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M.D., 1998
Edinburgh University, Scotland

Patricia Sime
 Assistant Professor of Medicine (Pulmonary and Critical Care) and Environmental Medicine

Primary Appointment:
 Department of Medicine (Pulmonary and Critical Care)

GEBS Cluster Affiliations:
  Immunology, Microbiology, and Virology - IMV
  Toxicology - TOX


Contact Information:
University of Rochester
School of Medicine and Dentistry
601 Elmwood Ave, Box 692
Rochester, New York 14642

E-Mail: Patricia_Sime@urmc.rochester.edu
Research:
Modulation of Pulmonary Inflammation using Gene Transfer Techniques

Research Overview

We are interested in the study of inflammatory and fibrotic (scarring) diseases in the lung. These conditions are a major cause of morbidity and mortality for our patients. In particular, we are interested in understanding the cellular and molecular processes that control both inflammation and the progression to fibrosis.

Many different cellular mediators have been shown to be important in cell to cell signaling during inflammation and fibrogenesis, but the cytokines and growth factors seem to be key. We have recently developed models of pulmonary inflammation and fibrosis using adenoviral-mediated cytokine gene transfer techniques. Adenovirus vectors permit a high level of expression of genes and are currently being used in a variety of clinical trials. We have used adenovirus gene transfer techniques to investigate the role of a variety of cytokines and growth factors in lung disease. Using this technology, we have been able to demonstrate that overexpression of the cytokines transforming growth factor beta (TGF-þ) and tumor necrosis factor alpha (TNF-a) in lung tissue can induce pulmonary fibrosis. Indeed these new models of lung inflammation and fibrosis are remarkably reflective of human inflammatory and fibrotic diseases.

We now wish to focus on developing novel, gene therapy based, strategies to modulate these disease processes. In particular, we will use the flexible adenovirus vector system to overexpress regulatory proteins in pulmonary tissues in order to inhibit inflammation and fibrosis. These strategies will focus on inhibiting some of the cytokines such as (TGF-þ) which we have already shown to be critically important. Using these gene transfer techniques, we hope to be able to modulate inflammation and fibrosis in the lung as well as other tissues.

Recent Publications

Westergren-Thorsson G, Sime P, Jordana M, Gauldie J, Sarnstrand B, Malmstrom A. Lung fibroblast clones from normal and fibrotic subjects differ in hyaluronan and decorin production and rate of proliferation. Int J Biochem Cell Biol. 36:1573-84, 2004.

Pociask DA, Sime PJ, Brody AR. Asbestos-derived reactive oxygen species activate TGF-beta(1). Lab Invest. 2004 May 3 [Epub ahead of print].

Kaufman J, Sime PJ, Phipps RP. Expression of CD154 (CD40 ligand) by human lung fibroblasts: differential regulation by IFN-gamma and IL-13, and implications for fibrosis. J Immunol. 172:1862-71, 2004.

Warshamana GS, Pociask DA, Fisher KJ, Liu JY, Sime PJ, Brody AR. Titration of non-replicating adenovirus as a vector for transducing active TGF-beta1 gene expression causing inflammation and fibrogenesis in the lungs of C57BL/6 mice. Int J Exp Pathol. 83:183-202, 2002.

Kolb M, Bonniaud P, Galt T, Sime PJ, Kelly MM, Margetts PJ, Gauldie J. Differences in the Fibrogenic Response after Transfer of Active Transforming Growth Factor-beta1 Gene to Lungs of "Fibrosis-prone" and "Fibrosis-resistant" Mouse Strains. Am J Respir Cell Mol Biol. 27:141-50, 2002.

Liu JY, Sime PJ, Wu T, Warshamana GS, Pociask D, Tsai SY, Brody AR. Transforming growth factor-beta(1) overexpression in tumor necrosis factor-alpha receptor knockout mice induces fibroproliferative lung disease. Am J Respir Cell Mol Biol. 25:3-7, 2001.

Kolb M, Margetts PJ, Sime PJ, Gauldie J. Proteoglycans decorin and biglycan differentially modulate TGF-beta-mediated fibrotic responses in the lung. Am J Physiol Lung Cell Mol Physiol. 280:L1327-34, 2001.

Sime PJ, O'Reilly KM. Fibrosis of the lung and other tissues: new concepts in pathogenesis and treatment. Clin Immunol. 99:308-19, 2001.

Kolb M, Margetts PJ, Galt T, Sime PJ, Xing Z, Schmidt M, Gauldie J. Transient transgene expression of decorin in the lung reduces the fibrotic response to bleomycin. Am J Respir Crit Care Med 163:770-7, 2001.

Zhao J, Sime PJ, Bringas P Jr, Tefft JD, Buckley S, Bu D, Gauldie J, Warburton D. Spatial-specific TGF-beta1 adenoviral expression determines morphogenetic phenotypes in embryonic mouse lung. Eur J Cell Biol. 78:715-25, 1999.

Zhao J, Sime PJ, Bringas P Jr, Gauldie J, Warburton D. Adenovirus-mediated decorin gene transfer prevents TGF-beta-induced inhibition of lung morphogenesis. Am J Physiol 277(2 Pt 1):L412-22, 1999.

Publication list, as provided by PubMed.
PubMed is maintained by the National Library of Medicine and provides complete abstracts of all publications, as well as links to the full text of many articles (at journal homepages).


Back to Department of Medicine (Pulmonary and Critical Care)
GEBS Clusters:
IMV

TOX