypoglycemia during daily living that includes mixed meals, we will use a continuous glucose monitoring system (CGMS) to examine 24-hour glucose profiles for 3 days. All these measures will be compared between patients with CF who develop late hypoglycemia, CF patients who do not develop hypoglycemia, and age and body mass index-matched healthy controls. The findings from this study will provide important new information regarding the mechanism(s) responsible for the late hypoglycemia observed in patients with CF and the data could be used as the basis for future grant applications. The ultimate goal is to gain insight into the condition of late hypoglycemia in order to better manage patients with CF.<\/p>","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[12],"tags":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1256"}],"collection":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/comments?post=1256"}],"version-history":[{"count":4,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1256\/revisions"}],"predecessor-version":[{"id":1262,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1256\/revisions\/1262"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/media?parent=1256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/categories?post=1256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/tags?post=1256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}