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CURRICULUM VITAE Edda Frauke Spiekerkoetter, MD Address: Division of Pulmonary and Critical Care Medicine Department of Medicine Stanford University Medical Center 300 Pasteur Drive, Rm H3134 Stanford, CA 94305-5162 E-mail: [email protected] Phone: (650) 723-6381 Fax: (650) 723-6700 Cell: (650) 739-5031 1. Education/Training: Dec 1995 MD Thesis: Magna cum laude Passive smoking exposure in school aged children in Southwest Germany University of Freiburg, Department of pediatrics. Germany. Mentor: Prof J Forster. April 1991 - Dec 1995 Sept 1988 - Mar 1991 Sept 1986 - Sept 1988 Medicine, Albert-Ludwigs-University Medical School, Freiburg, Germany Degree: MD Medicine, Eberhardt-Karls University of Tuebingen, Germany Biology, Eberhardt-Karls University of Tuebingen, Germany, Degree: Bachelor of Science 2. Licensure and Certification: Sept 2009 Full Privileges in Pulmonary and Critical Care Medicine, Stanford University Medical Center Aug 2009 Medical License, Medical Board of California, Expiration 7/31/2013 Sept 2006 Educational Commission for Foreign Medical Graduates (ECFMG) certification USMLE Step1 July 2006, USMLE Step 2 CK Aug 2006, USMLE 2 CS Sept 2006, USMLE Step 3 Jul 2007 Aug 2002 Board Certification Internal Medicine, Germany Page 1 Edda Spiekerkoetter, MD 3. Positions and Employment Professional activity: June 2012 – current Assistant Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Stanford University Dec 2011 – June 2012 Acting Assistant Professor of Medicine, Stanford University Sept 2009 – Nov 2011 Instructor of Medicine and staff attending physician, Division of Pulmonary and Critical Care, Adult Pulmonary Hypertension Service, Stanford University Sept 2009 - August 2011 K12 Scholar ”Stanford career development program in Genetics and Genomics of pulmonary diseases”. Director: Dr. Mark Krasnow Mentors: Dres. Marlene Rabinovitch and Phil Beachy Project: Modulating BMPRII signaling in Pulmonary Arterial Hypertension July 2008 - June 2009 Critical Care Fellow, Stanford University Hospital and Clinics, Stanford July 2007 - June 2008 Pulmonary and Critical Care Fellow, Stanford University Hospital and Clinics, Stanford Feb 2007 - May 2007 Pulmonary Hypertension Database management, Stanford University Oct 2002 - Jan 2007 Postdoctoral research fellow, Department: Pediatric Cardiology, Prof. Dr. M. Rabinovitch, Stanford University Medical School, Stanford March 1996 - Sept 2002 Residency: Internal Medicine and Fellowship: Pulmonary and Critical Care at Medical School Hannover, Department of Respiratory and Critical Care Medicine. Director: Prof. Dr. med. H. Fabel Including: 1 year: Lung transplant fellow 1/2 year: Pulmonary Hypertension fellow (outpatients, rightheart catheterization, clinical trials of new therapeutic drugs for pulmonary hypertension) Teaching: Stanford University/Stanford Medical Center: Sept 2010 - present Organization of a 2-weekly Clinical Topics Series in Pulmonary Hypertension Sept /2012 - present Organizer of bi-weekly Basic Science Journal Club on Pulmonary and Cardiovascular Topics Page 2 Edda Spiekerkoetter, MD 2006 - present 2005 - present 2005-2006 Lecturer in Cardiovascular and Pulmonary Science Seminar (Med 223, Cardiovascular Pulmonary Research Scholarly Concentration for Medical Students) Supervision of laboratory projects of undergraduates and summer students Katie Lynn Pricola – Medical Student Topic: SDF-1 and Pulmonary Hypertension 2006 Alexandra Bruneau - Visiting Researcher, France Topic: Measurement of elastase activity in mice after murine HV-68 infection 2010 Leila Haghighat – undergraduate UCSD Topic: MiR21 expression in PAECs from patients with pulmonary hypertension and healthy controls 2010 Roxanna Haghighat – summer student Topic: Id-1 expression and Smad signalling in PAECs from patients with pulmonary hypertension and healthy controls 2011 Roshelle Chan – undergraduate SFSU Topic: Role of FK-506 on pulmonary artery smooth muscle cells 2013 Jerry Kuang – undergraduate Stanford Topic: BMP signaling and Endothelial Mesenchymal Transition July 2007 - June 2009 Since 2012 Lectures on ICU related topics for residents, interns and medical student Lecture in Lung Lab I and Pulmonary Examination for First Year Medical students Medical School Hannover: March 1996 - Sept 1997 Internal Medicine (School of Nursing) March 1996 - Sept 2002 Medical Students: Practice of examination and history taking Jan 2000 - Sept 2002 Lectures: Pathophysiology of the lungs; Practical Pneumology Supervision of medical students working on their doctoral thesis in the field of respiratory medicine, pulmonary hypertension Technical Experience: Surgical techniques: Closed chest vascular and heart catheterization (in mice, rats) Heart-Lung Preparation: performed in mice and rats. Hemodynamic measurements: Right ventricular systolic pressure and mean arterial pressure measurements, cardiac functions measurements performed in mice and rats. Implantation of subcutaneous infusion pumps in mice and rats Endotracheal instillation of medication in mice Page 3 Edda Spiekerkoetter, MD Molecular Biology: PCR, quantitative RT-PCR, genomic DNA isolation, RNA purification, Western blotting, Southern blotting, Liposomal and retroviral transfection of primary cells, siRNA, miRNA mimics and antagomirs, DNA microarray Cell Culture: Culture of human pulmonary artery smooth muscle and endothelial cells. Organ culture of human and mouse lung. Cell Biology Assays: Migration assays using Boyden chambers, PCNA , TUNEL and Proliferation assays. Microscopy: Bright Field, Fluorescence, and Confocal microscopy. Histology: Paraffin embedding and hemotoxylin/eosin and Hart’s staining. Immunohistochemistry and immunofluorescence. Assessment of morphological parameters in pulmonary arteries, lungs, and hearts of mice. Micro CT: Scanning and reconstructing of barium infused lungs in mice. Biochemical assays: Elastase activity Assay Development of a High Throughput Screen of FDA approved drugs and Small molecules to test for compounds that activate or inhibit BMPRII signaling using as luciferase reporter system. 4. Awards: Feb 2014 Jan 2014 Sept 2012 Sept 2011- Aug 2016 Manuscript Award of the Cardiovascular Institute at Stanford Poster Award: Joint Symposium Excellence Cluster CardioPulmonary System (ECCPS) and Pulmonary Vascular Research Institute (PVRI) Giessen, Bad Naunheim, Germany January 2014. Session: Molecular Mechanisms and Treatment of Heart and Lung Disease“ Increasing BMPR2 signaling with FK506 prevents endothelial mesenchymal transition in coronary artery endothelial cells” Winner of Poster competition Cardiovascular Institute Stanford Supplemental award of the Pulmonary Hypertension Association (PAH) Sept 2011 - Aug 2016 K08 Career development award - NIH Sept 2009 - Aug 2011 Career Development Award - K12 – NIH5K12HL089989 March 2003 - Feb 2005 Postdoctoral Research Fellowship of the Pulmonary Hypertension Association (PHA) and American Heart Page 4 Edda Spiekerkoetter, MD 5. Other Experience and Professional Memberships: Member ATS (1997 – present) Member AHA (2004- present) Fellow Pulmonary Vascular Research Institute (2009 – present) Faculty, Vera Moulton Wall Center For Pulmonary Vascular Disease (2009- present) Member, Stanford Cardiovascular Institute (2009- present) Reviewer Journal of Clinical Investigation European Respiratory Journal European Journal of Clinical Investigation American Journal of Respiratory Cell and Molecular Biology PLoS ONE Cobre Pilot Grant program of the University of Kansas Medical Center Organizing committee and speaker at the Wall Center Symposium entitled “BMPR2 in Pulmonary Hypertension”, Stanford University, September 10th 2012 Session Chair of Mini-Symposium D97 - PULMONARY HYPERTENSION: NEW INSIGHTS INTO CAUSES AND TREATMENTS? ATS 2012, Wed May 23 2012 Pulmonary Circulation Program Committee for the 2014 American Thoracic Society International Conference Phase II clinical Trial: TRANSFORM Low dose FK506 for the treatment of Pulmonary Arterial Hypertension Role: PI , in collaboration with Roham Zamanian First Patient enrolled: Sept 2012, Currently 23/40 patients enrolled Patent application filed by OTL at Stanford University Use of FK506 for the treatment of Pulmonary Arterial Hypertension Provisional patent: May 2, 2011 as U.S Provisional Application Serial No 61/481317 Patient application: May 2, 2012 EFS ID: 9993541 Application Number: 61481317 Since 2012 Abstract Reviewer for American Heart Association Conference Session 508. Pulmonary Circulation, Respiratory Processes, and Lung Injury Since 2013 Abstract Reviewer for American Thoracic Society Conference 6. Languages: fluency: English, German basic knowledge: French, Latin 7. Publications: Peer-Reviewed Publications: Page 5 Edda Spiekerkoetter, MD Sawada H, Saito T, Nickel NP, Alastalo TP, Glotzbach JP, Chan R, Haghighat L, Fuchs G, Januszyk M, Cao A, Lai YJ, Perez VD, Kim YM, Wang L, Chen PI, Spiekerkoetter E, Mitani Y, Gurtner GC, Sarnow P, Rabinovitch M. Reduced BMPR2 expression induces GM-CSF translation and macrophage recruitment in human and mice to exacerbate pulmonary hypertension. J Exp Med. 2014 Jan 20 Brunner NW, Ramachandran K, Kudelko KT, Sung YK, Spiekerkoetter E, Yang PC, Zamanian RT, Perez Vde J. A case of recurrent pericardial constriction presenting with severe pulmonary hypertension. Pulm Circ. 2013 Apr;3(2):436-9. Spiekerkoetter E, Tian X, Cai J, Hopper K, Sudheendra D, Li CG, El-Bizri N, Sawada H, Haghighat R, Chan R, Haghighat L, De Jesus Perez V, Wang L, Reddy S, Zhao M, Barnstein D, Solow-Cordero, DE, Beachy PA, Wandless TJ, ten Dijke P Rabinovitch M FK506 activates BMPR2 Signaling, rescues endothelial dysfunction, reverses pulmonary hypertension . J Clin Invest, J Clin Invest. 2013 Aug 1;123(8):3600-13 de Jesus Perez VA, Rosenzweig E, Rubin LJ, Poch D, Bajwa A, Park M, Jain M, Bourge RC, Kudelko K, Spiekerkoetter E, Liu J, Hsi A, Zamanian R. Safety and efficacy of transition from systemic prostanoids to inhaled treprostinil in pulmonary arterial hypertension. Am J Cardiol. 2012 Nov 15;110(10):1546-50. de Jesus Perez VA, Yuan K, Orcholski ME, Sawada H, Zhao M, Li CG, Tojais NF, Nickel NP, Rajagopalan V, Spiekerkoetter E, Wang L, Dutta R, Bernstein D, Rabinovitch M. Loss of Adenomatous Poliposis Coli-α3 Integrin Interaction Promotes Endothelial Apoptosis in Mice and Humans. Circ. Res 2012 Sept 25 [Epub ahead of print] Kim YM, Haghighat L, Spiekerkoetter E, Sawada H, Alvira CM, Wang L, Acharya S, Rodriguez-Colon G, Orton A, Zhao M, Rabinovitch M. Neutrophil Elastase Is Produced by Pulmonary Artery Smooth Muscle Cells and Is Linked to Neointimal Lesions. Am J Pathol. 2011 Jul 14. [Epub ahead of print] Perez VA, Ali Z, Alastalo TP, Ikeno F, Sawada H, Lai YJ, Kleisli T, Spiekerkoetter E, Qu X, Rubinos LH, Ashley E, Amieva M, Dedhar S, Rabinovitch M. BMP promotes motility and represses growth of smooth muscle cells by activation of tandem Wnt pathways. J Cell Biol. 2011 Jan 10;192(1): 171-88 Spiekerkoetter E, Guignabert C, de Jesus Perez V, Alastalo T-P, Powers JM, Wang L, Lawrie A, Ambartsumian A, Schmidt AM, Berryman M, Ashley RH, Rabinovitch M. S100A4 and BMP-2 Co-Dependently Induce Vascular Smooth Muscle Cell Migration via pERK and Chloride Intracellular Channel 4 (CLIC4). Circ Res. 2009 Sep 25;105(7): 639-47 Spiekerkoetter E, Alvira CM, Kim Y-M, Bruneau A, Pricola KL, Wang L, Ambartsumian N, Rabinovitch M. Reactivation of gHV68 Induces Neointimal Lesions in Pulmonary Arteries of S100A4/Mts1 Over-expressing Mice in Association with Degradation of Elastin. Am J Physiol Lung Cell Mol Physiol. 2008 Feb;294(2):L276-89. Page 6 Edda Spiekerkoetter, MD Hoeper MM, Seyfarth HJ, Hoeffken G, Wirtz H, Spiekerkoetter E, Pletz MW, Welte T, Halank M. Experience with inhaled iloprost and bosentan in portopulmonary hypertension. Eur Respir J. 2007 Dec;30(6):1096-102. Hoeper MM, Markevych I, Spiekerkoetter E, Welte T, Niedermeyer J. Goal- oriented Treatment and Combination therapy for Pulmonary Arterial Hypertension. Eur Resp J 2005 Nov;26(5):858-63. Spiekerkoetter E, Lawrie A, Merklinger S, Ambartsumian N, Lukanidin E, Schmidt AM, Rabinovitch M. Mts1/S100A4 stimulates human pulmonary artery smooth muscle cell migration through multiple signaling pathways. Chest. 2005 Dec; 128 (6 Suppl):577S. Merklinger SL, Wagner RA, Spiekerkoetter E, Hinek A, Knutsen RH, Kabir MG, Desai K, Hacker S, Wang L, Cann GM, Ambartsumian NS, Lukanidin E, Bernstein D, Husain M, Mecham RP, Starcher B, Yanagisawa H, Rabinovitch M. Increased Fibulin-5 and Elastin in S100A4/Mts1 Mice with Pulmonary Hypertension. Circ Res. 2005 Sep 16;97(6):596-604. Epub 2005 Aug 18. Lawrie A, Spiekerkoetter E, Martinez E, Ambartsumian N, Sheward WJ, MacLean MR, Hramar AJ, Schmidt AM, Lukanidin E, Rabinovitch M. Interdependent Serotonin Transporter and Receptor pathways regulate S100A4/Mts1, a gene associated with cancer and vascular disease. Circ Res. 2005 Aug 5;97(3):227-35. MM Hoeper, Taha N, Bekjarova R, Gatzke R, Spiekerkoetter E. Bosentan treatment in patients with primary pulmonary hypertension receiving nonparental prostanoids. Eur Respir J 2003;22:330-334. Spiekerkoetter Edda, Helmut Fabel, Marius M. Hoeper. Effects of inhaled sabutamol in primary pulmonary hypertension. Eur Resp J. 2002 Sept;20(3):524-8 Hoeper MM, Spiekerkoetter E, Westerkamp V, Gatzke R, Fabel H. Intravenous iloprost for treatment failure of aerolized iloprost in pulmonary arterial hypertension. Eur Respir J. 2002 Aug;20(2):339-43. Hoeper MM, Schwarze M, Ehlerding S, Adler-Schuermeyer A, Spiekerkoetter E, Niedermeyer J, Hamm M, Fabel H. Long-term treatment of primary pulmonary hypertension with inhaled iloprost. Pneumologie, 2001 Jan; 55(1):38-43. Hoeper MM, Spiekerkoetter E, Fabel H. Aerolized iloprost for Primary Pulmonary Hypertension. Letter to the editor. N.Engl J. Med. 2000 Nov 9; 343 (19): 1421-1422. Hoeper MM, Schwarze M, Ehlerding S, Adler-Schuermeyer A, Spiekerkoetter E, Niedermeyer J, Hamm M, Fabel H. Long-term treatment of primary pulmonary hypertension with aerolized iloprost, a prostacyclin analogue. N Engl J Med. 2000 Jun 22; 342(25): 1866-77. Page 7 Edda Spiekerkoetter, MD Hoffmeyer F, Hoeper MM, Spiekerkotter E, Harringer W, Haverich A, Fabel H, Niedermeyer J. Azathioprine withdrawal in stable lung and heart/lung recipients receiving cyclosporine-based immunosuppression. Transplantation. 2000 Aug 15; 70(3): 522-5. Spiekerkoetter E, Krug N, Hoeper M, Wiebe K, Hamm M, Harringer W, Haverich A, Fabel H. Prevalence of malignancies after lung transplantation. Tranplant Proc. 1998 Jun; 30(4):1523-4. Henschen M, Frischer T, Pracht T, Spiekerkotter E, Karmaus W, Meinert R, Lehnert W, Werle E, Kuehr J. The internal dose of passive smoking at home depends on the size of the dwelling. Environ Res. 1997 Jan; 72(1): 65-71. Peer Reviewed Publications - Pending In preparation: Spiekerkoetter E, Hsi A, Fortenko O, Saito S, Kudelko K, Hsi A, de Jesus Perez VA, Zamanian R. Vasoresponsiveness combined with capacitance is a prognostic indicator in Pulmonary Arterial Hypertension Edda Spiekerkoetter, Yon Sung, Deepti Sudheendra, Matthew Bill, Micheala A Aldred, Mariëlle C. van de Veerdonk, Anton Vonk Noordegraaf, Janel Long-Boyle, Rajesh Dash, Phil Yang, Marlene Rabinovitch and Roham T Zamanian. Low dose FK-506 in End-Stage Pulmonary Arterial Hypertension Reviews: E. Spiekerkoetter, J Niedermeyer, MM Hoeper. Die pulmonale arterielle Hypertonie. Internist. Praxis 2004; 44:1-14. E. Spiekerkoetter, M Hoeper. New Therapies in pulmonary arterial hypertension. Estratto da Minerva Pneumologica 2002;41 (4):127-136. Spiekerkoetter Edda, Helmut Fabel, Marius M. Hoeper. Behandlung der schweren pulmonalen Hypertonie. Deutsches Ärzteblatt, 2001 Aug; 98(33): 1697-1701. Book Chapters: Cissarek et al: Gefaessmedizin: Therapie und Praxis. Spiekerkoetter Edda Kapitel: Die akute Lungenembolie und pulmonale arterielle Hypertonie. ABW Wissenschaftsverlag, Berlin. 2009 Cissarek et al: Vascular Medicine: Therapy And Practice. Spiekerkoetter Edda: Chapter: Acute pulmonary embolism and pulmonary Arterial Hypertension. Mcgraw-hill Professional Publishing 2010. Page 8 Edda Spiekerkoetter, MD Edda Spiekerkoetter and Marlene Rabinovitch. Genomics in Pulmonary Arterial Hypertension. Braunwald’s Heart Disease 9th edition, electronic version 2013. Invited Speaker: Pulmonary Grand Rounds, Lund University, Lund, Sweden, April 2013 Cardiovascular Institute Grand Rounds Karolinska Institute, Stockholm, Sweden, April 2013 American Thoracic Society (ATS) international conference, San Diego, May 2014: Scientific Symposium: Novel Therapeutic strategies emerging from Genetic Studies in Pulmonary Arterial Hypertension Session Chair: Micheala Aldred and Edda Spiekerkoetter Presenter: “FK506 increases BMP signaling and reverses pulmonary hypertension” Pulmonary Hypertension Association conference (PHA) Indianapolis, June 2014: - Invited Speaker in Scientific Session: New Treatments and Targets in PH: “High throughput drug screening in PAH: From cells to people” - Invited Panelist Medically Led Session “Familial/Genetics and PAH”– Chair: John Newman Oral presentations: Wall Center Symposium, May 17, 2012 E. Spiekerkoetter: Vasoresponsiveness combined with capacitance is a prognostic indicator in Pulmonary Arterial Hypertension THOMAS L. PETTY ASPEN LUNG CONFERENCE 55th Annual Meeting, June 6-9, 2012 "Mechanics and Mechanisms of Pulmonary Hypertension” Edda Spiekerkoetter: FK506 – identified in a high Throughput screen to increase BMPR2 signaling – reverses pulmonary hypertension by rescuing endothelial dysfunction. Keystone Symposia on Pulmonary Vascular Disease and right Ventricular Dysfunction: Current Concepts and future Therapies. Monterey Sep 10-15, 2012 Edda Spiekerkoetter: FK506 – identified in a high Throughput screen to increase BMPR2 signaling – reverses pulmonary hypertension by rescuing endothelial dysfunction E Spiekerkoetter, Haghighat L, Haghighat R, Sawada H, Saito T, Wang L, de Jesus Perez V, ten Dijke P, El-Bizri N, Solow-Cordero D, Beachy PA, Rabinovitch M. FK-506 (Tacrolimus), identified in a High Throughput Screen to Increase BMPRII Signaling, Prevents Pulmonary Arterial Hypertension (PAH) in Mice with Endothelial BMPRII Deletion. Mini-Symposium, ATS 2011 Denver. E Spiekerkoetter, L Wang, R Zamanian, N Ambartsumian, AM Schmidt, E Lukanidin, M Rabinovitch. Chloride intracellular channel 4 (CLIC4), a novel downstream target of Bone Page 9 Edda Spiekerkoetter, MD Morphogenetic Protein Receptor II (BMPR-II) in human pulmonary artery smooth muscle cell (PASMC) migration. Oral presentation at the American Heart Association (AHA) conference 2005, Dallas, TX. E Spiekerkoetter, A Lawrie, SL Merklinger, M Rabinovitch. Mts1, a novel gene in the pathogenesis of pulmonary hypertension, induces migration of human Pulmonary Artery Smooth muscle cells via the Receptor for Advanced Glycation end products (RAGE). Oral Presentation at the American Heart Association (AHA) Conference 2003, Orlando, FL. E Spiekerkoetter, MM Hoeper, H Fabel. Acute hemodynamic effects of salbutamol aerosol in patients with primary pulmonary hypertension. Oral presentation at the American Thoracic Society (ATS) conference 2001, San Francisco, CA. 8. Research Support Ongoing Research Support: 1K08HL107450-01 09/01/2011 - 07/31/2016 NIH Modulating BMPRII Signaling in Pulmonary Arterial Hypertension The goals of this project are to use new technologies to modulate BMP signaling using High Throughput Screening of FDA approved drugs and bioactive compounds as well as microRNA mimics and antagomirs. Mentors: Marlene Rabinovitch, Phil Beachy Role on Project: PI 2011 Pulmonary Hypertension Association (PHA) supplemental grant for awarded K08 – in conjunction with 1K08HL107450-0- NIH 09/01/2011 - 08/31/2016 Modulating: BMPRII Signaling in Pulmonary Arterial Hypertension Role on Project: PI Spark Research Grant 03/1/2013 – 02/30/2014 Phase II trial of Tacrolimus in Pulmonary Hypertension The goal of this project is to perform a phase II tolerability and efficacy study with Tacrolimus in patients with pulmonary arterial hypertension with dysfunctional BMPRII signaling. Role on Project: Co-PI Wall Center Seed Grant – 1/11/2011 – 31/10/2014 Vera Moulton Wall Center for Pulmonary Vascular Disease Phase II trial of Tacrolimus in Pulmonary Hypertension The goal of this project is to perform a phase II tolerability and efficacy study with Tacrolimus in patients with pulmonary arterial hypertension with dysfunctional BMPRII signaling. Role on Project: Co-PI Page 10 Edda Spiekerkoetter, MD 06/01/2012 - 05/30/2017 Wall Center Faculty Research Scholar: 1144545-101-GHDCK Vera Moulton Wall Center for Pulmonary Vascular Disease Developing novel therapies for pulmonary arterial hypertension by targeting the BMP pathway Role on Project: PI CMREF – Pulmonary Hypertension Breakthrough Initiative (UL1RR024986) 01/2006- Present Stanford IPAH Transplant and Preparation Center Role on project: Co-Investigator Completed Research Support: 09/2009 – 08/2011 K12 Career Development Program In Genetics and Genomics of Pulmonary Diseases: Director Prof. M Krasnow, Co-director Prof. M Rabinovitch “Development of High-Throughput Screen of drugs that modulates bone morphogenetic protein receptor II “ Role on Project: Trainee 2003 – 2005 Pulmonary Hypertension Association and AHA postdoctoral research fellowship award “Stromal Derived factor modulates homing and differentiation of stem cells in pulmonary hypertension” Role in Project: PI NIH CTSA award UL1 RR025744 02/01/2012 – 01/31/2013 Spectrum Pilot Grant, Stanford University PI: Harry Greenberg Phase II trial of Tacrolimus in Pulmonary Hypertension The goal of this project is to perform a phase II tolerability and efficacy study with Tacrolimus in patients with pulmonary arterial hypertension with dysfunctional BMPRII signaling. Our previous research has shown that low dose Tacrolimus can prevent and reverse experimental pulmonary hypertension in mice and rats by restoring BMPR2 signaling and improving endothelial dysfunction. Role on Project: Co-PI Wall Center Seed grant: 1149670 -111-GHDGQ 09/01/2011- 12/31/2013 Vera Moulton Wall Center for Pulmonary Vascular Disease Small Molecule Screen for compounds that activate BMPRII signaling The goal of this project is to use High Throughput Screening to find new small molecules that could potentially increase or inhibit BMP signaling. Role on Project: PI 01/01/2013 – 012/31/2013 Cardiovascular Institute Seed Grant : Page 11 Edda Spiekerkoetter, MD Increasing BMP signaling to improve right ventricular function in congenital heart disease Role on Project: PI Collaborators: Dres Bernstein and Reddy, Pediatric Cardiology, Stanford Page 12 Edda Spiekerkoetter, MD