Anthony D Sung | Scholars@Duke

Anthony D Sung
Assistant Professor of Medicine

I am dedicated to the treatment of hematologic malignancies through cellular therapies such as hematopoietic stem cell transplantation (HCT). My research focuses on strategies to reduce complications of HCT and ranges from preclinical studies using murine models of HCT to Phase 1 and Phase 2 clinical trials. Areas of interest include the role of the microbiota (the trillions of bacteria living in and on our bodies), nutrition, and exercise in modulating HCT outcomes such as graft-versus-host disease (GVHD) and infections. In addition to advancing new pharmacological and cellular immunotherapies in support of these goals, we also are developing mobile health technologies (mHealth) to monitor patients at home, both as part of our innovative home transplant program as well as to improve follow up care of all our patients when they return home after transplant.

Current Appointments & Affiliations

Assistant Professor of Medicine, Medicine, Hematologic Malignancies and Cellular Therapy, Medicine 2017
Member of the Duke Cancer Institute, Duke Cancer Institute, Institutes and Centers 2016

Contact Information

Box 3961 Med Ctr, Durham, NC 27710
Cellular Therapy Abmt, Box 3961 DUMC, Durham, NC 27712
anthony.sung@duke.edu (919) 668-1000

Background
Education, Training, & Certifications
- Fellowship, Hematology Oncology, Duke University School of Medicine 2011 - 2014
- Residency, Osler Medical Housestaff Training Program, Johns Hopkins University School of Medicine 2008 - 2011
- M.D., Harvard University 2008
Duke Appointment History
- Medical Instructor in the Department of Medicine, Medicine, Hematological Malignancies, Medicine 2014 - 2017
Recognition
In the News
- NOV 20, 2017
  
  Microbe Scientists Launching Expanded Microbiome Center
Research
Selected Grants
- Using a SMART Design to Optimize PTSD Symptom Management Strategies Among Cancer Survivors awarded by National Institutes of Health 2019 - 2024
- Extension of LET from Day 100 to Day 200 post-transplant for the prevention of CMV infection in HSCT participants 2019 - 2024
- Protocol Number CA209920 2018 - 2023
- Mitigators of Radiation-Induced Endovascular Injury: Targeting Tie2 and Thrombocytopenia awarded by National Institutes of Health 2017 - 2022
- Home Transplant to Preserve the Microbiota and Decrease GVHD awarded by American Society of Hematology 2019 - 2021
- Evaluating Effects of Age-related Microbiota Modulations in Hematopoietic Stem Cell Transplant Patients awarded by National Institutes of Health 2019 - 2021
- Patient-centered home-based hematopoietic stem cell transplantation awarded by National Institutes of Health 2016 - 2021
- Development and Pilot Testing of a Hybrid In Person and mHealth Coping Skills Training Intervention for Symptom Management and Daily Steps in Stem Cell Transplant Patients awarded by National Institutes of Health 2019 - 2020
- Personalized Prebiotics to Optimize Microbiota Metabolism and Improve Transplant Outcomes 2018 - 2020
- Prevention of Gastrointestinal Toxicity from total body irradation or high dose Chemo with SOM230 2013 - 2020
- Keratinocyte targeted strategies for treatment of cutaneous GVHD awarded by National Institutes of Health 2018 - 2020
- Microbiota-focused strategies to mitigate GVHD 2015 - 2020
- AZD9668 and Neutrophil Elastase Inhibition to Prevent Graft-versus-Host Disease awarded by National Institutes of Health 2018 - 2019
- Effects of In-Home Hematopoietic Stem Cell Transplantation on the Gut Microbiota. awarded by American Society of Hematology 2018 - 2019
- Duke CTSA (KL2) awarded by National Institutes of Health 2013 - 2018
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Stein-Thoeringer, C. K., K. B. Nichols, A. Lazrak, M. D. Docampo, A. E. Slingerland, J. B. Slingerland, A. G. Clurman, et al. “Lactose drives Enterococcus expansion to promote graft-versus-host disease.” Science 366, no. 6469 (November 29, 2019): 1143–49. https://doi.org/10.1126/science.aax3760.
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  - Cardones, Adela R., Keith M. Sullivan, Cindy Green, Nelson J. Chao, Krista Rowe-Nichols, Lionel L. Bañez, Claude S. Burton, et al. “Interrater Reliability of Clinical Grading Measures for Cutaneous Chronic Graft-vs-Host Disease.” Jama Dermatol 155, no. 7 (July 1, 2019): 833–37. https://doi.org/10.1001/jamadermatol.2018.5459.
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  - Spees, Lisa P., Paul L. Martin, Joanne Kurtzberg, Andre Stokhuyzen, Lauren McGill, Vinod K. Prasad, Timothy A. Driscoll, et al. “Reduction in Mortality after Umbilical Cord Blood Transplantation in Children Over a 20-Year Period (1995-2014).” Biol Blood Marrow Transplant 25, no. 4 (April 2019): 756–63. https://doi.org/10.1016/j.bbmt.2018.11.018.
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  - Cardona, Diana M., Claire J. Detweiler, Michael J. Shealy, Anthony D. Sung, Daniel M. Wild, Martin H. Poleski, Bryan L. Balmadrid, Constance T. Cirrincione, David N. Howell, and Keith M. Sullivan. “Use of the National Institutes of Health Consensus Guidelines Improves the Diagnostic Sensitivity of Gastrointestinal Graft-Versus-Host Disease.” Arch Pathol Lab Med 142, no. 9 (September 2018): 1098–1105. https://doi.org/10.5858/arpa.2017-0054-OA.
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  - Detweiler, Claire J., Sarah B. Mueller, Anthony D. Sung, Jennifer L. Saullo, Vinod K. Prasad, and Diana M. Cardona. “Brincidofovir (CMX001) Toxicity Associated With Epithelial Apoptosis and Crypt Drop Out in a Hematopoietic Cell Transplant Patient: Challenges in Distinguishing Drug Toxicity From GVHD.” J Pediatr Hematol Oncol 40, no. 6 (August 2018): e364–68. https://doi.org/10.1097/MPH.0000000000001227.
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  - Andermann, Tessa M., Jonathan U. Peled, Christine Ho, Pavan Reddy, Marcie Riches, Rainer Storb, Takanori Teshima, et al. “The Microbiome and Hematopoietic Cell Transplantation: Past, Present, and Future.” Biol Blood Marrow Transplant 24, no. 7 (July 2018): 1322–40. https://doi.org/10.1016/j.bbmt.2018.02.009.
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  - Messina, Julia A., Rohita Sinha, Kimberly Starr, Mehreen Arshad, Barbara D. Alexander, Nelson J. Chao, and Anthony D. Sung. “Clinical and Genomic Characterization of Recurrent Enterococcal Bloodstream Infection in Patients With Acute Leukemia.” Open Forum Infect Dis 5, no. 6 (June 2018): ofy107. https://doi.org/10.1093/ofid/ofy107.
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  - DeFilipp, Zachariah, Jonathan U. Peled, Shuli Li, Jasmin Mahabamunuge, Zeina Dagher, Ann E. Slingerland, Candice Del Rio, et al. “Third-party fecal microbiota transplantation following allo-HCT reconstitutes microbiome diversity.” Blood Adv 2, no. 7 (April 10, 2018): 745–53. https://doi.org/10.1182/bloodadvances.2018017731.
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  - O’Sullivan, Madeline L., Rebecca A. Shelby, Caroline S. Dorfman, Sarah A. Kelleher, Hannah M. Fisher, Krista A. Rowe Nichols, Francis J. Keefe, Anthony D. Sung, and Tamara J. Somers. “The effect of pre-transplant pain and chronic disease self-efficacy on quality of life domains in the year following hematopoietic stem cell transplantation.” Support Care Cancer 26, no. 4 (April 2018): 1243–52. https://doi.org/10.1007/s00520-017-3947-6.
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  - Sung, Anthony D., Syed Hassan, Diana M. Cardona, Daniel Wild, Krista Rowe Nichols, Hossein Mehdikhani, Bryan Balmadrid, et al. “Late Gastrointestinal Complications of Allogeneic Hematopoietic Stem Cell Transplantation in Adults.” Biol Blood Marrow Transplant 24, no. 4 (April 2018): 734–40. https://doi.org/10.1016/j.bbmt.2017.12.772.
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  - Guo, Mei, Nelson J. Chao, Jian-Yong Li, David A. Rizzieri, Qi-Yun Sun, Ann Mohrbacher, Elizabeth F. Krakow, et al. “HLA-Mismatched Microtransplant in Older Patients Newly Diagnosed With Acute Myeloid Leukemia: Results From the Microtransplantation Interest Group.” Jama Oncol 4, no. 1 (January 1, 2018): 54–62. https://doi.org/10.1001/jamaoncol.2017.2656.
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  - Wong, Hong Yuen, Anthony D. Sung, Katherine E. Lindblad, Sheenu Sheela, Gregory W. Roloff, David Rizzieri, Meghali Goswami, et al. “Molecular Measurable Residual Disease Testing of Blood During AML Cytotoxic Therapy for Early Prediction of Clinical Response.” Front Oncol 8 (2018): 669. https://doi.org/10.3389/fonc.2018.00669.
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  - Anand, Sarah, Samantha Thomas, Terry Hyslop, Janet Adcock, Kelly Corbet, Cristina Gasparetto, Richard Lopez, et al. “Transplantation of Ex Vivo Expanded Umbilical Cord Blood (NiCord) Decreases Early Infection and Hospitalization.” Biol Blood Marrow Transplant 23, no. 7 (July 2017): 1151–57. https://doi.org/10.1016/j.bbmt.2017.04.001.
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  - Peled, Jonathan U., Sean M. Devlin, Anna Staffas, Melissa Lumish, Raya Khanin, Eric R. Littmann, Lilan Ling, et al. “Intestinal Microbiota and Relapse After Hematopoietic-Cell Transplantation.” J Clin Oncol 35, no. 15 (May 20, 2017): 1650–59. https://doi.org/10.1200/JCO.2016.70.3348.
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  - Sung, Anthony, and Mitchell Horwitz. “Reply to Strahilevitz and Shapira.” Clin Infect Dis 64, no. 4 (February 15, 2017): 534–35. https://doi.org/10.1093/cid/ciw813.
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  - Sivaraj, Dharshan, Michael M. Green, Zhiguo Li, Anthony D. Sung, Stefanie Sarantopoulos, Yubin Kang, Gwynn D. Long, et al. “Outcomes of Maintenance Therapy with Bortezomib after Autologous Stem Cell Transplantation for Patients with Multiple Myeloma.” Biol Blood Marrow Transplant 23, no. 2 (February 2017): 262–68. https://doi.org/10.1016/j.bbmt.2016.11.010.
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  - Krakow, Elizabeth F., Hui-Sheng Ai, Brian Shaffer, Jean-Sebastien Delisle, Kai-Xun Hu, and Anthony D. Sung. “Do We Need Full Donor Chimerism? How Alloreactive Cell Therapies without Substantial Engraftment Might Treat Hematologic Cancers.” Curr Drug Targets 18, no. 3 (2017): 281–95. https://doi.org/10.2174/1389450116666150304103849.
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  - Sung, Anthony, and Mitchell Horwitz. “Reply to Strahilevitz and Shapira.” Clin Infect Dis, December 12, 2016. https://doi.org/10.1093/cid/ciw813.
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  - Sung, Anthony D., Julia A. M. Sung, Samantha Thomas, Terry Hyslop, Cristina Gasparetto, Gwynn Long, David Rizzieri, et al. “Universal Mask Usage for Reduction of Respiratory Viral Infections After Stem Cell Transplant: A Prospective Trial.” Clin Infect Dis 63, no. 8 (October 15, 2016): 999–1006. https://doi.org/10.1093/cid/ciw451.
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  - Green, Michael M. B., Nelson Chao, Saurabh Chhabra, Kelly Corbet, Cristina Gasparetto, Ari Horwitz, Zhiguo Li, et al. “Plerixafor (a CXCR4 antagonist) following myeloablative allogeneic hematopoietic stem cell transplantation enhances hematopoietic recovery.” J Hematol Oncol 9, no. 1 (August 17, 2016): 71. https://doi.org/10.1186/s13045-016-0301-2.
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  - Wild, Daniel, Anthony D. Sung, Diana Cardona, Constance Cirricione, Keith Sullivan, Claire Detweiler, Michael Shealy, et al. “The Diagnostic Yield of Site and Symptom-Based Biopsies for Acute Gastrointestinal Graft-Versus-Host Disease: A 5-Year Retrospective Review.” Dig Dis Sci 61, no. 3 (March 2016): 806–13. https://doi.org/10.1007/s10620-015-3938-8.
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  - Detweiler, Claire, Michael Shealy, Anthony Sung, Daniel Wild, Martin Poleski, Bryan Balmadrid, Constance Cirrincione, Zhiguo Li, Keith Sullivan, and Diana Cardona. “Utilization of the NIH Consensus Guidelines Improves the Diagnostic Accuracy of Gastrointestinal Graft Versus Host Disease: A Five-Year Retrospective Study.” Modern Pathology 28 (February 1, 2015): 157A-157A.
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  - Sung, A. D., D. T. Grima, L. M. Bernard, S. Brown, G. Carrum, L. Holmberg, M. E. Horwitz, et al. “Outcomes and costs of autologous stem cell mobilization with chemotherapy plus G-CSF vs G-CSF alone.” Bone Marrow Transplantation 48, no. 11 (November 1, 2013): 1444–49. https://doi.org/10.1038/bmt.2013.80.
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  - Sung, A. D., D. T. Grima, L. M. Bernard, S. Brown, G. Carrum, L. Holmberg, M. E. Horwitz, et al. “Outcomes and costs of autologous stem cell mobilization with chemotherapy plus G-CSF vs G-CSF alone.” Bone Marrow Transplant 48, no. 11 (November 2013): 1444–49. https://doi.org/10.1038/bmt.2013.80.
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  - Sung, Anthony D., and Nelson J. Chao. “Acute graft-versus-host disease: are we close to bringing the bench to the bedside?” Best Pract Res Clin Haematol 26, no. 3 (September 2013): 285–92. https://doi.org/10.1016/j.beha.2013.10.009.
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  - Rein, Lindsay Am, Anthony D. Sung, and David A. Rizzieri. “New approaches to manipulate minimal residual disease after allogeneic stem cell transplantation.” Int J Hematol Oncol 2, no. 1 (February 2013). https://doi.org/10.2217/ijh.13.4.
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  - Sung, Anthony D., and Nelson J. Chao. “Concise review: acute graft-versus-host disease: immunobiology, prevention, and treatment.” Stem Cells Transl Med 2, no. 1 (January 2013): 25–32. https://doi.org/10.5966/sctm.2012-0115.
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  - Evans, Michael W., Anthony D. Sung, Ivana Gojo, Michael Tidwell, Jacqueline Greer, Mark Levis, Judith Karp, and Maria R. Baer. “Risk assessment in human immunodeficiency virus-associated acute myeloid leukemia.” Leuk Lymphoma 53, no. 4 (April 2012): 660–64. https://doi.org/10.3109/10428194.2011.624228.
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  - DeZern, Amy E., Anthony Sung, Sharon Kim, B Douglas Smith, Judith E. Karp, Steven D. Gore, Richard J. Jones, et al. “Role of allogeneic transplantation for FLT3/ITD acute myeloid leukemia: outcomes from 133 consecutive newly diagnosed patients from a single institution.” Biol Blood Marrow Transplant 17, no. 9 (September 2011): 1404–9. https://doi.org/10.1016/j.bbmt.2011.02.003.
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  - Sung, Anthony D., Molly E. Collins, Alexander K. Smith, Aimee M. Sanders, Mariah A. Quinn, Susan D. Block, and Robert M. Arnold. “Crying: experiences and attitudes of third-year medical students and interns.” Teach Learn Med 21, no. 3 (July 2009): 180–87. https://doi.org/10.1080/10401330903014111.
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  - Sung, Anthony D., Megan E. Anderson, David Zurakowski, Francis J. Hornicek, and Mark C. Gebhardt. “Unicameral bone cyst: a retrospective study of three surgical treatments.” Clin Orthop Relat Res 466, no. 10 (October 2008): 2519–26. https://doi.org/10.1007/s11999-008-0407-0.
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  - Sung, Anthony D., Susan Cheng, Javid Moslehi, Eileen P. Scully, Jason M. Prior, and Joseph Loscalzo. “Hepatocellular carcinoma with intracavitary cardiac involvement: a case report and review of the literature.” Am J Cardiol 102, no. 5 (September 1, 2008): 643–45. https://doi.org/10.1016/j.amjcard.2008.04.042.
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- Conference Papers
  - Peled, Jonathan U., Antonio L. C. Gomes, Sean M. Devlin, Eric R. Littmann, Ying Taur, Anthony Derek Sung, Daniela Weber, et al. “Inferior survival after microbiota injury: A multicenter alto-HCT study.” In Journal of Clinical Oncology, Vol. 37. AMER SOC CLINICAL ONCOLOGY, 2019.
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  - Khan, Niloufer, Jonathan U. Peled, Antonio L. C. Gomes, Sean M. Devlin, Carlos Rondon-Clavo, Annelie Clurman, John B. Slingerland, et al. “Loss of Microbiota Diversity after Autologous Stem Cell Transplant Is Comparable to Injury in Allogeneic Stem Cell Transplant.” In Blood, 132:608–608. American Society of Hematology, 2018. https://doi.org/10.1182/blood-2018-99-110857.
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  - Peled, Jonathan U., Antonio L. C. Gomes, Christoph K. Stein-Thoeringer, John B. Slingerland, Ann E. Slingerland, Daniela Weber, Kate A. Markey, et al. “Multicenter Microbiota Analysis Indicates That Pre-HCT Microbiota Injury Is Prevalent across Geography and Predicts Poor Overall Survival.” In Blood, 132:811–811. American Society of Hematology, 2018. https://doi.org/10.1182/blood-2018-99-116967.
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  - Stein-Thoeringer, Christoph K., Jonathan U. Peled, Antonio L. C. Gomes, Amina Lazrak, Melissa D. Docampo, Ann E. Slingerland, Katherine Nichols, et al. “Intestinal Enterococcus Is a Major Risk Factor for the Development of Acute Gvhd.” In Blood, 132:358–358. American Society of Hematology, 2018. https://doi.org/10.1182/blood-2018-99-119887.
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  - Peled, Jonathan U., Antonio Gomes, Marissa Lubin Buchan, Christoph Stein-Thoeringer, John Slingerland, Ann E. Slingerland, Daniela Weber, et al. “Intestinal Microbiota Injury during Allo-Hct is Generalizable across Transplantation Centers and is Associated with Increased Mortality, Broad-Spectrum Antibiotics, and Decreased Calorie Intake.” In Biology of Blood and Marrow Transplantation, 24:S21–22. ELSEVIER SCIENCE INC, 2018.
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  - Anand, Sarah, Samantha Thomas, Kelly Corbet, Cristina Gasparetto, Gwynn D. Long, Richard Lopez, Ashley K. Morris, et al. “Adult Umbilical Cord Blood Transplantation Using Myeloablative Thiotepa, Total Body Irradiation, and Fludarabine Conditioning.” In Biol Blood Marrow Transplant, 23:1949–54, 2017. https://doi.org/10.1016/j.bbmt.2017.06.027.
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  - Anand, Sarah, Samantha Thomas, Kelly Corbet, Cristina Gasparetto, Richard Lopez, Gwynn D. Long, Ashley K. Morris, et al. “Adult Umbilical Cord Blood Transplantation Using Myeloablative Total Body Irradiation, Fludarabine, and Thiotepa Conditioning.” In Blood, 128:3395–3395. American Society of Hematology, 2016. https://doi.org/10.1182/blood.v128.22.3395.3395.
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  - Anand, S., S. Thomas, T. Hyslop, K. Corbet, C. Gasparetto, G. Long, A. Morris, et al. “Transplantation of Ex vivo Expanded Umbilical Cord Blood (Nicord) Results in Decreased Infection Burden and Hospital Length of Stay in the First 100 Days.” In Bone Marrow Transplantation, 51:S52–53. NATURE PUBLISHING GROUP, 2016.
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  - Rizzieri, David A., Arati V. Rao, Anne Beaven, Danielle Brander, Carlos DeCastro, Louis Diehl, Thomas W. LeBlanc, et al. “Clinical and Immunomodulatiory Outcomes of Microtransplantation for AML.” In Biology of Blood and Marrow Transplantation, 22:S207–8. Elsevier BV, 2016. https://doi.org/10.1016/j.bbmt.2015.11.602.
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  - Detweiler, Claire J., Anthony D. Sung, Jennifer L. Saullo, Vinod K. Prasad, and Diana M. Cardona. “Brincidofovir (CMX001) Toxicity: Another Potential Mimicker of Gastrointestinal Graft Versus Host Disease.” In Laboratory Investigation, 96:169A-169A. NATURE PUBLISHING GROUP, 2016.
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  - Detweiler, Claire J., Anthony D. Sung, Jennifer L. Saullo, Vinod K. Prasad, and Diana M. Cardona. “Brincidofovir (CMX001) Toxicity: Another Potential Mimicker of Gastrointestinal Graft Versus Host Disease.” In Modern Pathology, 29:169A-169A. NATURE PUBLISHING GROUP, 2016.
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  - Detweiler, Claire, Michael Shealy, Anthony Sung, Daniel Wild, Martin Poleski, Bryan Balmadrid, Constance Cirrincione, Zhiguo Li, Keith Sullivan, and Diana Cardona. “Utilization of the NIH Consensus Guidelines Improves the Diagnostic Accuracy of Gastrointestinal Graft Versus Host Disease: A Five-Year Retrospective Study.” In Laboratory Investigation, 95:157A-157A. NATURE PUBLISHING GROUP, 2015.
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  - Green, Michael M. B., Mitchell E. Horwitz, Yubin Kang, Nelson J. Chao, Gwynn D. Long, David Rizzieri, Cristina Gasparetto, et al. “Administration of Plerixafor (a CXCR4 antagonist) Following Myeloablative Allogeneic Hematopoietic Stem Cell Transplantation Enhances Platelet Recovery in a Phase I/II Trial.” In Biology of Blood and Marrow Transplantation, 21:S31–32. Elsevier BV, 2015. https://doi.org/10.1016/j.bbmt.2014.11.024.
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  - Sung, Anthony D., Diana Cardona, Krista Rowe, Hossein Mehdikhani, Claire Detweiler, Michael Shealy, Daniel Wild, et al. “Late Gastrointestinal Complications of Allogeneic Hematopoietic Stem Cell Transplantation.” In Biology of Blood and Marrow Transplantation, 21:S314–15. Elsevier BV, 2015. https://doi.org/10.1016/j.bbmt.2014.11.500.
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  - Sung, Anthony D., Richard Yen, Divino Deoliveira, Yiqun Jiao, Sadhna Piryani, Alyssa Bernanke, Sharon Hall, et al. “Fibrinogen-Coated Nanospheres Prevent Thrombocytopenia-Related Bleeding.” In Biology of Blood and Marrow Transplantation, 21:S111–13. Elsevier BV, 2015. https://doi.org/10.1016/j.bbmt.2014.11.140.
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  - Sung, Anthony D., Julia A. M. Sung, Kelly Corbet, Vera Hars, Lan Lan, Gloria Broadwater, Ashley Zanter, et al. “Surgical Mask Usage Reduces the Incidence of Parainfleunza Virus 3 in Recipients of Stem Cell Transplantation.” In Biology of Blood and Marrow Transplantation, 19:S271–72. Elsevier BV, 2013. https://doi.org/10.1016/j.bbmt.2012.11.375.
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  - Sung, Anthony D., Julia A. M. Sung, Kelly Corbet, Gloria Broadwater, Vera Hars, Ashley Zanter, Nelson J. Chao, and Mitchell E. Horwitz. “Surgical Mask Usage Reduces the Incidence of Parainfluenza Virus 3 in Recipients of Stem Cell Transplantation.” In Blood, 120:462–462. American Society of Hematology, 2012. https://doi.org/10.1182/blood.v120.21.462.462.
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  - Sung, Anthony D., Julia A. M. Sung, Kelly Corbet, Gloria Broadwater, Vera Hars, Ashley Zanter, Nelson J. Chao, and Mitchell E. Horwitz. “Surgical Mask Usage Reduces the Incidence of Parainfluenza Virus 3 in Recipients of Stem Cell Transplantation.” In Blood, Vol. 120. AMER SOC HEMATOLOGY, 2012.
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Education, Training, & Certifications

Duke Appointment History

In the News

Selected Grants

Selected Publications

Academic Articles

Conference Papers