Julia Antoinette Messina

Julia Antoinette Messina
Assistant Professor of Medicine

I am a Transplant Infectious Diseases Physician who specializes in the care of immunocompromised patients including solid organ and bone marrow transplant recipients and patients with HIV. My research interest is in the role of the gut microbiome in clinical outcomes in patients with hematologic malignancies.

Current Appointments & Affiliations

Assistant Professor of Medicine, Medicine, Infectious Diseases, Medicine 2021

Contact Information

Hanes House Room 150, Box DUMC 102359, Durham, NC 27710
julia.messina@duke.edu (919) 684-2660
Dukehealth.org Profile

Background
Education, Training, & Certifications
- Infectious Disease Certification, American Board of Internal Medicine 2018
- Infectious Diseases Fellowship, Medicine, Duke University School of Medicine 2013 - 2018
- M.H.S., Duke University School of Medicine 2018
- Internal Medicine Residency, Virginia Commonwealth University, School of Medicine 2010 - 2013
- M.D., Virginia Commonwealth University, School of Medicine 2010
Medical Licensure
- 2018-01198. North Carolina. 2019
Previous Appointments & Affiliations
- Assistant Professor of Medicine, Medicine, Infectious Diseases, Medicine 2019 - 2020
- Medical Instructor in the Department of Medicine, Medicine, Infectious Diseases, Medicine 2018 - 2019
Recognition
In the News
- NOV 8, 2014 Duke Fuqua
  
  Students Innovate on Ebola
Expertise
Subject Headings
Global Scholarship
- Research
  - United States of America (Country)
Research
Fellowships, Supported Research, & Other Grants
- T32 Transplant Infectious Diseases Training Program awarded by NIH/NIAID 2015 - 2018
- Antibacterial Resistance Leadership Group awarded by NIH/NIAID 2014 - 2015
- Duke Clinical Research Institute Fellowship awarded by Duke University 2014 - 2016
External Relationships
- UpToDate, Inc
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Anwar, Imran J., Brian Ezekian, Isabel DeLaura, Miriam Manook, Paul Schroder, Janghoon Yoon, Verna Curfman, et al. “Addition of interleukin-6 receptor blockade to carfilzomib-based desensitization in a highly sensitized nonhuman primate model.” Am J Transplant 22 Suppl 4, no. Suppl 4 (December 2022): 1–11. https://doi.org/10.1111/ajt.17208.
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  - Sung, Anthony D., Vinay K. Giri, Helen Tang, Krista Rowe Nichols, Meagan V. Lew, Lauren Bohannon, Yi Ren, et al. “Home-Based Hematopoietic Cell Transplantation in the United States.” Transplant Cell Ther 28, no. 4 (April 2022): 207.e1-207.e8. https://doi.org/10.1016/j.jtct.2022.01.015.
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  - Thompson, Jillian C., Yi Ren, Kristi Romero, Meagan Lew, Amy T. Bush, Julia A. Messina, Sin-Ho Jung, et al. “Financial incentives to increase stool collection rates for microbiome studies in adult bone marrow transplant patients.” Plos One 17, no. 5 (2022): e0267974. https://doi.org/10.1371/journal.pone.0267974.
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  - Messina, Julia A., Chin Yee Tan, Yi Ren, Lauren Hill, Amy Bush, Meagan Lew, Tessa Andermann, et al. “Enterococcus Intestinal Domination is Associated with Increased Mortality in the Acute Leukemia Chemotherapy Population.” Clin Infect Dis, December 20, 2021. https://doi.org/10.1093/cid/ciab1043.
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  - Messina, Julia A., Eileen K. Maziarz, John Galgiani, Jonathan T. Truong, Aung K. Htoo, Arash Heidari, Royce H. Johnson, et al. “A randomized, double-blind, placebo-controlled clinical trial of fluconazole as early empiric treatment of coccidioidomycosis pneumonia (Valley Fever) in adults presenting with community-acquired pneumonia in endemic areas (FLEET-Valley Fever).” Contemp Clin Trials Commun 24 (December 2021): 100851. https://doi.org/10.1016/j.conctc.2021.100851.
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  - Adekunle, Ruth O., Amy Sherman, Jennifer O. Spicer, Julia A. Messina, Julie M. Steinbrink, Mary Elizabeth Sexton, George Marshall Lyon, Aneesh K. Mehta, Varun K. Phadke, and Michael H. Woodworth. “Clinical characteristics and outcomes of toxoplasmosis among transplant recipients at two US academic medical centers.” Transpl Infect Dis 23, no. 4 (August 2021): e13636. https://doi.org/10.1111/tid.13636.
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  - Khan, Niloufer, Sarah Lindner, Antonio L. C. Gomes, Sean M. Devlin, Gunjan L. Shah, Anthony D. Sung, Craig S. Sauter, et al. “Fecal microbiota diversity disruption and clinical outcomes after auto-HCT: a multicenter observational study.” Blood 137, no. 11 (March 18, 2021): 1527–37. https://doi.org/10.1182/blood.2020006923.
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  - Giri, Vinay K., Kristin G. Kegerreis, Yi Ren, Lauren M. Bohannon, Erica Lobaugh-Jin, Julia A. Messina, Anita Matthews, et al. “Chlorhexidine Gluconate Bathing Reduces the Incidence of Bloodstream Infections in Adults Undergoing Inpatient Hematopoietic Cell Transplantation.” Transplant Cell Ther 27, no. 3 (March 2021): 262.e1-262.e11. https://doi.org/10.1016/j.jtct.2021.01.004.
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  - Rolfe, Robert, Wiley A. Schell, Becky Smith, Jacob Klapper, John R. Perfect, and Julia A. Messina. “Black mold takes hold and story told.” Med Mycol Case Rep 29 (September 2020): 12–14. https://doi.org/10.1016/j.mmcr.2020.05.005.
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  - Gray, Keyaria D., Julia A. Messina, Christopher Cortina, Tanasha Owens, Madeline Fowler, Matthew Foster, Simi Gbadegesin, et al. “Probiotic Use and Safety in the Neonatal Intensive Care Unit: A Matched Cohort Study.” J Pediatr 222 (July 2020): 59-64.e1. https://doi.org/10.1016/j.jpeds.2020.03.051.
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  - Eichenberger, Emily M., Jennifer Saullo, Danielle Brander, Shih-Hsiu Wang, John R. Perfect, and Julia A. Messina. “A case of CNS aspergillosis in a patient with chronic lymphocytic leukemia on first-line ibrutinib therapy.” Med Mycol Case Rep 27 (March 2020): 17–21. https://doi.org/10.1016/j.mmcr.2019.12.007.
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  - Saullo, Jennifer L., Yanhong Li, Julia A. Messina, Jillian Thompson, Tara Dalton, Vinay K. Giri, Shelby D. Reed, et al. “Cytomegalovirus in Allogeneic Hematopoietic Transplantation: Impact on Costs and Clinical Outcomes Using a Preemptive Strategy.” Biol Blood Marrow Transplant 26, no. 3 (March 2020): 568–80. https://doi.org/10.1016/j.bbmt.2019.11.005.
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  - Peled, Jonathan U., Antonio L. C. Gomes, Sean M. Devlin, Eric R. Littmann, Ying Taur, Anthony D. Sung, Daniela Weber, et al. “Microbiota as Predictor of Mortality in Allogeneic Hematopoietic-Cell Transplantation.” N Engl J Med 382, no. 9 (February 27, 2020): 822–34. https://doi.org/10.1056/NEJMoa1900623.
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  - Messina, Julia A., Rebekah W. Moehring, Kenneth E. Schmader, and Deverick J. Anderson. “Impact of Location of Acquisition of Gram-Positive Bloodstream Infections on Clinical Outcomes Among Patients Admitted to Community Hospitals.” Infect Drug Resist 13 (2020): 3023–31. https://doi.org/10.2147/IDR.S259185.
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  - Ruchlemer, Rosa, Ronen Ben-Ami, Maskit Bar-Meir, Jennifer R. Brown, Marion Malphettes, Rogier Mous, Sanne H. Tonino, et al. “Ibrutinib-associated invasive fungal diseases in patients with chronic lymphocytic leukaemia and non-Hodgkin lymphoma: An observational study.” Mycoses 62, no. 12 (December 2019): 1140–47. https://doi.org/10.1111/myc.13001.
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  - 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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  - Messina, Julia A., Cameron R. Wolfe, Marion Hemmersbach-Miller, Carmelo Milano, Jamie L. Todd, John Reynolds, Barbara D. Alexander, Wiley A. Schell, Christina A. Cuomo, and John R. Perfect. “Genomic characterization of recurrent mold infections in thoracic transplant recipients.” Transpl Infect Dis 20, no. 5 (October 2018): e12935. https://doi.org/10.1111/tid.12935.
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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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  - Freischlag, Kyle William, Julia Messina, Brian Ezekian, Michael S. Mulvihill, Andrew Barbas, Carl Berg, Debra Sudan, John Reynolds, Matthew Hartwig, and Stuart Knechtle. “Single-Center Long-Term Analysis of Combined Liver-Lung Transplant Outcomes.” Transplant Direct 4, no. 5 (May 2018): e349. https://doi.org/10.1097/TXD.0000000000000785.
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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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  - Hemmersbach-Miller, Marion, Carl L. Berg, Julia A. Messina, and Cameron R. Wolfe. “Transplant Drug Interactions and a Word of Caution for the HIV Provider. A Case Report.” Open Forum Infect Dis 5, no. 4 (April 2018): ofy070. https://doi.org/10.1093/ofid/ofy070.
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  - Pericàs, J. M., J. A. Messina, C. Garcia-de-la-Mària, L. Park, B. K. Sharma-Kuinkel, F. Marco, D. Wray, et al. “Influence of vancomycin minimum inhibitory concentration on the outcome of methicillin-susceptible Staphylococcus aureus left-sided infective endocarditis treated with antistaphylococcal β-lactam antibiotics: a prospective cohort study by the International Collaboration on Endocarditis.” Clin Microbiol Infect 23, no. 8 (August 2017): 544–49. https://doi.org/10.1016/j.cmi.2017.01.017.
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  - Jackson, W., C. P. Hornik, J. A. Messina, K. Guglielmo, A. Watwe, G. Delancy, A. Valdez, et al. “In-hospital outcomes of premature infants with severe bronchopulmonary dysplasia.” J Perinatol 37, no. 7 (July 2017): 853–56. https://doi.org/10.1038/jp.2017.49.
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  - Tie, Guodong, Jinglian Yan, Lyne Khair, Julia A. Messina, April Deng, Joonsoo Kang, Thomas Fazzio, and Louis M. Messina. “Hypercholesterolemia Increases Colorectal Cancer Incidence by Reducing Production of NKT and γδ T Cells from Hematopoietic Stem Cells.” Cancer Res 77, no. 9 (May 1, 2017): 2351–62. https://doi.org/10.1158/0008-5472.CAN-16-1916.
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  - Parente, V., R. H. Clark, L. Ku, C. Fennell, M. Johnson, E. Morris, A. Romaine, et al. “Risk factors for group B streptococcal disease in neonates of mothers with negative antenatal testing.” J Perinatol 37, no. 2 (February 2017): 157–61. https://doi.org/10.1038/jp.2016.201.
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  - Messina, Julia A., Eileen K. Maziarz, Andrej Spec, Dimitrios P. Kontoyiannis, and John R. Perfect. “Disseminated Cryptococcosis With Brain Involvement in Patients With Chronic Lymphoid Malignancies on Ibrutinib.” Open Forum Infect Dis 4, no. 1 (2017): ofw261. https://doi.org/10.1093/ofid/ofw261.
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  - Messina, Julia A., Eric Cober, Sandra S. Richter, Federico Perez, Robert A. Salata, Robert C. Kalayjian, Richard R. Watkins, et al. “Hospital Readmissions in Patients With Carbapenem-Resistant Klebsiella pneumoniae.” Infect Control Hosp Epidemiol 37, no. 3 (March 2016): 281–88. https://doi.org/10.1017/ice.2015.298.
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  - Qi, Robert, Hwang-Soo Joo, Batu Sharma-Kuinkel, Nicholas R. Berlon, Lawrence Park, Chih-Lung Fu, Julia A. Messina, et al. “Increased in vitro phenol-soluble modulin production is associated with soft tissue infection source in clinical isolates of methicillin-susceptible Staphylococcus aureus.” J Infect 72, no. 3 (March 2016): 302–8. https://doi.org/10.1016/j.jinf.2015.11.002.
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  - Messina, Julia A., Joshua T. Thaden, Batu K. Sharma-Kuinkel, and Vance G. Fowler. “Impact of Bacterial and Human Genetic Variation on Staphylococcus aureus Infections.” Plos Pathog 12, no. 1 (January 2016): e1005330. https://doi.org/10.1371/journal.ppat.1005330.
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  - Thaden, Joshua T., Jessica E. Ericson, Heather Cross, Stephen P. Bergin, Julia A. Messina, Vance G. Fowler, Daniel K. Benjamin, et al. “Survival Benefit of Empirical Therapy for Staphylococcus aureus Bloodstream Infections in Infants.” Pediatr Infect Dis J 34, no. 11 (November 2015): 1175–79. https://doi.org/10.1097/INF.0000000000000850.
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  - Berlon, Nicholas R., Robert Qi, Batu K. Sharma-Kuinkel, Hwang-Soo Joo, Lawrence P. Park, Dennis George, Joshua T. Thaden, et al. “Clinical MRSA isolates from skin and soft tissue infections show increased in vitro production of phenol soluble modulins.” J Infect 71, no. 4 (October 2015): 447–57. https://doi.org/10.1016/j.jinf.2015.06.005.
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  - Bergin, Stephen P., Joshua T. Thaden, Jessica E. Ericson, Heather Cross, Julia Messina, Reese H. Clark, Vance G. Fowler, et al. “Neonatal Escherichia coli Bloodstream Infections: Clinical Outcomes and Impact of Initial Antibiotic Therapy.” Pediatr Infect Dis J 34, no. 9 (September 2015): 933–36. https://doi.org/10.1097/INF.0000000000000769.
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  - Messina, Julia A., Vance G. Fowler, and G Ralph Corey. “Oritavancin for acute bacterial skin and skin structure infections.” Expert Opin Pharmacother 16, no. 7 (May 2015): 1091–98. https://doi.org/10.1517/14656566.2015.1026256.
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  - Sharma-Kuinkel, Batu K., Yuling Wu, David E. Tabor, Hoyin Mok, Bret R. Sellman, Amy Jenkins, Li Yu, et al. “Characterization of alpha-toxin hla gene variants, alpha-toxin expression levels, and levels of antibody to alpha-toxin in hemodialysis and postsurgical patients with Staphylococcus aureus bacteremia.” J Clin Microbiol 53, no. 1 (January 2015): 227–36. https://doi.org/10.1128/JCM.02023-14.
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  - Tie, Guodong, Jinglian Yan, Julia A. Messina, Robert L. Raffai, and Louis M. Messina. “Inhibition of p38 Mitogen-Activated Protein Kinase Enhances the Apoptosis Induced by Oxidized Low-Density Lipoprotein in Endothelial Progenitor Cells.” J Vasc Res 52, no. 6 (2015): 361–71. https://doi.org/10.1159/000443889.
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  - Tie, Guodong, Katharine E. Messina, Jinglian Yan, Julia A. Messina, and Louis M. Messina. “Hypercholesterolemia induces oxidant stress that accelerates the ageing of hematopoietic stem cells.” J Am Heart Assoc 3, no. 1 (January 27, 2014): e000241. https://doi.org/10.1161/JAHA.113.000241.
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  - Tie, Guodong, Jinglian Yan, Yagai Yang, Brian D. Park, Julia A. Messina, Robert L. Raffai, Philip T. Nowicki, and Louis M. Messina. “Oxidized low-density lipoprotein induces apoptosis in endothelial progenitor cells by inactivating the phosphoinositide 3-kinase/Akt pathway.” J Vasc Res 47, no. 6 (2010): 519–30. https://doi.org/10.1159/000313879.
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  - Matthay, Katherine K., Gregory Yanik, Julia Messina, Alekist Quach, John Huberty, Su-Chun Cheng, Janet Veatch, et al. “Phase II study on the effect of disease sites, age, and prior therapy on response to iodine-131-metaiodobenzylguanidine therapy in refractory neuroblastoma.” J Clin Oncol 25, no. 9 (March 20, 2007): 1054–60. https://doi.org/10.1200/JCO.2006.09.3484.
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  - Messina, Julia A., Su-Chun Cheng, Benjamin L. Franc, Martin Charron, Barry Shulkin, Bao To, John M. Maris, Gregory Yanik, Randall A. Hawkins, and Katherine K. Matthay. “Evaluation of semi-quantitative scoring system for metaiodobenzylguanidine (mIBG) scans in patients with relapsed neuroblastoma.” Pediatr Blood Cancer 47, no. 7 (December 2006): 865–74. https://doi.org/10.1002/pbc.20777.
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  - DuBois, Steven G., Julia Messina, John M. Maris, John Huberty, David V. Glidden, Janet Veatch, Martin Charron, Randall Hawkins, and Katherine K. Matthay. “Hematologic toxicity of high-dose iodine-131-metaiodobenzylguanidine therapy for advanced neuroblastoma.” J Clin Oncol 22, no. 12 (June 15, 2004): 2452–60. https://doi.org/10.1200/JCO.2004.08.058.
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- Conference Papers
  - Thompson, Jillian, Yi Ren, Kristi Romero, Meagan Lew, Amy Bush, Julia Messina, Sin-Ho Jung, et al. “Financial Incentives to Increase Stool Collection Rates for Microbiome Studies in Adult Bone Marrow Transplant Patients.” In Biology of Blood and Marrow Transplantation, 26:S371–S371. ELSEVIER SCIENCE INC, 2020.
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  - Giri, Vinay K., Kristin G. Kegerreis, Yi Ren, Lauren M. Bohannon, Erica Lobaugh-Jin, Julia A. Messina, Anita Matthews, et al. “Daily Chlorhexidine Gluconate Bathing Reduces the Rate of Bloodstream Infections in Adults Undergoing Inpatient Hematopoietic Stem Cell Transplantation.” In Blood, 134:2210–2210. American Society of Hematology, 2019. https://doi.org/10.1182/blood-2019-122272.
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  - Thompson, Jillian C., Yi Ren, Kristi M. Romero, Meagan V. Lew, Amy T. Bush, Julia A. Messina, Sin-Ho Jung, et al. “Financial Incentives to Increase Stool Collection Rates for Microbiome Studies in Adult Bone Marrow Transplant Patients.” In Blood, 134:5775–5775. American Society of Hematology, 2019. https://doi.org/10.1182/blood-2019-128702.
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Teaching & Mentoring
Teaching Activities
- Duke's Summer Training in Academic Research (Duke's STAR) Program; Mentor, 2015-2017

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Education, Training, & Certifications

Medical Licensure

Previous Appointments & Affiliations

In the News

Subject Headings

Global Scholarship

Research

Fellowships, Supported Research, & Other Grants

External Relationships

Selected Publications

Academic Articles

Conference Papers

Teaching Activities