{"id":1421,"date":"2017-12-09T00:44:41","date_gmt":"2017-12-09T00:44:41","guid":{"rendered":"http:\/\/depts.washington.edu\/cfrtc\/?p=1421"},"modified":"2020-05-04T17:26:03","modified_gmt":"2020-05-05T00:26:03","slug":"current-fellow-asfahl","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/cfrtc\/current-fellow-asfahl\/","title":{"rendered":"Current Fellow &#8211; Asfahl"},"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\/microscope.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;Fellowships Sidebar&#8221; orientation=&#8221;left&#8221; area=&#8221;et_pb_widget_area_11&#8243; background_layout=&#8221;light&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243;][et_pb_text admin_label=&#8221;Current Fellow Asfahl text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Las-independent RhlR quorum sensing in cystic fibrosis Pseudomonas aeruginosa infections<\/h1>\n<p>Fellow: Kyle Asfahl, PhD<br \/>\nPulmonary and Critical Care Medicine<\/p>\n<p>Mentor: Ajai Dandekar, MD, PhD<br \/>\nAssistant Professor,\u00a0Pulmonary and Critical Care<\/p>\n<p>In patients with the genetic disease cystic fibrosis (CF), bacterial infections involving the opportunistic pathogen Pseudomonas aeruginosa often complicate treatment, leading to significantly increased morbidity and mortality. P. aeruginosa virulence is largely regulated through a cell-cell signaling mechanism termed quorum sensing (QS). Typical QS consists of a LuxI-type signal synthase producing a diffusible acylhomoserine lactone (AHL) signal, which binds a cognate LuxR-type receptor-regulator that activates transcription of target genes. In laboratory strains and conditions, <em>P. aeruginosa<\/em> employs two AHL synthase\/receptor pairs arranged in a hierarchy, with the LasI\/R system controlling the typically subordinate RhlI\/R system and many downstream virulence factors. Cryptically, <em>P. aeruginosa<\/em> isolates with mutations in LasR are frequently isolated from chronic CF infections and are associated with attenuated virulence phenotypes. Recent evidence has revealed that many of these chronic isolates still employ AHL QS, but with the RhlI\/R system implicated in control of virulence gene expression. The experiments described in this proposal will systematically examine the scope and dynamics of Las-independent Rhl QS in P. aeruginosa using a global transcriptomics approach complemented with mutational, phenotypic, and biochemical analysis. We will investigate the regulatory shift from Las to Rhl QS in isolates that span the spectrum of QS genotypes characteristic of chronic CF infection. Our results will allow refocusing of therapeutic strategies, thereby contributing to improved clinical outcomes and prolonged life of patients with CF.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fellow: Kyle Asfahl, PhD<br \/>\nPulmonary and Critical Care Medicine<\/p>\n<p>Mentor: Ajai Dandekar, MD, PhD<br \/>\nAssistant Professor<br \/>\nPulmonary and Critical Care<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>P.I.: <a href=\"http:\/\/depts.washington.edu\/nephron\/directory\/bios\/deboer.html\" target=\"_blank\">Ian de boer, MD<\/a><br \/> Associate Professor of Medicine<br \/> Nephrology<\/p><p><a href=\"http:\/\/depts.washington.edu\/nephron\/directory\/bios\/kestenbaum.html\" target=\"_blank\">Bryan Kestenbaum, MD<\/a><br \/> Associate Professor of Medicine<br \/> Nephrology<\/p><p>Vitamin D deficiency is one of the most common nutritional deficits in cystic fibrosis (CF) patients, is resistant to treatment, and may contribute to bone disease and infections. Possible reasons for vitamin D deficiency in CF include intestinal malabsorption, altered liver metabolism, and loss of vital carrier proteins in the urine; however, empiric evidence to support these mechanisms is lacking.<\/p><p>In this application we propose a series of experiments designed to comprehensively define the vitamin D metabolic axis in CF. First, we will characterize the circulating profile of vitamin D metabolites, vitamin D carrier proteins, and downstream hormonal responses in 100 adult CF patients and 50 control subjects. Next we will conduct formal pharmacokinetic studies of radiolabeled tracer to probe the fate of substrate vitamin D in CF patients. We will then measure transcription of key vitamin D metabolism genes in circulating monocytes. Identifying the underlying causes of vitamin D deficiency in CF patients could suggest novel treatments that target vitamin D deficiency as a means to improve clinical outcomes in this disorder.<\/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":[18],"tags":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1421"}],"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=1421"}],"version-history":[{"count":3,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1421\/revisions"}],"predecessor-version":[{"id":2151,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1421\/revisions\/2151"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/media?parent=1421"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/categories?post=1421"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/tags?post=1421"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}