Katherine A. High, M.D.
William H. Bennett Professor of Pediatrics
Department: Pediatrics
Graduate Group Affiliations
Contact information
Children's Hospital of Philadelphia
5060 CTRB
3501 Civic Center Boulevard
Philadelphia, PA 19104
5060 CTRB
3501 Civic Center Boulevard
Philadelphia, PA 19104
Office: 215-590-4521
Fax: 215-590-3660
Fax: 215-590-3660
Email:
HIGH@EMAIL.CHOP.EDU
HIGH@EMAIL.CHOP.EDU
Publications
Education:
A.B. (Chemistry)
Harvard College, 1972.
M.D. (Medicine)
University of North Carolina School of Medicine, 1978.
Cert (Business)
UNC Business School. Management Institute for Hospital Administrators. , 1989.
MA (hon)
University of Pennsylvania , 1993.
Permanent linkA.B. (Chemistry)
Harvard College, 1972.
M.D. (Medicine)
University of North Carolina School of Medicine, 1978.
Cert (Business)
UNC Business School. Management Institute for Hospital Administrators. , 1989.
MA (hon)
University of Pennsylvania , 1993.
Description of Research Expertise
Research InterestsThe focus of the laboratory was initially on the molecular basis of blood coagulation, and the use of novel genetic therapies to treat hemophilia. More recently we have pioneered safe and effective clinical translation of genetic therapies for inherited disorders. These clinical trials have led to short-term correction of disease in hemophilia B, and long-term improvements in Leber’s congenital amaurosis, a hereditary cause of blindness.
Key words: Hemophilia , AAV, Gene Therapy, Factor IX, Factor VIIa.
Description of Research
Major areas of investigation include: 1) structure-function analysis of Factors VII, IX and X through the study of naturally occurring mutant proteins and recombinant proteins produced using site-directed mutagenesis and a mammalian expression system, 2) study of the regulation of expression of the genes encoding the vitamin K dependent clotting factors. These genes manifest tissue-specific expression; they are expressed only in the liver. We have isolated the 5' flanking sequences of all three genes, characterized promoter activity and determined, using DNase footprinting, the location of protein binding sites within these promoters. In the case of Factor X, we have determined through a variety of approaches the identity of the transcription factors binding to the promoter and are in the process of carrying out similar studies on the promoters of VII and IX, 3) studies designed to establish an experimental and clinical basis for gene therapy of hemophilia, a bleeding disorder that results from a deficiency of functional Factor IX. We are currently using both viral vectors to introduce the Factor IX cDNA into target cells of interest. My colleagues and I have several active projects, including a study on the generation and use of recombinant AAV vectors expressing Factor IX to treat hemophilia B. In particular, we are investigating novel methods of delivering vector to target tissues, and are also exploring the use of alternate serotypes and optimized expression cassettes in order to maximize gene expression. Other work focuses on safety problems, including determinants of the immune response to the transgene product, and assessment of risk of germline transmission of vector sequences. In other experiments, we are investigating the function of coagulation proteins through the use of targeted disruption of clotting factor genes. Current areas of interest include completion of clinical trials of an AAV-mediated, liver directed approach.
Rotation Projects for 2011-2012
1. Gene transfer for hemophilia B
2. Immunological aspects of viral vector-based gene transfer
3. Novel approaches to the treatment of hemophilia
Lab Personnel:
Xavier Anguela, Post Doc;
Etiena Basner-Tschakarjan, Research Assoc;
George Buchlis, Pre Doc;
Yifeng Chen, Research Assoc;
Robert Davidson, Research Tech;
Daniel Hui, Post Doc;
Jianhua Liu, Research Tech;
Katherine Marcucci, Post Doc;
Federico Mingozzi, Director, Translational Research;
Rajiv Sharma, Pre Doc;
Alex Tai, Research Tech;
Mustafa Yazicioglu, Post Doc;
Yi Zhao, Research Tech;
Shangzhen Zhou, Director, Research Vector Core
Selected Publications
Buchlis G, Podsakoff G, Radu A, Hawk SM, Flake AW, Mingozzi F, High KA.: Factor IX expression in skeletal muscle of a severe hemophilia B patient 10 years after AAV-mediated gene transfer. Blood Jan 23 [Epub ahead of print] 2012.Li H, Haurigot V, Doyon Y, Li T, Wong SY, Bhagwat AS, Malani N, Anguela XM, Sharma R, Ivanciu L, Murphy SL, Finn JD, Khazi FR, Zhou S, Paschon DE, Rebar EJ, Bushman FD, Gregory PD, Holmes MC, High KA: In vivo genome editing restores haemostasis in a mouse model of haemophilia. Nature 475(7355): 217-221, July 2011
Wu TL, Töpfer K, Lin S-W, Bian A, Zhou XY, High KA, Ertl HCJ.: Self-complementary AAVs induce more potent transgene product-immune responses compared to a single-stranded genome. Mol Ther Dec 20 [Epub ahead of print] 2011.
Scola MR, Nichols TC, Zhu H, Caughey MC, Merricks EP, Raymer RA, Margaritis P, High KA, Gallippi CM.: AFRI ultrasound monitoring of hemorrhage and hemostasis in vivo in canine vonWillebrand Disease and hemophilia. Ultrasound Med Biol 37(12): 2126-2132, Dec 2011.
High, KA: The history of hemophilia (book review). Nat Med 17(12): 1545, Dec 2011.
Nathwani AC, Tuddenham, EG, Rangarajan S, Rosales C, McIntosh J, Linch DC, Chowdary P, Riddell A, Pie AJ, Harrington C, O'Beirne J, Smith K, Pasi J, Glader B, Rustagi P, Ng CY, Kay MA, Zhou J, Spence Y, Morton CL, Allay J, Coleman J, Sleep S, Cunningham JM, Srivastava D, Basner-Tschakarjan E, Mingozzi F, High KA, Gray JT, Reiss UM, Nienhuis AW, Davidoff AM.: Adenovirus-associated virus vector-mediated gene transfer in hemophilia B. New Engl J Med 365: 2357-2365, Dec 2011.
Anguela XM, Sharma R, Li H, Haurigot V, Bhagwat A, Davidson RJ, Zhou S, Doyon Y, Gregory PD, Holmes MC, High KA: Robust factor IX expression following ZFN-mediated genome editing in an adult mouse model of hemophilia B. Blood 118(21): 307, November 2011.
Li H, Lasaro MO, Jia B, Lin SW, Haut LH, High KA, Ertl HC.: Capsid-specific T-cell responses to natural infections with adeno-associated viruses in humans differ from those of nonhuman primates. Mol Ther 19: 2021-2030, Nov 2011.
Nathwani AC, Tuddenham EGD, Rangarajan S, Rosales C, McIntosh JH, Linch DC, Chowary P, Griffioen A, Riddell A, Pie J, Harrington C, O’Beirne J, Smith K, Paso J, Glader B, Rustagi P, Ng C, Kay M, Zhou J, Spence J, Morton C, Allay J, Coleman J, Sleep S, Cunninhgam JM, Basner-Tschakarjan E, Mingozzi F, High KA, Gray JT, Reiss LM, Nienhuis AW, Davidoff A: Adeno-associated viral vector mediated gene transfer for hemophilia B. Blood 118(21): 4, November 2011.
High KA and Skinner MW: Cell phones and landlines: the impact of gene therapy on the cost and availability of treatment for hemophilia. Mol Ther 19: 1749-1750, Oct 2011.

