Michael J. Welsh | |
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Born | Michael James Welsh |
Education | University of Iowa (BSc, MD) |
Known for | Research of cystic fibrosis |
Awards | Warren Alpert Foundation Prize (2018) George M. Kober Medal (2020) Shaw Prize in Life Science & Medicine (2022) Wiley Prize (2023) |
Scientific career | |
Fields | Pulmonology |
Institutions | University of California, San Francisco University of Texas University of Iowa Howard Hughes Medical Institute |
Michael James Welsh is an American pulmonologist. He is the current Roy J. Carver Chair in Biomedical Research, [2] the Professor of Internal Medicine in Pulmonary, Critical Care and Occupational Medicine at the Department of Internal Medicine, and the Director of Pappajohn Biomedical Institute, Roy J. and Lucille A. Carver College of Medicine, University of Iowa. [3] He is also a professor at the Department of Neurosurgery, Department of Neurology, and Department of Molecular Physiology and Biophysics. [3] He received the 2022 Shaw Prize in Life science and Medicine, together with Paul A. Negulescu, for their work that uncovered the etiology of cystic fibrosis and developed effective medications. [4]
Welsh was born and raised in Marshalltown, Iowa, and went to Loras College in Dubuque. [1] He has 3 siblings. [5] He obtained his BSc from the University of Iowa, then his MD from College of Medicine of the same university (now the Roy J. and Lucille A. Carver College of Medicine) in 1974. [1] [3] He completed his residency in Internal Medicine at the University of Iowa Hospitals and Clinics, [3] during which the attending physicians supervising him induced his interest in research. [5]
After his residency, Welsh spent 3 years at the University of California, San Francisco and then University of Texas Medical School at Houston as a research fellow, returning to the University of Iowa in 1981 and becoming an assistant professor at the Department of Internal Medicine, eventually promoted to Professor of Internal Medicine and Professor of Molecular Physiology and Biophysics. [1]
Welsh was the President of the American Society for Clinical Investigation between 1996 and 1997, [6] and has been the President of the Association of American Physicians. [7] Currently, Welsh is an investigator at the Howard Hughes Medical Institute (since 1989) [8] and sits on the Scientific Advisory Board of the Harrington Discovery Institute at University Hospitals Cleveland Medical Center. [7]
Welsh's research centered on cystic fibrosis, specifically the CFTR protein, an ion channel that allows chloride ions to pass through. His studies helped answer questions about why defects in the protein emerge and how these defects affect the protein's function. [9] [10] In 1989, Lap-Chee Tsui, Francis Collins, and their team discovered the gene that encodes the CFTR protein and found that changes in the protein caused cystic fibrosis. [11] Welsh's group discovered in 1991 that the CFTR protein is a chloride channel, meaning it allows chloride ions to pass through cell membrane. [12] The same year, his group reported how the activity of the CFTR protein could be regulated. [13] He later categorized the four classes of CFTR mutations that are still in use today in an expanded format. [14] Crucially, Welsh and his group found that when the CFTR protein contains F508del mutation, the most common mutation in cystic fibrosis patients, it could be transported to the cell surface under low temperature but not at body temperature. [15] His study also showed F508del-mutated CFTR protein can function properly if it reached cell surface, [16] paving the way for cystic fibrosis therapies. In recent years, Welsh has developed animal models of cystic fibrosis, most notably in pigs, allowing for the study of the disease in an in vivo setting. [17]
Welsh married twice. He met his first wife, who died in 2006 from cancer, when she was a college student. They had 3 children. Welsh married his second wife in 2013. [5]
Cystic fibrosis (CF) is a rare genetic disorder that affects mostly the lungs, but also the pancreas, liver, kidneys, and intestine. Long-term issues include difficulty breathing and coughing up mucus as a result of frequent lung infections. Other signs and symptoms may include sinus infections, poor growth, fatty stool, clubbing of the fingers and toes, and infertility in most males. Different people may have different degrees of symptoms.
Cystic fibrosis transmembrane conductance regulator (CFTR) is a membrane protein and anion channel in vertebrates that is encoded by the CFTR gene.
The sweat test measures the concentration of chloride that is excreted in sweat. It is used to screen for cystic fibrosis (CF). Due to defective chloride channels (CFTR), the concentration of chloride in sweat is elevated in individuals with CF.
Sodium phenylbutyrate, sold under the brand name Buphenyl among others, is a salt of an aromatic fatty acid, 4-phenylbutyrate (4-PBA) or 4-phenylbutyric acid. The compound is used to treat urea cycle disorders, because its metabolites offer an alternative pathway to the urea cycle to allow excretion of excess nitrogen.
The epithelial sodium channel(ENaC), (also known as amiloride-sensitive sodium channel) is a membrane-bound ion channel that is selectively permeable to sodium ions (Na+). It is assembled as a heterotrimer composed of three homologous subunits α or δ, β, and γ, These subunits are encoded by four genes: SCNN1A, SCNN1B, SCNN1G, and SCNN1D. The ENaC is involved primarily in the reabsorption of sodium ions at the collecting ducts of the kidney's nephrons. In addition to being implicated in diseases where fluid balance across epithelial membranes is perturbed, including pulmonary edema, cystic fibrosis, COPD and COVID-19, proteolyzed forms of ENaC function as the human salt taste receptor.
MT-ND4 is a gene of the mitochondrial genome coding for the NADH-ubiquinone oxidoreductase chain 4 (ND4) protein. The ND4 protein is a subunit of NADH dehydrogenase (ubiquinone), which is located in the mitochondrial inner membrane and is the largest of the five complexes of the electron transport chain. Variations in the MT-ND4 gene are associated with age-related macular degeneration (AMD), Leber's hereditary optic neuropathy (LHON), mesial temporal lobe epilepsy (MTLE) and cystic fibrosis.
Na(+)/H(+) exchange regulatory cofactor NHE-RF3 is a protein that in humans is encoded by the PDZK1 gene.
Golgi-associated PDZ and coiled-coil motif-containing protein is a protein that in humans is encoded by the GOPC gene.
John R. Yates III is an American chemist and Ernest W. Hahn Professor in the Departments of Molecular Medicine and Neurobiology at The Scripps Research Institute in La Jolla, California.
Transepithelial potential difference (TEPD) is the voltage across an epithelium, and is the sum of the membrane potentials for the outer and inner cell membranes.
Ivacaftor is a medication used to treat cystic fibrosis in people with certain mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, who account for 4–5% cases of cystic fibrosis. It is also included in combination medications, lumacaftor/ivacaftor, tezacaftor/ivacaftor, and elexacaftor/tezacaftor/ivacaftor which are used to treat people with cystic fibrosis.
Denufosol (INN) is an inhaled drug for the treatment of cystic fibrosis, being developed by Inspire Pharmaceuticals and sponsored by the Cystic Fibrosis Foundation. It was tested in two Phase III clinical trials, TIGER-1 and TIGER-2. Initially, in the first Phase III trial, TIGER-1, the compound showed significant results as compared with placebo. In the second Phase III trial, TIGER-2, the compound did not meet the primary endpoint, a significant change in baseline FEV1 at the week 48 endpoint as compared to placebo. As of 2011, no additional clinical studies are being conducted with the compound.
Everett Peter Greenberg is an American microbiologist. He is the inaugural Eugene and Martha Nester Professor of Microbiology at the Department of Microbiology of the University of Washington School of Medicine. He is best known for his research on quorum sensing, and has received multiple awards for his work.
Lumacaftor/ivacaftor, sold under the brand name Orkambi among others, is a combination of lumacaftor and ivacaftor used to treat people with cystic fibrosis who have two copies of the F508del mutation. It is unclear if it is useful in cystic fibrosis due to other causes. It is taken by mouth.
A chloride channel opener is a type of drug which facilitates ion transmission through chloride channels.
Tezacaftor is a drug used for the treatment of cystic fibrosis (CF) in people six years and older, who have a F508del mutation, the most common type of mutation in the CFTR gene. It is sold as a fixed-dose combination with ivacaftor under the brand name Symdeko. It was approved by the U.S. FDA in 2018. The combination of elexacaftor, tezacaftor, and ivacaftor is being sold as Trikafta.
Elexacaftor/tezacaftor/ivacaftor, sold under the brand names Trikafta (US) and Kaftrio (EU), is a fixed-dose combination medication used to treat cystic fibrosis. Elexacaftor/tezacaftor/ivacaftor is composed of a combination of ivacaftor, a chloride channel opener, and elexacaftor and tezacaftor, CFTR modulators.
Batsheva Kerem, is an Israeli geneticist who was on the research team that identified and cloned the CFTR gene, which when mutated, is responsible for causing cystic fibrosis (CF). She later established the Israel National Center for CF Genetic Research. She discovered the most prevalent cystic fibrosis-causing mutations among the Israeli population, allowing for the establishment of nationwide genetic screening programs to identify carriers of these mutations and enabling prenatal diagnoses. She researches how some CF mutations prevent CFTR protein production by causing nonsense-mediated decay and abnormal mRNA splicing, and how therapies might be able to counteract those problems. She also studies the role of genetic instability in cancer. She is currently a professor at the Hebrew University.
Underrepresented populations, especially black and hispanic populations with cystic fibrosis are often not successfully diagnosed. This is in part due to the minimal dissemination of existing data on patients from these underrepresented groups. While white populations do appear to experience a higher frequency of cystic fibrosis, other ethnicities are also affected and not always by the same biological mechanisms. Thus, many healthcare and treatment options are less reliable or unavailable to underrepresented populations. This issue affects the level at which public health needs are being met across the world.
Paul Adrian Negulescu is an American-Romanian cell biologist. He is the Senior Vice President and Site Head of the San Diego Research Center of American pharmaceutical company Vertex Pharmaceuticals. He received the 2022 Shaw Prize in Life science and medicine, together with Michael J. Welsh, for their work that uncovered the etiology of cystic fibrosis and developed effective medications.