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

Palmer, SM, Perfect, JR, Howell, DN, Lawrence, CM, Miralles, AP, Davis, RD, and Tapson, VF. "Candidal anastomotic infection in lung transplant recipients: successful treatment with a combination of systemic and inhaled antifungal agents." J Heart Lung Transplant 17, no. 10 (October 1998): 1029-1033.

PMID
9811413
Scholars@Duke

Schell, WA, De Almeida, GM, Dodge, RK, Okonogi, K, and Perfect, JR. "In vitro and in vivo efficacy of the triazole TAK-187 against Cryptococcus neoformans." Antimicrob Agents Chemother 42, no. 10 (October 1998): 2630-2632.

PMID
9756767
Scholars@Duke

Del Poeta, M, Schell, WA, Dykstra, CC, Jones, S, Tidwell, RR, Czarny, A, Bajic, M, Kumar, A, Boykin, D, and Perfect, JR. "Structure-in vitro activity relationships of pentamidine analogues and dication-substituted bis-benzimidazoles as new antifungal agents." Antimicrob Agents Chemother 42, no. 10 (October 1998): 2495-2502.

PMID
9756747
Scholars@Duke

Del Poeta, M, Schell, WA, Dykstra, CC, Jones, SK, Tidwell, RR, Kumar, A, Boykin, DW, and Perfect, JR. "In vitro antifungal activities of a series of dication-substituted carbazoles, furans, and benzimidazoles." Antimicrob Agents Chemother 42, no. 10 (October 1998): 2503-2510.

PMID
9756748
Scholars@Duke

Johnson, MD, Drew, RH, and Perfect, JR. "Chest discomfort associated with liposomal amphotericin B: report of three cases and review of the literature." Pharmacotherapy 18, no. 5 (September 1998): 1053-1061. (Review)

PMID
9758315
Scholars@Duke

Schell, WA, Liu, K, Howell, DN, and Perfect, JR. "The phenomenon of adventitious sporulation." AMERICAN JOURNAL OF CLINICAL PATHOLOGY 110, no. 1 (July 1998): 129-129.

Scholars@Duke

Walsh, TJ, Hiemenz, JW, Seibel, NL, Perfect, JR, Horwith, G, Lee, L, Silber, JL, DiNubile, MJ, Reboli, A, Bow, E, Lister, J, and Anaissie, EJ. "Amphotericin B lipid complex for invasive fungal infections: analysis of safety and efficacy in 556 cases." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America 26, no. 6 (June 1998): 1383-1396.

PMID
9636868
Full Text

Firestine, SM, Misialek, S, Toffaletti, DL, Klem, TJ, Perfect, JR, and Davisson, VJ. "Biochemical role of the Cryptococcus neoformans ADE2 protein in fungal de novo purine biosynthesis." Arch Biochem Biophys 351, no. 1 (March 1, 1998): 123-134.

PMID
9500840
Full Text

Perfect, JR, Wong, B, Chang, YC, Kwon-Chung, KJ, and Williamson, PR. "Cryptococcus neoformans: Virulence and host defences." Medical Mycology, Supplement 36, no. 1 (1998): 79-86.

Scholars@Duke

Liu, K, Howell, DN, Perfect, JR, and Schell, WA. "Morphologic criteria for the preliminary identification of Fusarium, Paecilomyces, and Acremonium species by histopathology." Am J Clin Pathol 109, no. 1 (January 1998): 45-54.

PMID
9426517
Scholars@Duke

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