Dr. Avram Rago is a third-year categorical pediatrics resident at the University of South Florida Morsani College of Medicine and Tampa General Hospital. He earned a Bachelor of Science in Biochemistry and Molecular Biology with a minor in Chinese Studies, magna cum laude, and a Doctor of Medicine from the University of South Carolina in Columbia, South Carolina.
Dr. Rago is passionate about medical education and currently serves as a producer for The Cribsiders Pediatric Medicine Podcast. He is a member of the American Academy of Pediatrics and the American College of Cardiology.
Pressure Points: A Culturally-Competent Approach to Management of Pediatric Hypertension
USF Health/Tampa General Hospital Pediatrics Grand Rounds

A Window to the Heart: A Rare Case of Congenital Heart Disease

Safety, Feasibility, and Outcomes of Echocardiogram-Guided Endomyocardial Biopsies in Pediatric Heart Transplant Patients

Respiratory Syncytial Virus: Epidemiology, Burden of Disease, and Clinical Update
A Window to the Heart: A Rare Case of Congenital Heart Disease

Fluoropyrimidine Sensitivity in TP53 Knockout Colon Cancer Cell Line
TP53 is the most frequently mutated gene across all cancers. Its normal function is to activate DNA repair, arrest growth at the G1/S growth checkpoint, and, perhaps most significantly, induce apoptosis in cells with DNA damage. When TP53 is mutated, cells can no longer under this programmed cell death, leading to aberrant growth. Because TP53 is so frequently mutated and is a strong driver of many breast and colorectal cancers, it is a good candidate for targeted therapies. Previous work has shown that TP53 knockout cell lines are much more sensitive to F10, a novel chemotherapeutic that is a polymer of the active metabolite of 5-Fluorouracil, FdUMP. Here, we devise a novel approach to measure the effects of F10 on TP53 knockout RKO cells. Using CRISPR-Cas9, we knocked out TP53 and OR1C1, the latter being dummy gene giving us a functional TP53 wild type cell line. These cells were then grown in media containing 5µM F10. After purifying DNA from each time point, we ran a qPCR across the TP53 locus. In WT cells, we generated a 1.6kb product. In TP53KO cells, we generated a ~200kb product. By using a much shorter extension time, we were able to quantify how much of the TP53KO cells were present, normalized to LINE PCR. This allowed us to quantify relative cell death of TP53KOs in F10. Further work will be done to further streamline this process and explore whether or not patterns we have seen are generalizable in more cell lines.
More coming soon...