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Shalom Avraham, MD, PhD

Associate Professor, Department of Medicine, Harvard Medical School

Scientist, Hematology/Oncology, Beth Israel Deaconess Medical Center

Contact Info

Shalom Avraham
Beth Israel Deaconess Medical Center
4 Blackfan Circle
Boston, MA, 02115
Mailstop: Harvard Institues of Medicine 323
Phone: 617-667-0063
Fax: 617-975-6373
savraham@caregroup.harvard.edu

Assistant

Peter Park
Beth Israel Deaconess Medical Center
Phone: 617-667-0065
ppark@caregroup.harvard.edu

DF/HCC Program Affiliation

Neuro-Oncology

Research Abstract

The primary objective of our lab is to investigate the biological function(s) of NRP/B, a recently discovered and characterized novel neuronal nuclear matrix protein, particularly its role in neuronal differentiation. Our studies indicate that NRP/B is an early expressed gene in fetal brain and its expression is developmentally regulated in the nervous system during mouse embryogenesis. In adult brain, NRP/B is specifically expressed in primary neurons and its level of expression is upregulated during neuronal differentiation. Overexpression of NRP/B significantly induces growth arrest and augments neuronal process formation, while treatment with antisense NRP/B oligodeoxynucleotides inhibits neurite development during in vitro neuronal differentiation. Microinjection of NRP/B antibodies, which inhibits neurite outgrowth of PC12 cells in response to Neuronal Growth Factor (NGF) stimulation, while transfection of NRP/B cDNA, which results in overexpression of NRP/B protein, induces grow arrest and enhances neurite outgrowth of PC12 cells. In addition, NRP/B interacts with the retinoblastoma protein p110RB. We aim to determine whether: (1) NRP/B is involved in neuronal differentiation by interacting with key molecules in neuronal cells; and (2) NRP/B is involved in cell cycle withdrawal and/or in the maintenance of neuronal differentiation status through its interaction with key molecules, such as p110RB. These studies are designed to provide further insights into NRP/B function(s) in the context of neuronal differentiation.

Another interest is to study the blood brain barrier endothelial cells. The integrity of the blood-brain barrier (BBB) is critical for normal brain function. Neuropathological abnormalities in AIDS patients have been associated with perivascular HIV-infected macrophages, gliosis and abnormalities in the permeability of the BBB. The processes by which HIV causes these pathological conditions are not well understood. We aim to characterize mechanisms of brain microvascular endothelial cell (BMEC) injury in the HIV-infected host. The HIV-1 TAT protein is actively released into the extracellular environment, entering nearby cells and transactivating HIV-LTR and endogenous genes. HIV-1 TAT is angiogenic in vivo, is found in the serum of HIV-infected patients and is detected in mononuclear cells within the brains of patients with HIV encephalitis. HIV-1 TAT-mRNA levels are elevated in the brains of patients with HIV-induced dementia. We plan to characterize signaling pathways in human primary BMEC that are triggered by HIV-1 TAT, which regulates these pathways. These studies should provide insights into preventive and/or therapeutic strategies to sustain BBB integrity in HIV-infected patients.

Publications

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