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Faculty Detail    
Name GREGORY ADAM CLINES
MD, PhD
 
Campus Address BDB 730 Zip 0012
Phone 205-934-4187
E-mail clines@uab.edu
Other websites
     

Education
Medical School  University of Texas Southwestern Medical Center at Dallas    1999  MD 
Graduate  University of Texas Southwestern Medical Center at Dallas    1999  PhD 
Residency  Duke University Medical Center    2002  Internal Medicine 
Fellowship  University of Virginia    2005  Endocrinology 

Certifications
American Board of Internal Medicine  2002, 2012 
American Board of Internal Medicine, Subspecialty Endocrinology, Diabetes and Metabolism  2005 


Faculty Appointment(s)
Appointment Type Department Division Rank
Primary  Medicine  Med - Endocrinology, Diabetes & Metabolism Assistant Professor
Secondary  Cell, Developmntl, & Integrative Biology  Cell, Developmntl, & Integrative Biology Assistant Professor
Center  Comprehensive Cancer Center  Comprehensive Cancer Center Assistant Professor
Center  Cystic Fibrosis Research Center  Cystic Fibrosis Research Center Assistant Professor

Graduate Biomedical Sciences Affiliations
Cancer Biology 
Pathobiology and Molecular Medicine 

Society Memberships
Organization Name Position Held Org Link
American Society of Bone and Mineral Research     
Endocrine Society     

Research/Clinical Interest
Title
Mechanisms of osteoblast dysfunction
Description
Bone undergoes continuous remodeling that is coordinated by the bone forming osteoblasts and the bone resorbing osteoclasts. Diseases such as bone metastasis, a devastating complication of breast and prostate cancer, disrupt bone remodeling and increase fracture risk. My laboratory investigates how the metastasis of tumor cells to bone alters the bone microenvironment and how factors secreted by the osteoblast provide an environment for tumor cells to flourish. We have found that DKK1, an inhibitor of Wnt signaling secreted by both cancer cells and osteoblasts, is inversely related to osteoblast activity in bone metastasis. Using animal models of bone metastasis, we are investigating mechanisms of DKK1 regulation by osteoblasts and cancer cells themselves. Understanding the role of DKK1 and other modulators of Wnt signaling will facilitate the development of novel therapies to prevent and treat bone metastasis. Another research focus of the laboratory is uncovering mechanisms of altered bone homeostasis in cystic fibrosis (CF). CF-related bone disease is associated with reduced bone mineral density, increased fracture risk, reduced bone formation and enhanced osteoclastic bone resorption. We have discovered that Cftr, the gene mutated in CF, is expressed principally in the osteoblast in bone and that inactivation of this gene delays osteoblast differentiation and downregulates Wnt signaling. The future goals of this project are to better define the osteoblast signaling pathways regulated by CFTR, determine CFTR interacting partners in the osteoblast, and develop animal models of CF bone disease.

Selected Publications 
Publication PUBMEDID
Grunda JM, Wang D, Clines GA. Identification and characterization of novel murine models of medulloblastoma skeletal metastasis. Clinical & Experimental Metastasis, In press, 2013.  23494821 
Clines GA. Mechanisms and treatment of hypercalcemia of malignancy. Current Opinion in Endocrinology, Diabetes and Obesity 18: 339-346, 2011  21897221 
Clines GA, Mohammad KS, Grunda JM, Clines KL, Niewolna M, McKenna CR, McKibbin CR, Yanagisawa M, Suva LJ, Chirgwin JM, Guise TA. Regulation of postnatal bone formation by the osteoblast endothelin A receptor. Journal of Bone and Mineral Research 26: 2523-2536, 2011.  21698666 
Clines, GA. Prospects for osteoprogenitor stem cells in fracture repair and osteoporosis. Current Opinion in Organ Transplantation 15: 73-78, 2010  19935065 

Keywords
Bone biology, osteoblast, bone metastasis, cystic fibrosis

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