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Vermont Lung Center
University of Vermont

    PI: Charlie Irvin PhD

    P01 15557 2000-2010
    P30 31158 2010-2015


     www.vermontlung.org
• Lowest support in US of any state University
• Minimal income from gifts/endowment
• “ShipCommunity Rounds Research Session
       floating on it’s own bottom”
                   June,Dan Fogel
                     Pres. 2009
Question:
Is first-class biomedical research

  even possible in a small, rural

  state like Vermont?
Vermont scientist are very competitive




      Vermont is 6th in success rate at NIH 2009




Battelle Technology Partnership Practice
Battelle/BIO State Biosciences Initiatives May 2010
Vermont is a hot bed of clinical investigation




Battelle Technology Partnership Practice
Battelle/BIO State Biosciences Initiatives May 2010
Economic Impact of NIH$ on Vermont’s Economy




    Total Job funded at least in part by NIH $ = 1,400
                                     http://www.unitedformedicalresearch.com/state-by-state/

Between 2000 and 2009, the Vermont
economy lost 4,100 jobs.                                       FASEB accessed Sept 2012
Jobs lost = 87
Vermont           Residents             State Rank

                  625,741                       50
Source: U.S. Census BureauPopulation, June 1, 2011


 YEAR                 Jobs Supported                     Grants Awarded

  2010                       1,438                          $73.0 million

  2011                       1,067                          $52.6 million




                       http://www.unitedformedicalresearch.com/state-by-state/
The State-of-the
          Vermont Lung Center




P01 15557 2000-2010
P30 31158 2010-2015
The Vermont Lung Center (VLC)

Mission/Goals

    • A focal point for research in lung pathophysiology

    • Education

    • A multidisciplinary research

    • Integration of basic, clinical and population

       research

    • Emphasis on translational research
The Past of the VLC


• 1972-1992 NIH SCOR (Specialized Center of Research) In
  interstitial Lung Disease


• 1975-1980 NIH Demonstration Center in Lung Disease


• 1992 VLC ceased activities



                          Then came IDeA
The Current VLC
• 2000 NIH NCRR COBRE Phase I
   ( Center of Biomedical Research Excellence )

• 2003 Program of the College of Medicine

• 2004 ALA-ACRC renewed

• 2002 NIH T32 Training grant awarded

• 2005 COBRE renewed Phase II

• 2008 NIH T32 Training grant renewed

• 2009 CFF TDN Heavy Center

• 2009 ALA-ACRC renewed

• 2010 COBRE renewed Phase III
Overview of current areas of research:

                               Epithelial control of lung inflammation:
                                 - regulation of TF, Nuclear Factor kappa B (NF-kB)
                                 - nitrogen dioxide (NO2), allergens

                               Epithelial signaling in fibrosis:
                                 - c-Jun-N-terminal kinase (JNK)
                                 - Fas

     Pulmonary Innate &        Redox biology in environmental lung disease:
     Adaptive Immunity            - nitric oxide and hydrogen peroxide protein
                                  - S-nitrosylation and protein S-glutathionylation & NF-kB


    Epithelial Biology and
        Cell signaling
                                       Current Funding:
                                       NIH R01 HL079331/05-09 (PI)
Yvonne Janssen-Heininger,Ph.D.         NIH R01 HL074295/01-05 (Co-I)
      Professor with tenure
     Department of Pathology           NIH R01 HL60014/09-14 (PI) 0.2,1.0% Score 11
                                       NIH R01 HL085464-01 (PI)       1.0%, Score 10
BA (1992) University of Vermont.
                                      MD (1996) Tuft’s Boston, MA.
                                      Intern/Resident (1999) U Colorado, Denver, CO.
                                      Fellow in Pulmonary Medicine (2002) Yale CT.




                                       Current Funding:

        Cystic Fibrosis                Cystic Fibrosis Foundation- Therapeutic Development Network
        Clinical Trials                  ( Heavy)
                                       Frymoyer Clinical Scholars
     Laurie LeClair, MD                    develop novel curriculum in simulation
  Associate Professor with tenure      Coulter Foundation Grant
           PCCM Division                 novel therapeutics; collaboration with Dartmouth
Department of Medicine, Division of
Pulmonary Disease and Critical Care
Overview of current areas of research:

                                  Asthma:
                                      - bariatric surgery
                                      - visceral leptin
                                      - instrument for RS
                                  Obesity:
                                      - Effects on asthma medications
                                      - adaptive and innate immunity changes

                                  Chronic Obstructive Pulmonary Disease:
                                      - New medications
                                      - effects on new forms of tobacco products



           Asthma
        Clinical Trials
Anne Dixon, MA,BM,BCh                      Current Funding:
  Associate Professor with tenure
        PCCM Division Chief                American Lung Association ACRC(CO-PI)
Department of Medicine, Division of        Pharma trials
Pulmonary Disease and Critical Care        P30 RR031158-01 (Core PI)

                                           NIH/NHLBI U01HL089464 (PI)
                                                  STAN multicenter trial
Asthma Clinical Research Centers of the ALA




Vermont Lung Center is only Center in Northeast
Only Center in a rural location
Funded by ALA of Vermont and Congressional earmark (Sen. Jeffords)
Lead center for two of 8 protocols (STAN and LODO)
New England J Med. 345:1529-1536, 2001




                                    Am J Resp Crit Care Med 175:235-242 2007




New Engl J Med 356:2027 2007




                                   ALA-ACRC N Engl J Med 360:147 2009
Fletcher Allen Health Care
                              Level 1 Trauma Unit
                              1.5 million catchment




1998
5 Pulmonary and Critical Care MDs
Staff 22 bed ICU & Consult with 40 bed CC

2012
16 Pulmonary and Critical Care MD’s

                                                         Dan Fogel
                                                      President, UVM
Highlights of Progress/Accomplishments

Number Faculty:                         6 (2000) - 22 (2012)
Number of personnel:                    9 (2000) - 67 (2012)
Number of grants:                       1 (1998) - 51 (2012)

During the last 5 years of funding:

Number of research grants submitted:    378
Number of grants awarded:               140 (37% success rate)
Number of peer reviewed publications:   287
Number of total publications:           412
Number of research presentations:       296
CONCLUSIONS: INBRE
The INBRE program has impacted thousands of students in IDeA states

Dramatically impacted both large and small institutions
        - faculty and students

Science educational pipeline now reaches all Americans

CONCLUSIONS: COBRE
Built outstanding, competitive research centers

Attracted first class students, and faculty

Profoundly impacted healthcare, science and technology


   A scientifically literate populous is critical to economic health
CONCLUSIONS: The IDeA Program


• Science in the IDeA STATES is first class

• The IDEA program has transformed our states’
      - science
      - economics
      - health care

• Dramatically impacted those underrepresented in science
   - Those in rural areas, native-Americans and Hispanics

• Vested our states in the mission of the NIH
CONCLUSIONS: The IDeA Program




The NIH IDeA program is the best investment
Congress has ever made both scientifically and
economically.
QUESTIONS?

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Charles Irvin

  • 1. Vermont Lung Center University of Vermont PI: Charlie Irvin PhD P01 15557 2000-2010 P30 31158 2010-2015 www.vermontlung.org
  • 2. • Lowest support in US of any state University • Minimal income from gifts/endowment • “ShipCommunity Rounds Research Session floating on it’s own bottom” June,Dan Fogel Pres. 2009
  • 3. Question: Is first-class biomedical research even possible in a small, rural state like Vermont?
  • 4. Vermont scientist are very competitive Vermont is 6th in success rate at NIH 2009 Battelle Technology Partnership Practice Battelle/BIO State Biosciences Initiatives May 2010
  • 5. Vermont is a hot bed of clinical investigation Battelle Technology Partnership Practice Battelle/BIO State Biosciences Initiatives May 2010
  • 6. Economic Impact of NIH$ on Vermont’s Economy Total Job funded at least in part by NIH $ = 1,400 http://www.unitedformedicalresearch.com/state-by-state/ Between 2000 and 2009, the Vermont economy lost 4,100 jobs. FASEB accessed Sept 2012
  • 8. Vermont Residents State Rank 625,741 50 Source: U.S. Census BureauPopulation, June 1, 2011 YEAR Jobs Supported Grants Awarded 2010 1,438 $73.0 million 2011 1,067 $52.6 million http://www.unitedformedicalresearch.com/state-by-state/
  • 9. The State-of-the Vermont Lung Center P01 15557 2000-2010 P30 31158 2010-2015
  • 10. The Vermont Lung Center (VLC) Mission/Goals • A focal point for research in lung pathophysiology • Education • A multidisciplinary research • Integration of basic, clinical and population research • Emphasis on translational research
  • 11. The Past of the VLC • 1972-1992 NIH SCOR (Specialized Center of Research) In interstitial Lung Disease • 1975-1980 NIH Demonstration Center in Lung Disease • 1992 VLC ceased activities Then came IDeA
  • 12. The Current VLC • 2000 NIH NCRR COBRE Phase I ( Center of Biomedical Research Excellence ) • 2003 Program of the College of Medicine • 2004 ALA-ACRC renewed • 2002 NIH T32 Training grant awarded • 2005 COBRE renewed Phase II • 2008 NIH T32 Training grant renewed • 2009 CFF TDN Heavy Center • 2009 ALA-ACRC renewed • 2010 COBRE renewed Phase III
  • 13. Overview of current areas of research:
 Epithelial control of lung inflammation: - regulation of TF, Nuclear Factor kappa B (NF-kB) - nitrogen dioxide (NO2), allergens Epithelial signaling in fibrosis: - c-Jun-N-terminal kinase (JNK) - Fas Pulmonary Innate & Redox biology in environmental lung disease: Adaptive Immunity - nitric oxide and hydrogen peroxide protein - S-nitrosylation and protein S-glutathionylation & NF-kB Epithelial Biology and Cell signaling Current Funding: NIH R01 HL079331/05-09 (PI) Yvonne Janssen-Heininger,Ph.D. NIH R01 HL074295/01-05 (Co-I) Professor with tenure Department of Pathology NIH R01 HL60014/09-14 (PI) 0.2,1.0% Score 11 NIH R01 HL085464-01 (PI) 1.0%, Score 10
  • 14. BA (1992) University of Vermont. MD (1996) Tuft’s Boston, MA. Intern/Resident (1999) U Colorado, Denver, CO. Fellow in Pulmonary Medicine (2002) Yale CT. Current Funding: Cystic Fibrosis Cystic Fibrosis Foundation- Therapeutic Development Network Clinical Trials ( Heavy) Frymoyer Clinical Scholars Laurie LeClair, MD develop novel curriculum in simulation Associate Professor with tenure Coulter Foundation Grant PCCM Division novel therapeutics; collaboration with Dartmouth Department of Medicine, Division of Pulmonary Disease and Critical Care
  • 15.
  • 16. Overview of current areas of research:
 Asthma: - bariatric surgery - visceral leptin - instrument for RS Obesity: - Effects on asthma medications - adaptive and innate immunity changes Chronic Obstructive Pulmonary Disease: - New medications - effects on new forms of tobacco products Asthma Clinical Trials Anne Dixon, MA,BM,BCh Current Funding: Associate Professor with tenure PCCM Division Chief American Lung Association ACRC(CO-PI) Department of Medicine, Division of Pharma trials Pulmonary Disease and Critical Care P30 RR031158-01 (Core PI) NIH/NHLBI U01HL089464 (PI) STAN multicenter trial
  • 17. Asthma Clinical Research Centers of the ALA Vermont Lung Center is only Center in Northeast Only Center in a rural location Funded by ALA of Vermont and Congressional earmark (Sen. Jeffords) Lead center for two of 8 protocols (STAN and LODO)
  • 18. New England J Med. 345:1529-1536, 2001 Am J Resp Crit Care Med 175:235-242 2007 New Engl J Med 356:2027 2007 ALA-ACRC N Engl J Med 360:147 2009
  • 19. Fletcher Allen Health Care Level 1 Trauma Unit 1.5 million catchment 1998 5 Pulmonary and Critical Care MDs Staff 22 bed ICU & Consult with 40 bed CC 2012 16 Pulmonary and Critical Care MD’s Dan Fogel President, UVM
  • 20. Highlights of Progress/Accomplishments Number Faculty: 6 (2000) - 22 (2012) Number of personnel: 9 (2000) - 67 (2012) Number of grants: 1 (1998) - 51 (2012) During the last 5 years of funding: Number of research grants submitted: 378 Number of grants awarded: 140 (37% success rate) Number of peer reviewed publications: 287 Number of total publications: 412 Number of research presentations: 296
  • 21.
  • 22. CONCLUSIONS: INBRE The INBRE program has impacted thousands of students in IDeA states Dramatically impacted both large and small institutions - faculty and students Science educational pipeline now reaches all Americans CONCLUSIONS: COBRE Built outstanding, competitive research centers Attracted first class students, and faculty Profoundly impacted healthcare, science and technology A scientifically literate populous is critical to economic health
  • 23. CONCLUSIONS: The IDeA Program • Science in the IDeA STATES is first class • The IDEA program has transformed our states’ - science - economics - health care • Dramatically impacted those underrepresented in science - Those in rural areas, native-Americans and Hispanics • Vested our states in the mission of the NIH
  • 24. CONCLUSIONS: The IDeA Program The NIH IDeA program is the best investment Congress has ever made both scientifically and economically.