{"id":3354,"date":"2025-04-17T17:31:51","date_gmt":"2025-04-18T00:31:51","guid":{"rendered":"https:\/\/depts.washington.edu\/cfrtc\/?p=3354"},"modified":"2025-04-17T18:17:53","modified_gmt":"2025-04-18T01:17:53","slug":"rdp-pilot-long","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/cfrtc\/rdp-pilot-long\/","title":{"rendered":"RDP Pilot &#8211; Long"},"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; 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; sticky_transition=&#8221;on&#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 column_structure=&#8221;1_4,3_4&#8243; _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;][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_10&#8243; admin_label=&#8221;Pilots Sidebar&#8221; _builder_version=&#8221;4.27.2&#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;4.27.2&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: left;\">CFF RDP Pilot<\/p>\n<p>Diagnostic Utility of mRNA for Characterizing Heteroresistant <em>P. aeruginosa<\/em> Population Response to Antibiotic Treatment<\/p>\n<\/h2>\n<p>PI: <strong>\u00a0<a href=\"https:\/\/anesthesiology.uw.edu\/directory\/dustin-r-long-md\/\" target=\"blank\" rel=\"noopener\">Dustin Long, MD<\/a><\/strong><br \/>Assistant Professor, Anesthesiology and Pain Medicine<\/p>\n<p>Funding Period: 2024 &#8211; 2026<\/p>\n<p>Abstract: Chronic respiratory infections remain a leading cause of morbidity and mortality among people with cystic fibrosis (CF), and studies show infection persists even after CFTR modulator treatment. Laboratory-determined minimum inhibitory concentration (MIC)-determined antimicrobial susceptibilities for the chronic pathogen Pseudomonas aeruginosa are poor predictors of treatment response and clinical outcomes in CF. Several problems including resistance heterogeneity of bacterial populations, condition-dependent resistance phenotypes, the instability of resistance traits in culture, and the diversity of antibiotic resistance genotypes all likely contribute to the inability of current approaches to guide individualized treatment of infection.<\/p>\n<p>Rather than identifying specific culture phenotypes or resistance genes, we propose that measurement of bacterial mRNA transcripts after in vitro antibiotic challenge can enable sensitive, specific, and genotype-independent assessments of antibiotic efficacy that better predict response to treatment in vivo. In this pilot proposal, we will focus on susceptibility of P. aeruginosa to tobramycin and ciprofloxacin. In Aim 1, we will identify P. aeruginosa mRNA sequences for which rapid reductions in transcript abundance after antibiotic challenge are associated with the extent of antibiotic-induced cell killing. Using RNA-Seq of antibiotic susceptible wild-type P. aeruginosa and highly resistant mutant derivatives, we will identify and develop RT-qPCR assays for such candidate transcripts. In Aim 2, we will use RT-qPCR to validate these candidate mRNA markers of P. aeruginosa cell survival under CF-like conditions that pose challenges to characterization by standard lab measures.<\/p>\n<p>This pilot will demonstrate the feasibility of using quantitative, culture-independent molecular measurements of P. aeruginosa mRNA to test antibiotic efficacy in complex conditions that pose challenges to current testing strategies in CF.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CFF RDP Pilot Diagnostic Utility of mRNA for Characterizing Heteroresistant P. aeruginosa Population Response to Antibiotic Treatment PI: \u00a0Dustin Long, MDAssistant Professor, Anesthesiology and Pain Medicine Funding Period: 2024 &#8211; 2026 Abstract: Chronic respiratory infections remain a leading cause of morbidity and mortality among people with cystic fibrosis (CF), and studies show infection persists even [&hellip;]<\/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":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/3354"}],"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=3354"}],"version-history":[{"count":6,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/3354\/revisions"}],"predecessor-version":[{"id":3365,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/posts\/3354\/revisions\/3365"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/media?parent=3354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/categories?post=3354"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/cfrtc\/wp-json\/wp\/v2\/tags?post=3354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}