
Research Training
The Division of Endocrinology, Diabetes and Metabolism provides clinical research experience for M.D. fellows and bench experience for M.D. and/or Ph.D. fellows and graduate students. Programs and their emphasis are listed below.
Research Programs
Laurence M. Demers, Ph.D.
As Director of the Core Endocrine Lab, I develop and evaluate methods to
optimize accuracy and cost effectiveness of endocrine tests. Other research
efforts are currently directed at breast cancer and metabolic bone disease.
Breast cancer studies include the clinical evaluation of aromatase inhibitors as
second line therapy in patients with postmenopausal breast cancer and the
evaluation of estrogen sensitive cell signaling markers of tumor cell growth and
metastases. Research in metabolic bone disease includes the evaluation of new
biochemical markers of bone turnover to monitor patients with metastatic bone
disease and osteoporosis.
Chris Fan, M.D.
Clinical research is directed toward growth hormone replacement in adults. A
possible link between idiopathic growth hormone deficiency and physiologic
stress is being examined.
Robert A. Gabbay, M.D., Ph.D.
My research focuses on examining new ways to improve the care for patients
with diabetes. We are conducting an NIH-funded three-year clinical trial evaluating the impact of
a nurse care management intervention to assist in primary care clinic sites to help patients
achieve optimal diabetes outcomes. A new technique to foster behavior change,
motivational interviewing, will be an important component of the
intervention. A study is also underway to look at the
effect of improving blood glucose control in diabetic patients undergoing
coronary artery angioplasty. Several
clinical trials are also aimed at examining new drug treatments for diabetes. I
continue to be involved in studies evaluating non-invasive ways of measuring
blood glucose without the use of needles. The use of telemedicine in
improving diabetes care is also being studied in a randomized controlled trial. I serve on the editorial board of Diabetes
Technology and Therapeutics. Finally, we are collaborating with several
other investigators here at Penn State College of Medicine and at Penn State
University in University Park to develop a comprehensive Penn State Diabetes
Center.
Andrea Manni, M.D.
My NIH-funded research addresses the cellular mechanisms controlling breast
cancer development, progression and proliferation. My laboratory has shown that
polyamines play a fundamental role in breast cancer biology, including
metastasis. Inhibitors of polyamine synthesis block breast cancer metastasis in
mice and may be used in humans. Finally, we are conducting in vitro basic
studies aimed at elucidating the mechanisms of action of polyamines on breast
cancer. The results of these experiments could provide a rationale for targeting
the polyamine pathway in breast cancer treatment and chemoprevention.
Claudia Gragnoli, M.D., Ph.D.
Our research team is working on the identification of chromosomal loci and
genes responsible for early-onset/late onset type 2 diabetes and for other
complex polygenic disorders such as polycystic ovary syndrome, obesity,
hypertension, dyslipidemia, anxiety and depression. Monogenic disorders
such as MODY (maturity-onset of the young) are also studied. Our approach
is based on parametric and non-parametric linkage and association studies as
well as on molecular studies in vitro to establish the biological relevance of
gene variants identified in patients.
Michael F. Verderame, Ph.D.
During normal growth and development, every cell responds appropriately to
the signals from its environment. Processing of this information (known as
signal transduction) is frequently disrupted in cancer.
Supported by a grant from the Pennsylvania Department of
Health, my laboratory has focused on signal transduction in breast cancer. The
protein tyrosine kinase HER2 is known to be critical for continued growth of a
substantial fraction of human breast cancers. Current efforts are designed to
understand the role of HER2 in normal breast cells. We use a three-dimensional
culture system that more closely resembles normal tissue. This system will
ultimately allow us to understand the role of HER2 in breast cancer, and
identify critical targets for future drug development.
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