
Douglas Richman
Affiliation: UCSD SOM
Director, Center for AIDS Research, Professor of Pathology and Medicine
drichman@ucsd.edu
Phone: 858-552-7439
Biography
Dr. Richman is Professor of Pathology and Medicine at UCSD. He is Director of the Research
Center for AIDS and HIV Infection at the VA San Diego Healthcare System and Director of the
Center for AIDS Research at UCSD. He trained as an infectious disease physician and
medical virologist at Stanford, the NIH and Harvard before joining the faculty at UCSD in
1976. He has focused his investigation on HIV disease and pathogenesis for the past 20
years. His laboratory was the first to identify HIV drug resistance. The lab joined two others
in identifying latently infected CD4 cells as the obstacle to eradication of HIV with potent
antiretroviral therapy. Recently his lab described the dynamics of the neutralizing antibody
response to HIV and the rapidity of viral escape and evolution in response to this selective
pressure.
Research Summary
Current research in Dr. Richman's laboratory focuses on the natural history and molecular
pathogenesis of HIV in a cohort of acutely infected patients. These studies include the cell
mediated and neutralizing antibody immune responses to HIV and the viral escape and
evolution in response to these. With regard to neutralization escape, we are interested in the
epitopes that elicit the neutralizing antibody responses to autologous virus in human
infections and the viral mutations that account for escape from these responses. We are
also interested in characterizing the epitopes that elicit the too infrequent broadly reactive
neutralizing responses in some patients. This information is central for the development of
an effective HIV vaccine.
In addition virologic investigations include studies of HIV drug resistance, the pathogenetic
consequences of virus replication in anatomic compartments and viral latency. Blood
plasma, latently infected CD4 T lymphocytes, genital secretions and cerebrospinal
specimens are being obtained from patients who are well characterized clinically,
virologically and immunologically. These studies address important issues like selective
pressures on the evolution of the HIV populations in different body compartments and
pathogenesis. They also have important clinical implications with regard to the natural
history of disease and treatment.
References
References From PubMed (NCBI)