H. Joachim Deeg

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H. Joachim Deeg (born 18 July 1945) is a German-American hematologist and physician-scientist [1] known for his work in hematopoietic stem cell transplantation, graft-versus-host disease, and the treatment of bone marrow failure syndromes, myelodysplastic syndromes (MDS), and myeloproliferative neoplasms (MPN). [2] [3] He is professor emeritus in the Clinical Research Division at the Fred Hutchinson Cancer Center and professor emeritus of Medicine at the University of Washington School of Medicine. [4]

Contents

Early life and education

Deeg was born in Bad Mergentheim, Germany. He attended the Deutschorden Gymnasium, graduating in 1965 at the top of his class. [5] He initially studied law at the University of Marburg before switching to medicine, completing his studies at the Universities of Würzburg and Bonn, where he earned the Dr. med. degree in 1972. [6]

Career

After completing his medical studies in Germany, Deeg began his postgraduate training as a Medizinalassistent (intern) in medicine and surgery at the University of Bonn School of Medicine in 1972, followed by a surgical internship at Katharinen Hospital in Cologne-Frechen. [6] He continued his residency in medicine at the University of Bonn before moving to the United States in 1973 to join the University of Rochester School of Medicine, where he served as an intern and resident at The Genesee Hospital and was appointed Chief Medical Resident in 1975. [7] From 1976 to 1978, he trained as a fellow in oncology and hematology at the University of Washington School of Medicine under Nobel laureate E. Donnall Thomas. [2]

Deeg joined the Fred Hutchinson Cancer Research Center in 1978, first as Associate in Medical Oncology and subsequently as Assistant Member (1979–1983) and Associate Member (1983–1986), [8] while holding concurrent academic appointments in the Division of Oncology at the University of Washington School of Medicine. From 1986 to 1989, he was Professor of Medicine and Microbiology at Georgetown University, where he established and directed the Bone Marrow Transplantation Program at Georgetown University Hospital and was a member of the Lombardi Cancer Research Center. [9]

Between 1988 and 1991, Deeg was Guest Scientist at Argonne National Laboratory, affiliated with the University of Chicago.

He returned to the Fred Hutchinson Cancer Research Center in 1990, becoming Associate Member in 1992 and Professor in 1994, a position he held until his retirement in 2023. [2] He also served as Professor of Medicine at the University of Washington School of Medicine from 1994 to 2023. [4]

Research contributions

Deeg conducted experimental and clinical studies on the prevention and treatment of GVHD. [10] He demonstrated the efficacy of cyclosporine alone and in combination with methotrexate, a regimen that became a worldwide standard in transplantation practice. [11]

He was among the first to document the increased risk of secondary malignancies after TBI-based transplantation in both animal models and human patients. [12] His findings influenced subsequent modifications of conditioning regimens using non-TBI modalities,  and the development of preventive strategies against chronic GVHD. [1]

Deeg advanced transplantation protocols for patients with severe aplastic anemia, particularly through studies optimizing TBI doses in unrelated donor transplants. [13]

His group made key contributions to understanding MDS pathophysiology, including the roles of Fas signaling, TNF-α, FLIP isoforms, and stromal cell dysfunction. [14] Clinically, he  was instrumental in establishing transplantation as a curative approach for both MDS and MPN, and developed conditioning strategies using busulfan, cyclophosphamide, and later treosulfan. [15]

References

  1. 1 2 Bartus, Anna. "Prof. H. Joachim Deeg | EBMT 2018 | Treatment of steroid-refractory GvHD with alpha-1-antitrypsin". GvHD Hub. Retrieved 2025-10-29.
  2. 1 2 3 Sabrina, Richards (2018-10-18). "Dr. Joachim Deeg named Miklos Kohary and Natalia Zimonyi Kohary Endowed Chair for Cancer Research". Fred Hutch. Retrieved 2025-10-29.
  3. "Kamada to Host R&D Day Focused on Graft versus Host Disease (GvHD)". Kamada Pharmaceuticals. Retrieved 2025-10-29.
  4. 1 2 "Lifetime Achievement in Science Award". Aplastic Anemia and MDS International Foundation (AAMDSIF). Retrieved 2025-10-29.
  5. "H. Joachim Deeg, M.D." Regenerative Medicine Now. Retrieved 2025-10-29.
  6. 1 2 "Professor Emeritus, Clinical Research Division, Fred Hutchinson Cancer CenterProfessor Emeritus, Division of Hematology and Oncology, University of Washington". hemonc. Retrieved 2025-10-29.
  7. Horowitz, Mary (2021-02-02). "Medexus Pharmaceuticals and medac GmbH enter into a License Agreement for First-in-Class Conditioning Agent for Hematopoietic Stem Cell Transplantation, Treosulfan, in the United States". Medexus Pharmaceuticals, Inc. (in French). Retrieved 2025-10-29.
  8. Storb, Rainer (2016-07-01). "Program Genealogies: Bone Marrow Transplantation at Fred Hutch". The Hematologist. 13 (4). doi:10.1182/hem.V13.4.5664. ISSN   1551-8779.
  9. Colburn, Don (1986-11-26). "GU Hospital Defies D.C. Law". The Washington Post. ISSN   0190-8286 . Retrieved 2025-10-29.
  10. Ferrara, James L. M.; Deeg, H. Joachim (1991-03-07). "Graft-versus-Host Disease". New England Journal of Medicine. 324 (10): 667–674. doi:10.1056/NEJM199103073241005. ISSN   0028-4793.
  11. Storb, Rainer; Deeg, H. Joachim; Whitehead, John; Appelbaum, Frederick; Beatty, Patrick; Bensinger, William; Buckner, C. Dean; Clift, Reginald; Doney, Kristine (1986-03-20). "Methotrexate and Cyclosporine Compared with Cyclosporine Alone for Prophylaxis of Acute Graft versus Host Disease after Marrow Transplantation for Leukemia". The New England Journal of Medicine. doi:10.1056/nejm198603203141201?articletools=true . Retrieved 2025-10-29.
  12. DEEG, H.JOACHIM; SCHWARTZ, JEFFREY; FRIEDMAN, DEBBIE; LEISENRING, WENDY (2003-01-01). "Secondary Malignancies After Hemopoietic Stem Cell Transplantation". Turkish Journal of Medical Sciences. 33 (4): 207–214. ISSN   1300-0144.
  13. Olson, A. T. (2024-11-22). "Successful long-term outcomes for unrelated bone marrow transplants". Fred Hutch. Retrieved 2025-10-29.
  14. Mina, Alain; Greenberg, Peter L.; Deeg, H. Joachim (2024-04-04). "How I reduce and treat posttransplant relapse of MDS". Blood. 143 (14): 1344–1354. doi:10.1182/blood.2023023005. ISSN   0006-4971. PMC   11443576 . PMID   38306658.
  15. Scott, Bart; Deeg, H. Joachim (2006). "Hemopoietic cell transplantation as curative therapy of myelodysplastic syndromes and myeloproliferative disorders". Best Practice & Research. Clinical Haematology. 19 (3): 519–533. doi:10.1016/j.beha.2005.07.009. ISSN   1521-6926. PMID   16781487.