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James Andrew Alspaugh II

James B. Duke Distinguished Professor of Medicine
Medicine, Infectious Diseases
Duke Box 102359, Durham, NC 27710
DUMC Box 102359, 163 Hanes House, Trent Drive, Durham, NC 27710

Overview


The focus of my research is to understand the ways in which microorganisms sense and respond to changes in their environment. As microbial pathogens enter the infected host, dramatic genetic and phenotypic events occur that allow these organisms to survive in this harsh environment. We study the model fungal organism Cryptococcus neoformans to define signal transduction pathways associated with systemic fungal diseases. This pathogenic fungus causes lethal infections of the central nervous system in patients with AIDS and other immunological disorders. In addition to being an important pathogen, C. neoformans displays well-characterized and inducible virulence determinants. It is an outstanding system for dissecting the signaling pathways associated with pathogenicity.

The main techniques used in the lab are those of molecular genetics. We are able to readily mutate C. neoformans genes by homologous recombination. Mutant strains with disruptions in targeted genes are then evaluated in vitro for various phenotypes including altered expression of polysaccharide capsule and melanin. The effects of gene disruption on pathogenicity are also evaluated in animal models of cryptococcal disease. Using these techniques, we have identified a novel G-alpha protein/cAMP-dependent signaling pathway associated with mating and pathogenicity.

This research is complemented by the other investigators in the Duke University Mycology Research Unit. The members of this research community are pursuing studies in fungal pathogenesis, identifying novel antifungal drug targets, and studying the ecology of several medically important fungi.

Keywords: Microbial Pathogenesis
Cryptococcus neoformans
Signal transduction
Fungal mating
G proteins

Current Duke Appointments & Affiliations


James B. Duke Distinguished Professor of Medicine · 2025 - Present Medicine, Infectious Diseases, Medicine
Professor of Medicine · 2013 - Present Medicine, Infectious Diseases, Medicine
Chief, Division of Infectious Diseases · 2024 - Present Medicine, Infectious Diseases, Medicine
Professor in Molecular Genetics and Microbiology · 2014 - Present Molecular Genetics and Microbiology, Basic Science Departments
Professor of Cell Biology · 2022 - Present Cell Biology, Basic Science Departments

Recent News Items


Published March 25, 2025
Duke Honors 31 New Distinguished Professors

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Recent Scholarly Works


A cysteine-rich domain of the Cryptococcus neoformans Cuf1 transcription factor is required for high copper stress sensing and fungal virulence.

Journal article mBio · July 8, 2026 UNLABELLED: The ability to sense, import, and detoxify copper (Cu) has been shown to be crucial for microbial pathogens to survive within an infected host. Previous studies conducted with the opportunistic human fungal pathogen Cryptococcus neoformans (Cn) ... Full text Link to item Cite

Interaction between Rsp5-dependent ubiquitination and trehalose production during Cryptococcus neoformans temperature stress adaptation.

Journal article mSphere · June 30, 2026 Microorganisms, including fungi, adapt to profound changes in their local environment during human infections. After exposure to high temperature and other stress conditions, the opportunistic fungal pathogen Cryptococcus neoformans enacts changes in metab ... Full text Link to item Cite
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Recent Grants


Cell and Molecular Biology Training Program

Inst. Training Prgm or CMEMentor · Awarded by National Institute of General Medical Sciences · 2026 - 2031

Genetics and Genomics Training Grant

Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 2026 - 2031

Copper homeostasis in fungal pathogenesis (R01)

ResearchPrincipal Investigator · Awarded by National Institutes of Health · 2026 - 2031

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Education


Duke University · 1991 M.D.