Charles Wayne Francis, M.D.

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Contact

University of Rochester
School of Medicine and Dentistry
601 Elmwood Ave, Box 610
Rochester, New York 14642

Office: 585 275-3761

Fax: 585 273-5761

Dr. Francis does both clinical and basic research in the areas of thrombosis, hemostasis and vascular biology. Fibrinogen and fibrin have been an area of extensive research. He first described the structures of plasmic degradation products of crosslinked fibrin and developed a molecular model of fibrinolysis. He identified an important structural variant of fibrinogen that differs at the carboxyl terminus of the gamma chain. He was one of the first to demonstrate that ultrasound accelerates enzymatic fibrinolysis, identified the mechanisms responsible and defined the ultrasound parameters for effective fibrinolysis augmentation. Studies in recent years have characterized the interaction of FGF-2, EGF and IL-² beta with fibrinogen and fibrin. The binding sites for interaction have been identified, and augmented functional activity of FGF-2 and IL-² beta in the bound form demonstrated. Extensive clinical research helped to define the structures of crosslinked fibrin degradation products in fibrinolytic states. Numerous studies have been conducted to improve prophylaxsis of deep vein thrombosis and pulmonary embolism. These have included clinical trials using warfarin, antithrombin, low-molecular-weight heparin and direct thrombin inhibitors. Recent clinical studies have examined risk factors for arterial thrombosis and the effects of thiazolidinediones on lipid and hemostatic risk factors for thrombosis.

Current Appointments

Education
MD Medicine Univ Pittsburgh Sch Medicine 1973
BA Biological Science Johns Hopkins University 1969
Board Certifications
Hematology 1978
American Board of Internal medicine 1976
Recent Journal Articles
Showing the 5 most recent journal articles. (165 available)
O'Brien JJ; Spinelli S; Tober J; Blumberg N; Francis CW; Taubman M;. "15-deoxy-&d12, 14-PGJ2 enhances platelet production from megakaryocytes". Blood (2008).
Ginsberg JS; Davidson BL; Comp PC; Francis CW; Friedman RJ; Hyo MH; Lieberman J; Muntz JE; Raskob GE; Clements ML; Hantel S; Schnee JM; Caprini JA for the RE-MOBILIZE Study Group. "The oral thrombin inhibitor debigatran etexilate vs the North American enoxaparin regimen for the prevention of venous thromboembolism after knee replacement surgery: the RE-MOBILIZE trial". J Arthroplasty (2008).
Sahni A; Simpson-Haidaris PJ; Sahni SK; Vaday GG; Francis CW. "Fibrinogen synthesized by cancer cells augments the proliferative effect of fibroblast growth factor-2 (FGF-2)." Journal of thrombosis and haemostasis : JTH. 2008; 6(1):176-83. Epub 2007 Oct 22.
Khorana AA; Kuderer NM; Culakova E; Lyman GH; Francis CW. "Development and validation of a predictive model for chemotherapy-associated thrombosis." Blood. 2008; 111(10):4902-7. Epub 2008 Jan 23.
Ray DM; Spinelli SL; Pollock SJ; Murant TI; O'Brien JJ; Blumberg N; Francis CW; Taubman MB; Phipps RP. "Peroxisome proliferator-activated receptor gamma and retinoid X receptor transcription factors are released from activated human platelets and shed in microparticles." Thrombosis and haemostasis. 2008; 99(1):86-95.