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News:

Inflammatory System Genes Linked to Cognitive Decline after Heart Surgery

Joseph Mathew, MD
DURHAM, N.C. –Variants of two genes involved in the inflammatory system appear to protect patients from suffering a decline in mental function following heart surgery. Duke University Medical Center researchers believe their findings could help physicians identify patients at risk of suffering mental decline after heart surgery and raises the possibility that these patients could be treated with drugs that are known to dampen the inflammatory response.

Six years ago, the Duke researchers demonstrated that 42 percent of patients who underwent coronary artery bypass surgery had measurable cognitive decline five years after their procedure. Since that finding, the team has been investigating possible reasons for this decline. MORE »

Duke Researchers Uncover Genetic Link to Kidney Damage After Heart Surgery

Mark Stafford-Smith, MD
DURHAM, N.C. – Specific variants of genes involved in inflammation and blood vessel constriction are strongly associated with kidney damage in patients undergoing major heart surgery, researchers at Duke University Medical Center have found.

While renal dysfunction after heart surgery is a common occurrence, until now researchers have been unable to predict with any certainty which patients – based on their personal and medical characteristics – are at the highest risk. The current analysis showed that patients with the particular genetic variants, or polymorphisms, have a collective two- to four-fold greater likelihood of suffering renal dysfunction after heart surgery. MORE »

Duke Researchers Uncover Genetic Link to Stroke after Heart Surgery

Hilary Grocott, MD
DURHAM, N.C. – Duke University Medical Center researchers have discovered that patients who have two specific gene variants are more than three times as likely to suffer a stroke after heart surgery.

Furthermore, since the two implicated genes are involved in the body’s immune response to insult or injury, the researchers said that their findings strongly suggest that inflammation plays an important role in postoperative stroke. MORE »

Gene Variants Predict Bleeding after Heart Surgery

Ian Welsby, MD
DURHAM, N.C. – Duke University Medical Center researchers have found that the presence of specific variants of genes that control clotting and the contractility, or "tone," of blood vessels can double the ability of physicians to predict those heart surgery patients at greatest risk of bleeding after surgery.

The issue of postoperative bleeding is important, the researchers said, because patients who suffer such episodes have increased rates of additional medical problems and even death. Furthermore, decreasing the rate of postoperative bleeding can have important implications for the health care system, they continued, since an estimated 20 percent of the nation’s blood supply is used to treat these patients. MORE »

Gene Variants Predict Heart Muscle Damage after Cardiac Surgery

Mihai Podgoreanu, MD
DURHAM, N.C. – Duke University Medical Center researchers have found that patients with six specific variants of genes involved in the body's immune response are significantly more likely to suffer damage of heart tissue after cardiac surgery.

These findings are important because current analytical methods cannot reliably predict who will be likely to suffer from myocardial infarction (MI), or heart tissue death after cardiac surgery. It is estimated that between 7 and 15 percent of patients undergoing coronary bypass surgery will suffer from a subsequent MI, the researchers said. MORE »


Seminars and Events:

Perioperative Genomics Meetings

All meetings are held at 4pm in Duke North Room 3452

20062007
December 21, 2005
"Duke involvement in the ATACAS trial: should we or shouldn’t we?"
Dr. Andrew Shaw
January 3rd, 2007
"Cellular Models of Cardiovascular Injury"
Dr. Greg Michelotti
January 4, 2006
"Update on Potential Commercial Applications and Strategies for Making the Infrastructure Financially Viable"
Dr. Debra Schwinn
January 24th, 2007
"Genetic predictors of perioperative QTc prolongation"
Dr. Mihai Podgoreanu
January 18, 2006
"Inflammation and bleeding – an update"
Dr. Ian Welsby
February 28th, 2007
"Association of Sex-Linked MAO-A Polymorphism and Depression After CABG: Feasibility and Design of a Follow-up Study"
Drs. Barbara Phillips-Bute and Richard Morris
February 8, 2006
"Circulating progenitor cells and cardiac surgery"
Dr. Madhav Swaminathan
March 14th, 2007
Discussion with Dr. Winston Parris on the genomics of chronic pain.
February 22, 2006
"Transformation of medicine and therapy by the genome program"
IGSP Distinguished Lecturer
C. Thomas Caskey, MD
March 21st, 2007
"Functional genomic approaches to perioperative endothelial injury and dysfunction"
Drs. Sol Aronson & Tony Roche
March 8, 2006
"Risk stratification for long-term cardiac surgical outcomes: Implications for design of genetic association studies"
Dr. Mihai Podgoreanu

June 13th, 2007
"Genome Profiling for Genetic Risk Stratification"
Dr. Richard Morris

March 15, 2006
Perioperative Genomics Team Building Session
June 27th, 2007
"Genomic Predictors of Long-Term Mortality following CABG Surgery"
Dr. Robert Lobato
March 22, 2006
"Identifying population substructure in a genome wide association study"
Dr. Richard Morris
July 25th, 2007
"Duke Division of Clinical Informatics: Overview of Research Activities and Potential Opportunities for Collaboration"
Kensaku Kawamoto, Ph.D.
April 5, 2006
Perioperative Genomics Team Building Session II
Dr. Andrew Shaw
October 24, 2007
"Whole Genome Association Study Design & Cohort Selection"
Group discussion
April 12, 2006
Thoracic R21 Grand and Summary statement
Dr. Andrew Shaw
November 14, 2007
"Post-Cardiac Surgery Acute Injury - Functional Effects of Apolipoprotein E Phenotypes, & the Complex Relationship between Genotypes & Ethnicity"
Dr. Mark Stafford-Smith
April 26, 2006
"Ranks of genuine associations in a whole genome association study"
Dr. Richard Morris
 
May 10, 2006
"Improving Duke’s perioperative genomics research infrastructure: task descriptions"
Dr. Mihai Podgoreanu
 
May 17, 2006
Improving Duke’s perioperative genomics research infrastructure
Dr. Andrew Shaw
 
May 31, 2006
"Genomic modifiers of perioperative atrial fibrillation"
Dr. Mihai Podgoreanu
 
June 7, 2006
"Modeling post bypass acute renal failure in the rat"
Dr. Chris Sulzer
 
June 14, 2006
"Detecting genetic association in the presence of genetic heterogeneity"
Dr. Richard Morris
 
June 28, 2006
"Urinary biomarker discovery in acute renal failure"
Dr. Andrew Shaw
 
October 11th, 2006
"Preliminary overview of lung resection – genotype data"
Dr. Richard Morris
 
November 15th, 2006
"Whole genome analysis of postoperative cognitive decline – preliminary results"
Dr. Mihai Podgoreanu
 
December 6th, 2006
"Discussion of Kidney Analysis in Pilot WGA Data"
Group Discussion
 

Genomes @ 4

Genomes@4 consists of bi-weekly presentations engaging diverse perspectives on the impact of the Genome Revolution. All presentations are held from 4-5pm in the Schiciano Auditorium (Side B), Fitzpatrick-CIEMAS Building and are followed by an IGSP Social Hour in the 2nd floor lobby.

December 7th, 2006 [More Information]
"A Genomic Approach to Personalized Medicine in Lung Cancer"
Anil Potti

January 18th, 2007
“Genome Science-Based Enhancements of Human Beings: Some Ethical Issues”
Allen Buchanan
http://calendar.duke.edu/calendar.nsf/EventID/6X4SYJ

February 1st, 2007
“The Nonribosomal Code: Products from the Biosphere's Microbial Drug Factories”
Bruce Donald
http://calendar.duke.edu/calendar.nsf/EventID/6X4T26

February 15th, 2007
“Signatures for Drug Discovery”
Todd Golub
http://calendar.duke.edu/calendar.nsf/EventID/6X4T3B

March 15th, 2007
"Offensive Science: The Case of HIV/AIDS"
Sherryl Broverman - Dept. of Biology
http://calendar.duke.edu/calendar.nsf/EventID/6XAKH6

April 5th, 2007
"Studying Gene-Environment Interactions in Human Diseases"
Marcy Speer and Silke Schmidt
http://calendar.duke.edu/calendar.nsf/EventID/6XJS9R

April 19th, 2007
"Stem Cells: Advances in Research and Issues for Clinical Practice"
Tannishtha Reya and Philip Rosoff
http://calendar.duke.edu/calendar.nsf/EventID/6XJS7U


Genomic Medicine Forum

Thursday's | 9:00 am – 10:30 am | CIEMAS Room 2240
www.genome.duke.edu/genomicmedicineforum

November 8, 2007
"Clinomics"
A. Jamie Cuticchia, Jr., PhD

November 29, 2007
"Integrating Clinical, Pathologic & Genomic Profiles to Individualized Cancer Therapy"
Anil Potti, MD

December 6, 2007
"Metabolomics in Cardiovascular Disease"
Svati Shah, MD

December 13, 2007
The Use of Gene Expression as a Biological Phenotype to Explore and Anticipate CancerBehavior
Phillip G. Febbo, MD

December 20, 2007
Communication Genomics For The Research/Patient Communites
Julianne O'Daniel, MS, CGC & N. Christin Oien, MS, CGC

January 3, 2008
Alzheimer's Disease: What is Upstream From the "Amyloid Cascade": Whole Genome Insights into New Targets for Therapy
Allen Roses, MD


Gene-MAGIC meetings:

Check back for updates.


Links:

http://cardiology.duke.edu/modules/div_cv_rsch_cggs/index.php?id=1
http://people.genome.duke.edu/~merri034/CVGenomics/
http://www.askbig.org/
http://www.dcri.duke.edu/
http://www.genome.duke.edu/

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