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Hansell H. Stedman, M.D.
Gastrointestinal Surgery
 
Research Publications, Peer-Reviewed

Stedman H, Browning K, Oliver N, Oronzi-Scott M, Fischbeck K, Sarkar S, Sylvester J, Schmickel R, Wang K. Nebulin cDNAs detect a 25 kilobase transcript in skeletal muscle and localize to human chromosome two. Genomics 2(1):1-7, Jan. 1988.

Oronzi-Scott M, Sylvester JE, Heiman-Patterson T, Shi Y-J, Fieles W, Stedman H, Burghes A, Ray P, Worton R, Fischbeck KH. Duchenne muscular dystrophy gene expression in normal and diseased human muscle. Science 239(4846):1418-1420, Mar. 18, 1988.

Cooper BJ, Winand NJ, Stedman HH, Valentine BA, Hoffman EP, Kunkel LM, Oronzi-Scott M, Fischbeck K, Kornegay J, Williams JR, Sylvester JE. The homologue of the Duchenne locus is defective in X-linked muscular dystrophy of dogs. Nature 334(6178):154-156, July 14, 1988.

Eller M, Stedman HH, Sylvester JE, Fertels SH, Rubinstein NA, Kelly AM, Sarkar S. Nucleotide sequence of full length human embryonic myosin heavy chain cDNA. Nuc Acids Res 17(9):3591-3592, May 11, 1989.

Stedman H, Sylvester J, Pette D, Giger U. Establishment of canine M-type PFK deficiency as a mo-del for the study of somatic cell gene replacement therapy. J Cellular Biochemistry 13B:174, 1989.

Eller M, Stedman HH, Sylvester JE, Fertels SH, Rubinstein NA, Kelly AM, Sarkar S. Human em-bryonic myosin heavy chain cDNA: Interspecies sequence conservation of the myosin rod, chromo-somal locus and isoform specific transcription of the gene. FEBS Lett 256(1-2):21-28, Oct. 9, 1989.

Stedman HH, Eller M, Jullian EH, Fertels SH, Sarkar S, Sylvester JE, Kelly AM, Rubinstein NA. The human embryonic myosin heavy chain: Complete structure reveals evolutionary relationships with other developmental isoforms. J Biol Chem 265(6):3568-3576, Feb. 25, 1990.

Stedman HH, Kelly AM, Rubinstein NA. Isoform-specific cDNAs for human embryonic, neonatal, and slow skeletal myosin heavy chains. Ann NY Acad Sci 599:119-126, 1990.

Stedman HH, Sweeney HL, Shrager JB, Maguire HC, Panettierri RA, Narusawa M, Leferovich JM, Sladky JT, Kelly AM. The mdx mouse diaphragm reproduces the degenerative changes of Duchenne muscular dystrophy. Nature 352(6335):536-539, Aug. 8, 1991.

Shrager JB, Naji A, Kelly AM, Stedman HH. A PCR-based assay for the wild-type dystrophin gene transferred into the mdx mouse. Muscle & Nerve 15(10):1133-1137, Oct. 1992.

Giger U, Smith BF, Woods CB, Patterson DF, Stedman H. Inherited phosphofructokinase defi-ciency in an American cocker spaniel. J Am Vet Med Assoc 201(10):1569-1571, Nov. 15, 1992.

Petrof BJ, Shrager JB, Stedman HH, Kelly AM, Sweeney HL. Dystrophin protects the sarcolemma from stresses developed during muscle contraction. Proc Natl Acad Sci USA 90(8):3710-3714, Apr. 15, 1993.

Petrof BJ, Stedman HH, Shrager JB, Eby J, Sweeney HL, Kelly AM. Adaptations in myosin heavy chain expression and contractile function in the mdx mouse diaphragm. Am J Physiol 265(3 Pt 1): 834-841, Sept. 1993.

Sarkar S, Stedman H, Du Y, Prakash, KJ, Zheng ZC. The cytoplasmic translation inhibitory RNA species of chick embryonic muscle: Correlation of biological activity with secondary structure. Biochem (Life Sci. Adv.) 12:109-120, 1993.

Stedman HH, Carpenter JP, Shlansky-Goldberg RD. (1994) Percutaneous balloon catheter vascular control for infected axillary artery pseudoaneurysm. J Cardiovasc Surg 35(6):529-531, Dec. 1994.

Jullian EH, Kelly AM, Hoffman R, Pompidou AJ, Schiaffino S, Stedman HH, Rubinstein NA. Characterization of a human perinatal myosin heavy-chain transcript. European J Biochem 230(3):1001-1006, June 15, 1995.

Smith BF, Henthorn PS, Rajpurohit Y, Stedman H, Wolfe JH, Patterson DF, Giger U. A cDNA encoding muscle-type phosphofructokinase. Gene 168(2):275-276, Feb. 12, 1996.

Wang K, Knipfer M, Huang QQ, van Heerden A, Hsu LC, Gutierre G, Quian XL, Stedman H. Human skeletal muscle nebulin sequence encodes a blueprint for thin filament architecture: Sequence motifs and affinity profiles of tandem repeats and terminal SH3. J Biol Chem 271(8):4304-4314, Feb. 23, 1996.

Smith BF, Stedman HH, Rajpurohit Y, Henthorn PS, Wolfe JH, Patterson DF, Giger U. Molecular basis of canine muscle-type phosphofructokinase deficiency. J Biol Chem 271(33): 20070-20074, Aug. 16, 1996.

Ehlen-Haecker S, Stedman HH, Balice-Gordon RJ, Smith DBJ, Greelish JP, Mitchell MA, Wells A, Sweeney HL, Wilson JM. In vivo expression of full length dystrophin from adenoviral vectors deleted of all viral genes. Hum Gene Ther 7(15):1907-1914, Oct. 1, 1996.

Chowrashi PK, Pemrick SM, Li S, Yi P, Clarke T, Maguire B, Ader G, Saintigny P, Mittal B, Tewari M, Stoeckert C, Stedman HH, Sylvester JE, Pepe FA. The myosin filament XV assembly: Contribu-tions of 195 residue segments of the myosin rod and the eight C-terminal residues. J Musc Res & Cell Motil 17(5):555-573, Oct. 1996.

Greelish JP, Su LT, Lankford EB, Burkman, JM, Chen H, Konig SK, Mercier IM, Desjardins PR, Mitchell MA, Zheng XG, Leferovich J, Gao GP, Balice-Gordon RJ, Wilson JM, Stedman HH. Stable restoration of the sarcoglycan complex in dystrophic muscle perfused with histamine and a recombinant adeno-associated viral vector. Nature Medicine 5(4):439-443, Apr. 1999. (Cover Photo)

Stedman H, Mendell J, Wilson JM, Finkle R, Kleckner AL. Phase I clinical trial utilizing gene therapy for limb girdle muscular dystrophy: Alpha, beta, gamma or delta-sarcoglycan gene delivered with intramuscular instillations of adeno-associated vectors. Hum Gene Ther 11:777-790, Mar. 20, 2000.

Shrager JB, Desjardins PR, Burkman JM, Konig SK, Stewart DR, Su L, Shar MC, Tewari M, Hoffman R, Rickels MR, Jullian EH, Rubinstein NA, Stedman HH. Human skeletal myosin heavy chain genes are tightly linked in the order embryonic-IIa-IId/x-IIb-perinatal-extracocular. J Musc Res Cell Motility 21(4):345-355, May 2000.

Shrager JB, Kim DK, Hashmi YJ, Lankford EB, Wahl P, Stedman HH, Levine S, Kaiser LR. Lung volume reduction surgery restores the normal diaphragmatic length-tension relationship in emphysematous rats. J Thorac Cardiovasc Surg. 21(2):217-24, Feb. 1, 2001.

Shrager JB, Kim DK, Hashmi YJ, Stedman HH, Kaiser LR, Levine S. Sarcomeres are added in series to emphasematous rat diaphragm. Chest 121 (3): 831-5 Mar. 2002.

Dejardins P, Burkman J, Shrager J, Allmond L, Stedman H. Evolutionary implications of three novel members of the human sarcomaric myosin heavy chain gene family. Mol. Biol. Evol. 19 (4): 375-93 Apr. 2002.

Bridges CR, Burkman JM, Malekan R, Konig SK, Chen H, Yarnell CB, Gardner TJ, Stewart AS, Stecker M, Patterson T, Stedman HH. Global cardiac-specific transgene expression using cardiopulmonary bypass with cardiac isolation. Ann. Thor. Surg. 73(6):1939-1946, June 2002.

Konig S, Burkman J, Fitzgerald J, Mitchell M, Su L, Stedman H. Modular organization of phylogenetically conserved domains controlling developmental regulation of the human skeletal myosin heavy chain gene family. J. Biol. Chem. 277(31):27593-27605, Aug. 2, 2002.

Krupnick AS, Zhu J, Nguyen T, Kreisel1 D, Balsara1 KR, Lankford EB, Clark CC, Levine S, Stedman HH, Shrager JB. Inspiratory loading does not accelerate dystrophy in the mdx mouse diaphragm: Implications for regenerative therapy. J. Appl. Phys. 2003 (in press).

Abstracts
Lesniewski J, Su L, Burkman J, Wang Z, Zheng X, Bridges C, Stedman H. A small animal model for isolated cardiac perfusion and recirculation in situ. Selected for Presentation at 5th Annual Meeting, ASGT, Boston, MA, June 2002.

Su L, Lesniewski J, Burkman J, Wang Z, Zheng X, Bridges C, Stedman H. Development of a small animal model for extracorporeal circulatory support during endothelial permeabilization for systemic gene therapy. Selected for Presentation at 5th Annual Meeting, ASGT, Boston, MA, June 2002.

Su L, Lesniewski J, Burkman J, Wang Z, Zheng X, Bridges C, Stedman H. Development of a small animal model of circulatory isolation to promote efficient vector access to skeletal muscle in the pelvic girdle and lower limbs. Selected for Presentation at 5th Annual Meeting, ASGT, Boston, MA, June 2002.

Konig S, Burkman J, Stedman H. Identification of evolutionarily conserved promoter sequences responsible for powerful muscle. Selected for Presentation at 5th Annual Meeting, ASGT, Boston, MA, June 2002.

Konig S, Burkman J, Stedman H. Critical role of putative MyoD and MEF-2 binding sites in the construction of a powerful MYH 3-based muscle-specific transcriptional cassette. Selected for Presentation at 5th Annual Meeting, ASGT, Boston, MA, June 2002.

Arruda VR, Stedman H, Nichols T, Haskins M, Schuettrummpf J, Herzog RW, Liu YL, Wagner K, Couto L, High KA. Sustained correction of hemophilia B phenotype following intravascular delivery of AAV vector to skeletal muscle. Selected for Presentation at 5th Annual Meeting, ASGT, Boston, MA, June 2002.

Konig S, Burkman J, Stedman H. Experimental verification of bioinformatic predictions using the MYH family of muscle-specific promoters. Selected for Presentation at the Tenth International Congress on Neuromuscular Diseases.

Konig S, Burkman J, Stedman H. Three New Candidate Genes for Dominantly Heritable Sarcomeric Myosinopathy. Selected for Presentation at the Tenth International Congress on Neuromuscular Diseases.

Stedman HH, Kozyak BW, Nelson A, Thesier DM, Shrager JB, Bridges CR, Minugh-Purvis N, Mitchell MA. Inactivating mutation in the MYH 16 superfast myosin gene abruptly reduced the size of the jaw closing muscles in a recent human ancestor. Selected for presentation at the 6th Annual Meeting, ASGT, Washington, DC, June 2003. Full manuscript with identical authorship currently in review at Nature.

Editorials, Reviews, Chapters and Participation in Committee Reports
Dasgupta S, Eller MS, Zolnay S, Jayabaskaran C, Stedman H, Sarkar S. Cytoplasmic translation inhibitory RNA of chick embryonic muscle: possible role in myogenesis as antimes¬senger RNA. In Emerson C, Fischman D, Nadal-Ginard B and Siddiqui M (eds). Molecular Biology of Muscle Develop¬ment/ UCLA Symposium on Molecular and Cellular Biology, Vol. 29. New York: Alan R. Liss, Inc, 1986, 591-603.

Stedman H, Sarkar S. Molecular genetics in basic myology: a rapidly evolving perspective. [Review] Muscle & Nerve 11(7):668-693, July 1988.

Stedman H, Sarkar S. Molecular genetics in muscular dystrophy research: revolutionary progress. [Review] Muscle & Nerve 11(7):694-704, July 1988.

Stedman H, Browning K, Qian X, Oliver N, Oronzi-Scott M, Fischbeck K, Sarkar S, Sylvester J, Schmickel R, Wang K. Characterization of the human nebulin locus and its 25 kb transcript: progress towards a full length cDNA. In Stockdale F and L Kedes (eds): Cellular and Molecular Biology of Muscle Development/ UCLA Symposia on Molecular and Cellular Biology, Vol. 93. New York: Alan R. Liss, Inc., 1989, 181-196.

Sarkar S, Eller MS, Raychowdhury MK, Stedman H, Wu QL. The cytoplasmic translation inhibitory RNA of chick embryonic muscle: resolution of multiple biologically active subspecies and mechanism of action. In Stockdale F and L Kedes (eds): Cellular and Molecular Biology of Muscle Development/ UCLA Symposia on Molecular and Cellular Biology, Vol. 93. New York: Alan R. Liss, Inc., 1989, 555-570.

Shrager JB, Stedman HH, Sweeney HL, Petrof B, Kelly AM. The mdx mouse and the mdx diaphragm: Implications for the pathogenesis of Duchenne muscular dystrophy. In Kelly, AM and HM Blau (eds): Neuromuscular Development and Disease. New York: Raven Press, 1992, 317-328.

Molecular approaches to therapy for Duchenne and limb-girdle muscular dystrophy. Curr. Opin. Mol. Ther. 3 (4): 350-6, Aug. 1, 2001.

Alternative Media
CD-ROM and DVD Digital Photographs and Movies: Case Studies in Clinical Surgery

Multimedia Tool for Interactive Use in Academic Surgery

1) Clinical Teaching in General and Vascular Surgery

2) Complex Surgical Procedures in the Research Laboratory

Although this rapidly evolving resource exists in a form that complicates its representation in a typewritten curriculum vitae, an overall description is warranted. When implemented on a portable computer with an ultra-fast hard drive, the catalog and digital media database to be described provide instantaneous access to a wide-reaching compendium of basic and clinical teaching material. The immediate relevance of the “basic science” and “teaching case” material to our patient care mission has strengthened the integration of these all too often competing features of the academic surgical landscape.

On the previous recommendation of Clyde F. Barker, M.D., I have been archiving video, audio, and high-resolution still photographic media files relating to a wide range of topics in academic surgery. In my laboratory, teaching files on complex microvascular surgical procedures were initially used as interactive, self-paced tools to accelerate learning while standardizing the sequence of events in critical experiments. The audio-visual files proved especially helpful in our more recently developed cardiac surgical procedures in large animal models. Current advances in computer hardware and software have dramatically accelerated the processes of media acquisition, transfer, and recovery, allowing a transition from lecture format to interactive use in a wide range of venues. All of the files have been reformatted for representation in keyword searchable database catalogs to ensure instantaneous availability. For portable use, over 1000 Photographs and compressed video files currently fit onto a single DVD-ROM disk.

For many VA patients, the database now includes a chronological depiction of preoperative studies, operative procedure (including audio and video of key technical details), gross pathology in situ and ex vivo, histopathology, and perioperative clinical information (SICU monitoring parameters, lab values). In the hospital, we have been using the combination of still and video image reproduction to enhance the learning environment for medical students and residents while optimizing the continuity of care for our patients. Although portions of the overall resource are being developed for use over the internet, the full capability of is best appreciated with the system running in the classroom or conference. This novel resource is being rapidly incorporated into our programs at the Philadelphia Veterans Affairs Medical Center, with plans to expand this month to the general teaching exercises of the Department of Surgery using the William T. Fitts Surgical Education Center. In the latter venue I envision its full integration with the existing teaching tools in use under the direction of G. Paul Dabrowski , M.D., Director, Medical Student Education.

Patents
U.S. Patent 6,177,403 B1 [H. Stedman] "Compositions, Methods and Apparatus for Delivery of a Macromolecular Assembly to an Extravascular Tissue of an Animal." Issued Jan. 23, 2001 44 claims.

International Patent Application PCT/US99/04367 (WO 99/43360) [H. Stedman & J. Wilson] "Stable Protection from Dystrophic Sarcoleminal Degeneration and Restoration of the Sarcoglycan Complex."

International Patent Application PCT/US98/27072 (WO 99/31982) [H. Stedman & C. Bridges] "Transvascular Delivery of a Composition to an Extravascular Tissue of a Mammal."

 


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