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Faculty Research

Wilbur B. Bowne, M.D.


Dr. Bowne's research focuses on developing novel treatment strategies for combating lethal pancreatic cancer and other human malignancies.

Most pancreatic cancers are caused by a mutant, oncogenic protein called ras-p21. This protein, but not its normal variant, causes normal human cells to transform into their malignant counterparts.

Using a computer-based molecular modeling approach, we have developed peptides that are derived from parts of ras-p21 that block cell division caused by the mutant ras-p21 protein but have no effect on the normal form of this protein.

Using a similar approach, we have also identified domains of the p53 protein that possess anti-cancer activity that also blocks the proliferation of cancer cells.

Our Laboratory's research efforts are currently centered upon further elucidating the anti-cancer molecular mechanisms unique to these domains and testing them on pancreatic cancers that grow in established animal models of pancreatic cancer.

Asher Hirshberg, M.D.


Dr. Hirshberg applies computer modeling and simulation techniques to clinical problems in trauma such as uncontrolled hemorrhage and resuscitation. Furthermore he is developing and using system dynamics models.

John Kral, M.D.

The main emphasis of Dr. Kral's research is investigating mechanisms for the chronic overnutrition syndrome "obesity" with a view to prevention and treatment.

Early-life stress induces epigenetic changes affecting neuro-behavioral development leading to maladaptive energy balance. Food insecurity, common in our inner-city neighborhood with an exceptionally high prevalence of obesity is a potent stressor during gestation. Using questionnaires, anthropometric measurements, and assays of cortisol and regulatory peptides we are investigating predictors of gestational weight gain and maternalfetal health leading to childhood obesity.

In collaboration with the Department of Surgery at Laval University, Quebec City, we demonstrated beneficial metabolic effects of maternal obesity surgery on subsequent pregnancy outcomes including offspring health carried into adolescence (JCEM, 2009). We are studying epigenetic markers that might explain the mechanisms of these effects. Funded by the Canadian Research Council.

Diversionary operations for obesity (e.g. Roux-en-Y Gastric Bypass) expose segments of small bowel to undigested nutrients which potentiate signals. Studies of intestinal perfusion with macronutrients in spontaneously obese non-human primates at Downstate will identify mechanisms of weight loss and assess the kinetics of mucosal adaptation. In collaboration with the Department of Behavioral Neuroscience and Psychiatry at Johns Hopkins University. Funded by the NIH.

Vagotomy interrupts the preparatory, cephalic phase of nutrient intake and digestion in all species studied to date. Clinical follow-up studies in Sweden of severely obese patients 25-30 years after gastric restrictive operations with or without vagotomy, demonstrate a mean 5 units of body mass index weight differential in favor of adding vagotomy. Current Sstudies in progress are evaluating completeness of vagotomy and gastro-intestinal appetitive peptide release in these patients. Privately funded.

In a multi-national collaboration with surgeons, endocrinologists and geneticists in Europe we demonstrated monogenic changes affecting eating behavior and metabolism in severely obese candidates for obesity surgery (NEJM, 2003). With functional genotyping and 6+ years of clinical follow-up we are studying the predictive capacity of polymorphisms affecting outcomes of mechanistically different operations for severe metabolic obesity.

Vagotomy interrupts the preparatory, cephalic phase of nutrient intake and digestion in all species studied to date. Clinical follow-up studies in Sweden of severely obese patients 25-30 years after gastric restrictive operations with or without vagotomy, demonstrate a mean 5 units of body mass index weight differential in favor of adding clinical relevance as noted above.

The scientific goals of the research program include:

  • Determination of the overall contribution of specific genetic elements to colorectal cancer incidence in special populations. These genetic elements include the APC gene, the DNA mismatch repair genes (MSH2, MLH1, MSH6 and PMS1/2) and the MYH gene.

  • Clarification of the carrier frequencies in the general population of pathologic alleles in these genes associated with CRC incidence.

  • Identification of novel genetic elements associated with CRC predisposition through the utilization of linkage analysis, single nucleotide polymorphism (SNP) and haplotype analysis and genome wide association studies (GWAS). These goals include mentoring young investigators including surgical residents and fellows in CRC genetics and genomics research.

Daniel Lee, M.D.

Dr. Lee's research includes several federally funded investigations directed at understanding the pathogenesis of cardiac disease on a molecular and whole organ level as well as elements of clinical outcome associated with cardiac surgery including factors that impact on other tissue sites. These studies involve a range of methodologies that span different spatial and temporal scales and degree of invasiveness.

Active projects:

  • Neurocognitive dysfunction and cerebral perfusion in cardiac surgery. Aim: Use functional brain imaging and optical biomarkers to predict neurological complications of cardiac surgery.
    Funding Source: NINDS/NIH.

  • Autoimmune response in ischemia-reperfusion. We are investigating the effects of myocardial ischemia-reperfusion on autoimmune response and the complement cascade. This may lead to novel diagnostic and treatment strategies for myocardial injury.
    Funding Source: NHLBI/NIH

  • Omega-3 fatty acids for prevention of post-operative atrial fibrillation. This is an international, multicenter, randomized clinical trial. Other participating sites in the United States include: Emory, Vanderbilt, Brigham and Women's Hospital, Washington University, and Brown University.
    Funding Sources: GlaxoSmithKlline, Pronova, Sigma-Tau, and the NIH.

  • Brain-computer interface and injury recovery. This is a multi-institutional effort led by SUNY Downstate Medical Center to study the brain's plasticity, or ability to recover from injury.
    Funding Source: DARPA/Department of Defense.

  • Optical tomography to diagnose breast cancer. We seek to validate metrics for breast cancer detection from a robotic, dual-sensing, functional optical imaging system.
    Funding Source: New York State Department of Health, DARPA/Department of Defense, and NCI/NIH.

Thomas K. Weber, MD, FACS


Dr. Weber's long term strategic research goal is to facilitate and advance the participation of the Downstate Department of Surgery and the Veterans Health Administration in the nation's effort to understand the genetics of predisposition to colorectal cancer. His goals include facilitating patient access to state-of-the-art cancer and genomics research; a benefit directly related to the successes of the Human Genome Project (web) with significant clinical relevance as noted above.
The scientific goals of the research program include:

  • Determination of the overall contribution of specific genetic elements to colorectal cancer incidence in special populations. These genetic elements include the APC gene, the DNA mismatch repair genes (MSH2, MLH1, MSH6 and PMS1/2) and the MYH gene.

  • Clarification of the carrier frequencies in the general population of pathologic alleles in these genes associated with CRC incidence.

  • Identification of novel genetic elements associated with CRC predisposition through the utilization of linkage analysis, single nucleotide polymorphism (SNP) and haplotype analysis and genome wide association studies (GWAS).

These goals include mentoring young investigators including surgical residents and fellows in CRC genetics and genomics research.