Una O'Doherty, M.D.Ph.D.

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Associate Professor of Pathology and Laboratory Medicine at the Hospital of the University of Pennsylvania
Department: Pathology and Laboratory Medicine
Graduate Group Affiliations

Contact information
Department of Pathology & Laboratory Medicine
University of Pennsylvania
265 John Morgan Building
3620 Hamilton Walk
Philadelphia, PA 19104-6082
Office: (215) 573-7273
Fax: (215) 573-2348
Education:
B.S. (Biochemistry)
Barnard College, New York, NY - cum laude, 1987.
Ph.D.
The Rockefeller University, New York, NY, Advisors: Drs. Nina Bhardwaj and Ralph M. Steinman, 1994.
M.D.
Cornell University Medical College, New York, NY, 1995.
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Description of Research Expertise

Research Interests
HIV-1 latency.

Key words: HIV, latency, reservoirs, dendritic cells, viral pathogenesis, proviral integration, retrovirus, virology, T cell activation, resting T cells.

Description of Research
Highly active anti-retroviral therapy can clear the blood of HIV-1 virions. But, despite long-term suppression of virus, when the drugs are stopped the virus returns. Thus, reservoirs of latent, treatment-resistant HIV-1 exist in infected individuals and are a major barrier to cure. Our lab has developed an in vitro model of HIV-1 latency. We use quantitative and imaging methods to study how HIV-1 establishes latent infection in resting CD4+ T cells.

Current dogma holds that latent HIV-1 infection occurs only when T cells are activated. Our findings challenge this. Using novel quantitative assays we made three discoveries about latent HIV-1 infection in CD4+ T cells. One, HIV-1 can integrate into resting CD4+ T cells. Two, the T cells bearing integrated HIV-1 genomes do not produce new virions unless stimulated. Three after stimulation a percentage of these cells produce virus. Thus, in our system HIV-1 establishes latent infection in resting T cells in the absence of activating stimuli. We now want to determine if reservoirs form more efficiently in the presence of subtle stimuli and if reservoirs form preferentially in subsets of resting T cells that are more permissive for HIV-1 integration. We are attempting to quantify the contribution of memory and naive cells to reservoirs in vivo. Finally, we are interested to determine how reservoirs are maintained in vivo. To study this, we are first developing assays that can sensitively detect ongoing replication.

In addition, a new focus in our lab is to enhance transduction of resting CD4+ T cells with gene therapy vectors based on the HIV genome.

In summary, we have developed an in vitro model of HIV-1 latency and our studies promise to provide new insights into reservoir formation in HIV-1 infected individuals and may eventually lead to novel therapies.

Rotation Projects for 2008-2009
1. Measure the percentage of resting T cells that contain provirus (integrated viral DNA) in HIV-infected individuals in various CD4+ T cell subpopulations including memory and naïve subsets to understand the contribution of both of these cell types to reservoirs.
2. Measure total, linear and integrated HIV DNA to determine if ongoing replication occurs on HAART.
3. Quantify the frequency of multiply infected cells after single round infection of resting CD4+ T cells to determine if hypersusceptible cells exist among naive and memory cells.
4. Determine the susceptibilities of other primary WBC (dendritic cells and progenitor cells to HIV integration).

Lab personnel:

Jenny Yu - Research Specialist
Angela Mexas - Postdoctoral fellow
Luis Agosto - graduate student
Matt Pace - graduate student
Erin Graf - graduate student

Selected Publications

Tanhehco Y, Vogl D, Stadtmauer E, O'Doherty U: Is plerixafor for everyone? Transfusion Accepted, 2012.

Pace MJ, Graf EH, Agosto LM, Mexas AM, Brady T, Male F, Bushman FD, O'Doherty U: Directly infected resting CD4+T Cells can produce HIV Gag without spreading infection in a model of HIV latency. PLoS Pathogens Accepted, 2012.

Azzoni L, Foulkes AS, Papasavvas E, Mexas AM, Lynn KM, Mounzer K, Tebas P, Jacobson JM, Frank I, Busch MP, Deeks SG, Carrington M, O'Doherty U, Kostman J, Montaner LJ: Pegylated Interferon-α2A mono-therapy results in suppression of HIV-1 replication and decreased cell-associated HIV DNA integration. Journal of Infectious Diseases Accepted, 2012.

Mexas AM, Graf EH, Pace MJ, Papasavvas E, Azzoni L, Busch M, Di Mascio M, Foulkes A, Migueles SA, Montaner LJ, O'Doherty U: Concurrent measures of total and integrated HIV DNA monitor reservoirs and ongoing replication in eradication trials. AIDS Accepted, 2012.

Pace M, Agosto LM, Graf E, O'Doherty U: HIV latency and models. Virology. Zack J, Emmerman M, Malim M (eds.). 411(2): 344-54, Mar 2011.

Graf EH, Mexas AM, Yu JJ, Shaheen F, Liszewski M, DiMascio M, Migueles SA, Connors M, O'Doherty U: Elite Suppressors harbor low levels of integrated HIV DNA and high levels of 2-LTR circular HIV DNA compared to HIV+ patients on and off HAART. PloS Pathogens 7(2), February 2011.

Pace M, Agosto LM, O'Doherty U: R5 HIV Env and VSV-G cooperate to mediate fusion to naive CD4+T cells. Journal of Virology 85(1): 644-8, Jan 2011.

Agosto LM, Liszewski M, Mexas A, Graf E, Yu JJ, Pace M, Bhandoola A, O'Doherty U: Patients on HAART often have an excess of unintegrated HIV DNA: implications for monitoring reservoirs. Virology 409(1): 46-53, Jan 2011.

Tanhehco Y, Adamski J, Sell, M, Cunningham K, Magee D, Stadtmauer EA, O'Doherty U: Storage requirements for hematopoietic stem cell products mobilized by plerixafor and G-CSF compared to chemotherapy and G-CSF. American Society for Apheresis New Orleans, LA, May 2010 Notes: oral presentation.

Tanhehco Y, Adamski J, Sell, M, Cunningham K, Magee D, Stadtmauer EA, O'Doherty U : Plerixafor mobilization leads to a lower ratio of CD34+ cells to total nucleated cells which results in greater storage costs. International Society for Cellular Therapy Philadelphia, PA, May 2010 Notes: poster.

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Last updated: 06/25/2012
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