John Robert Perfect, MD

Professor of Medicine
James B. Duke Professor of Medicine
Chief, Division of Infectious Diseases
Professor in Molecular Genetics and Microbiology
Campus mail Duke Box 102359, Durham, NC 27710
Phone (919) 684-4016
Email address perfe001@mc.duke.edu

Research in my laboratory focuses around several aspects of medical mycology. We are investigating antifungal agents (new and old) in animal models of candida and cryptococcal infections. We have examined clinical correlation of in vitro antifungal susceptibility testing and with in vivo outcome. Our basic science project examines the molecular pathogenesis of cryptococcal infections. We have developed a molecular foundation for C. neoformans, including transformation systems, gene disruptions, differential gene expression screens, and cloning pathogenesis genes. The goal of this work is to use C. neoformans as a model yeast system to identify molecular targets for antifungal drug development. There are a series of clinical trials in fungal infections which are being coordinated through this laboratory and my work also includes a series of antibiotic trials in various aspects of infections. Finally, we have now been awarded a NIH sponsored Mycology Unit for 5 years with 6 senior investigators which is focused on C. neoformans as a pathogenic model system, but will include multiple areas of medical mycology from diagnosis to treatment.

Education and Training

  • Fellow, Infectious Diseases, Duke University School of Medicine, 1977 - 1980
  • Resident, University of Michigan at Ann Arbor, 1975 - 1977
  • Intern, Riverside Methodist Hospital, 1974 - 1975
  • M.D., University of Toledo, 1974

Publications

Perfect, JR, and Cox, GM. "Virulence mechanisms for fungi, Part I." Clinical Microbiology Newsletter 22, no. 15 (2000): 113-119.

Full Text

Klein, RS, Arnsten, JH, Sobel, JD, Gottfredsson, M, Cox, GM, and Perfect, JR. "Oropharyngeal Candida colonization and human immunodeficiency virus type 1 infection [8] (multiple letters)." Journal of Infectious Diseases 181, no. 2 (2000): 812-813.

PMID
10669393
Scholars@Duke

Dodds, ES, Drew, RH, and Perfect, JR. "Antifungal pharmacodynamics: Review of the literature and clinical applications." Pharmacotherapy 20, no. 11 I (2000): 1335-1355.

Scholars@Duke

Del Poeta, M, Chen, SF, Von Hoff, D, Dykstra, CC, Wani, MC, Manikumar, G, Heitman, J, Wall, ME, and Perfect, JR. "Comparison of in vitro activities of camptothecin and nitidine derivatives against fungal and cancer cells." Antimicrobial Agents and Chemotherapy 43, no. 12 (December 1999): 2862-2868.

PMID
10582872
Scholars@Duke

Yue, C, Cavallo, LM, Alspaugh, JA, Wang, P, Cox, GM, Perfect, JR, and Heitman, J. "The STE12alpha homolog is required for haploid filamentation but largely dispensable for mating and virulence in Cryptococcus neoformans." Genetics 153, no. 4 (December 1999): 1601-1615.

PMID
10581270
Scholars@Duke

Powderly, WG, Gallant, JE, Ghannoum, MA, Mayer, KH, Navarro, EE, and Perfect, JR. "Oropharyngeal candidiasis in patients with HIV: suggested guidelines for therapy." Aids Research and Human Retroviruses 15, no. 18 (December 1999): 1619-1623. (Review)

PMID
10606084
Full Text

Powderly, WG, Mayer, KH, and Perfect, JR. "Diagnosis and treatment of oropharyngeal candidiasis in patients infected with HIV: a critical reassessment." AIDS Res Hum Retroviruses 15, no. 16 (November 1, 1999): 1405-1412. (Review)

PMID
10555102
Full Text

Cardenas, ME, Cruz, MC, Del Poeta, M, Chung, N, Perfect, JR, and Heitman, J. "Antifungal activities of antineoplastic agents: Saccharomyces cerevisiae as a model system to study drug action." Clinical Microbiology Reviews 12, no. 4 (October 1999): 583-611. (Review)

PMID
10515904
Scholars@Duke

Perfect, JR, and Cox, GM. "Drug resistance in Cryptococcus neoformans." Drug Resist Updat 2, no. 4 (August 1999): 259-269.

PMID
11504497
Full Text

Gottfredsson, M, Cox, GM, Indridason, OS, de Almeida, GM, Heald, AE, and Perfect, JR. "Association of plasma levels of human immunodeficiency virus type 1 RNA and oropharyngeal Candida colonization." J Infect Dis 180, no. 2 (August 1999): 534-537.

PMID
10395877
Full Text

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