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Frank S. Lee, MD, PhD

Frank S. Lee, MD, PhD Physician

Associate Professor of Pathology and Laboratory Medicine

Dr. Lee is employed by Penn Medicine.

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Clinical Specialties

Specialty:

  • Pathology and Laboratory Medicine

Programs & Centers:

Board Certification:

  • Pathology - Anatomic Pathology, 1994

Description of Clinical Expertise

Medical (autopsy) pathology

Practice Locations and Appointments

Insurance Accepted

  • Aetna US Healthcare
  • Cigna
  • Cigna HealthSpring
  • Clover Health Plan
  • CVS Health
  • Devon Health Services (Americare)
  • Gateway Health Plan
  • Geisinger Health Plan
  • HealthAmerica / HealthAssurance, a Coventry Plan
  • HealthPartners
  • HealthPartners Medicare
  • HealthSmart
  • Highmark Blue Shield
  • Horizon Blue Cross Blue Shield of New Jersey
  • Humana / Choicecare
  • Independence Blue Cross (Keystone East)
  • Intergroup
  • Keystone First
  • Keystone First Medicare
  • Multiplan
  • NJ Medicaid
  • NJ Qualcare
  • Oxford Health Plan
  • PA Health and Wellness (Centene) Medicare
  • PA Medicaid
  • PA Medicare
  • Preferred Health Care/LGH
  • Rail Road Medicare / Palmetto GBA
  • Remedy Partners at Penn Medicine
  • Tricare
  • United Healthcare
  • UnitedHealthcare Community Plan
  • US Family Health Plan
  • Vetrans Choice Program (6/2018 Not Active)

Education and Training

Medical School: Harvard University
Residency: Brigham and Women's Hospital
Fellowship: Brigham and Women's Hospital

Memberships

American Association for the Advancement of Science, National American Federation for Aging Research National Scientific Advisory Council, National American Heart Association Peer Review Committee, National American Heart Association, National American Society for Biochemistry and Molecular Biology, National American Society of Hematology, National

Hospital Affiliation

Dr. Lee is employed by Penn Medicine.

Hospital Privileges:

  • Hospital of the University of Pennsylvania: Has privileges to treat patients in the hospital.
  • Penn Presbyterian Medical Center: Has privileges to treat patients in the hospital.
  • Pennsylvania Hospital: Has privileges to treat patients in the hospital.

Research

Description of Research Expertise:

Research Interests: Molecular mechanisms of the hypoxic response.

Key words: hypoxia, HIF, PHD2, prolyl hydroxylation, gene regulation, human adaptation

Research Details: An important cellular response to hypoxia is the activation of the transcription Hypoxia Inducible Factor (HIF). HIF is a master regulator of the hypoxic response and upregulates many genes involved in hypoxic adaptation, including those encoding for enzymes of glycolysis, glucose transporters, erythropoietin, and vascular enthothelial growth factor. We are interested in the regulation and physiologic importance of this pathway. We and others have shown that HIF is regulated by a distinctive mechanism. Under normoxic conditions, the alpha subunit of HIF (HIF-α) is site-specifically hydroxylated on proline, which in turn constitutively targets HIF-α for degradation by the ubiquitin-proteasome pathway. Under hypoxic conditions, this modification is inhibited, thereby allowing HIF-α to escape degradation and activate transcription. We are interested in understanding mechanisms by which the HIF prolyl hydroxylase PHD2 is regulated, and in understanding the physiologic relevance of the pathway. With regard to the latter, we have an ongoing collaboration with Professor Terence Lappin’s group at Belfast City Hospital and Queen’s University Belfast examining the molecular basis of idiopathic erythrocytosis, and this has identified critical roles for PHD2 and HIF-2α in the control of erythropoietin in humans. We are also interested in understanding the molecular basis for Tibetan adaptation to the chronic hypoxia of high altitude. We employ biochemical, molecular biologic, and mouse model approaches.

Lab Personnel:
Frank Lee (Principal investigator)
Daisheng Song (Senior Research Investigator)
Kai Peng (Postdoctoral Researcher)
Bradleigh Navalsky (Research Specialist)
Wei Guan (Visiting Scholar)
Andrew Ravaschiere (Undergraduate)
Dawn Williams (Administrative Assistant)

Selected Publications:

Sinnema, M., Song, D., Guan, W., Janssen, J.W.H., van Wijk, R., Navalsky, B.E., Peng, K., Donker, A.E., Stegmann, A.P.A., & Lee, F.S.: Loss-of-function zinc finger mutation in the EGLN1 gene associated with erythrocytosis Blood : Epub ahead of print August 15,2018.

Arsenault, P.R., Song, D., Chung, Y.J, Khurana, T.S., & Lee, F.S.: The Zinc Finger of Prolyl Hydroxylase Domain Protein 2 is Essential for Efficient Hydroxylation of Hypoxia Inducible Factor-alpha Mol. Cell. Biol. 36 (18): 2328-2343,2016.

Arsenault, P.R., Song, D., Bergkamp, M., Ravaschiere, A.M., Navalsky, B.E., Lieberman, P.M., & Lee, F.S.: Identification of Small Molecule PHD2 Zinc Finger Inhibitors that Activate Hypoxia Inducible Factor ChemBioChem 17 (24): 2316-2323,2016.

Bigham, A.W., & Lee, F.S.: Human high-altitude adaptation: forward genetics meets the HIF pathway Genes & Dev 28 (20): 2189-2204,2014.

Song, D., Li, L.-S., Arsenault, P.R., Tan, Q., Bigham, A.W., Heaton-Johnson, K.J., Master, S.R., & Lee, F.S.: Defective Tibetan PHD2 Binding to p23 Links High Altitude Adaption to Altered Oxygen Sensing J. Biol. Chem. 289 (21): 14656–14665,2014.

Tan, Q., Kerestes, H., Percy, M.J., Pietrofesa, R., Chen, L., Khurana, T.S., Christofidou-Solomidou, M., Lappin, T.R.J., & Lee, F.S.: Erythrocytosis and pulmonary hypertension in a mouse model of human HIF2A gain-of-function mutation J. Biol. Chem. 288 (24): 17134–17144,2013.

Song, D., Li, L.-S., Heaton-Johnson, K.J., Arsenault, P.R., Master, S.R., & Lee, F.S.: Prolyl Hydroxylase Domain Protein 2 (PHD2) Binds a Pro-Xaa-Leu-Glu Motif, Linking it to the Heat Shock Protein 90 Pathway. J. Biol. Chem. 288 (14): 9662-74,2013.

Percy, M.J., Furlow, P.W., Lucas, G.W., Li, X., Lappin, T.R.J., McMullin, M.F., & Lee, F.S.: A gain of function mutation in the HIF2A gene in familial erythrocytosis. N Engl J Med 358 (2): 162-168,2008.

Percy M.J., Zhao Q., Flores A., Harrison C., Lappin T.R., Maxwell P.H., McMullin M.F.*, & Lee F.S.*: A family with erythrocytosis establishes a role for prolyl hydroxylase domain protein 2 in oxygen homeostasis. Proc Natl Acad Sci U S A 103 (3): 654-659,2006.

Yu, F., White, S.B., Zhao, Q., & Lee, F.S.: HIF-1α Binding to VHL is Regulated by Stimulus-Sensitive Proline Hydroxylation Proc. Natl. Acad. Sci. USA 98 (17): 9630-9635,2001.

View all publications

Academic Contact Info

Department of Pathology and Laboratory Medicine
Perelman School of Medicine
University of Pennsylvania
605 Stellar Chance Labs
422 Curie Boulevard

Philadelphia, PA 19104
Phone: (215) 898-4701
Patient appointments: 800-789-7366 (PENN)

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