{"id":1801,"date":"2019-02-13T17:30:09","date_gmt":"2019-02-14T01:30:09","guid":{"rendered":"http:\/\/depts.washington.edu\/cfrtc\/?p=1801"},"modified":"2025-04-11T12:27:55","modified_gmt":"2025-04-11T19:27:55","slug":"pilot-16-pepper","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/cfrtc\/pilot-16-pepper\/","title":{"rendered":"Pilot 16 &#8211; Pepper"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_slider admin_label=&#8221;Fullwidth Slider&#8221; module_id=&#8221;interior&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; custom_padding_tablet=&#8221;|||&#8221; custom_padding_phone=&#8221;|||&#8221; box_shadow_style=&#8221;preset6&#8243; box_shadow_blur=&#8221;10px&#8221; box_shadow_color=&#8221;rgba(0,0,0,0.1)&#8221; show_inner_shadow=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; 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button_two_bg_color__hover_enabled=&#8221;off&#8221;][et_pb_slide _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; background_image=&#8221;https:\/\/depts.washington.edu\/cfrtc\/wp-content\/uploads\/2014\/12\/microscope11.jpg&#8221; global_colors_info=&#8221;{}&#8221; sticky_transition=&#8221;on&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_slide][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; column_structure=&#8221;1_4,3_4&#8243;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_sidebar area=&#8221;et_pb_widget_area_7&#8243; admin_label=&#8221;Pilots Sidebar&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_sidebar][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Pilot 16 &#8211; <em>Pseudomonas<\/em>-specific immune responses in CF patients<\/h1>\n<p class=\"p1\"><span class=\"s1\"><b>P.I.:<\/b> <a href=\"https:\/\/ciiid.washington.edu\/people\/marion-pepper-phd-0\"><span class=\"s2\"><b>Marion Pepper, PhD<\/b><\/span><\/a><br \/>\n<\/span>Associate Professor, Immunology<\/p>\n<p class=\"p1\">A major cause of morbidity and mortality in patients with cystic fibrosis (CF) is chronic lung infection with <em>Pseudomonas aeruginosa<\/em>, a ubiquitous gram-negative bacillus. <em>P. aeruginosa<\/em> infection starts with a non-mucoid planktonic variant that can further develop into a chronic biofilm growing form that is resistant to both immune-mediated and antibiotic killing and therefore difficult to eradicate. Biofilm formation is also associated with a tissue damaging hyper-inflammatory response, characterized by the activation of pathological Th17 cells in both lung and draining lymph nodes and subsequent neutrophilia. Therefore, understanding how to both disrupt <em>P. aeruginosa<\/em> biofilms and optimize immune-mediated killing of bacteria is a primary goal for the generation of novel therapeutic interventions. Antibodies produced by B cells of the humoral immune response have been shown to have the capacity to both disrupt <em>P. aeruginosa<\/em> biofilms and kill the bacteria through opsonization. Little is known, however, about the differentiation, function or maintenance of <em>P. aeruginosa<\/em>-specific B cells in either healthy or CF individuals or whether these functions happen in vivo. To address this lack of knowledge, we have produced B cell tetramers containing either polysaccharides or proteins from <em>P. aeruginosa<\/em>. Using these tetramers and a novel magnetic bead-based cell enrichment method of our design, we will analyze the phenotype and function of <em>P. aeruginosa<\/em>-specific B cells in PBMCS in collaboration with Drs. Bonnie Ramsey and Pradeep Singh at the University of Washington Cystic Fibrosis and Research Translation center (CFRTC). In collaboration with the CFRTC Host Response core, we will look for the localization of various immune populations in tissues sections from CF or healthy lungs to determine if tissue resident memory lymphocytes are preferentially maintained in either cohort. The central hypothesis of this application is that chronic infection and inflammation alters the <em>P. aeruginosa<\/em> B cell response, allowing for repeat recolonization. This innovative pilot approach will provide preliminary data and reveal novel hypotheses that can be addressed through these unique collaborations in future projects.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pilot 16 &#8211; Pseudomonas-specific immune responses in CF patients<\/p>\n<p>P.I.: Marion Pepper, PhD<br \/>\nAssociate Professor, Immunology<\/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\/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\/1801"}],"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=1801"}],"version-history":[{"count":2,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1801\/revisions"}],"predecessor-version":[{"id":3190,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/1801\/revisions\/3190"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/media?parent=1801"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/categories?post=1801"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/tags?post=1801"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}