Judith A. Smith, MD, PhD

Portrait of Judith A. Smith, MD, PhD
Associate Professor
Pediatrics
Address: 
4159 Microbial Sciences Building
1550 Linden Dr
Madison, WI 53706
Telephone: 
(608) 263-1251
Focus Groups: 
Immunology/Immunopathology
Education: 
MD, PhD, University of Chicago
Research Summary: 
Regulation of type I IFN production in macrophages
Research Detail: 

Figure 1: Intersection of ER stress and InflammationOverall theme: Macrophages play a critical role in inflammatory diseases via the elaboration of cytokines. We have observed that macrophages undergoing an intracellular ER stress response called the “Unfolded Protein Response” produce greatly augmented levels of cytokines in response to infectious stimuli such as Toll-like receptors. The Unfolded Protein Response has been implicated in such diverse processes as viral infection, cancer, neurodegenerative disease, autoimmune diseases, diabetes and cardiovascular disease.

In our lab, we have noted that macrophages undergoing an Unfolded Protein Response produce synergistic levels of IFN-β, a cytokine that plays diverse roles in many aspects of autoimmune disease, and the pro-inflammatory cytokine IL-23.

Major ongoing projects:

  1. One form of arthritis, known as spondyloarthritis, is strongly linked to the MHC class I allele HLA-B27, a protein that misfolds. We have found that macrophages from spondyloarthritis patients produce greatly increased IL-23, even apart from obvious UPR induction. Current efforts are focusing on understanding the genetic and biochemical mechanisms supporting cytokine dysregulation in these patients.
  2. Brucellosis is the most prevalent zoonosis worldwide. Spondyloarthritis is a major complication of this disease. To replicate, the causative organism, Brucella spp. invades macrophages and forms an ER derived vacuole. Brucella also induces a massive reorganization of the ER (imaged by anti-calreticulin staining in the figure) and triggers a UPR. The UPR may affect multiple aspects of pathogenicity, including cytokine production, bacterial replication, host cell apoptosis, antigen presentation and memory. Two current projects are investigating the role of the UPR in Brucella pathogenesis and a separate focus is on the generation of CD8 T cell memory. These projects represent an active collaboration with the Splitter lab on the UW campus.
    Fig 2
  3. A new project has begun in collaboration with Childhood Origins of Asthma (COAST). A recently identified gene polymorphism at 17q21 is one of the most powerful predictors for the development of childhood asthma. One gene at that locus ORMDL3 potentially regulates the UPR. We are determining if subjects with different genotypes have altered UPR induction in response to Rhinovirus and show related consequences for rhinovirus infection.
Selected Publications: 
JA Smith, D Magnani, M Khan, J Harms, G Radhakrishnan, YP Liu, GA Splitter, Brucella induces an Unfolded Protein Response that enables intracellular replication in macrophages. Plos Pathogens, 9(12): e1003785, 2013.
Liu YP, Zeng L, Tian A, Bomkamp A, Rivera D, Gutman D, Barber GN, Smith JA, Endoplasmic reticulum stress regulates the innate immunity critical transcription factor interferon regulatory factor 3, Journal of Immunology, 189(9): 4630-9, 2012.
Zeng, L., Lindstrom, M., Smith, J.A., Ankylosing spondylitis macrophages produce greater interleukin-23 in response to lipopolysaccharide without significant Unfolded Protein Response induction, Arthritis and Rheum 63(12): 3807-3817, 2011.
Zeng, L., Liu, Y.P., Chen, H., Qi, L., Smith, J.A., XBP-1 couples endoplasmic reticulum stress to augmented IFN-β induction via a cis-acting enhancer in Macrophages, J Immunol 185(4):2324-30, 2010.
ML Delay, MJ Turner, E Klenk, JA Smith, DP Sowders, RA Colbert, HLA-B27 Misfolding and the Unfolded Protein Response Augment IL-23 Production and are Associated with Th17 Activation in Transgenic Rats, Arthritis Rheum 60(9): 2633-2643, 2009.
JA Smith, MJ Turner, ML Delay, DP Sowders, RA Colbert, Endoplasmic reticulum stress and the unfolded protein response are linked to synergistic IFN-b induction via XBP-1, Eur J Immunol 38(5): 1194-203, 2008.
Judith A. Smith, MD PhD, Michael D. Barnes, PhD, Dihua Hong, Monica L. DeLay, MS, Robert D. Inman, MD, Robert A. Colbert, MD, PhD, Gene Expression Analysis of Macrophages Derived from Ankylosing Spondylitis Patients reveals Interferon-g Dysregulation, Arthritis and Rheumi 58(6): 1640-49, 2008.
Turner, M.J, Sowders, DP, Delay, ML, Mahaptra, R., Bai, S., Smith, J.A, Colbert, R.A, HLA-B27 misfolding in transgenic rats is associated with activation of the unfolded protein response, J Immunol 175(4) 2438-2448, 2005.