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betty and guy beatty center for integrated - Inova Health System

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C ENTER FOR LIVER DISEASES ( CLD)<br />

Two areas of research focus <strong>for</strong> CLD involves obesity-related fatty liver<br />

disease <strong>and</strong> hepatitis C (HCV). The spectrum of our research portfolio includes,<br />

clinical, translational, <strong>and</strong> outcomes research projects. Patients<br />

who participate in clinical research gain access to the most recent approaches<br />

in treating the two most common <strong>for</strong>ms of chronic liver disease in<br />

the world.<br />

As noted previously, within its areas of research focus, CLD carries out<br />

three types of research: Clinical Trials, Translational Research Protocols<br />

(genomics <strong>and</strong> proteomics protocols), <strong>and</strong> <strong>Health</strong> Services Research Projects,<br />

including quality of life projects.<br />

search. The translational research projects of CLD include gene expression,<br />

proteomics, <strong>and</strong> biomarker discovery protocols focused on obesityrelated<br />

NAFLD <strong>and</strong> hepatitis C. Members of CLD are internationally recognized<br />

experts in this area of research. These pioneering protocols are<br />

per<strong>for</strong>med in conjunction with colleagues from George Mason University<br />

(Drs. Ancha Baranova, Vikas Ch<strong>and</strong>hoke, Lance Liotta, <strong>and</strong> Emmanuel<br />

Petricoin) as well as industry partners, such as Celera. As a result of<br />

these collaborations, CLD has secured research grants <strong>and</strong> registered<br />

five patents <strong>for</strong> biomarkers over the past year. These projects have<br />

spawned a large number of original research publications in peerreviewed<br />

journals <strong>and</strong> presentations at international scientific meetings.<br />

The third type of CLD research focuses on health services, primarily<br />

health-related quality of life. Again, CLD members are known internationally<br />

<strong>for</strong> their expertise in quality of life (QoL) research in liver disease. In<br />

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�������� ������� ���� ������ ��������� ������ ���������� one of the ��� largest ���QoL ��databases �������in ��� liver ���� disease. In collaboration with<br />

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provide patients with superb clinical care <strong>and</strong> innovative, cutting-edge re- Research Program, the <strong>center</strong> is involved in functional assessment <strong>and</strong><br />

search protocols. Both activities are carried out in a clinical, academic en- nutritional status of patients with liver diseases.<br />

vironment that involves teaching gastroenterology-hepatology fellows.<br />

In addition, CLD has been involved in the analysis of large databases<br />

such as NHANES III-mortality linked files to study the long term outcomes<br />

of several important liver diseases. These analysis have led to<br />

some very important data linking metabolic syndrome to mortality in patients<br />

with chronic liver disease.<br />

In 2009, the <strong>center</strong> carried out over 34 research projects <strong>for</strong> patients with<br />

viral hepatitis <strong>and</strong> Non-alcoholic Steatohepatitis (NASH). These projects<br />

include 13 cutting-edge clinical trials, 7 translational research projects,<br />

<strong>and</strong> 14 outcomes research projects.<br />

RESEARCH TEAM<br />

������������� ������ ����� ��������� ��������� -edge ���������� Members of �������� the CLD integrate ���their ������� clinical practice with patient-oriented<br />

protocols <strong>for</strong> treating hepatitis C <strong>and</strong> non-alcoholic fatty liver disease research <strong>and</strong> teaching. Manirath Srishord, RN, BSN, Administrative Di-<br />

(NALFD). The hepatitis C protocols are primarily phase 2-3 clinical trials of rector of the Center <strong>and</strong> Fatema Nader, MSBM, CCRC, Research Pro-<br />

new protease, or polymerase inhibitors as well as new interferon products gram Manger oversee all aspects of clinical <strong>and</strong> research personnel. In<br />

<strong>for</strong> HCV. These are multi-national protocols <strong>and</strong> CLD is one of the only addition to Dr. Zobair Younossi, who is the principle investigator <strong>for</strong> all<br />

sites in this region of the country chosen <strong>for</strong> these protocols. Furthermore, projects, Dr. Nila Rafiq (Research Fellow), <strong>and</strong> Brian Lam, PA-C<br />

CLD is carrying out investigator-initiated protocols in NAFLD with external (Physician Assistant), are sub-investigators <strong>for</strong> these protocols.<br />

support but with our own IND obtained from the FDA.<br />

In addition to the Clinical Trial Team, the Translational Research projects<br />

The second area of research <strong>for</strong> members of the CLD is translational re- of the CLD is supported by a part-time Research Assistant, Arian Afendy,<br />

P AGE 25 CLD

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