Overview
Dr. Markert is currently investigating cultured thymus tissue implantatoin in children with congenital athymia. Congenital athymia is a fatal disease as the patients have no T cells to defend against infection. There are several etiologies of congenital athymia including 22q11.2 deletion syndrome, CHARGE (coloboma, heart defects, choanal atresia, growth or mental retardation, genital abnormalities and ear anomalies and or deafness. Complete DiGeorge anomaly is a designation that encompasses the above in addition with patients with athymia who have heart and/or parathyroid defects. In research studies, patients with athymia who have no T cells are given postnatal cultured thymus tissue implants (CTTI). Of 95 patients with congenital athymia approximately 72% have developed T cells and survive. Dr. Markert is now studying patients previously given CTTI to learn how long the tissue functions and why the T cell numbers in her post thymus transplantation patients remain low for age - similar to the T cell numbers in patients with partial DiGeorge anomaly who do not need CTTI. In 2012, Dr. Markert began studies in an animal model to use CTTI to induce tolerance to solid organ transplants. This work in rats has been published and showed tolerance induction for solid organ transplants.
Current Appointments & Affiliations
Professor Emeritus of Pediatrics
·
2021 - Present
Pediatrics, Allergy and Immunology,
Pediatrics
Recent Publications
Correction to: Clinical Practice Guidelines for the Immunological Management of Chromosome 22q11.2 Deletion Syndrome and Other Defects in Thymic Development.
Journal Article J Clin Immunol · January 22, 2024 Full text Link to item CiteBiallelic variants in ribonuclease inhibitor (RNH1), an inflammasome modulator, are associated with a distinctive subtype of acute, necrotizing encephalopathy.
Journal Article Genet Med · September 2023 PURPOSE: Mendelian etiologies for acute encephalopathies in previously healthy children are poorly understood, with the exception of RAN binding protein 2 (RANBP2)-associated acute necrotizing encephalopathy subtype 1 (ANE1). We provide clinical, genetic, ... Full text Link to item CiteMesenchymal cell replacement corrects thymic hypoplasia in murine models of 22q11.2 deletion syndrome.
Journal Article J Clin Invest · July 3, 2023 Full text Link to item CiteRecent Grants
Tolerance to Allogeneic Hearts via Implantation of Cultured Donor Thymus
ResearchAdvisor · Awarded by National Institutes of Health · 2025 - 2028Transplantation of Cryopreserved Thymus
ResearchAdvisor · Awarded by National Institute of Allergy and Infectious Diseases · 2023 - 2026Enzyvant Monkey Study
ResearchCo Investigator · Awarded by Enzyvant · 2019 - 2022View All Grants
Education, Training & Certifications
Duke University ·
1982
M.D.
Duke University ·
1981
Ph.D.