Assistant Professor in Anesthesiology
My long-term career goal is to positively impact the way we treat pathological pain conditions such as cancer pain, chronic primary pain conditions (e.g., temporomandibular joint disorders), and neuropathic pain. I work towards this goal by participating in the education and training of future scientists and healthcare professionals, and by building and fostering a lab team that produces high-quality science focused on clinical translation. Developing new therapeutics for pathological pain conditions is our overarching goal, and I believe that meaningful translational advances require interdisciplinary team-science-based approaches to untangle the molecular pathways, cell types, and neuronal circuits involved in pain and inflammation using preclinical models and in clinical cohorts. Much of our current work is focused on the molecular crosstalk between sensory neurons and non-neuronal cell types, such as immune cells, glial cells, cancer cells, and microorganisms. We believe this will help unravel the mechanisms underlying the bidirectional causality of pain and inflammation, yielding new immunotherapeutics and neurotherapeutics to treat pain and painful inflammatory conditions.
Beyond my scientific interests, I am also active in educating future members of the healthcare workforce, including medical students and dental students. I serve as Adjunct Clinical Assistant Professor at the University of Michigan, where I am the course director of DENT 537: Introduction to Neuroscience for first-year dental students. I am also active in several professional societies including the United States Association for the Study of Pain , the International Association for the Study of Pain , the Society for Neuroscience , the American Association for Dental, Oral, and Craniofacial Research and its international affiliate (AADOCR & IADR ), and the American Association of Immunologists .
Current Research Interests
How do interactions between sensory neurons and non-neuronal cells impact pain, inflammation, and host immunity?
Sensory neurons in the peripheral nervous system are remarkable with respect to both their anatomical and functional properties. The cell bodies of these neurons (containing the nucleus) are localized to specialized structures termed ganglia, and each neuron extends both a long-ranging projection which innervates structures in the periphery as well as a central projection to higher-order neurons in the CNS. At each specialized cellular compartment (e.g., peripheral terminal, soma, and central terminal), peripheral sensory neurons interact with distinct non-neuronal cell types such as immune cells, glial cells, cancer cells, and even microorganisms. Our lab is working to understand the mechanisms and physiological functions of these cellular interactions, with a particular interest in understanding 1) how sensory neurons contribute to inflammation and host immunity through immune cell modulation and 2) how immune cells influence the properties of sensory neurons to modulate pain in health and disease states.
What factors determine whether an individual develops chronic pain?
Pain is frequently regarded as a symptom, but in many cases chronic pain is the sole (or primary) complaint and does not occur secondary to another underlying disease or ailment. These chronic pain syndromes are classified as chronic primary pain conditions (CPPCs), a category which includes many conditions such as fibromyalgia, complex regional pain syndrome, and some types of headache and musculoskeletal pain disorders (e.g., temporomandibular joint disorders). Unfortunately, these CPPCs have a remarkable tendency to co-aggregate within individuals, with estimates suggesting >80% of chronic pain patients have more than one comorbid pain condition. Given this stark reality, our lab is working to identify the biological factors that increase an individuals’ predisposition to develop chronic pain (e.g., vulnerability factors), as well as the protective factors that allow some individuals to resolve their pain after an injury (e.g., resilience factors). To this end, we are studying the molecular and cellular changes that occur in the somatosensory system and the immune system in chronic pain patients. We employ a combination of preclinical models which mimic chronic pain pathogenesis in humans and translational studies using biofluids and tissues procured from humans who have generously volunteered to participate in clinical research studies.
Our approach & techniques:
We pursue our research questions using both forward translational and reverse translational approaches. Using preclinical models, we can mimic many aspects of disease progression seen in humans and employ molecular genetic and pharmacological strategies to manipulate the signaling pathways and cell types involved, allowing us to characterize how this impacts chronic pain, inflammation, or immunity using a combination of in vitro and in vivo assays. We have expertise using conditional and intersectional genetic techniques to knockout genes, ablate specific cell populations, and activate or inhibit specific neuron subpopulations. We can characterize the outcomes of these manipulations using standard molecular/biochemical approaches and techniques such as behavioral phenotyping, calcium imaging, 3D in vivo bioluminescent imaging, multispectral and super-resolution confocal microscopy, single cell transcriptomics, and flow cytometry and FACS. For our reverse translational research studies, we perform a variety of proteomic, transcriptomic, and multi-omic analyses on biofluids, cells, and tissues procured from humans whose clinical outcomes we frequently follow over time. This data-centric approach helps us identify the molecules, cells, and signaling pathways that are of greatest interest to explore and validate using our preclinical models.
Current Appointments & Affiliations
- Assistant Professor in Anesthesiology, Anesthesiology, Clinical Science Departments 2020
- Assistant Professor of Neurobiology, Neurobiology, Basic Science Departments 2022
- Member of the Duke Cancer Institute, Duke Cancer Institute, Institutes and Centers 2021
- Faculty Network Member of the Duke Institute for Brain Sciences, Duke Institute for Brain Sciences, University Institutes and Centers 2022
- 3 Genome Ct. Msrb3 Rm #6142, Durham, NC 27710
- DUMC 3094, Ms #50, Durham, NC 27710
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