Karen Zier

  • PROFESSOR Medicine, Clinical Immunology
  • PROFESSOR Oncological Sciences
  • PROFESSOR Microbiology
  • PROFESSOR Medical Education
  • ASSOCIATE DEAN FOR MEDICAL STUDENT RESEARCH
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Research Topics

Education

  • B.A., Hofstra University
    Biology

  • Ph.D., State University of New York
    Microbiology/Immunology

  • University of Innsbruck

Research

Specific Clinical/Research Interests: Tumor immunology; T cells; immunotherapy and immunosuppression

Summary of Research Studies:
Maintaining established tumor immunity is important to prevent the growth of nascent tumors and to sustain responses induced naturally or by immunotherapy. Although it was thought that the major reason the immune system fails to reject tumors is that they evade detection, more recent evidence has suggested that immune responses made against tumors can be lost before the tumor has been destroyed. Dr. Zier's research interest focuses on regulatory mechanisms that underlie the loss of established anti-tumor immunity. Her lab has shown that as the CMS5 fibrosarcoma grows early anti-tumor immunity wanes. These mice contain T cells that show defects in the TCR signaling pathway. On a functional level, Th1 responses by the T cells decrease, while Th2 responses increase. Most evidence suggests that in contrast to Th2 responses, Th1 responses favor the development of protective immune responses to tumors. Moreover, as tumors grow levels of two types of cells that suppress th! e development of immunity to tumors increase. The first are immature myeloid cells with a Gr1+/CD11b+ phenotype. The second are CD4+/CD25+ T regulatory cells. Current research in the lab is directed at determining the mechanisms responsible for the loss of the protective Th1 response and the development of the deleterious Th2 response, as well as defining the mechanism by which CD4+/CD25+ depletion prevents tumor growth. A particular focus is defining molecules on tumor cells that that may trigger the development of immune suppression. These studies will provide new insights into regulatory mechanisms responsible for the loss of immune responses to solid tumors. This information is crucial to ensure the persistence of natural or therapeutically induced immunity.

Publications

Swenson C, Harn D, Zier K. Glycans that induce protective immunity when expressed on schistosome eggs are associated with deleterious responses when expressed on tumor cells. Manuscript submitted.;.

Cohen B, Friedman E, Zier K. Publications by Students Doing A Year of Full-Time Research: What are Realistic Expectations?. Amer J Med 2008; 121: 545.

Zier K, Friedman E, Smith L. Supportive programs increase medical students' research interest and productivity. J. Invest. Med 2006; 54: 201-207.

Bartido SM, Zier K. T-cell responses to multiple antigens presented by RNA-transfected APCs: a possible immunomonitoring tool. Cancer Immunol Immunother 2004 Feb; 53(2): 100-109.

Zier K, Johnson K, Johnson K, Maddux M, Sung M, Mandeli JP, Eisenbach L, Schwartz M. IFNgamma secretion following stimulation with total tumor peptides from autologous human tumors. J Immunol Methods 2000; 241(1-2): 61-68.

Salvadori S, Martinelli G, Zier K. Resection of solid tumors reverses T cell defects and restores protective immunity. J Immunol 2000 Feb 15; 164(4): 2214-2220.

Industry Relationships

Physicians and scientists on the faculty of the Icahn School of Medicine at Mount Sinai often interact with pharmaceutical, device and biotechnology companies to improve patient care, develop new therapies and achieve scientific breakthroughs. In order to promote an ethical and transparent environment for conducting research, providing clinical care and teaching, Mount Sinai requires that salaried faculty inform the School of their relationships with such companies.

Dr. Zier did not report having any of the following types of financial relationships with industry during 2012 and/or 2013: consulting, scientific advisory board, industry-sponsored lectures, service on Board of Directors, participation on industry-sponsored committees, equity ownership valued at greater than 5% of a publicly traded company or any value in a privately held company. Please note that this information may differ from information posted on corporate sites due to timing or classification differences.

Mount Sinai's faculty policies relating to faculty collaboration with industry are posted on our website at http://icahn.mssm.edu/about-us/services-and-resources/faculty-resources/handbooks-and-policies/faculty-handbook. Patients may wish to ask their physician about the activities they perform for companies.

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