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Research
Welcome to
the Program of Molecular Perioperative Medicine and Genomics. Our mission is
to improve perioperative medical outcomes through innovative science and
clinical research. The department’s research activities are directed by Dr.
Steffen E. Meiler, Vice Chair of Research, who joined the Medical
College of Georgia in November 2002. Prior to his arrival at MCG, Dr. Meiler
served 10 years as a faculty member at the Massachusetts General
Hospital/Harvard Medical School. The department’s research facilities occupy
approximately 2500 square feet of state-of-the-art research space and are
located amidst a thriving scientific community at MCG’s Research Park. At
the center of the research program stands an international staff of highly
competent and enthusiastic scientists. A strong collaborative spirit among
MCG’s clinical and basic science departments and the many excellent research
core facilities further contribute to the success of our mission. Our
research program pursues two major trajectories of investigation with a
strong focus towards translational research.
- Sickle Cell Disease
(SCD)
continues to be an important clinical problem around the time of surgery
and anesthesia. In the United States approximately 80,000 people are
affected by the disease and to date therapeutic interventions are limited
to supportive measures only. Our laboratory investigates the molecular
physiology and therapeutic role of the biological gas, nitric oxide (NO),
in sickle cell disease. This work was pioneered by Dr. C. Alvin Head,
Chair of the Department, and is largely based on the observation that NO
abrogates the abnormal tendency of sickle hemoglobin to polymerize to an
insoluble state under hypoxic conditions. Consequently, sickle red blood
cells become more resistant to cell shape deformities and they appear to
adhere far less to the vascular endothelium. Ongoing studies continue to
address the mechanism of NO’s effect in SCD and promise to have a
significant impact on the (perioperative) treatment of this disease, in
particular during vaso-occlusive crisis. Dr Head’s original contributions
to this field have earned him two U.S. patents.
- Cardiovascular events, such as myocardial
infarction and cardiac death persist as serious complications after
anesthesia and surgery. The observation that coronary plaque rupture is
more closely related to the inflammatory state of the lesion rather than
lesion size alone has motivated our laboratory to study basic mechanisms
of endothelial cell activation. These investigations address the inability
of present anesthesia management strategies to protect the vascular
endothelium from the inflammatory response during the perioperative
period. The work of Dr. Meiler and his colleagues in this area received
international attention and was awarded the recognition of “Best of
Scientific Session” at the Annual Meeting of the American Heart
Association in November 2002.
We welcome
interested research applicants to contact Dr. Meiler directly for further
details.
Steffen E. Meiler, M.D.,
smeiler@mcg.edu
Associate Professor
Vice Chairman of Research
Director, Program of Molecular Perioperative Medicine and Genomics
Department of Anesthesiology and Perioperative Medicine
Medical College of Georgia
1120 15th Street, CB-2402
Augusta, GA 30912-2700
Office: (706) 721-3287
Fax: (706) 721-4150 |