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Jack R. Wands
Research Summary
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Jack R. Wands , M.D.
Jeffrey and Kimberly Greenberg – Artemis and Martha Joukowsky Professor of Medical Science in Gastroenterology

Professor of Medical Science, Brown Medical School

M.D., University of Washington, 1969

Liver Research Center
Rhode Island Hospital
P 401.444.2795
Jack_Wands_MD@Brown.edu

RESEARCH SUMMARY

The Liver Research Center is a newly constructed 13,000-sq. ft. facility that will emphasize studies relating to the molecular biology of liver diseases. There are numerous ongoing studies that relate to the pathogenesis of hepatocellular carcinoma as well as a major effort in gene therapy of liver diseases. For example, we investigate the relationship of chronic hepatitis B and C infection and hepatocellular carcinoma at the molecular level. Of particular interest is the generation of naturally occurring viral variants that are produced during active viral replication or immune selection by the host. These mutations convey different biologic properties as compared to "wild type" virus. Such viral variants have different biologic properties including the development of viral latency, low level viral gene expression, increased virulence, vaccine escape and integration into the hepatocyte cellular DNA.

With respect to chronic hepatitis B infection, there are ongoing studies that examine the molecular mechanisms of viral integration into the cellular DNA during the development of cellular carcinoma with particular emphasis on hepatitis B viral variants. Attempts are being made to understand hepadnavirus hepatocyte cell surface receptor binding proteins. We are also interested in the functional role of the hepatitis Bx protein and these studies focus on the cloning and characterizing liver specific proteins that interact with HBx. Such investigations may have relevance to the hepatocyte transformation process since HBx in combination with cellular factors act as a transcriptional transactivator of many growth related genes.

Studies are ongoing on the development of antiviral approaches to interfere with HBV and HCV replication. These approaches include antisense oligonucleotides, ribozymes, dominant negative mutants and therapeutic viral DNA based vaccines. In this context, there is a major effort to develop vectors to specifically deliver DNA constructs to the liver and thus there is a major program in gene therapy of viral diseases of the liver. In this regard, we are using several approaches that include receptor mediated endocytosis of targeted liposomes and use of various adenovirus, retrovirus and adeno-associated virus constructs that express genes of interest in hepatocytes. Such approaches are also being applied to gene therapy of primary hepatocellular carcinoma using animal model systems.

There is also a major focus in the study of growth regulation of hepatocytes through growth factor receptors and intracellular signal transduction pathways with particular emphasis on the insulin stimulated hepatocyte growth. The expression and tyrosyl phosphorylation of insulin receptor substrate-1 (IRS-1) as well as activation of downstream MAP kinases are being studied in a variety of experimental systems as well as in human disease. Finally, the relationship of chronic HBV infection and activation of growth factor signal transduction cascade is being actively pursued at the molecular level.

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PUBLICATIONS

Ito T, Sasaki Y, Wands JR: Overexpression of human insulin receptor substrate 1 induces cellular transformation with activation of mitogen-activated protein kinases. Molec Cell Biol 1996;16:943-51.

Tanaka S, Ito T, Wands JR: Neoplastic transformation induced by insulin receptor substrate-1 (IRS-1) overexpression requires an interaction with both Grb2 and Syp signaling molecules. J Biol Chem 1996;271:14610-6.

Tanaka S, Wands JR: A carboxy-terminal truncated insulin receptor substrate-1 dominant negative protein reverses the human hepatocellular carcinoma malignant phenotype. J Clin Invest 1996;98:2100-8.

Melegari M, Scaglioni PP, Wands JR: Cloning and characterization of a novel hepatitis B virus X binding protein that inhibits viral replication. J Virol 1998;72:1737-43.

Tanaka S, Masaki M. Tsuyoshi A, Wands JR, Sugimachi K : A novel frizzled gene identified in human esophageal carcinoma mediates APC/beta-catenin signals. Proc Natl Acad Sci 1998;95:10164-9.

Tanaka S, Mori M, Akiyoshi T, Tanaka Y, Mafume, K, Wands JR, Sugimachi, K.: A novel varient of human Grb7 is associated with invasive esophageal carcinoma. J Clin Invest 1998;102:821-7

Encke J, zu Putlitz J, Geissler M, Wands JR: Genetic immunization generates cellular and humoral immune response against the nonstructural proteins of the hepatitis C virus in a murine model. J Immunol 1998;161:4917-23.

Tanaka S, Mori M, Sakamoto Y, Makuuchi M, Sugimachi K, Wands JR: Biologic significance of angiopoietin-2 expression in human hepatocellular carcinoma. J Clin Invest 1999 ;103 :341-5.

Ince N., Wands JR: The increasing incidence of hepatocellular carcinoma. N Engl J Med 1999 ;340 :798-9.

zu Putlitz J, Yu Q, Burke JM, Wands JR: Combinatorial screening and intracellular antiviral activity of hairpin ribozymes directed against hepatitis B virus. J Virol 1999;73:5381-7.

Li JS, Tong S, Wands JR. Identification and expression of glycine decarboxylase (p120) as a duck hepatitis B virus pre-S envelope-binding protein. J Biol Chem 1999;274:27658-65.

Tong S, Li JS, Wands JR. Carboxypeptidase D is an avian hepatitis B virus receptor. J Virol 1999;73:8696-02.

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