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

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

Perfect, JR, Wong, B, Chang, YC, Kwon-Chung, KJ, and Williamson, PR. "Cryptococcus neoformans: virulence and host defences." Med Mycol 36 Suppl 1 (1998): 79-86. (Review)

PMID
9988495
Scholars@Duke

Alspaugh, JA, Perfect, JR, and Heitman, J. "Cryptococcus neoformans mating and virulence are regulated by the G-protein alpha subunit GPA1 and cAMP." Genes Dev 11, no. 23 (December 1, 1997): 3206-3217.

PMID
9389652
Scholars@Duke

Alexander, BD, and Perfect, JR. "Antifungal resistance trends towards the year 2000. Implications for therapy and new approaches." Drugs 54, no. 5 (November 1997): 657-678. (Review)

PMID
9360056
Scholars@Duke

Toffaletti, DL, and Perfect, JR. "Study of Cryptococcus neoformans actin gene regulation with a beta-galactosidase-actin fusion." J Med Vet Mycol 35, no. 5 (September 1997): 313-320.

PMID
9402523
Scholars@Duke

Del Poeta, M, Schell, WA, and Perfect, JR. "In vitro antifungal activity of pneumocandin L-743,872 against a variety of clinically important molds." Antimicrob Agents Chemother 41, no. 8 (August 1997): 1835-1836.

PMID
9257774
Scholars@Duke

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