PhenoCycler spatial phenotyping of human skin tissue, with nuclei in blue, immune cells in red and collagen-IV in green, overlaid with the lab's four research themes: inflammasome biology, caspase signaling, immune metabolism and host-mediated therapies

Research

Welcome to our Research page!

Our research is focused on understanding the innate and adaptive immune responses in skin infections and diseases. We study inflammasome biology, caspase signaling, and immune metabolism in inflammatory skin diseases, including S. aureus skin infections, atopic dermatitis, and psoriasis.

With the emergence of antibiotic-resistant bacteria, such as community-acquired methicillin- resistant S. aureus (CA-MRSA), there is an unmet clinical need to develop immune-based therapies to treat skin infections. Therefore, understanding the host immune response to bacterial infections is imperative in identifying novel host-mediated therapies.


Animation of MRSA interacting with host immune cells during intradermal skin infection
Interaction of MRSA and host mediated immune response in intra dermal skin infection

As an immune evasive mechanism, S. aureus induces apoptosis in immune cells, including macrophages and monocytes. However, to counter the infection, the host mounts an inflammatory response, predominantly orchestrated by neutrophils and the cytokine IL-1β, which are necessary for the clearance of bacterial infection. In the process of secretion of active IL-1β cytokine, the cells activate inflammasomes.

Inflammasomes are multi-protein complexes assembled upon detecting pathogen or damage-associated signals (PAMPs or DAMPs). Nod-like receptors (NLRs), ASC, and caspases, including Caspase-1/-11 and -8, can combine to form the inflammasome complex detected by ASC speck formation. And once activated and cleaved, the active caspases are essential effectors in the secretion of the cytokine IL-1β.


Our Goal
“To understand the immune responses in skin diseases and to develop biomarkers and potential therapeutic targets.”

We have identified pan-caspase inhibition as a potential host-directed immunotherapy against MRSA and other bacterial skin infections. In pursuit of finding novel therapies, our lab continues to work on multiple projects to understand the effect of pan-caspase inhibition on the adaptive immune responses, and metabolic changes in immune and non-immune cells.

Fluorescence micrograph showing ASC-speck forming inflammasomes and the effect of pan-caspase inhibition
Pan-caspase inhibition of ASC-Speck forming Inflammasomes – STM, 2021

To further understand the inflammasome-mediated mechanisms that regulate host defense we study the role of NLRP12 and Caspase-8 mediated inflammasome signaling during in vivo S. aureus infection.

Taking advantage of bioluminescent bacterial strains and fluorescent in vivo preclinical models, we use imaging techniques to non-invasively and longitudinally track bacterial clearance and host immune responses over time.
We include multi-OMICS, including single-cell high-dimensional Fluorescent Activated Cell Sorting (FACS) and scRNA sequencing techniques and apply machine learning algorithms to decipher the molecular underpinnings of the host response in inflammatory skin diseases.

Understanding the Immunometabolic pathways

Studying the metabolic pathways involved in immune cell function and survival will aid in developing immunotherapies and strategies for combating infectious diseases.
Diagram of cellular metabolic pathways — glycolysis, the pentose phosphate pathway, lipid metabolism and oxidative phosphorylation — feeding into cellular metabolism
Diagram of interconnected immune processes — metabolic reprogramming, cytokine signaling, cell death pathways and epigenetic regulation

Immune cells use several metabolic pathways to generate adequate energy stores to support their varied functions and survival. During an infection, the host immune cells alter their metabolic programs to facilitate their effector functions, including cytokines secretion. It is becoming increasingly evident that the metabolic program of immune cells modifies the inflammatory status and overall effectiveness in clearing the infection. There is a need to identify new approaches and enhance already established techniques, including fluorescence-activated cell sorting (FACS) based metabolic assay (Met-Flow), to understand the interplay of metabolic pathways in immune cells.

The global picture

Antimicrobial resistance was directly responsible for an estimated 1.14 million deaths worldwide in 2021. S. aureus accounts for more of that burden than any other pathogen, and P. aeruginosa ranks sixth — together roughly a quarter of the global total. Both are central to the work described above.

All 21 pathogens — deaths attributable to antimicrobial resistance, 2021

#PathogenDeaths95% uncertainty interval
1Staphylococcus aureus196,163177,256–215,071
2Acinetobacter baumannii169,365151,681–187,048
3Escherichia coli160,699138,716–182,682
4Klebsiella pneumoniae158,308136,993–179,623
5Streptococcus pneumoniae154,969122,355–187,584
6Pseudomonas aeruginosa106,19587,319–125,071
7Mycobacterium tuberculosis39,6690–92,494
8Enterobacter spp.31,49927,587–35,411
9Enterococcus faecium21,49616,897–26,094
10Serratia spp.19,77716,504–23,050
11Enterococcus faecalis15,40310,997–19,809
12Proteus spp.14,43611,558–17,313
13Citrobacter spp.13,32110,650–15,991
14Group B Streptococcus8,2655,339–11,191
15Haemophilus influenzae7,9604,679–11,240
16Morganella spp.7,5635,850–9,277
17Salmonella enterica serovar Typhi5,940719–11,161
18Shigella spp.3,963748–7,179
19Group A Streptococcus2,6971,642–3,751
20Non-typhoidal Salmonella1,952160–3,744
21Salmonella enterica serovar Paratyphi1,778283–3,272
“Attributable” = deaths that would not have occurred if the drug-resistant infection had been drug-susceptible. Total across all 21 pathogens: 1,141,416. Source: GBD 2021 Antimicrobial Resistance Collaborators, Lancet 2024;404:1199–1226, via IHME MICROBE.

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