CHOC Research InstituteChildren's Hospital of Orange County, CA

Immune and Inflammatory Disease Research in Children

Pediatric Hematology/Oncology Research, UCLAPediatrics Dept., David Geffen School of Medicine

Children's Hospital
of Orange County
Research Institute


Jeffrey S. Buzby, Ph.D.
Principal Investigator

Division of Pediatric Hematology/Oncology,
David Geffen School
of Medicine at UCLA


Research Focus:

Pediatric Inflammatory Diseases include >>

Diabetes mellitus, Insulin-Dependent / Type I / Childhood / Juvenile (IDDM)

Disseminated intravascular coagulation (DIC)

Immune thrombocytopenic purpura (ITP)

Inflammatory bowel diseases (IBD)

Juvenile rheumatoid arthritis (JRA)

Kawasaki disease

Multiple sclerosis (MS)

Necrotizing enterocolitis (NEC)

Sepsis / Systemic Inflammatory Response Syndrome (SIRS) / Multiple Organ Dysfunction Syndrome (MODS)

Systemic lupus erythematosus (SLE)

Vasculitis

Vascular Inflammation + Coagulation are Interconnected
Simplified diagram of innate immune response to infection and injury involving inflammatory cytokines and coagulation cascade (Fig. 1).
Courtesy of: Holmes et al., Genetic polymorphisms in sepsis & septic shock:
Role in prognosis & potential for therapy.  Chest.  124:1103-1115 (2003).

    Many of these diseases are classified as "orphan or rare" (<200,000 cases in U.S.) by the National Institutes of Health (NIH) , and are not subject to the exhaustive research of more prevalent diseases.  However, they can occur more frequently in children, often with lifelong consequences.


Questions:

What immunological traits are unique to newborn infants & young children?

Why are these traits different than in older children & adults?

How could these traits contribute to immune & inflammatory diseases in newborns & young children?

What are the molecular biological bases for these developmental variations?

How can this immunological knowledge be applied to discovering new therapeutic treatments for these childhood diseases?


Strategy:

    Our research focuses primarily on understanding the vulnerabilities of newborn infants in their response to severe infection or injury.  Since the neonatal immune and coagulation systems are not yet completely mature, newborn infants, especially those born pre-term, are often susceptible to life-threatening complications.  By comparing cells from newborns and adults, we have discovered some key genetic variations in the neonatal responses triggered by infection.  Of particular interest are differences found in the regulation of tissue factor, a cell-surface protein expressed in response to inflammation that initiates the coagulation cascade.  Most exciting is a new study analyzing CHOC NICU patients to detect genetic similarities in the immune or coagulation systems of the most critically ill infants.  Identifying these inherited vulnerabilities may allow us to protect newborn infants at risk for infectious or bleeding complications.


Teamwork:

    The Immune & Inflammatory Disease Research Group is an interdisciplinary consortium of the CHOC Research Institute.  It includes collaborations between research faculty representing nearly all CHOC Pediatric Subspecialties, the UCLA School of Medicine Core Facilities, and the following CHOC Laboratories:

Hemostasis/Thrombosis

Center for Genetic Analysis & Molecular Medicine

Neurosciences

National Human Neural Stem Cell Resource

Metabolic Disorders

Biomedical Optics

Cord Blood/Bone Marrow Transplantation


CHOC Research Opportunities:

Hematology/Oncology Fellowship Program Pediatric Residency Program
Medical Student Rotations Immunology Research Volunteers

Current Job Listing Search



Background:

    Dr. Buzby received his Ph.D in Biochemistry from Penn State University, working with Drs. Ron Porter & Ed Stevens on research developing a patented gene transfer system in cyanobacteria (blue-green algae).  His first postdoctoral project there dealt with using this system to find cyanobacterial genes that confer herbicide-resistance in plants, with Drs. Don Bryant & Ralph Mumma.

    He then worked on identifying genetic factors that control the response of plants to light as a postdoctoral fellow with Dr. Elaine Tobin at UCLA.

    As an Immune & Inflammatory Disease Research Scientist in the CHOC Research Institute, he is now collaborating with Dr. Diane Nugent to investigate the developmental control of inflammation and coagulation in newborn infants.

    He also volunteers with the Ask-A-Scientist educational services of MadSciNetwork at Washington Univ.-St. Louis and NEWTON BBS at Argonne National Laboratory, and operates an online biotechnology consulting service, Molecular Biotech Consultants.

 

[Curriculum Vitae DOC]

Jeff Buzby, Ph.D.-Immune/Inflammatory Disease Research Lab
Jeff Buzby, Ph.D.
Principal Investigator

Immune & Inflammatory Disease Research Group
CHOC Research Institute

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