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Joshua M. Spin

Academic Appointments

Contact Information

  • Clinical Offices
    Cardiovascular Medicine 300 Pasteur Dr H2157 MC 5233 Stanford, CA 94305
    Tel Work (650) 725-8246 Fax (650) 724-4034
  • Academic Offices
    Personal Information
    Tel (650) 725-8246 Tel (650) 498-6353
    Not for medical emergencies or patient use

Professional Snapshot

Clinical Focus

  • Aortic Disease
  • Marfan Syndrome and Aortic Disorders
  • Cardiovascular Disease

Professional Education

Board Certification: Cardiovascular Disease, American Board of Internal Medicine (2003)
Fellowship: SUMC - Graduate Medical Education, CA (2003)
Board Certification: Internal Medicine, American Board of Internal Medicine (2000)
Residency: SUMC - Graduate Medical Education, CA (2000)
Internship: SUMC - Graduate Medical Education, CA (1998)
View All 8

Scientific Focus

Current Research Interests

Dr. Spin is pursuing fundamental issues relating to smooth muscle cell (SMC) biology. Smooth muscle cells play crucial roles in vascular development, homeostasis, and disease. Injury causes SMCs to modulate from a quiescent, differentiated state to a synthetic, proliferative phenotype. Details of SMC phenotypic switching in development and disease have remained elusive, and Dr. Spin is applying new genomic tools including microarrays to look at the process of smooth muscle cell development. Having investigated various platforms for extracting genetic information relevant to this process, he is employing a model smooth muscle differentiation system. Using an in situ 60-mer array platform with more than 20,000 mouse genes derived from the National Institute on Aging clone set, he identified 2,739 genes that were significantly upregulated after differentiation was completed (false detection rate < 1). These genes encode numerous markers known to characterize differentiated SMC, as well as many unknown factors. He further characterized the sequential patterns of gene expression during the differentiation time course, particularly for known transcription factor families, providing new insights into the regulation of the differentiation process. Changes in genes associated with specific biological ontology-based pathways were evaluated, and temporal trends were identified for functional pathways. In addition to confirming the utility of the model, the data provide a large-scale perspective of gene regulation during SMC differentiation. Considerable evidence now indicates that complex chromatin remodeling is essential for smooth muscle differentiation, and Dr. Spin’s genomic studies identified many differentially regulated chromatin remodeling genes during SMC differentiation. He hypothesized that chromatin remodeling and histone modification with gene silencing and activation play key roles in the expression of smooth muscle cell (SMC) specific genes, and that phenotypic...

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