The Physiologist Magazine May 2024
The Physiologist Magazine May 2024
ADVANCES IN THE
TREATMENT OF
SICKLE CELL DISEASE
30
MOVING
ALONG WITH
MUSCH
New APS President Timothy Musch, PhD, FAPS,
has seen many changes in science and academia.
But he’s confident that physiology is the future.
Elevate the way you teach.
Join us in the Center for Physiology Education, a home base for
scientists who are passionate about inspiring the next generation
of physiology researchers.
physiology.org/CPE
CONTENTSFEATURES
18 24 30
18
Moving Along with Musch
New APS President Timothy Musch’s 43-year career has seen many changes
Cover photo by Jeff Moore, Kansas State University Division of Communications and Marketing
in science and academia. But he’s confident that physiology is the future.
BY MEREDITH SELL
24
Finding Your Way
How to know it’s time to choose a different path, whether pursuing
a new opportunity or making a career pivot.
BY CANDACE Y.A. MONTAGUE AND MELANIE PADGETT POWERS
30
Advances in Sickle Cell Disease
Research has led to major breakthroughs in the treatment of sickle cell disease,
with promising advances still on the horizon.
BY CHRISTINA SZALINSKI, PHD
4 That’s a Wrap!
IN REVIEW
RESEARCH UPDATES 12
8 Perception of nutrition; benefits of
high heels; heat stroke consequences
SOCIAL CHATTER
9 Excited for the Summit; Meeting
scientific heroes
IN DEPTH
16 Tick-Tock Biology
Breakthrough research into the biology of
time is uncovering how restoring natural
rhythms could help stave off disease.
40
EDITOR-IN-CHIEF
How to Nominate American Journal of Physiology-Regulatory, Integrative and
Comparative Physiology®
Nominations,
accompanied by a Nominations are invited for the position of editor-in-chief of the American
curriculum vitae, should Journal of Physiology-Regulatory, Integrative and Comparative Physiology
be sent to Wolfgang (journals.physiology.org/ajpregu).
Kuebler, MD, FAPS,
Nominations Due: Applications Due:
chair of the American
May 16, 2024 June 3, 2024
Physiological Society
(APS) Publications Meet the Team: Submit Your Best Work:
Committee, via email, journals.physiology.org/ajpregu/ ajpregu.msubmit.com
care of Charmon edboard
Kight (ckight@
physiology.org) in
the APS Publications
Comprehensive Physiology®
Department.
Nominations are invited for the position of editor-in-chief of Comprehensive
The APS Publications
Physiology (onlinelibrary.wiley.com/doi/book/10.1002/cphy).
Committee plans to
interview candidates in Nominations Due: Applications Due:
the summer of 2024. May 31, 2024 June 19, 2024
Meet the Team:
onlinelibrary.wiley.com/page/book/10.1002/cphy/homepage/
editorscontributors.html
THE EDITOR’S DESK
That’s a Wrap!
BY MEEGHAN DE CAGNA, MSC, CAE
D
Dear reader:
It has been two weeks since the 2024 their physical education programs into new
American Physiology Summit wrapped, and kinesiology departments. On page 18, Musch
we are still riding the wave of enthusiasm talks about building out that program and how
and excitement from the event. If you were at he found his way to physiology in the first place.
the Summit, I hope you left with newfound This month we also dive into sickle cell
insights and connections that have you feeling disease. This painful and debilitating genetic
reinvigorated, energized and eager to tackle disease—which primarily affects Black
your work and professional endeavors with a Americans—had a tremendous breakthrough
fresh perspective. Whenever I attend a confer- last year, when the FDA approved two curative
ence for my own continuing education, there gene therapies. But gene therapy is a demanding
is something about the exchange of ideas, the ordeal, and with such a high price tag, insurance
exploration of emerging likely won’t cover it for
trends and gaining fresh everyone. On page 30, we
perspectives that helps me “I hope you left the Summit look at what research is being
jump back into my work with newfound insights and done to provide better treat-
with renewed focus. ments, and possibly cures, for
connections that have you
Attending three days’ this terrible disease.
worth of scientific sessions, feeling reinvigorated, energized Our third feature this
poster presentations and and eager to tackle your work month stems from a question
networking events may and professional endeavors we asked as an editorial
have even inspired you to team: How do physiologists
submit a proposal for the
with a fresh perspective.” know when it’s time to move
2025 Summit—you have a on? That could be moving
few days left to do so! Yes, we are a year away to a new university and lab, changing from
from the next event, but the work continues academia to industry, or any number of paths.
year-round. And we could not plan the premier But how do you make such a big decision?
event for researchers and educators exploring the What should you consider and how should you
science behind some of the most important ques- evaluate new opportunities and career paths?
tions affecting life and health without your input, On page 24, several physiologists answered
ideas, proposals and abstracts, so thank you. So, those questions for you—we hope it will help
stay tuned in the coming months for how you you with your decision-making as you build a
can continue to help shape the 2025 Summit, successful physiology career.
which will be held in Baltimore April 24–27.
WE WANT TO HEAR FROM YOU
THIS MONTH’S FEATURES You are what makes The Physiologist Magazine
At the Summit, APS officers took on their new happen. We couldn’t do it without you, so
roles. That includes your new APS president, please share any feedback, suggestions or story
Timothy Musch, PhD, FAPS, whose career ideas with us at [email protected].
spans 43 years. Most of those years have been
Meeghan De Cagna, MSc, CAE, is APS chief community
at Kansas State University, where he was given
and learning officer and associate publisher and
the opportunity in the 1990s to do what many editor-in-chief of The Physiologist Magazine. You can
universities were doing at the time: reorganizing reach her at [email protected].
Life Lines
by
Dr. Dolittle
SPONSORED BY AMERICAN PHYSIOLOGICAL SOCIETY
lifelinesblog.com
Interested in contributing?
Email [email protected].
VOL. 67 | MAY 2024
Amanda Bertholf, MA
Senior Editor
Director of Communications
FREELANCE WRITERS
Nancy D. Lamontagne; Candace Y.A. Montague; Meredith Sell; Christina Szalinkski, PhD
CONTRIBUTORS
Kathleen Beaulieu; Sean Boyer; Brooke Bruthers; Audra Cox, PhD, ELS; Kristin Dougher, MBA; Claire Edwards;
Mark Eichelberg, PhD; Kirsten Gossett; Alissa Hatfield, MS; Rebecca Osthus, PhD; Erica Roth, MS
DESIGN
Latham Creative, LLC
CONTACT US
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[email protected] | 301.634.7118 | physiology.org/magazine
The Physiologist Magazine (ISSN 0031-9376) is published six times a year by the American Physiological Society (APS), 6120 Executive Blvd., Suite 575,
Rockville, MD, 20852-4911. Copyright © 2024 by the American Physiological Society. No part of this publication may be reprinted or reproduced without
the publisher’s permission. APS assumes no responsibility for the statements and opinions advanced by contributors to The Physiologist Magazine.
Timothy Musch, PhD, FAPS Willis K. “Rick” Samson, PhD, FAPS Robert L. Hester, PhD, FAPS
President Past President President-elect
Kansas State University Saint Louis University School of Medicine University of Mississippi Medical Center
APS COUNCILORS
Heddwen Brooks, PhD, University of Arizona; Michael Caplan, MD, PhD, FAPS, Yale School of Medicine; Nisha Charkoudian, PhD, FAPS,
U.S. Army Research Institute of Environmental Medicine; Karla Haack, PhD, Merck; Patricia A. Halpin, PhD, FAPS, University of New Hampshire;
My Helms, PhD, University of Utah School of Medicine; Beth A. McCormick, PhD, University of Massachusetts Chan Medical School;
Evangeline Motley-Johnson, PhD, FAPS, Meharry Medical College; Gina Yosten, PhD, Saint Louis University
APPLIED PHYSIOLOGY
R
Research published in the Journal of Applied Physiology found that in one
study, this dream was something of a reality. Researchers gave study partic-
ipants a fat- and sugar-laden milkshake on two different occasions. On one
occasion, the participants were aware of the accurate nutrient profile of the
shake. On another day, they were given the same shake but were told it was a
APPLIED PHYSIOLOGY
Hand Me My
Stilettos, Stat
healthier “nutrishake” with more protein and less sugar and fat.
High heels are often considered to be a
The researchers evaluated
fashion statement, but wearing them on a
the participants’ endothelial
regular basis may also help make walking
function after drinking each
more effortless. Research published in the
shake and compared it to when
Journal of Applied Physiology found that vol-
they drank plain water. The unteers who walked more than 1,500 steps
findings showed that after daily in two-and-a-half to three-inch heels
drinking the milkshake the (during a 14-week trial) had a decreased
volunteers perceived to be walking economy than those who wore them
unhealthy, their blood vessel for less than 1,000 steps per day.
COMPARATIVE PHYSIOLOGY including a higher risk of heart or longer than we think. Using a female mouse
kidney disease, problems with model of heat stress, researchers found mus-
More Reasons to the central nervous system or cle changes in 137 different genes, including
Be Careful in the compromised immunity. some related to muscle structure and
Muscle cramps are often an function, stress response and wound healing.
Summer Heat early sign of heat stress. According The findings could be “particularly relevant to
Overheating during physical to research published in the American athletes and active military, where decisions
activity—called “exertional Journal of Physiology-Regulatory, are made regarding the timing for return to
heat stroke”—can have Integrative and Comparative Physiology, play or duty,” according to the authors.
lasting consequences, heat stress may affect the muscles for Source: doi.org/10.1152/ajpregu.00226.2023
I want to thank the American Physiological So proud of my trainees! Thank you Abby,
Society (@apsphysiology) for featuring me Anmol, Trisha and Sara for representing the
in the January edition of their magazine, The De Miguel lab so well yesterday as we celebrated
Physiologist, in the Under The Microscope the Section of Cardio-Renal Physiology
section. It was so much fun contributing to this and Medicine 10th anniversary! @UAB_NRTC
section! And I’m beyond happy to know that @KUHPRIME #proudmentor
APS is so incredibly supportive of their trainees
#Physiology #APS #thephysiologist #mdphd
Stephanie Franzén
twitter.com/Steph_PhD
CONNECT WITH US Email your social media posts to [email protected]. Find the American Physiological Society
on LinkedIn, Facebook, X (formerly Twitter), Instagram and Threads.
E
Each issue, we ask a student or early-career member to pose their career questions to an
llustrations by Kagan McLeod
established investigator and mentor. Here, Mareena Pitts, a PhD candidate at Morehouse
School of Medicine in Atlanta, asks Bonnie L. Blazer-Yost, PhD, FAPS, advice on how to create a
successful career. Blazer-Yost is director of the Hydrocephalus Research Center and professor of
biology at IUPUI in Indianapolis.
10.8%
of physiology forward in met at APS poster sessions. is written down, I find I
the next 5–10 years? Also, learn how to write can stop worrying about it.
A: The biggest contri- grants as early as possible. Then, since I am a morning
butions that physiology One of the best ways is to person, I try to force myself The projected growth of STEM
has always made, and offer to help your principal to do the least favorite employment between 2022
continues to make, are investigator or other senior tasks (endless paperwork) and 2032.
those aimed at deep scientist with their grant first, so the afternoon is U.S. Bureau of Labor Statistics
understanding of the submission. Even if you left for fun things. I find
physiological responses to are writing up methods or that interacting with my
alterations in homeostasis, putting together figures, trainees on a regular basis “Our analysis
for example, pathophysiol- the experience of what is decreases stress because it
ogy. Physiologists tend to involved is very instruc- is so much fun to discuss of observed
have a more whole-body tive. If you are helping their results and help plan careers finds
perspective than most
other disciplines, and this
to put together a grant
submission, chances are
the next experiments.
that there is no
is crucial for the develop- you will be included Q: In what ways can a single traditional
ment of disease treatments. in the cadre of people physiologist contribute scientist career;
who hear how to the ongoing need to
“You will find that most that grant fares improve diversity, equity,
rather, trajectories
scientists are very approachable in the review inclusion and accessibility evince numerous
and willing to interact with
system. in the workplace? pathways.”
Finally, and A: My experience has Edwards et al., May 2023, Scientific Reports
early-career scientists.” arguably most been that the more diverse
important, don’t a laboratory group is the
12.7
Q: What advice would hold on to your hypoth- better they will function
you give an early-career eses when the data are together. In a diverse
scientist to ensure their telling you they are not group, no one has precon-
success? correct. However, don’t ceived notions that other
A: First, seek formal and give them up without members should be
informal mentor-type delving into why they like them and, therefore, The average number of jobs
interactions not only in failed and what that fail- one tends to accept held by individuals born from
your own institution but ure is telling you. In my 1957 to 1964 between the ages
differences more readily.
of 18 and 56. Half of these were
within your wider scien- career, the most important Most people, and certainly
held before the age of 25.
tific circle. This doesn’t discoveries were the result most scientists, have an
U.S. Bureau of Labor Statistics
have to be long term or of failed hypotheses. innate curiosity about
time intensive; it can be as others and wish to under-
33%
simple as asking a senior Q: What strategies do you stand other perspectives
scientist for advice on a employ to manage stress and cultures. One of the
method or help with inter- and time management? most important things
preting some particularly A: This is a difficult ques- we can do is to further
complex data sets. I know tion for all scientists, partic- encourage this inclusive
The portion of 2022 research
this is hard, particularly ularly women. Achieving behavior for all groups
doctoral degree recipients
if you are a shy person, a work-life balance is not and cultures.
whose principal first
but you will find that easy. For me, personally, I
postgraduate non-postdoc
most scientists are very write everything down and Got a career question you'd
like to submit? Email it to employment was in academia.
approachable and willing keep a handwritten monthly In 2002 this portion was 52%.
[email protected].
to interact with early-career schedule in pencil so I can We may use it in an upcoming National Center for Science and Engineering
scientists. Some of my erase things as they get Mentoring Q&A. Statistics Survey of Earned Doctorates
FangXiaNuo
I
response at physiology.org/ postdocs and provide a as meaningfully different
Increasing salaries for NIHPostdocTraining. more stable and structured from postdocs, with higher
postdoctoral researchers path toward an independent compensation and support
is an important first step MORE THAN A research career. Professional on NIH grants.
to addressing the postdoc SALARY INCREASE development and
shortage—but it shouldn’t In an analysis of these com- skill training are
be the only step. That ments, the working group also emphasized, With only 1 in 4 life science
is the conclusion of the noted that salary and bene- with a proposal postdocs achieving a tenure-
National Institutes of fits were the most frequently that postdocs
track faculty position within
Health (NIH) Working cited postdoc concerns. spend a mini-
Group on Re-envisioning Other challenges that were mum of 10% of six years, postdoctoral training
NIH-Supported Postdoctoral highlighted include job inse- their effort on must prepare scholars for a
Training, which released curity, harassment, a lack of these activities broader range of careers.
its final report in support for career develop- and that mentors
December 2023. ment and skill training, and be held account-
The report contains limited career prospects able for reporting on men- LONG OVERDUE CHANGES
six concrete recommen- in academia. With only 1 toring activities as part of The working group’s report
dations to improve the in 4 life science postdocs the Research Performance could result in substantial
postdoc experience. achieving a tenure-track Progress Report. changes to the postdoc
The working group’s faculty position within six Because most post- experience. The group
first recommendation to years, postdoctoral training docs don’t end up in incorporated many of the
increase the minimum must prepare scholars for a tenure-track research suggestions provided in
National Research Service broader range of careers. positions, it is critical that APS’ comment into its final
Award postdoctoral In addition to proposing they have opportunities for report. It remains to be
stipend to $70,000 grabbed a salary hike and that post- professional development seen whether NIH is able to
headlines, but challenges docs receive the full benefits targeted at other career implement the plan set forth
in meeting the recom- of an employee (including tracks. Many postdocs go in the report.
mended pay level should dependent care coverage on to pursue opportunities Stay updated on policy efforts and
not overshadow other and retirement savings), in industry, government or sign up for APS Action Alerts at
ideas in the report. the working group’s report nonprofits, supported by physiology.org/advocacy.
UNDER THE MICROSCOPE | NATURAL CURIOSITY This innate curiosity led me further our understanding
to major in biology as an of muscle physiology. (Hill
J
centrifuge and had to enter While it is easy to find cell
Joseph Brozinick, PhD, National Institutes of Health the federal witness reloca- and molecular biologists,
directs a preclinical phar- and at the University of tion program! it is exceptionally difficult
macology lab at Eli Lilly and Pennsylvania. to find people who excel
Company in Indianapolis NOBEL-WINNING LEGACY. at in vivo physiology.
in the Endocrine Division CURIOUS KID. I have I would have liked to meet Understanding the breadth
as an executive director in always been fascinated with A.V. Hill. When he was of human diseases requires
the Cardiorenal Group. He the mysteries of biology alive, one of the biggest knowledge of physiology
earned his undergraduate and figuring out how things unknown questions in to fully appreciate the
degree in biology from work. I was involved in physiology was the regula- coordinated interactions
Indiana University of sports and was a competi- tion of muscle contraction. between the various organ
Pennsylvania, a master’s in tive swimmer in high school Hill did some pioneering systems. As a society, we
biology from East Carolina and college. This enticed work on frog muscle to need to do a better job of
University and his PhD me to understand both how show that contraction pointing this out to trainees
in exercise physiology, the human body responds released heat and required and their mentors.
biology and pharmacology to exercise and how the energy. He also came up
Do you know someone we
from the University of various organ systems with a model to describe should meet? Email us at
Texas at Austin. He did his responses are coordinated contraction, which was [email protected]
postdoctoral training at the on a physiological level. not entirely correct but did and tell us more.
W
Centers for Disease Control and Prevention
Welcome home from the 2024 types and special features are When you’re ready to
56%
American Physiology Summit! specific to each journal. Need submit, in addition to
After immersing yourself in help structuring the sections submitting your manuscript
three days of science, you are of your manuscript? We have a file(s), you’ll need a few
probably feeling inspired to pub- manuscript template for that. other bits of information,
lish your own work or turn your Formatting figures should be a such as your funding details
The percent of surveyed
abstract into a journal submis- stress-free process, too, so we and an ORCID for the corre-
sion. Now, APS journals make it PhD students who changed
have detailed guidance on how sponding author. We’re also
easier than ever to prepare and to prepare figures, including happy to say that we short- their career goals between
submit your manuscript. Here’s handouts on best practices for ened the initial submission matriculation and graduation.
a guide through the journal different imaging software. process to be more stream- FASEB BioAdvances
1 in 13
for your research. of the editors’ and reviewers’ into a manuscript submission.
The APS Publications team eyes as quickly as possible. You’ve already done the
revamped the Information All revised submissions must hard work in the lab—now
for Authors page in 2023 to follow detailed manuscript go get published!
Portra/iStockphoto
streamline what you need to instructions, as described The number of Black or African
To learn more about the
prepare your manuscript. We above. Review the Submission resources above, visit American babies born in the
have several handy tables Checklist to ensure your physiology.org/author-info or U.S. with the sickle cell trait.
that illustrate which article manuscript is ready. email [email protected].
Centers for Disease Control and Prevention
S
to an increased risk for
Satchidananda (Satchin) Panda, PhD, is a professor at the Salk Institute in many chronic diseases, such
as diabetes and depression
California, where his research focuses on the circadian regulation of behavior,
and even dementia and
physiology and metabolism. Two decades ago, Panda contributed to the cancer. My research could
discovery that a blue-light sensitive protein called melanopsin is critical for help reveal how the princi-
regulating our body’s circadian clock. More recently, his lab pioneered ples of circadian rhythms
could be used to rebuild
research into how time-restricted eating—confining caloric consumption to this anthropogenic world in
an 8- to 12-hour period—could help prevent a host of health problems. a way that might prevent,
cure and reverse disease.
What motivated you to However, the when aspect to the rotation of our planet
study the circadian clock was very little explored around its axis. Humans and Tell us more about the
and its role in health? What at that time. I became almost every other organism approaches you’re using to
are you trying to figure out? interested in what I call the on this planet evolved based study circadian rhythms
When I was finishing my biology of time: how bio- on this 24-hour day and and disease.
undergrad and master’s logical systems keep track night cycle. However, over I use different model
studies in India, I realized of time, how they respond the past 150 years or so we systems, including fruit flies
that although we know in a time-of-day dependent have created a man-made and mice, and we also do
a lot about biology, it is manner and whether environment that ignores human studies. We ask very
nambitomo/iStockphoto
mostly linked to what and the disruption of timing this 24-hour rhythm and simple questions such as:
how much. For example, contributes to disease. sometimes actually requires If a gene is disrupted, does
we know what kinds of The word “circadian” disruption of the circadian it lead to circadian rhythm
genes and proteins affect means 24-hour rhythms, rhythm. For example, nearly disruption? Does disrupt-
metabolism or behavior. and these rhythms are tied 20% of working adults in ing the light-dark cycle
“Over the past 150 years or so we have created a and had signs of heart and STATS & FACTS
~2%
liver disease—almost every
man-made environment that ignores this 24-hour metabolic disease that
rhythm and sometimes actually requires disruption can happen to these mice.
of the circadian rhythm.” Surprisingly, the second
group of mice, even after
eating the same number The portion of sickle cell
lead to circadian rhythm light cycle used in neonatal of calories from the same disease patients taking the
disruption? Do disruptions ICUs. It has also allowed fatty, sugary diet, were three medications approved
in the feeding-fasting cycle us to understand how completely protected from for the disease since 2017.
cause circadian rhythm lighting can be optimized to all these diseases. The Washington Post
disruption? We also study improve performance among There are now more
very simple outcomes such schoolchildren or to reduce than 150 clinical trials
as growth rate and sleep, the severity of dementia related to time-restricted “My life is
as well as changes in the
amount of fat and muscle
among older adults.
Another important
eating being performed limitless now.
around the world. We hope
and variations in heart rate. finding from our lab is that that these studies will I’m full of energy.
Team science is extremely
important for circadian
most of our genes turn on
and off in different organs
show who can benefit from
this approach and whether
I don’t have
rhythm research because we at specific times during it can be further amplified pain. It’s a real
need specialists who can
carry out various kinds of
the 24-hour day. The fact
that every organ has its
by combining it with drugs
and other interventions.
transformation.”
Victoria Gray, the first person
biochemical or physiologi- own clock means that the
in the U.S. to receive CRISPR
cal assessments. Collection circadian aspect of almost What’s next for
gene-editing treatment for
and analysis of large every disease can now be your research?
sickle cell disease.
amounts of data requires traced back to mechanisms There are three foundations
National Public Radio
the expertise of computer in the respective organ. This of health: nutrition, sleep
scientists, data scientists and has important implications and physical activity. We
37%
statisticians. I also collabo- for understanding diseases know that sleep disruption
rate closely with physicians and for optimal timing leads to various problems,
and physician-scientists to of medication. but we don’t know why
study the circadian rhythm or how. We’re working to
in people. What has your research systematically understand The number of surveyed
revealed about how sleep disruption affects employees in the U.S. looking
What are some of the time-restricted eating? our immune system and for a new job in 2024.
most important findings In 2012, we published a very metabolism, for example. Staffing Industry Analysts
that have resulted from simple but profound study. We are also working to
your research? We divided mice into two better understand physical
1922
Almost 22 years ago, our different groups. One group activity. There are so
team, together with two was allowed to eat whatever many diseases that can be
other labs, co-discovered and whenever they wanted prevented or cured with
that a protein present in from a fatty, sugary diet. exercise, but at the same
just a few cells in our eyes The second group was time we don’t know how The year sickle cell was first
senses blue light around us given the same number of exercise affects physiology. recognized as a disease, then
and then sends that informa- calories and quality of diet This work will provide new named “sickle cell anemia.”
tion to the master clock in as the first group but all insights into how lifestyle Johns Hopkins University
I
Photography by Jeff Moore, Kansas State University Division of Communications and Marketing
Interested in listing
your program?
Contact Jacob White
for more information.
Jacob White
Senior Manager
Development &
Strategic Partnerships
[email protected]
301.634.7991
FINDING
YOUR
How to know it’s time
to choose a different
path, whether pursuing
a new opportunity or
WAY
making a career pivot.
BY CANDACE Y.A. MONTAGUE AND
MELANIE PADGETT POWERS
K
Karen Edelblum, PhD, was not unhappy at Rutgers University. But after seven years as an
assistant professor running her first independent lab, she started to reflect on her career:
What would the next phase look like? How had her interests and research changed?
As a researcher of inflammatory
bowel disease (IBD), Edelblum
realized she missed working in
centers that were gastrointestinal (GI)
was first described in 1932 at Mount
Sinai, and the institution remains
at the forefront of Crohn’s disease
research and treatment.
SHOULD I STAY OR SHOULD I GO?
Deciding to pursue a new opportu-
nity, whether it is changing univer-
sities, adding or subtracting teaching
focused, like she had as a trainee. “A month and a half later, I inter- and administrative duties, or leaving
Now, she was based in a center for viewed,” Edelblum says, “and then academia, is a major step in your
immunity and inflammation. She four months after that I had an offer. It career journey. It can be daunting
thought she might be ready for a was not the normal academic interview to consider such big decisions,
change—and she wanted to get back process, but that was entirely because I and fear can hold us back from
Illustration by Robert Neubecker
to doing mostly research. had built relationships in the field.” In making a change. But it’s important
As Edelblum applied for tenure March 2023, Edelblum—and her entire to recognize the signs that a change
at Rutgers, she also reached out to lab team—moved to the Icahn School of might be what you need and to
her network and learned there was a Medicine at Mount Sinai. As part of her know how to reflect on your options.
dream position researching Crohn's package, she was promoted to associate Sometimes, Edelblum says, it
disease at Mount Sinai in New York professor. She applied for and received comes down to a simple question:
City. Crohn’s disease, a type of IBD, tenure after arriving. “Am I happy?”
#ISpyPhysiology
Advances in
SickleDisease
Cell
Research has led to
major breakthroughs
in the treatment of
sickle cell disease, with
promising advances
still on the horizon.
BY CHRISTINA SZALINSKI, PHD
S
Since the 1956 discovery of the sickle
cell disease (SCD) gene mutation,
our understanding of the disease
has increased dramatically, with
advancements in diagnosis, treatment
and management. However, though
medicines helped with pain and other
symptoms, until 2023, the only cure
was a bone marrow transplant, which
has challenges of donor availability and
potential complications.
Then, in December 2023, the U.S.
Food and Drug Administration (FDA)
approved two gene therapies that serve
as potential cures for those with severe
SCD. Physiologists are among those
conducting research that would bring
Illustration: Meletios Verras/iStockphoto
siblings or parents, which may not control of unintended pregnancy but not the case for SCD patients, who,
provide the optimal match. This isn’t can also lead to decreased blood loss as Nekhai’s research showed, might
an issue with gene therapy because it and management of menstrual-related suppress HIV-1 infection because of the
uses the body’s own cells. However, the sickle cell pain,” she says. upregulation of innate antiviral factors
cost of the new treatments put it out of Van Doren says sometimes patients driven by changes in iron metabolism,
reach for most people with SCD. might not even make the connection hypoxia and production of interferon.
Women with SCD face additional that their vaso-occlusive events are Advances in SCD research also
disparities. The U.S. has the highest related to menstruation. “It is import- provide clues for a similar disease:
rate of maternal mortality among 11 ant for providers to ask because there beta thalassemia, which is also an
high-income countries, and Black are treatment options to help alleviate inherited blood disorder that affects
women are more likely to die in these symptoms,” she says. the structure and function of red blood
pregnancy, childbirth or postpartum, cells. “The same genetic treatments
according to Layla Van Doren, MD, CONNECTIONS TO OTHER DISEASES that are effective for sickle cell disease
hematologist at Yale Cancer Center and SCD research holds the potential to are also effective for beta thalassemia.
Smilow Cancer Hospital. “Maternal benefit not only patients with the So, there is hope that we can develop
morbidity and mortality rates are disease but those with other con- a treatment for one and use it on the
even higher for pregnant persons with ditions, too. For example, research other disease,” Sharma says.
SCD,” she says. “Even with the recent suggests a potential link between
FDA approval of two gene therapy SCD and reduced susceptibility to MORE TO LEARN
products, there remain no established HIV infection—individuals with Since the groundbreaking discov-
standard of care for preventing and SCD have a lower prevalence of HIV ery in 1956 of the gene mutation
managing complications for pregnant infection compared to the general responsible for SCD, our under-
persons with SCD and no approved population, though SCD does not standing of this condition has grown
disease-modifying therapies.” offer complete protection. tremendously. Researchers have
Moreover, Van Doren points to By studying the mechanisms that made significant strides in diagnosis,
research that has shown a relation- might lead to a reduced susceptibility treatment options and overall disease
ship between vaso-occlusive events to infection, “we might find some management. However, there’s still
and menstruation. Menstrual blood interesting pathways which can much more to learn.
loss can also make SCD-related ane- actually help to protect people from “The biggest question in the field
mia worse. She is involved in a study infection,” says Sergei Nekhai, PhD, is what defines the severity of mani-
surveying SCD patients about how medicine, microbiology and pharma- festation of this disease,” Bogdanova
menstruation affects their pain events cology professor at Howard University. says. “This is a monogenic disease,
and health care utilization. Previous research indicates that but we have patients with the same
Van Doren found that while most a factor on certain immune cells, a point mutation, and some of them
women who completed the survey protein called CCR5 that HIV-1 uses are completely asymptomatic and
had menstrual-related pain and to infect these cells, is mutated on the some of them are dying early or spend
menstrual-associated sickle cell pain, immune cells in people with European life in pain. What is the difference
most were not taking hormone therapy. ancestry, which may help protect between these two groups of people?
“Contraception not only provides against HIV-1 infection. But this is That remains unclear.”
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TRANSPORT | AWARDS AND ACHIEVEMENTS
Shannon Lennon
Erica Dale Receives University of Receives University
Florida Rising Star Researcher Award of Delaware Women’s
Erica Dale, PhD, an assistant professor in the University of
Caucus Award
Florida (UF) College of Medicine’s Department of Physiology
Shannon Lennon, PhD, a professor of
and Aging, is the 2024 recipient of the UF College of Medicine
kinesiology and applied physiology at the
Rising Star Researcher Award in Basic or Translational
University of Delaware (UD), is the 2023
Sciences. Dale received the honor, which recognizes rising
recipient of the UD Women’s Caucus
researchers in their fields, for her work to help restore
Torch Award for Women’s Equality. The
breathing function in people with spinal cord injuries. She has
award’s aim is “to
been an APS member since 2007.
achieve equality and
improve the quality
of employment
for women” at the
Melinda Engevik Receives Amanda LeBlanc university. Lennon
was a founding
American Society for Appointed Interim member of the caucus, where she
Investigative Pathology Associate Dean advocated for women on issues of equity
Early-career Award for Research and inclusion and continues to do so.
She is also the first female chair of the
Melinda Engevik, PhD, an assistant profes- Amanda Jo LeBlanc, PhD, has been Institutional Review Board at UD and
sor in the Department of Regenerative appointed interim associate dean for is director of UD’s Cardiovascular
Medicine and Cell Biology at the research at the University of Louisville Nutrition Lab. Lennon has been an
Medical University of South Carolina, School of Medicine. APS member since 2001.
is the 2024 recipient of the American LeBlanc is a professor
Society for Investigative Pathology’s in the Department of
Cotran Early-career Investigator Award. Cardiothoracic and
The award recog- Thoracic Surgery. Her
nizes early-career research focuses on
investigators who how the microvascu-
direct meritorious lature changes with advancing age and
and impactful contributes to the development of cardio-
independent vascular disease. LeBlanc is a member
experimental of the Science Policy Committee and has
pathology research programs that been an APS member since 2016.
are focused on improvement of the
understanding of the conceptual basis
of disease. Engevik’s work focuses on
microbiota and the crosstalk occurring
between bacteria and the gastrointes-
tinal epithelium. She is the chair of the
Trainee Advisory Committee and has
been a member of APS since 2014.
Claude Bernard Distinguished Lectureship Award (July 15) Advances in Physiology Education (July 15, 2024)
• Teaching in an Era of Generative Artificial Intelligence
Endocrinology & Metabolism Section Solomon A. Berson
Distinguished Lectureship (July 31)
More details: journals.physiology.org/calls
Local Undergraduate Research Awards in Physiology
(Applications accepted on an ongoing, year-round basis)
T
to be part of the solution. I became active in
university governance and joined the APS Science
“The path to success is rarely a straight line; it’s Policy Committee, where I gained a deeper
more like a scribble, filled with twists and turns, understanding of the regulatory landscape and the
ups and downs, but ultimately leading to where critical role that scientific societies play in shaping
you’re meant to be.” —Unknown it. Collaborating with fellow APS members and
In the realm of scientific inquiry, engaging in additional committee work
the journey of a researcher is akin not only expanded my professional
to navigating uncharted waters. network but also provided me with
It’s a journey defined by unex- unique insights and perspectives.
pected detours and unforeseen Assuming the role of com-
challenges, yet it is these very mittee chair allowed me to
twists and turns that shape our lead initiatives, advocate
expertise and character. for important issues and
Challenges are not roadblocks represent the interests of
but opportunities for growth, our scientific community.
resilience and personal devel- Additionally, my service
opment. As I reflect on my on the Science Policy
own journey, I am reminded of Committee of the Federation
the invaluable lessons learned of American Societies for
amidst the unexpected. Experimental Biology, as an
My journey began in graduate APS liaison, further broad-
school under the guidance of ened my understanding of the
Gene Chang, MD, at the University collaborative efforts among scientific
of Chicago, where my passion for understanding societies and their functions.
the mechanisms underlying gastrointestinal (GI) The unexpected twists in my career path
physiology was ignited. The cutting-edge research continue to lead me to roles that support research
and discoveries in this field captivated me, laying through our Office of Research and Innovation at
the foundation for a lifelong dedication to science. Michigan State University. As the associate vice
However, life had other plans, and a curve- president in research regulatory support, I oversee
ball led me to Massachusetts for a postdoctoral a dedicated team of highly trained regulatory
position in bone molecular biology under the experts. Together, we collaborate to support
mentorship of Gary Stein, PhD. Despite the researchers and ensure compliance and safety in
steep learning curve and unfamiliar territory, the all research endeavors.
supportive environment (mentors and fellow The journey of a scientist is not a linear path but
trainees) fostered an enriching experience that a mosaic of experiences, each contributing to per-
expanded my horizons. sonal and professional growth. Embrace the twists
After securing a tenured faculty position at and turns, for they are opportunities for discovery
Illustration by Brett Affrunti
Michigan State University, focused on teach- and meaningful contribution to the greater good.
ing GI physiology and researching molecular
Laura R. McCabe, PhD, is associate vice president in the Office
mechanisms of GI adaptation, I encountered an of Research and Innovation at Michigan State University, where
unexpected opportunity. I found myself receiving she oversees research regulatory support. She is also MSU
funding for research projects examining mecha- Foundation Professor in the Department of Physiology.
physiology.org/advocacy