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Inside... - University of Pittsburgh :: MSTP

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Pr<strong>of</strong>iles in Medicine: Michael Pezzone<br />

An alumnus from the Class <strong>of</strong> 1994 shares his rewarding experiences as an <strong>MSTP</strong> student and<br />

now a physician-scientist at Pitt<br />

2<br />

The marking <strong>of</strong> the 25th anniversary<br />

<strong>of</strong> our <strong>MSTP</strong> in 2008 allowed many<br />

alumni <strong>of</strong> our program a walk down<br />

memory lane. “I remember there weren’t<br />

too many students ahead <strong>of</strong> me in the<br />

program here in <strong>Pittsburgh</strong>,” reminisces<br />

Dr. Michael Pezzone, now an Associate<br />

Pr<strong>of</strong>essor <strong>of</strong> Pharmacology & Chemical<br />

Biology and Medicine in the Division<br />

<strong>of</strong> Gastroenterology, Hepatology and<br />

Nutrition. Dr. Pezzone graduated from<br />

the program in 1994 and recalls only<br />

three people being in his <strong>MSTP</strong> class.<br />

He notes how far the program has<br />

come from when he started in 1987,<br />

“I think after so many years <strong>of</strong> this<br />

program’s existence, you really start<br />

to get a consensus for what is best for<br />

the students.” He specifically noted<br />

how the career development courses<br />

in grant writing and ethics, which were<br />

not in existence while Dr. Pezzone was<br />

a student, have really helped contribute<br />

to the breadth <strong>of</strong> knowledge that is<br />

imparted to students by the <strong>Pittsburgh</strong><br />

<strong>MSTP</strong>.<br />

After graduating as valedictorian<br />

<strong>of</strong> his high school class in New Castle,<br />

Pa., Dr. Pezzone studied at Cornell<br />

<strong>University</strong>, majoring in chemistry and<br />

biology. Dr. Pezzone was drawn to<br />

chemistry mainly because “it isn’t just<br />

a didactic type <strong>of</strong> science, I really enjoy<br />

the hands-on aspects <strong>of</strong> it, including lab<br />

work.” At the time, his undergraduate<br />

program was designed with a year <strong>of</strong><br />

research which allowed him to work on<br />

his honors thesis <strong>of</strong> “Structure-activity<br />

relationships in glycosidase inhibitors.”<br />

His research with Dr. Bruce Ganem in<br />

the Department <strong>of</strong> Chemistry resulted in<br />

a publication as an undergraduate, and<br />

he graduated cum laude in 1987.<br />

The summer prior to medical school<br />

matriculation, Dr. Pezzone did research<br />

at the <strong>University</strong> <strong>of</strong> <strong>Pittsburgh</strong> through<br />

the Mellon Pre-doctoral Fellowship in<br />

Psychiatry, during which time he studied<br />

an autoimmune basis for schizophrenia.<br />

From this research experience he soon<br />

realized “immunology, stress, and<br />

autoimmunity seemed to be areas <strong>of</strong><br />

research (he) enjoyed working on.”<br />

Although Dr. Pezzone did not<br />

formally apply to a dual-degree program,<br />

he had heard <strong>of</strong> combined degree MD-<br />

PhD programs as an undergraduate.<br />

During the late eighties however, there<br />

were not many MD-PhD programs<br />

that were well structured. Dr. Pezzone<br />

elected to hold <strong>of</strong>f joining a MD-PhD<br />

program until he had started medical<br />

school, as the first two years would<br />

be identical whether or not he was in a<br />

combined degree program.<br />

It was fortuitous that Dr. Pezzone<br />

was working in the lab <strong>of</strong> Dr. Bruce Rabin<br />

when he started medical school, who<br />

was then the director <strong>of</strong> the MD-PhD<br />

program. Dr. Rabin mentored the predoctoral<br />

Pezzone and encouraged him<br />

to apply to the program. On comparing<br />

the opportunities he had for research at<br />

that time, Dr. Pezzone recalls that “back<br />

then there weren’t too many options<br />

available. For example, I had initially<br />

wanted to do research in cardiology,<br />

but there weren’t too many benchtop<br />

cardiology options available like there<br />

are now. It kind <strong>of</strong> limited what you could<br />

go into.”<br />

Dr. Pezzone joined the graduate<br />

department <strong>of</strong> Experimental Pathology,<br />

continuing to work with Dr. Rabin<br />

on a project titled “Characterization<br />

<strong>of</strong> the Pathways Mediating Stress-<br />

Induced Immune Alterations in the<br />

Rat.” His primary interests were in<br />

identifying central neural pathways and<br />

neurondrocine pathways and how these<br />

modulate immune function. “The nice<br />

thing about pathology is you can do<br />

anything with what you learn in graduate<br />

work. It is a field that encompasses and<br />

is easily applicable to many areas.”<br />

Later, after graduate school, when<br />

he was trying to find a specialty to pick<br />

based on his background and research<br />

interests, “everything seemed to lead to<br />

working with gastrointestinal disease<br />

and irritable bowel syndrome. Internal<br />

medicine in general seemed to have<br />

the most flexibility to it, and having the<br />

ability to see patients was a plus for<br />

me.”<br />

Upon graduation, Dr. Pezzone<br />

continued his training at UPMC, joining<br />

the Internal Medicine Residency<br />

Program in 1994. He was one <strong>of</strong> the<br />

first to take the Clinical Investigator<br />

Pathway, which combines research<br />

and clinic time for the first two years<br />

<strong>of</strong> the program. Dr. Pezzone started<br />

working with Dr. William de Groat in the<br />

Department <strong>of</strong> Pharmacology, who was<br />

studying pelvic visceral pain, and he<br />

found many overlapping mechanisms<br />

and pathways when comparing Dr. de<br />

Groat’s work with the visceral bowel<br />

pain that he was interested in studying.<br />

During his gastroenterology fellowship<br />

at UPMC, Dr. Pezzone continued<br />

studying neuro-immune interactions<br />

and pain and was able to start his<br />

fellowship doing independent research<br />

because <strong>of</strong> the industry funding he<br />

already had obtained on his own. Less<br />

than two years into his fellowship, Dr.<br />

Pezzone was granted a K award on<br />

neuroimmune mechanisms <strong>of</strong> visceral<br />

hyperalgesia, and subsequently he was<br />

promoted to a faculty position.<br />

Despite the current funding<br />

environment being less than favorable,<br />

Dr. Pezzone is currently working on<br />

approximately 5 clinical trials, and<br />

spending 40 perccent <strong>of</strong> his time<br />

working on research and 60 percent <strong>of</strong><br />

his time in the clinic. He teaches lectures<br />

see page 6, Pezzone

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