From our Center

Articles, News, Press Releases

Spring/Summer 2022

Congratulations to Dr. Vinicio de Jesus Perez on receiving $3.5M NIH Grant addressing Pulmonary Vascular Disease

Congratulations to Dr. Vinicio de Jesus Perez, Associate Professor, Division of Pulmonary, Allergy and Critical Care Medicine for a $3.5M award, funding the renewal of his R01 NIH grant. It evaluates the role that specialized blood vessel cells, known as 'pericytes', in pulmonary arterial hypertension (PAH).

Dr. de Jesus Perez and his team will also study how pericytes in the heart contribute to right ventricular adaptation in response to PAH. This multi-disciplinary project involves colleagues from Stanford and other institutions in the US, Canada, and Europe. Their goal is to use this information to guide therapeutic interventions for this frequently lethal disease.

Stanford Clinical Center for the NIH Lung Transplant Consortium Awarded NIH Lung Transplant Consortium Center Grant (U01)

Congratulations to the Stanford Clinical Center for the NIH Lung Transplant Consortium including Dr. Mark Nicolls, Chief of the Division of Pulmonary and Critical Care Medicine and a steering committee member for the Wall Center, and Amy Tian, PhD, Project Leader in the Nicolls Lab (Wall Center Member), for being awarded just one of eight NIH Lung Transplant Consortium Center grants in the country.

The Stanford group, along with collaborators, will study the impaired vaccination responses of lung transplant recipients. Understanding the deficits of vaccine responses in immunocompromised patients will foster the development of improved vaccine design, adjuvants, and administration protocols.

Welcome 2022-2023 Fellows

The Wall Center for Pulmonary Vascular Disease welcomes the 2022-2023 fellows. Established in 2001, the eBay Clinical Fellowship in Pulmonary Vascular Disease is a post-doctoral fellowship devoted exclusively to clinical training in pulmonary vascular disease. It offers in-depth experience and access to the exceptional clinical, research and educational activities of the Stanford School of Medicine, Stanford Hospital and Clinics, Lucile Packard Children's Hospital and Stanford University. Applicants must be committed to managing a fast-paced, busy clinical service and to dedicating additional time to scholarly activities.

Martin Rofael, MD: Adult eBay Fellow in Pulmonary Vascular Disease
Lea Steffes, MD: Pediatric eBay Fellow in Pulmonary Vascular Disease

Congratulations, Dr. Marsden!

Dr. Alison Marsden, Professor and Wall Center scholar in the departments of Pediatrics, Bioengineering, and, by courtesy, Mechanical Engineering, was recently appointed Nola Leishman Professors in Cardiovascular Diseases. Her work focuses on the development of numerical methods for cardiovascular blood flow simulation, medical device design, application of optimization to large-scale fluid mechanics simulations, and application of engineering tools to impact patient care in cardiovascular surgery and congenital heart disease.

Credit: The Pulmonary Vascular Research Institute (PVRI)

Wall Center Faculty Attend the 15th PVRI Annual World Congress on PVD in Athens, Greece

June 22-26, 2022

Congratulations 2022 Graduating PH fellows

Congratulations and a huge thank you to our 2022 graduating PH fellows: Noura Alturaif, MBBS, Raquel Lyn, MD, and Ege Ozdemir, MD. We are so proud of the physicians you are and have become!

The Wall Center Participates at the Stanford Wellness Fair

After a 2 year haitus, the Wall Center participated in-person at the 2022 Wellness Fair on May 24, 2022, held at Koret Plaza. The Wellness Fair is a celebration of wellness and healthy lifestyle choices. Wall Center staff were on-hand to answer questions about the center, pulmonary hypertension and to promote the 22nd Race Against PH.

Congratulations, Dr. Vinicio de Jesus Perez!

Dr. Vinicio de Jesus Perez, Associate Professor, Division of Pulmonary, Allergy and Critical Care Medicine has been elected as chair for the American Thoracic Society (ATS) Pulmonary Circulation Assembly starting in 2023! In addition to leading the assembly, he will serve as a member of the ATS board of directors for three years.

“The American Thoracic Society is the world's leading medical society dedicated to accelerating the advancement of global respiratory health through multidisciplinary collaboration, education, and advocacy. Core activities of the Society’s more than 16,000 members are focused on leading scientific discoveries, advancing professional development, impacting global health, and transforming patient care.”

Human Cell Atlas Cover Feature on Science Magazine

Mark Krasnow, MD, PhD, Wall Center Executive Director, Ross J. Metzger, PhD, Instructor in Pediatrics-Cardiology and Astrid Gillich, PhD, former member of the Krasnow Lab contributed to a research article recently published in Science Magazine titled The Tabula Sapients: A multiple organ, single-cell transcriptomic atlast of humans.

Dr. Krasnow is part of the overall project direction and coordination of The Tabula Sapiens Consortium and Drs. Metzger and Gillich were part of the expert cell type annotation team.

Abstract: Molecular characterization of cell types using single-cell transcriptome sequencing is revolutionizing cell biology and enabling new insights into the physiology of human organs. We created a human reference atlas comprising nearly 500,000 cells from 24 different tissues and organs, many from the same donor. This atlas enabled molecular characterization of more than 400 cell types, their distribution across tissues, and tissue-specific variation in gene expression. Using multiple tissues from a single donor enabled identification of the clonal distribution of T cells between tissues, identification of the tissue-specific mutation rate in B cells, and analysis of the cell cycle state and proliferative potential of shared cell types across tissues. Cell type–specific RNA splicing was discovered and analyzed across tissues within an individual.

Read the full article

Dr. Krasnow signs Registry of Membership at the National Academy of Sciences

Mark Krasnow, MD, PhD, a 2019 National Academy of Sciences (NAS) inductee/now member, signed the Registry of Membership at the National Academy of Sciences 159th Annual Meeting. The ceremony was elayed due to pandemic. Dr. Krasnow, serves as the Executive Director, Wall Center for Pulmonary Vascular Disease.

"NAS membership is a widely accepted mark of excellence in science and is considered one of the highest honors that a scientist can receive. Members are elected to the National Academy of Sciences in recognition of their distinguished and continuing achievements in original research."

2022 Years of Service Awards

The Wall Center’s success is directly attributed to the support and contributions of its team members. This year we recognize and congratulate the following people for their service:

5 years:

Stephen Chang, MD, PhD
Aileen Lin, RN, MSN, FNP-BC
Avin Veerakumar, MD & PhD Candidate
Jordan Sloan, PA-C, MMS (2021)

10 years

Aiqin Cao, PhD
Yon Sung, MD, FCCP

15 Years

Francois Haddad, MD
Michelle Ogawa, RN, MSN, PNP

Dr. Vinicio de Jesus Perez gives the 2022 Charles Hales honorary lecture at Massachusetts General Hospital

Dr. Vinicio de Jesus Perez, Associate Professor, Division of Pulmonary, Allergy and Critical Care Medicine recently gave a lecture about the "Role of Dysfucntional Angiogenesis in Pulmonary Hypertension: Implications for Novel Therapeutics" at the Massachusetts General Hospital Ether Dome for the annual Dr. Charles Hales Memorial Lecture.

Winter 2021/2022

Congratulations to Dr. Vinicio de Jesus Perez and his team

The Wall Center is pleased to congratulate Dr. Vinicio de Jesus Perez, Associate Professor, Division of Pulmonary, Allergy and Critical Care Medicine and his team for receiving a $3M NIH R01 grant evaluating the pathogenesis of pulmonary arterial hypertension (PAH). In their original R01, his team confirmed a key role for the Wnt7a/ROR2 signaling pathway in lung angiogenesis and how the loss of this mechanism is a feature of PAH vascular pathology.

The renewal grant will focus on elucidating the transcriptional and epigenetic mechanisms governing the behavior of diseased endothelial cells with implications for how the right ventricle adapts in this lethal condition.

Congratulations to Dr. Roham Zamanian and Dr. Kristina Kudelko

The Wall Center is pleased to announce the Appointment of Dr. Roham Zamanian as Associate Director and of Dr. Kristina Kudelko to the Steering Committee. We are incredibly grateful to all those who serve on our committees and lead the Wall Center’s mission and vision.

Our Mission
To eradicate pulmonary vascular disease by discovering fundamental causes, developing innovative therapies, disseminating crucial knowledge, and delivering transformative care.

Our Vision
To transform the way pulmonary vascular disease is understood and treated, both locally and globally.

Stanford (Pulmonology) Ranked #7 in Newsweek's World's Best Specialized Hospitals 2022

Congratulations to the Stanford Chest Clinic (Pulmonology), including Wall Center faculty Mark Nicolls, MD, Professor, Roham Zamanian, MD, Associate Professor and Director of the Adult Pulmonary Hypertension Program, Vinicio de Jesus Perez, MD, Associate Professor, Edda Spiekerkoetter, MD, Associate Professor, Kristina Kudelko, MD, Clinical Associate Professor, Fellowship/Educational Director, Yon Sung, MD, FCCP, Clinical Assistant Professor, and Andrew Sweatt, MD, Clinical Assistant Professor, on r anking #7 in the World's Best Specialized Hospitals 2022-Pulmonology! We applaud your dedication to offer the highest level of care.

Stanford Adult PH Program Receives Reaccreditation as a Center of Comprehensive Care

Congratulations to the Stanford Adult PH Program, on receiving the Pulmonary Hypertension Association (PHA) reaccreditation as a Center of Comprehensive Care, led by Roham Zamanian, MD, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program. The designation as a leading PH Care Center in the United States continues to be a major achievement made possible by the efforts of the clinical and research teams, especially during the last 2 years challenged by a global pandemic.

“The Pulmonary Hypertension Association’s Scientific Leadership Council, 28 global leaders in the field of pulmonary hypertension, have spearheaded the PHA-Accredited PH Care Centers (PHCC) initiative to establish a program for accreditation of centers with special expertise in pulmonary hypertension (PH), particularly pulmonary arterial hypertension (PAH), to raise the overall quality of care and outcomes in patients with this life-threatening disease.”

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COVID-19

Roham Zamanian, MD, FCCP

Special Edition phaware^® Podcast with Dr. Roham Zamanian

Our friends at phaware® shared a special edition podcast with Roham Zamanian, MD, FCCP, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program, discussing the coronavirus (COVID-19) and gives specific advice for the PH Community.

Listen here

Vinicio de Jesus Perez, MD and Roham Zamanian, MD, FCCP

Congratulations to Vinicio de Jesus Perez and Roham Zamanian for a High Impact COVID-19 Story

Roham Zamanian, MD, FCCP, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program and Vinicio de Jesus Perez, MD, Associate Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine, along with other distinguished colleagues, published their fascinating case report in the American Journal of Respiratory and Critical Care Medicine detailing the outpatient management of a patient with concomitant idiopathic pulmonary arterial hypertension (iPAH) and COVID-19 disease using inhaled nitric oxide (iNO).

Kristina Kudelko, MD

What our Pulmonary Hypertension (PH) Patients Should Know About COVID-19

Kristina Kudelko, MD, Clinical Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine shares important information regarding pulmonary hypertension and COVID-19.

Roham Zamanian, MD, FCCP

Care of patients with Pulmonary Arterial Hypertension during the Coronavirus (COVID-19) Pandemic

Roham Zamanian, MD, FCCP, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program, along with leading pulmonary hypertension clinicians published an express manuscript about caring for PH patients with COVID-19.

Abstract: The COVID-19 pandemic presents many unique challenges when caring for patients with pulmonary hypertension (PH).The COVID-19 pandemic has altered routine standard of care practice and the acute management particularly for those patients with pulmonary arterial hypertension (PAH), where PAH-specific treatments are used. It is important to balance the ongoing care andevaluation of PAH patients with “exposure risk” to COVID-19 for patients coming to clinic or the hospital. If there is a morbidity and mortality benefit from starting PAH therapies, for example in a patient with high-likelihood of PAH, then it remains important to complete the thorough evaluation. However, the COVID-19 outbreak may also represent a unique time when PH experts have to weigh the risks and benefits of the diagnostic work-up including potential exposure to COVID-19 versus initiatingtargeted PAH therapy in a select high-risk, highlikelihood World Symposium Pulmonary Hypertension (WSPH) Group 1 PAH patients.This document will highlight some of the issues facing providers, patients and the PAH community in real-time as the COVID-19 pandemic isevolving and is intended to share expected common clinical scenarios and best clinical practices to help the community at-large.

Read the full journal published March 30, 2020: Care of Patients with Pulmonary Arterial Hypertension During the Coronavirus (COVID-19) Pandemic

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Summer / Fall 2021

Andrew Sweatt, MD

Roham Zamanian, MD, FCCP

Marlene Rabinovitch, MD

Congratulations Drs. Sweatt, Zamanian and Rabinovitch!

Congratulations to Wall Center Facuty Andrew Sweatt, MD, Clinical Assistant Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine, Roham Zamanian, MD, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program, and Marlene Rabinovitch, MD, Dwight and Vera Dunlevie Professor of Pediatrics, Cardiology, in their collaborative effort on the article Severe Pulmonary Arterial Hypertension Is Characterized by Increased Neutrophil Elastase and Relative Elafin Deficiency, recently published in Chest.

Winter 2020 / Spring 2021

Alison Marsden, PhD and Melody Dong, PhD

Helping children with cardiovascular defects

Dr. Alison Marsden, Associate Professor of Pediatrics and Bioengineering and Vera Moulton Wall Center Faculty, and Stanford Bio-X Fellow Melody Dong, discuss how Bio-X has supported their research using fluid dynamics simulations to study blood flow in pulmonary arterial hypertension due to congenital heart defects. They hope that this work will lead to new treatments for children with pulmonary hypertension.

Watch the video

Read: Image-based scaling laws for somatic growth and pulmonary artery morphometry from infancy to adulthood

Rachel K. Hopper, MD

Dr. Rachel Hopper impacts the lives of children through CRIB Program

Wall Center faculty Rachel K. Hopper, MD, Clinical Assistant Professor in the Division of Pediatric Cardiology and co-director of CRIB (Cardiac and Respiratory Care for Infants with BPD) Program, was recently featured in two patient stories highlighting the benefits of sub-specialty collaborations and multidisciplinary team approaches, for infants born prematurely with Bronchopulmonary dysplasia (BPD) and pulmonary hypertension (PH), or PH risk factors.

Read the articles:

Learn more about Cardiac and Respiratory Care for Infants with BPD (CRIB) Program

Vinicio de Jesus Perez, MD

Congratulations Dr. Vinicio de Jesus Perez!

Congratulations to Wall Center Facuty Vinicio de Jesus Perez, MD, Associate Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine who has been named as the first Stanford Pulmonary, Allergy and Critical Care Director of Faculty and Fellow Diversity and Inclusion. In this role, Dr. de Jesus Perez "will work with Department of Medicine leadership on initiatives that will continue to promote diversity and equality for fellows and faculty. We learned in 2020 that our ICUs, hospital wards, and clinics are a stage upon which societal ills meet medical care; our discipline is on the frontline of this challenging interface".

Fall 2020

Ananya Chakraborty, PhD

Vinicio de Jesus Perez, MD

Cournand & Comroe Early Career Investigator Award Finalist

Congratulations to Ananya Chakraborty, PhD, postdoctoral researcher, for being recognized as a finalist for the AHA Cournand & Comroe Early Career Investigator Award. Ananya is part of the de Jesus Perez Lab, led by Wall Center Facuty Vinicio de Jesus Perez, MD, Associate Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine.

Astrid Gillich, PhD
Ross J. Metzger, PhD
Mark Krasnow, MD, PhD

Congratulations to Wall Center researchers & faculty on their ground-breaking discovery

First author Astrid Gillich, PhD, a postdoc in the Krasnow Lab, and co-corresponding authors Ross Metzger, PhD, Instructor in Pediatrics-Cardiology, and Wall Center Executive Director Mark Krasnow, MD, PhD, along with co-authors Jeffrey Feinstein, MD, MPH, Professor in Pediatric Cardiology and Wall Center Director, Fan Zhang, Life Science Research Assistant in the Metzger Lab, and Kyle J. Travaglini, PhD Candidate in the Krasnow Lab, recently published a paper in Nature about the discovery of two new capillary cell types in the lung.

The first cell type, which the authors term the ‘aerocyte’, is specialized for gas exchange and immune cell trafficking, and is unique to the lung. The other cell type, termed gCap (‘general’ capillary), is specialized to regulate vasomotor tone, and functions as a stem cell in capillary homeostasis and repair. The two cell types develop from bipotent progenitors, mature gradually and are affected differently in disease and during ageing. Capillary cell-type specialization is conserved between mouse and human lungs but is not found in alligator or turtle lungs, suggesting it arose during the evolution of the mammalian lung. This discovery of cell type specialization in alveolar capillaries transforms our understanding of the structure, function, regulation and maintenance of the air–blood barrier and gas exchange in health, disease and evolution.

Roham Zamanian, MD

Dr. Zamanian discusses 'Why I Race' to celebrate the 20th Anniversary of the Race Against PH

Roham Zamanian, MD, FCCP, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program discusses Stanford's 20th Annual Virtual Race Against PH 5K taking place on Sunday, November 1, 2020 and why she races for #pulmonaryhypertension patients.

Thank you @phaware for this wonderful podcast.

Listen

Paige & Lindsey Doolan

Why I Race Podcast #2

Princess Paige & the PHunky Bunch gathered a team of over 50 family and friends at the 2019 Race Against PH.

In this episode, Lindsey Doolan and her daughter, Paige, who is a pediatric pulmonary hypertension patient discuss Paige's PH diagnosis and the importance of the 20th Annual Virtual Race Against PH 5K/Fun Run, taking place at Stanford on November 1st, 2020 #raph20virtual

Enter this week's Time For Burpees! Contest (Oct 12-16)

Listen

Princess Paige & the PHunky Bunch at the 2019 Race Against PH.

Yon Sung, MD

Dr. Sung discusses 'Why I Race' to celebrate the 20th Anniversary of the Race Against PH

Yon Kyung Sung, MD, Clinical Assistant Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of Community Outreach at the Vera Moulton Wall Center discusses Stanford's 20th Annual Virtual Race Against PH 5K taking place on Sunday, November 1, 2020 and why she races for #pulmonaryhypertension patients.

Thank you @phaware for this wonderful podcast.

Enter this week's (October 5-9, 2020) photo contest!

Listen

Kristina Kudelko, MD
Roham Zamanian, MD, FCCP
Vinicio de Jesus Perez, MD

Pulmonary Vascular Fellowship Training to Promote Excellence in PH Clinical Care: The Stanford Perspective

Wall Center faculty members Kristina Kudelko, MD, Clinical Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of Education, Roham Zamanian, MD, FCCP, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program, and Vinicio de Jesus Perez, MD, Associate Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine recently authored a recently published commentary on the importance of adult PH education at the fellowship level in the American College of Cardiology.

Maya Kumar, PhD

Lea Steffes, PhD

Congratulations Kumar Lab

The Wall Center congratulates Maya Kumar, PhD, Instructor of Medicine in the Division of Pulmonary, Allergy and Critical Care Medicine and her lab team on their recent publication in Circulation, 'A Notch3-Marked Subpopulation of Vascular Smooth Muscle Cells is the Cell of Origin for Occlusive Pulmonary Vascular Lesions.' Lab member Lea Steffes, PhD, Instructor of Pediatrics in the Division of Pulmonary Medicine, served as first author and Wall Center faculty and staff, Ross Metzger, PhD, Edda Spiekerkoetter, MD, and Fan Zhang served as co-authors.

Wall Center contributes to Consortium Research

Congratulations to current (Mark A. Krasnow, MD, PhD, Christin S. Kuo, MD, Maya Kumar, PhD, Ross Metzger, PhD, F. Hernán Espinoza, PhD, Astrid Gillich, PhD, Kyle J. Travaglini, Fan Zhang) and past (Douglas Brownfield, PhD, Ahmad N. Nabhan, PhD) Wall Center faculty, staff, and affiliates that are part of the Tabula Muris Consortium on their recent publications in Nature 'A single-cell transcriptomic atlas characterizes ageing tissues in the mouse' and 'Ageing hallmarks exhibit organ-specific temporal signatures'.

Summer 2020

François Haddad, MD

Congratulations Dr. François Haddad!

The Wall Center congratulates François Haddad, MD, on being appointed as Clinical Professor of Medicine in Cardiovascular Medicine. Dr. Haddad specializes in the field of cardio-vascular imaging, pulmonary hypertension, advanced heart failure and transplantation. Dr. Haddad has over 18 years of experience in the field of cardiology. He directs the Stanford Cardiovascular Institute Clinical Biomarker and Phenotype Core Laboratory (BPCL), dedicated to translational studies in cardiovascular medicine.

Please join us in congratulating Dr. Haddad on this accomplishment!

Ryan Anderson, MD, Kristina Kudelko, MD, & Roberto J. Bernardo, MD, MS

Congratulations 2020 Clinical PH Fellows

The Wall Center congratulates Dr. Roberto J. Bernardo, MD, MS, 2019-2020 eBay Fellow in Pulmonary Vascular Disease and Ryan Anderson, MD, 2019-2020 Pulmonary & Critical Care Fellow on an unforgettable year of training.

The Vera Moulton Wall Center fellowship program is headed by, Kristina Kudelko, MD, Clinical Associate Professor, Division of Pulmonary, Allergy and Critical Care Medicine and Director of Education, Vera Moulton Wall Center.

Andrew Sweatt, MD

Congratulations to Dr. Sweatt, new recipient of an NIH K23 Award!

Andrew Sweatt, MD, Clinical Assistant Professor in the Division of Pulmonary, Allergy and Critical Care Medicine recently authored an already highly-cited Circulation Research study which effectively illustrates how machine-learning approaches can be used to organized complicated data sets (in this case, inflammatory biomarkers) to classify pulmonary hypertension phenotypes in an unprecedented manner. By using artificial intelligence methodologies, new discoveries are rapidly being made, and Stanford, a pioneering site for the development of this field.

For this training award, Roham Zamanian, MD, FCCP, Associate Professor in the Division of Pulmonary, Allergy and Critical Care Medicine and Director of the Adult Pulmonary Hypertension Program will be serving as his mentor.

Myriam Amsallem, MD, PhD

Congratulations Dr. Amsallem!

Myriam Amsallem, MD, PhD, Instructor of Medicine in the Division of Cardiovascular Medicine and member of the Vera Moulton Wall Center, recently published “Quantifying the Influence of Wedge Pressure, Age, and Heart Rate on the Systolic Thresholds for Detection of Pulmonary Hypertension” in the Journal of the American Heart Association. This invasive study supports lower systolic pulmonary arterial pressure thresholds for pulmonary hypertension diagnosis in patients with higher pulmonary artery wedge pressure (such as patients with left-sided heart failure), which has a direct implication for imrpoving the detection of pulmonary hypertension.

Jonah, Paige, and Oliver presenting the Splash Bag for Paige's PH pump at the Science and Engineering Expo at Oliver and Jonah's elementary school.

Elementary School Students Change the World, One PH pump at a Time

Recently, we received the following inquiry to borrow a CADD MS3 pump, the device used to administer continuous subcutaneous infusion of prostacyclin medication:

Edda Spiekerkoetter, MD

Congratulations Dr. Edda Spiekerkoetter and the HHT Team

The Wall Center congratulates Edda Spiekerkoetter, MD, Associate Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine, Co-chair of the Research Subcommittee at the Vera Moulton Wall Center and Director of the recently designated Hereditary Hemorrhagic Telangiectasia (HHT) Center of Excellence at Stanford Health Care. HHT, is a little-known disorder causing malformed blood vessels that can affect the skin and other organs.

Yon Sung, MD

Congratulations Dr. Yon Sung!

The Wall Center congratulates Yon Sung, MD, Associate Professor of Medicine in Pulmonary, Allergy and Critical Care Medicine and Director of Community Outreach for the Vera Moulton Wall Center Education Subcommittee, winner of the 2020 Teaching Award for the Division of Pulmonary, Allergy and Critical Care Medicine.

Winter 2019/Spring 2020

Kristina Kudelko, MD

Congratulations Dr. Kristina Kudelko!

The Wall Center congratulates Kristina Kudelko, MD, Clinical Associate Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine on being appointed as the Director of Clinical Educator Career Development and Clinician Educator (CE) Track Fellows Curriculum, effective immediately. In this role, Dr. Kudelko will devote her efforts to strengthen the CE faculty and fellows career pathways in an academic environment. She will work with the clinically focused faculty to ensure their successes within Stanford, as well as preparing clinically aspiring fellows for careers in any academic institutions.

Dr. Kudelko has been a stalwart of clinical teaching to trainees both in pulmonary hypertension and pulmonary consultative service. She is also a key leader responsible for educational curriculum of the PH fellowship.

Please join us in congratulating Dr. Kudelko, and we look forward to the successes of this important initiative.

Vinicio de Jesus Perez, MD & Serena Zhang

Congratulations Dr. Vinicio de Jesus Perez and Serena Zhang!

The Wall Center congratulates Vinicio de Jesus Perez, MD, Associate Professor of Medicine in Pulmonary, Allergy, and Critical Care Medicine, for being elected to membership in the American Society of Clinical Investigation (ASCI), as well as the Sigma Xi Scientific Research Honor Society.

We also congratulate Serana Zhang, a student in the de Jesus Perez Lab, who has been chosen as a semifinalist in the 2019 Regeneron National Science Competition, for her project focused on the genetic characterization of pericytes in PAH.

Summer/Fall 2019

Katie Malca, 2019 Adult PH Courage Award Recipient

Sponsored by Stanford Federal Credit Union, on behalf of the Wall Center at Stanford University, School of Medicine

Katie Malca is not an ordinary superhero, she is a superstar PH Superhero.

With the help of her incredible family (mother, father, two sisters) and trusted canine friends (Lucky and Bryn), she has beat the odds and survived more than 15 years with her PH diagnosis.

Katie's beloved pups: Lucky & Bryn

At age 13, while on a family holiday in Thailand, Katie’s mother noticed something was considerably wrong. Katie’s lips had turned blue as they trekked up a mountain. She immediately had her daughter sit down and Katie’s PH journey began.

Upon returning home to the Philippines, Katie’s aunt recommended a well-known cardiologist, who made the PH diagnosis immediately, which was officially corroborated at Melbourne’s Royal Children’s Hospital. Even today Katie is amazed at how quickly it happened, since there are physicians in the world today who struggle with pulmonary hypertension detection and diagnoses.More

Pushing on as an international school student, Katie started treatments and continued to battle her illness, following closely the advice of her family, “You can choose to be happy with what you have, or be angry.” She still incorporates that motto in her advice to other PH survivors.

“Don’t let it get you down. You can cry about it for a while, but then you need to choose to have a happy life, accepting your diagnoses. If you focus only on the bad stuff, you won’t have much of a life.

As a young PH patient, Katie recalls the trouble she created for herself when she ignored her PH treatments. “You can really get yourself into serious problems, by not taking your meds.” She internalized that lesson and made a personal decision to do her best. That same ‘can-do attitude’ permeates every core of her being today, making her a role model for other PH patients.

Throughout Katie’s schooling, she has met the demands of her illness with grace and courage. She thanks her parents and sisters emphatically for the support they have provided. Katie remembers being pulled out of school for months at a time, including the 4-months her family spent in Melbourne, Australia. That was time away from school for her sisters as well, and yet they rallied to her side.

In her high school years, Katie’s family heard of Stanford’s PH program and moved to the Bay Area to access the best care they could find for her. Since that time, Katie has lived in Israel, excelled in her favorite subjects (English Literature and Art), and taken on art commissions (mainly show dogs and horses), all while being a PH patient at Stanford.

Katie Malca embodies the Courage Award’s spirit of ‘determination, honesty and resolve in battling this disease.’

She is a ‘patient who validates the journeys of hundreds of others by being truthful in her own journey: acknowledging the hardships, cherishing the poignant moments of hope, looking forward to the promise of therapies on the horizon.

A patient who surfaces as a natural leader and mentor and inspires all of us to press on fighting, press on teaching, press on researching, press on healing.

A patient who serves as a powerful beacon of optimism for fellow patients, families, clinicians and scientists alike.’

Katie is a true PH hero.

In Katie’s own words:

“Having been in Packard as a kid and then at Stanford Hospital as an adult, it's been incredible seeing some of the same friendly faces year after year, and meeting all new ones. Chronic illnesses aren't exactly fun, but the amazing people at Stanford have made hospital visits a pleasure. Coming in to smiling faces at all hours of the day has made such a difference, as has the attention and consideration of people who work here. I took this for granted until I moved to a facility with a horrible doctor who had no time for his patients or his job. Patients would be waiting six hours for a five minute meeting and getting yelled at by the secretary. Contrarily, Stanford's doctors, nurses, patient transporters, and everyone else I've encountered have been a delight. Doctors are actively working to improve your quality of life, and they care about their patients, which apparently is not something that's standard issue in the health profession. Stanford and everyone inside it has been invaluable to me and my family, and I owe everyone a huge thank you to everyone for all that they've done over the years!”

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Yon Sung, MD

I'm Aware That I'm Rare: Dr. Yon Sung

Yon Sung, MD is a Clinical Assistant Professor of Pulmonary and Critical Care at Stanford Medicine and specializes in the care of pulmonary hypertension patients. She also serves as the Director of Community Outreach for the Vera Moulton Wall Center for Pulmonary Vascular Disease at Stanford and in this position, has the goal of increasing awareness of PH and providing clinical support and education to clinicians and patients alike. In this episode, she discusses the 19th Annual Race Against PH 5K, taking place at Stanford on November 3rd, 2019.

Mark Nicolls, MD

New study funded by the Vera Moulton Wall Center and NIH, shows the relationship between inflammation and genetic mutations in pulmonary hypertension.

In a new study by Wall Center research scientists, it was discovered ‘that inflammation in the lungs of rats, triggered by something as simple as the flu, may wake up a silent genetic defect that causes sudden onset cases of pulmonary hypertension, a deadly form of high blood pressure in the lungs’ (Stanford News Center, August 2019). Co-authors of the study include:

Faculty Members: Mark Nicolls, MD, Marlene Rabinovitch, MD, Yon Sung, MD, FCCP, Roham Zamanian, MD, FCCP
Research Scientists: Aiqin Cao, PhD, Lingli Wang, MD
Research Assistant: Yesl Kim

Edda Spiekerkoetter, MD

Congratulations Dr. Edda Spiekerkoetter and Team!

The Wall Center congratulates Edda Spiekerkoetter, MD, Associate Professor of Medicine in Pulmonary and Critical Care Medicine, for the official accreditation of The Stanford Hereditary Hemorrhagic Telangiectasia (HHT) Program as a Center of Excellence by the Cure HHT Foundation! Dr. Spiekerkoetter will serve as the center's director, and David Stevenson, MD from LPCH Medical Genetics will be the associate director. A huge thanks also goes out to Aileen Lin, NP, nurse practitioner for the Adult Pulmonary Hypertension Program and PH/HHT nurse coordinator Sheetal Vaghela.

Spring 2019

Mark Krasnow, MD, PhD

Wall Center Executive Director Elected to the National Academy of Sciences

Please join us in congratulating Dr. Mark Krasnow, our Executive Director. He has been elected to the National Academy of Sciences (NAS). This is a prestigious honor and he joins a highly select group of scientists from around the world (2,347 active members).

Stanford News

National Academy of Sciences

Eric Austin, MD, MSCI

Back row: Jeffrey Feinstein, MD, MPH, Eric Austin, MD, MSCI
Front Row: Rachel Hopper MD, Marlene Rabinovitch, MD

11th Dunlevie Lecture – April 5, 2019
Sex and PAH: Exploring Susceptibility to Develop Novel Pulmonary Arterial Hypertension Approaches

Thank you to Dr. Eric Austin, an Associate Professor of Pediatrics in the Division of Pediatrics Pulmonary at Vanderbilt University School of Medicine, who served as the guest lecturer for the 11th Dunlevie Lecture presented by the Vera Moulton Wall Center in Association with Pediatric Grand Rounds.More

Dr. Austin received his BA from the University of Pennsylvania and his MD from Emory University School of Medicine where he graduated cum laude. He completed his general pediatrics training at the University of Colorado Health Sciences Center and then pursued a fellowship in pediatric pulmonary medicine at Vanderbilt University where he also obtained a Master of Science in Clinical Investigation (MSCI). Here, he began his work in pulmonary vascular diseases in the Vanderbilt University Pulmonary Vascular Research Program. His work has focused on evaluating the manner in which genetic, biochemical, environmental, and other factors promote the phenotypic expression of pulmonary hypertension. In particular, he has studied the interaction between estrogen metabolites in the development of heritable pulmonary arterial hypertension (PAH) as well as how mutations in Caveolin-1 and Bone Morphogenetic Protein Receptor II (BMPR2) are associated with penetrance and severity of PAH. Additionally, his lab is using next generation sequencing techniques for the discovery and assessment of genetic and genomic variation in PAH.

He is currently the Director of the Pediatric Pulmonary Hypertension Program and the Director of the MSCI at Vanderbilt. He is also the recipient of numerous awards including the Robert B. Mellins, MD Outstanding Achievement Endowed Award from the American Thoracic Society for achievement in scholarship in pediatric pulmonary medicine.

Dr. Austin is a prolific clinical researcher, a dedicated educator, and an internationally recognized leader in the field of pediatric pulmonary vascular disease.

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Wall Center staff enjoying a scoop of gelato for World PH Day, May 3, 2019.

Wall Center Celebrates World Pulmonary Hypertension (PH) Day

The Wall Center celebrated World PH Day early with some gelato on the beautiful Stanford campus. Today, we are honoring our wonderful patients as well as clinicians and researchers who are working tirelessly to care for and one day find the cure for PH.

World Pulmonary Hypertension Day is an annual global event to raise awareness of pulmonary hypertension (PH), a severe condition affecting the lungs and heart.

Edda Spiekerkoetter, MD and Ross Metzger, PhD

Congratulations to Edda Spiekerkoetter, MD, Ross Metzger, PhD and Astrid Gillich, PhD

Edda Spiekerkoetter, MD, Associate Professor of Medicine in Pulmonary and Critical Care Medicine, is the recipient of a new Department of Defense (DOD) grant addressing hereditary hemorrhagic telangiectasia (HHT), a condition associated with significant pulmonary vascular disease. This is a joint study with Dr. Spiekerkoetter serving as the principal investigator and Ross Metzger, PhD Instructor in Pediatric Cardiology), Astrid Gillich, PhD (Biochemistry) and David Stevenson, MD (Medical Genetics), as co-investigators. Edda and colleagues are establishing a HHT Center of Excellence at Stanford, and this grant will be instrumental in supporting the basic research as well as clinical translational approaches for the new Center.

Winter 2018-19

Mark Nicolls, MD

Congratulations Mark Nicolls, MD

Congratulations to Dr. Mark Nicolls, Chief of the Division of Pulmonary and Critical Care Medicine and a steering committee member for the Wall Center, and Amy Tian for being awarded a new $2.3M NIH R01 grant evaluating the role of inflammation in lymphedema. Together with Dr. Stan Rockson, the Nicolls' group recently published a study in the journal JCI Insight (October 2018) showing the effectiveness of anti-inflammatory therapy (ketoprofen) for this disease. Lymphedema is a chronic condition affecting hundreds of millions around the world (and is thematically linked to PAH research). It is particularly troublesome to patients who have had lymph node resection for breast cancer and is caused by lymphatic obstruction which leads to disfigured and swollen extremities. Targeted anti-inflammatory therapy is a promising new approach for this disorder.

Andrew Sweatt, MD

Congratulations Andrew Sweatt, MD

The Vera Moulton Wall Center congratulates Dr. Andrew Sweatt, Instructor of Pulmonary and Critical Care Medicine at Stanford, on first-author high-impact publication: "Discovery of Distinct Immune Phenotypes Using Machine Learning in PAH".

Maya Kumar, PhD

Congratulations to Maya Kumar, PhD, Recipient of Child Health Research Institute Grant for 2019

The grant was titled "Defining molecular mechanisms driving neointima growth in a mouse model of pulmonary hypertension” and is focused, not surprisingly, on identifying the molecules and interactions that promote the growth of neointima cells.

Though PH is complex disease with many different causes, in all forms of PH pulmonary artery pressure is thought to rise in large part due to vessel remodeling, including the formation of so called ‘neointimal lesions’ in which abnormal cells accumulate between the lining of the blood vessels and the normal arteryMore wall. Those neointima cells then rapidly expand to narrow and stiffen the arteries, leading to elevated pulmonary arterial pressures and increased stress on the heart. Available PH therapies consist largely of vasodilators, which have little effect on artery remodeling. A major opportunity to develop more effective PH therapies is to identify the mechanisms that drive neointimal expansion. The aim of this grant is to uncover the signals that drive neointimal expansion in PH, with the long-term goal of identifying ways to halt or reverse artery remodeling in the pediatric PH population.

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(L-R) Elya Shamskhou, Leah Verghese, Vinicio de Jesus Perez, MD

Congratulations to Leah Varghese, who was selected as a Society for Science Regeneron Science Talent Scholar!

Dr. Vinicio de Jesus Perez, Co-Director of the Stanford Translational Investigator Program (TIP) and Staff Physician of the Stanford Adult Pulmonary Hypertension Clinic of the Vera Moulton Wall Center, proudly served as Leah's mentor in a project looking at risk of PAH with HIV and methamphetamine abuse. Also, the Wall Center congratulates Elya Shamskhou, BA, Life Science Research Assistant in the de Jesus Perez Research Group at Stanford, who supervised her in the lab.

The Regeneron Science Talent Search (Regeneron STS), a program of Society for Science & the Public (the Society) is the nation’s most prestigious science research competition for high school seniors.

Fall 2018

Roham Zamanian, MD, FCCP

Dr. Zamanian gives talk on ‘Autoimmunity and Inflammation in PAH (Pulmonary Arterial Hypertension)’ at 10^th Annual NC Research Triangle Pulmonary Hypertension Symposium

Dr. Roham Zamanian, Associate Professor of Medicine and Director of the Vera Moulton Wall Center Adult Pulmonary Hypertension Program at Stanford, spoke on ‘Autoimmunity and Inflammation in PAH: Contemporary Concepts and Future Implications’ at the 10^th Annual North Carolina Research Triangle Pulmonary Hypertension Symposium (Duke University and University of North Carolina). This was done in partnership with PHA and the Building Medical Education in PH Program. The symposium took place on November 2, 2018.

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Kristina Kudelko, MD

Helpful Tips for Pulmonary Patients Exposed to Poor Air Quality

Dr. Kristina Kudelko, Clinical Associate Professor of Medicine and Director of Education, Vera Moulton Wall Center at Stanford, gives helpful tips to help pulmonary patients exposed to poor air quality. Bay Area air quality is currently rated worst in the world due to the wildfires burning in both northern and southern California.More

Facts and Recommendations

Poor air quality can trigger cough, chest tightness and shortness of breath. Patients with pulmonary hypertension may not tolerate these stressors well.
Air pollutants can lead to flares of lung diseases which are associated with pulmonary hypertension like interstitial lung disease and chronic obstructive pulmonary disease (COPD). These flares may require extra medications like steroids, inhalers and antibiotics and at their worst, hospitalization.
Avoid time outdoors! If you can, order in low-sodium food and groceries, work from home at your computer, call into meetings. Take this time to catch up on a good book or watch a favorite movie. Ask a family member or friend to walk the dog or take out the garbage.
Keep your windows and doors closed.
If you have one, this is the time to use your home air purifying system.
If you must go outside, wear a mask. Any mask which covers your nose and mouth is better than none, but N95 masks are considered best for blocking particulate matter in poor-quality air. Check online or at your local drugstores for availability
Check your medication supply and order ahead to avoid running out. Be sure to take all your medications on schedule.
As always, avoid salt! Request a low-sodium plate at the Thanksgiving dinner table.
Pay attention to local news reports and heed advice about evacuation notices. Do not ignore your own safety!
Do not hesitate to call your medical provider with any questions or concerns. Don't delay getting help when you need it!

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Poor Air Quality on November 15, 2018 - Stanford's Main Quad. Photo by Roham Zamanian, MD

Summer 2018

Lena Bolivar

Q&A with Transplant Patient Lena Bolivar

Diagnosed six-years ago at Stanford, Lena talks candidly about her journey from ‘exercise-induced asthma’ to diagnosed Pulmonary Arterial Hypertension (PAH). She shares her story of pain, resilience and personal strength, to overcome the odds. She credits her great team of doctors, her family, and the clinical trial which added 5-years to her life (prior to transplant).

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From our Center

Spring/Summer 2022

Congratulations to Dr. Vinicio de Jesus Perez on receiving $3.5M NIH Grant addressing Pulmonary Vascular Disease

Stanford Clinical Center for the NIH Lung Transplant Consortium Awarded NIH Lung Transplant Consortium Center Grant (U01)

Welcome 2022-2023 Fellows

Congratulations, Dr. Marsden!

Wall Center Faculty Attend the 15th PVRI Annual World Congress on PVD in Athens, Greece

Congratulations 2022 Graduating PH fellows

The Wall Center Participates at the Stanford Wellness Fair

Congratulations, Dr. Vinicio de Jesus Perez!

Human Cell Atlas Cover Feature on Science Magazine

Dr. Krasnow signs Registry of Membership at the National Academy of Sciences

2022 Years of Service Awards

Dr. Vinicio de Jesus Perez gives the 2022 Charles Hales honorary lecture at Massachusetts General Hospital

Winter 2021/2022

Congratulations to Dr. Vinicio de Jesus Perez and his team

Congratulations to Dr. Roham Zamanian and Dr. Kristina Kudelko

Stanford (Pulmonology) Ranked #7 in Newsweek's World's Best Specialized Hospitals 2022

Stanford Adult PH Program Receives Reaccreditation as a Center of Comprehensive Care

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COVID-19

Special Edition phaware® Podcast with Dr. Roham Zamanian

Congratulations to Vinicio de Jesus Perez and Roham Zamanian for a High Impact COVID-19 Story

Congratulations Drs. Sweatt, Zamanian and Rabinovitch!

Helping children with cardiovascular defects

Dr. Rachel Hopper impacts the lives of children through CRIB Program

Congratulations Dr. Vinicio de Jesus Perez!

Cournand & Comroe Early Career Investigator Award Finalist

Congratulations to Wall Center researchers & faculty on their ground-breaking discovery

Why I Race Podcast #2

Dr. Sung discusses 'Why I Race' to celebrate the 20th Anniversary of the Race Against PH

Congratulations Kumar Lab

Wall Center contributes to Consortium Research

Congratulations Dr. François Haddad!

Congratulations 2020 Clinical PH Fellows

Congratulations to Dr. Sweatt, new recipient of an NIH K23 Award!

Elementary School Students Change the World, One PH pump at a Time

Congratulations Dr. Edda Spiekerkoetter and the HHT Team

Congratulations Dr. Yon Sung!

Congratulations Dr. Kristina Kudelko!

Congratulations Dr. Vinicio de Jesus Perez and Serena Zhang!

Katie Malca, 2019 Adult PH Courage Award Recipient

Special Edition phaware^® Podcast with Dr. Roham Zamanian