Available to mentor
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FellowshipUniversity of Michigan Health System, Pulmonary & Critical Care, 2002
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Chief ResidentWayne State University, Internal Medicine, 1999
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ResidencyWayne State University, Internal Medicine, 1998
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Senior House OfficerPrincess Margaret Hospital, Obstetrics and Gynecology, 1995
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ResidencyDayanand Medical College & Hospital, Obstetrics & Gynecology, 1993
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Pre-Medical TrainingPunjabi University, Patiāla, 1986
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Center MemberTaubman Institute
Mesenchymal progenitor in adult lung: Translational work from my laboratory started the field of lung-resident
mesenchymal stromal cells (LR-MSCs) by demonstrating the presence of ling lived mesenchymal progenitors
in transplanted lungs (JCI 2007). We have since defined its role as biomodulators (JI 2008; AJRCMB 2011;
AJPath 2011) and biomarkers (AJRCCM 2011 & JSHLT 2021) and have recently identified its in vivo niche
along the bronchovascular bundles (JCI 2021).
Mechanism(s) of Fibrogenesis and pathogenesis of chronic lung allograft rejection (CLAD): Our work is
focused on understanding transcriptional and translation mechanisms of fibrotic differentiation and autocrine
activation of mesenchymal progenitors. We have defined novel mTORC2/mTORC1 /eIF4E/4EBP/Col1 (J Biol
Chem 2017 & 2018) and NFAT/autotaxin/LPA/beta-catenin signaling axis with role in CLAD pathogenesis
(Stem cells 2012; JCI 2017; Scientific reports 2021). Present R01 funded work is investigating eIF4E
phosphorylation at S209 in fibrotic transformation of LR-MSCs.
Improving lung allograft surveillance: My clinical research interest lie in advancing early detection,
prognostication, and phenotyping of chronic graft failure via use of combined physiologic, radiographic, and
biological markers (Am. J. Respir. Crit. 2005, 2007, 2011, 2015, 2017, 2021). We are presenting conducting a
multi-center study investigating a novel HRCT based quantitative analysis methodology in CLAD prediction.
Animal modelling of chronic graft rejection: We are very proud to have developed two new animal models to
study chronic lung allograft rejection. These orthotopic mouse lung transplant models mimic the two human
phenotypes of chronic rejection (BOS and RAS; AJPath 2015 & JCI insight 2021) and continue to provide us
with a unique resource to study their diverse pathogenesis. New work will harness these models to decipher
mesenchymal progenitors and humoral immune response skewing in RAS.
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Combs MP, Belloli EA, Gargurevich N, Flaherty KR, Murray S, Galbán CJ, Lama VN. J Heart Lung Transplant, 2024 Sep; 43 (9): 1468 - 1477.Journal ArticleResults from randomized trial of pirfenidone in patients with chronic rejection (STOP-CLAD study).
DOI:10.1016/j.healun.2024.05.013 PMID: 38796045 -
Walker NM, Ibuki Y, McLinden AP, Misumi K, Mitchell DC, Kleer GG, Lock AM, Vittal R, Sonenberg N, Garner AL, Lama VN. J Clin Invest, 2024 Aug 15; 134 (16):Journal ArticleMNK-driven eIF4E phosphorylation regulates the fibrogenic transformation of mesenchymal cells and chronic lung allograft dysfunction.
DOI:10.1172/JCI168393 PMID: 39145446 -
Combs MP, Luth JE, Falkowski NR, Wheeler DS, Walker NM, Erb-Downward JR, Wakeam E, Sjoding MW, Dunlap DG, Admon AJ, Dickson RP, Lama VN. Am J Respir Crit Care Med, 2024 Jun 1; 209 (11): 1360 - 1375.Journal ArticleThe Lung Microbiome Predicts Mortality and Response to Azithromycin in Lung Transplant Recipients with Chronic Rejection.
DOI:10.1164/rccm.202308-1326OC PMID: 38271553 -
Vittal R, Smith MR, Mclinden AP, Lama VN. 2024 May; a4394 - a4394.Proceeding / Abstract / PosterC3a Drives Hexokinase 2-dependent "Warburg Effect" and Mitochondrial Dysfunction in Mesenchymal Cells Derived From Lung Transplant Patients
DOI:10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a4394 -
Mclinden AP, Ke F, Tadokoro K, Tadokoro K, Vittal R, Walker NM, Lama VN. 2024 May; a4975 - a4975.Proceeding / Abstract / PosterDepletion of Natural Killer Cells Suppresses Aspects of Cellular and Antibody-mediated Rejection Early Post-transplant in a Murine Model of Restrictive Allograft Syndrome
DOI:10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a4975 -
Manrique KE, Griffiths S, Raphael K, Snyder LD, Lama VN, Dhillon GS, Shah PM, Miano TA, Cantu E, Clausen ES, Diamond JM, Christie JD, Kalman L, Oyster M, Spruce LA, Ding H, Fazelinia H, Dawei X, Shashaty MGS. 2024 May; a1187 - a1187.Proceeding / Abstract / PosterDifferential Expression of Urine Intercellular Signaling and Cell Adhesion Proteins Are Associated With Perioperative Acute Kidney Injury Post-lung Transplant
DOI:10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a1187 -
Raphael K, Manrique K, Snyder L, Lama V, Dhillon G, Shah P, Diamond J, Cantu E, Clausen E, Griffiths S, Kalman L, Oyster M, Faust H, Miano T, Christie JD, Shashaty M. 2024 May; a1191 - a1191.Proceeding / Abstract / PosterPlasma Levels of Angiopoietin-2, but Not Mitochondrial or Nuclear DNA, Are Associated With Acute Kidney Injury After Lung Transplantation
DOI:10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a1191 -
Fattahi F, Walker NM, Mclinden AP, Ke F, Combs MP, Atasoy U, Sonenberg N, Lama VN. 2024 May; a4400 - a4400.Proceeding / Abstract / PosterPost-transcriptional Regulation of Autotaxin Involves RNA-binding Protein HuR and Its Intermediate Role in MNK/eIF4E Activation Within Lung-transplanted Mesenchymal Cells
DOI:10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a4400