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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, 303 Sands Building, Research 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 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

In the News


Published March 25, 2025
Duke Honors 31 New Distinguished Professors

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Recent Publications


Structural features and roles of O-glycans in the secretion, stability, and immunogenicity of Cryptococcus neoformans Cda1 and MP88 mannoproteins.

Journal Article Int J Biol Macromol · September 2025 The human pathogenic yeast-Cryptococcus neoformans-assembles two types of O-glycans on its proteins: major O-glycans lacking xylose and minor xylose-containing O-glycans, mediated by Ktr3 and Cap6 mannosyltransferases, respectively. In this study, we exami ... Full text Link to item Cite

Rsp5-mediated ubiquitination of a functional analog of the Rim8 arrestin facilitates Rim pathway activation in Cryptococcus neoformans.

Journal Article mBio · August 13, 2025 Pathogenic microorganisms use varied cellular processes to adapt to the particular stresses encountered in the infected host. These stresses include rapid alterations in ambient temperature, nutrient availability, and extracellular pH. Fungal pathogens, th ... Full text Link to item Cite

Evolutionary unique N-glycan-dependent protein quality control system plays pivotal roles in cellular fitness and extracellular vesicle transport in Cryptococcus neoformans.

Journal Article Elife · May 27, 2025 A conserved N-glycan-dependent endoplasmic reticulum protein quality control (ERQC) system has evolved in eukaryotes to ensure accuracy during glycoprotein folding. The human pathogen Cryptococcus neoformans possesses a unique N-glycosylation pathway that ... Full text Link to item Cite
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Recent Grants


Transdisciplinary Research in Infectious Diseases to Engage Third-year medical students (TRIDENT) R25

Inst. Training Prgm or CMEInvestigator · Awarded by National Institutes of Health · 2025 - 2030

Interdisciplinary Research Training Program in AIDS

Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 2010 - 2030

2/3 CTSA K12 Program at Duke University

ResearchMentor · Awarded by National Institutes of Health · 2025 - 2030

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Education, Training & Certifications


Duke University · 1991 M.D.