Ralph Snyderman | |
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Born | Brooklyn, NY [1] | March 13, 1940
Education | B.S. Washington College, Chestertown, MD (1961) M.D. State University of New York, Downstate Medical Center (1965) |
Title | Chancellor Emeritus, Duke University; James B. Duke Professor of Medicine, Duke University School of Medicine; Executive Director, Duke Center for Personalized Health CareContents |
Board member of | CareDx iRhythm Technologies |
Ralph Snyderman is a Chancellor Emeritus at Duke University, James B. Duke Professor of Medicine, and Executive Director of the Duke Center for Personalized Health Care. [2] [3] He served as chancellor for health affairs and dean of the School of Medicine from 1989 to July 2004. [4] Under his leadership, Duke University created the Duke University Health System (DUHS) to develop and operate a comprehensive health delivery system, and he was its founding President and Chief Executive Officer. DUHS, with its practice networks, ambulatory care centers, home health services, community hospitals, university hospital, and satellite collaborations demonstrated the power of academic medicine to deliver the best of care to broad communities. [5] Snyderman helped lead the creation of the largest academic clinical research organization worldwide. [3] During his tenure, Duke University Hospital was ranked 6th overall in the nation and its medical school ranked 4th. [6] Snyderman is a leader in the conception and development of personalized health care, an evolving model of national health care delivery. [7] He has articulated the need to move the current focus of health care from the treatment of disease-events to personalized, predictive, preventive, and participatory care that is focused on the patient. [8] [9] [10] [11] [12] As Senior Vice-President at Genentech, he led the development of powerful new molecular biology therapeutics. [3] Ralph Snyderman was the recipient of the 2012 David E. Rogers Award from the Association of American Medical Colleges which recognized him as "The Father of Personalized Medicine." [13] He is a member of the Association of American Medical Colleges (chair 2002-2003 [14] ), Association of American Physicians (President 2003-2004), American Academy of Arts & Sciences, [15] and the National Academy of Medicine. [16]
Snyderman was born on March 13, 1940, in Brooklyn, New York, the son of Russian immigrants Morris and Ida (Candeub) Snyderman. [2] He grew up in the Bensonhurst area of Brooklyn. [17] He was a 1961 graduate of Washington College in Chestertown, Maryland, [18] and received his MD Magna Cum Laude in 1965 from SUNY Downstate Medical Center. [19] [20] He served his internship and residency in medicine at Duke and later worked as a Public Health Officer doing research in immunology at the National Institutes of Dental and Craniofacial Research from 1967-72. [21] [22] There, he had the opportunity to learn how to separate proteins, measure cellular chemotaxis, and make an important biomedical breakthrough early in his career: the discovery of complement factor 5a (C5a) as an immune cell chemotactic agent while the field was still in its infancy. [22] [23]
Snyderman accepted his first faculty appointment at Duke in 1972. His laboratory successfully discovered important aspects of the role of the complement system and cytokines in leukocyte migration and innate immunity. [3] By 1984, he was the Frederic M. Hanes Professor of Medicine and Immunology and chief of the Division of Rheumatology and Immunology. [20] His research into how white blood cells respond to chemical signals to mediate host defense or tissue damage was internationally recognized. In 1987, Snyderman left Duke to join Genentech, Inc., the pioneering biomedical technology firm, as Senior Vice President for medical research and development. While at Genentech, he led the development and licensing of major biotechnology therapeutics including Activase, a clot-busting drug made through the novel approach of recombinant DNA technology. [3] He returned to Duke in 1989 as Chancellor for Health Affairs, Duke University, a position he held until 2004. [24] Since then, Snyderman established and leads the Duke Center for Personalized Health Care which provides a platform for research directed at developing new models of care. Snyderman has served on numerous corporate boards of directors, including Procter & Gamble, Press Ganey, Purdue Pharma, SAIC (Science Applications International Corporation), and Trevena. [25] [26] [27] [28] He was named as a defendant in the Massachusetts Attorney General's complaint against the company in 2019 [29] in connection with his board membership from 2012 through 2017. This case was subsequently settled with the Mass AG. [30]
Snyderman's research focused on defining the mechanisms by which leukocytes accumulate at sites of inflammation. He developed the first reliable in vitro technology to quantify leukocyte chemotaxis. His work led to the standard methodology to study this critical component of inflammation. He identified C5a, a cleavage product of the fifth component of complement (C), as a major chemotactic factor which was produced by C activation or by proteolytic cleavage of C5. [31] [32] Snyderman's work helped open the field of inflammation research to scientific analysis and lay the foundation of our current understanding of leukocyte activation by chemoattractants and chemokine production by activated mononuclear cells. [33] [34] [35] [36] [37]
Snyderman's current work is focused on the development and implementation of Personalized Health Care – a personalized, predictive, preventive, and participatory approach to care. This concept is facilitating the transformation of health care from the current disease-oriented approach to one that focuses on personalized health planning and is increasingly seen as a solution to our national health care dilemma. [7] [8] [9] [12] The Duke Center for Personalized Health Care fosters the adoption of proactive, personalized, and patient-driven care into clinical practice, develops and tests novel clinical approaches to deliver personalized health care and functions as a think tank to foster innovation in health care delivery. [11] [38] The center is currently working on multiple projects to study the feasibility and clinical outcomes of integrating personalized health care into ongoing clinical settings.
Snyderman has contributed to over 400 scientific manuscripts. [39]
Inflammation is part of the biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. The five cardinal signs are heat, pain, redness, swelling, and loss of function.
Health informatics combines communications, information technology (IT), and health care to enhance patient care and is at the forefront of the medical technological revolution. It can be viewed as a branch of engineering and applied science.
Granulocytes are cells in the innate immune system characterized by the presence of specific granules in their cytoplasm. Such granules distinguish them from the various agranulocytes. All myeloblastic granulocytes are polymorphonuclear, that is, they have varying shapes (morphology) of the nucleus ; and are referred to as polymorphonuclear leukocytes. In common terms, polymorphonuclear granulocyte refers specifically to "neutrophil granulocytes", the most abundant of the granulocytes; the other types have varying morphology. Granulocytes are produced via granulopoiesis in the bone marrow.
Personalized medicine, also referred to as precision medicine, is a medical model that separates people into different groups—with medical decisions, practices, interventions and/or products being tailored to the individual patient based on their predicted response or risk of disease. The terms personalized medicine, precision medicine, stratified medicine and P4 medicine are used interchangeably to describe this concept, though some authors and organizations differentiate between these expressions based on particular nuances. P4 is short for "predictive, preventive, personalized and participatory".
Charles A. Dinarello is a professor of medicine at the University of Colorado at Denver. He is an expert on inflammatory cytokines, specifically Interleukin 1.
Chemokine ligand 7 (CCL7) is a small cytokine that was previously called monocyte-chemotactic protein 3 (MCP3). CCL7 is a small protein that belongs to the CC chemokine family and is most closely related to CCL2.
Robert Joseph Lefkowitz is an American physician and biochemist. He is best known for his discoveries that reveal the inner workings of an important family of G protein-coupled receptors, for which he was awarded the 2012 Nobel Prize for Chemistry with Brian Kobilka. He is currently an Investigator with the Howard Hughes Medical Institute as well as a James B. Duke Professor of Medicine and Professor of Biochemistry and Chemistry at Duke University.
C-C chemokine receptor type 2 (CCR2 or CD192 is a protein that in humans is encoded by the CCR2 gene. CCR2 is a CC chemokine receptor.
C-C chemokine receptor type 1 is a protein that in humans is encoded by the CCR1 gene.
N-Formylmethionyl-leucyl-phenylalanine is an N-formylated tripeptide and sometimes simply referred to as chemotactic peptide is a potent polymorphonuclear leukocyte (PMN) chemotactic factor and is also a macrophage activator.
Personal genomics or consumer genetics is the branch of genomics concerned with the sequencing, analysis and interpretation of the genome of an individual. The genotyping stage employs different techniques, including single-nucleotide polymorphism (SNP) analysis chips, or partial or full genome sequencing. Once the genotypes are known, the individual's variations can be compared with the published literature to determine likelihood of trait expression, ancestry inference and disease risk.
Translational research is research aimed at translating (converting) results in basic research into results that directly benefit humans. The term is used in science and technology, especially in biology and medical science. As such, translational research forms a subset of applied research.
Targeted drug delivery is one of many ways researchers seek to improve drug delivery systems' overall efficacy, safety, and delivery. Within this medical field is a special reversal form of drug delivery called chemotactic drug targeting. By using chemical agents to help guide a drug carrier to a specific location within the body, this innovative approach seeks to improve precision and control during the drug delivery process, decrease the risk of toxicity, and potentially lower the required medical dosage needed. The general components of the conjugates are designed as follows: (i) carrier – regularly possessing promoter effect also on internalization into the cell; (ii) chemotactically active ligands acting on the target cells; (iii) drug to be delivered in a selective way and (iv) spacer sequence which joins drug molecule to the carrier and due to it enzyme labile moiety makes possible the intracellular compartment specific release of the drug. Careful selection of chemotactic component of the ligand not only the chemoattractant character could be expended, however, chemorepellent ligands are also valuable as they are useful to keep away cell populations degrading the conjugate containing the drug. In a larger sense, chemotactic drug-targeting has the potential to improve cancer, inflammation, and arthritis treatment by taking advantage of the difference in environment between the target site and its surroundings. Therefore, this Wikipedia article aims to provide a brief overview of chemotactic drug targeting, the principles behind the approach, possible limitations and advantages, and its application to cancer and inflammation.
Sandip Basu is an Indian physician of Nuclear Medicine and the Head, Nuclear Medicine Academic Program at the Radiation Medicine Centre. He is also the Dean-Academic (Health-Sciences), BARC at Homi Bhabha National Institute and is known for his services and research in Nuclear Medicine, particularly on Positron emission tomography diagnostics and Targeted Radionuclide Therapy in Cancer. The Council of Scientific and Industrial Research, the apex agency of the Government of India for scientific research, awarded him the Shanti Swarup Bhatnagar Prize for Science and Technology, one of the highest Indian science awards for his contributions to Nuclear Medicine in 2012.
John I. Gallin was an American medical researcher who has contributed to the understanding of innate immunity but especially chronic granulomatous disease, a phagocyte disorder. Gallin was appointed director of the NIH Clinical Center on May 1, 1994, and served until January 8, 2017. He serves as the chief scientific officer for the Clinical Center and associate director for clinical research at the National Institutes of Health. He died Oct. 10, 2024.
Eliana Perrin is an American pediatrician, researcher, and Bloomberg Distinguished Professor of Primary Care with joint appointments with tenure in the Department of Pediatrics in the School of Medicine and in the School of Nursing at Johns Hopkins University. She was elected a member of the American Pediatric Society in 2021.
A. Eugene Washington is an American physician, clinical investigator, and administrator. He served as the chancellor for health affairs at Duke University, and the president and chief executive officer of the Duke University Health System, from 2015 to 2023. His research considers gynaecology, health disparities, and public health policy. He was elected to the National Academy of Medicine in 1997 and the American Academy of Arts and Sciences in 2014.
Marco Baggiolini is a Swiss immunologist and biochemist known for the discovery and the analysis of the first chemokines. Chemokines act as chemoattractants to guide the migration of cells. Some control cells of the immune system, some promote the growth of new blood vessels, some cause inflammation in response to bacterial infection and viruses, for example, to activate cells to initiate an immune response or promote wound healing.
Charles Nicholas Serhan is the Simon Gelman Professor of Anaesthesia at Harvard Medical School and a professor of Oral Medicine, Infection and Immunity at Harvard School of Dental Medicine. Serhan is the Director of the Center for Experimental Therapeutics and Reperfusion Injury at Brigham and Women's Hospital.
Filip Swirski is a Polish-Canadian-American scientist and educator serving as the Arthur and Janet C. Ross Professor of Medicine, Cardiology and Professor of Radiology at the Icahn School of Medicine at Mount Sinai and is the Director of the Cardiovascular Research Institute. He is also a member of the Biomedical Engineering and Imaging Institute (BMEII), the Marc and Jennifer Lipschultz Precision Immunology Institute (PrIISM), and The Friedman Brain Institutes (FBI) at Mount Sinai. His research partly focuses on innate and inflammatory mechanisms in cardiovascular disease. He is known for his work in cardioimmunology and notably for linking atherosclerosis with blood monocytosis.
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