Carol L. Miller-Graziano, Ph.D.
Contact
Carol L. Miller-Graziano, Ph.D.
About Me
A complimentary project investigates induction and maintenance of T cell adaptive tolerance as a contributor to post injury immunosuppression. An increased threshold of inhibitory signal transduction molecules and negative costimulation molecules appears to mediate some of the patients' T cell immunodepression. The induction of DC tolerogenic capacity by post injury apoptotic T cells and hyporesponsive T cells is also a focus of laboratory experiments. These 3 projects offer students an opportunity to apply fundamental immunologic principles and systems to the study of human immunopathology.
Faculty Appointments
Professor Emeritus - Department of Surgery, Research (SMD)
Credentials
Education
PhD | Univ of Utah Coll Medicine. Microbiology, All Other. 1972
MS | University of Utah. Zoology. 1969
BS | San Diego State Univ. Zoology. 1966
Awards
Star Award for Excellence in Graduate School Teaching
University of Massachusetts
2000 - 2000
Research
A complimentary project investigates induction and maintenance of T cell adaptive tolerance as a contributor to post injury immunosuppression. An increased threshold of inhibitory signal transduction molecules and negative costimulation molecules appears to mediate some of the patients' T cell immunodepression. The induction of DC tolerogenic capacity by post injury apoptotic T cells and hyporesponsive T cells is also a focus of laboratory experiments. These 3 projects offer students an opportunity to apply fundamental immunologic principles and systems to the study of human immunopathology.
Publications
Journal Articles
Laudanski K, Miller-Graziano C, Xiao W, Mindrinos MN, Richards DR, De A, Moldawer LL, Maier RV, Bankey P, Baker HV, Brownstein BH, Cobb JP, Calvano SE, Davis RW, Tompkins RG
Proceedings of the National Academy of Sciences of the United States of America.. 2006 October 17103 (42):15564-9. Epub 10/10/2006.
Negative Signaling Contributes to T Cell Anergy in Trauma Patients
Bandyopadhyay, G.; De, A.; Laudanski, K.; Li F.; Lentz, C.; Bankey, P.; Miller-Graziano, C.
Crit. Care Med. 2006; .
Laudanski K, De A, Pellegrini J, Miller-Graziano C
Clinical immunology : the official journal of the Clinical Immunology Society.. 2006 118 (2-3):332-41. Epub 11/21/2005.
De AK, Miller-Graziano CL, Calvano SE, Laudanski K, Lowry SF, Moldawer LL, Remick DG, Rajicic N, Schoenfeld D, Tompkins RG
The Journal of immunology : official journal of the American Association of Immunologists.. 2005 November 1175 (9):6155-62. Epub 1900 01 01.
Calvano SE, Xiao W, Richards DR, Felciano RM, Baker HV, Cho RJ, Chen RO, Brownstein BH, Cobb JP, Tschoeke SK, Miller-Graziano C, Moldawer LL, Mindrinos MN, Davis RW, Tompkins RG, Lowry SF,
Nature.. 2005 October 13437 (7061):1032-7. Epub 08/31/2005.
Cobb JP, Mindrinos MN, Miller-Graziano C, Calvano SE, Baker HV, Xiao W, Laudanski K, Brownstein BH, Elson CM, Hayden DL, Herndon DN, Lowry SF, Maier RV, Schoenfeld DA, Moldawer LL, Davis RW, Tompkins RG, Baker HV, Bankey P, Billiar T, Brownstein BH, Calvano SE, Camp D, Chaudry I, Cobb JP, Davis RW, Elson CM, Freeman B, Gamelli R, Gibran N, Harbrecht B, Hayden DL, Heagy W, Heimbach D, Herndon DN, Horton J, Hunt J, Laudanski K, Lederer J, Lowry SF, Maier RV, Mannick J, McKinley B, Miller-Graziano C, Mindrinos MN, Minei J, Moldawer LL, Moore E, Moore F, Munford R, Nathens A, O'keefe G, Purdue G, Rahme L, Remick D, Sailors M, Schoenfeld DA, Shapiro M, Silver G, Smith R, Stephanopoulos G, Stormo G, Tompkins RG, Toner M, Warren S, West M, Wolfe S, Xiao W, Young V,
Proceedings of the National Academy of Sciences of the United States of America.. 2005 March 29102 (13):4801-6. Epub 03/21/2005.
De AK, Roach SE, De M, Minielly RC, Laudanski K, Miller-Graziano CL, Bankey PE
Journal of immunoassay & immunochemistry. 2005 26 (1):35-42. Epub 1900 01 01.
Feezor RJ, Baker HV, Mindrinos M, Hayden D, Tannahill CL, Brownstein BH, Fay A, MacMillan S, Laramie J, Xiao W, Moldawer LL, Cobb JP, Laudanski K, Miller-Graziano CL, Maier RV, Schoenfeld D, Davis RW, Tompkins RG,
Physiological genomics.. 2004 November 1719 (3):247-54. Epub 1900 01 01.
Laudanski K, De A, Brouxhon S, Kyrkanides S, Miller-Graziano C
Shock.. 2004 September 22 (3):204-12. Epub 1900 01 01.
Two Third-Year Medical Student-Level Laboratory Shock Exercises without Large Animals
Koniaris, L.G.; Kaufman, D.; Zimmers, T.A.; Wang, N.; Spitalnik, P.F.; Henson, L.; Miller-Graziano, C.; Sitzmann, J.V.
Surgical Infections. 2004; 5 (4): 34.
De AK, Laudanski K, Miller-Graziano CL
The Journal of immunology : official journal of the American Association of Immunologists.. 2003 June 15170 (12):6355-62. Epub 1900 01 01.
Sheth K, Friel J, Nolan B, Miller-Graziano C, Bankey P
Surgical infections.. 2002 3 (2):151-7,discussion 157-8. Epub 1900 01 01.
De AK, Kodys KM, Yeh BS, Miller-Graziano C
The Journal of immunology : official journal of the American Association of Immunologists.. 2000 October 1165 (7):3951-8. Epub 1900 01 01.
Induction of Global Anergy Rather than Inhibitory Th2 Lymphokines Mediate Post-Trauma T Cell Immunodepression
De, A.; Kodys, K.; Pellegrini, J.; Yeh, B.; Furse, R.; Bankey, P.; Miller-Graziano, C.
Clin. Immun. 2000; 96(1): 52-66.
Relationships Between T Lymphocyte Apoptosis and Anergy Following Trauma
Pellegrini, J.D.; De, A.K.; Kodys, K.; Puyana, J.C.; Furse, R.K.; Miller-Graziano, C.
J. of Surgical Research. 1999; 88: 200-206.
Failure of GM-CSF/IL-4 Induced MØ to Become Dendritic Cells Reflects Altered Signal Transduction and Altered TNF(alpha) and CD64 Levels
Miller, C.; De, A.; Yeh, B.; Kodys, K.
J. Leuk. Biol. 1999; Suppl.: 18.
De AK, Kodys K, Miller-Graziano C
Cytokine.. 1998 December 10 (12):911-9. Epub 1900 01 01.
Both T Helper-1 and T Helper-2 Type Lymphokines are Depressed in Post Trauma Anergy
Puyana, J.C.; Pellegrini, J.D.; De, A.K.; Kodys, K.; Silva, W.E.; Miller, C.L.
J. of Trauma. 1998; 44(6): 1037-1046.
Anergy of T Cells Induced by Trauma and Sepsis
De, A.K.; Kodys, K.; Furse, R.K.; Pellegrini, J.; Puyana, J.C.; Miller-Graziano, C.L.
Surgery & Critical Care. 1998; : 30-31.
De AK, Kodys K, Puyana JC, Fudem G, Pellegrini J, Miller-Graziano CL
Clinical immunology and immunopathology.. 1997 January 82 (1):73-82. Epub 1900 01 01.
Increased MØ TNF(alpha) Message Stability Contributes to Trauma Patients' Increased TNF Production
Furse, R.K.; Kodys, K.; Zhu, D.; Miller-Graziano, C.L.
J. Leuk. Biol. 1997; 62: 524-534.
Pellegrini JD, Puyana JC, Lapchak PH, Kodys K, Miller-Graziano CL
Shock.. 1996 December 6 (6):389-96. Epub 1900 01 01.
A Trauma Induced T Cell Defect is Associated with Deregulated Monokine Production and is Truly Predictive of Poor Clinical Outcome
Pellegrini, J.; Puyana, J.C.; De, A.K.; Fudem, G.; Kodys, K.; and Lapchak, P.H.; Miller, C.
Surgical Forum. 1996; XLVII: 64-66.
Post-Trauma Depressed IFN(gamma) Production Result from Elevated MØ PGE2 Production and/or a True T Cell Dysfunction
Miller-Graziano, C.; De, A.K.; Kodys, K.
Clinical Immunol & Immunopath. 1995; 75(3): 292.
Altered IL-10 Levels in Trauma Patients' Monocytes (MØ) and T Lymphocytes
Miller-Graziano, C.; De, A.K.; Kodys, K.
J Clinical Immunology. 1995; 15(2): 93-104.
Miller-Graziano CL, Kodys K, Gonzalez F, Fudem GM
Shock.. 1994 May 1 (5):317-24. Epub 1900 01 01.
Miller-Graziano CL, Zhu D, Kodys K
Journal of clinical immunology.. 1994 January 14 (1):61-72. Epub 1900 01 01.
Normal MØ Cell-Associated TNFa is Resistant to PGE2 as well as TGF-beta Downregulation
Miller-Graziano, C.L.; Kodys, K.; Jhaver, K.
Annals of the NY Academy of Sciences, Microbial Pathogenesis and Immune Response. 1994; 730: 307-309.
Dibutyryl-cAMP Modulation of Receptor Expression and Antigen Presentation Capacity in MØ Subpopulations
Szabo, G.; Kodys, K.; Miller-Graziano, C.L.
Intl J. Immunopharm., England. 1994; 16(2): 151-16.
Miller-Graziano CL, Szabo G, Griffey K, Mehta B, Kodys K, Catalano D
Journal of clinical immunology.. 1991 March 11 (2):95-102. Epub 1900 01 01.
Downregulation of TNFR by Fc(gamma)RI Crosslinking and Relationship to Cell Associated Bioactivity
Miller-Graziano, C.; Pajor, L.; Kodys, K.
Journal of Leukocyte Biology. 1991; (2): 96-97.
Elevated MØ IL-6 Production in Immunosuppressed Trauma Patients. I. Role of Fc(gamma)RI Crosslinking Stimulation
Szabo, G.; Kodys, K.; Miller-Graziano, C.L.
J. Clinical Immunol. 1991; 11(6): 326-335.
Elevated MØ IL-6 Production in Immunosuppressed Trauma Patients. II. Downregulation by IL-4
Szabo, G.; Kodys, K.; Miller-Graziano, C.L.
J. Clinical Immunology. 1991; 11(6): 336-344.28.
Miller-Graziano CL, Szabo G, Kodys K, Griffey K
The Journal of trauma.. 1990 December 30 (12 Suppl):S86-96. Epub 1900 01 01.
Szabo G, Miller-Graziano CL
Transplantation.. 1990 August 50 (2):301-9. Epub 1900 01 01.
Szabo G, Miller-Graziano CL, Wu JY, Takayama T, Kodys K
Journal of leukocyte biology.. 1990 March 47 (3):206-16. Epub 1900 01 01.
Szabo G, Miller CL, Kodys K
Journal of leukocyte biology.. 1990 February 47 (2):111-20. Epub 1900 01 01.
Takayama TK, Miller C, Szabo G
Archives of surgery.. 1990 January 125 (1):29-35. Epub 1900 01 01.
Evaluation of MØ Procoagulant Activity as a Parameter for Immunological Monitoring in Renal Transplantation
Zappala, S.; Khauli, R.; Miller-Graziano, C., et al.
Transplant. 1989; 21: 1844.
Mechanisms of Altered Monocyte Prostaglandin E2 Production in Severely Injured Patients
Miller-Graziano, C.; Fink, M.; Wu, J.; Szabo, G.; Kodys, K.
Arch. Surgery. 1988; 123: 293-299.
Mechanisms of Altered Monocyte Prostaglandin E2 Production in Severely Injured Patients
Miller-Graziano, C.; Fink, M.; Wu, J.; Szabo, G.; Kodys, K.
Arch. Surgery. 1988; 123: 293-299.
Post-Ischemia Immunosuppression in a Mini-Swine Model
Miller-Graziano, C.; Lim, R.
Journal of Lab Animal Science. 1986; 36: 375-380.
Dextran as Modulator of Immune Function in Trauma Patients
Miller-Graziano, C.; Lim, R.
Journal of Surgery Res. 1985; 39: 183-191.
Soluble Non-Cross Linked Peptidoglycan Polymers Stimulate Monocyte/Macrophage Inflammatory Function
Gold, M.; Miller-Graziano, C.; Mishell, R.
Infect. and Immun. 1985; 49: 731-741.
Soluble Non-Cross Linked Peptidoglycan Polymers Stimulate Monocyte/Macrophage Inflammatory Function
Gold, M.; Miller-Graziano, C.; Mishell, R.
Infect. And Immun. 1985; 49: 731-741.
Kudsk KA, Miller CL, Sheldon GF
Laboratory animal science.. 1983 April 33 (2):177-80. Epub 1900 01 01.
Miller CL, Graziano CJ, Lim RC
The Journal of immunology : official journal of the American Association of Immunologists.. 1982 May 128 (5):2194-200. Epub 1900 01 01.
Production of Tissue Procoagulant Factor by Patient MØ. Correlation to Thromboembolic Complication
Miller-Graziano, C.; Graziano, C.; Lim, R.; Chin, M.
Thrombosis and Hemostasis. 1981; 46(2): 489.
The Immune Response of Burn Injury
Miller-Graziano, C.
Journal of Trauma. 1981; 21(8): 677.
Effect of Nutrition on Nonspecific Inflammatory and Specific Immune Host Defense Systems
Miller, C.
J Medicine. 1980; 11(4): 267.
The Role of Monocyte Function in Alteration of the Thrombo-fibrinolytic System After Shock
Graziano, C.; Miller, C.; Lim, R.
Surgical Forum. 1980; XXXI: 24.
Miller CL
The Journal of trauma.. 1979 November 19 (11 Suppl):880-3. Epub 1900 01 01.
Miller CL, Baker CC
Transplantation proceedings.. 1979 June 11 (2):1460. Epub 1900 01 01.
Baker CC, Miller CL, Trunkey DD, Lim RC
The Journal of surgical research.. 1979 May 26 (5):478-87. Epub 1900 01 01.
Suppressor T Cells Induced by Thermal Injury
Miller, C.; Claudy, B.
Cellular Immunol. 1979; 44: 201.
Changes in Lymphocyte Activity After Thermal Injury: Role of Suppressor Cells
Miller, C.; Baker, C.
Journal of Clinical Investigations. 1979; 63: 202.
Immunological Assays as Measurements of Nutritional Status. A Review
Miller, C.
Journal of Parenteral and Enteral Nutrition. 1979; 2: 554.
Predicting Sepsis in Burn Patients
Baker, C.; Miller, C.; Trunkey, D.
Journal of Trauma. 1979; 19: 20.
Baker CC, Miller CL, Trunkey DD
Surgical forum.. 1979 30 :20-1. Epub 1900 01 01.
Miller CL, Graziano C, Lim RC
Surgical forum.. 1979 30 :43-5. Epub 1900 01 01.
Miller C, Petersen S, Sheldon GF, Carpenter G, Fuchs R, Claudy B
Surgical forum.. 1978 29 :63-5. Epub 1900 01 01.
Miller CL, Trunkey DD
The Journal of surgical research.. 1977 June 22 (6):621-5. Epub 1900 01 01.
Miller C, Sheldon GF, Claudy B, Carpenter G
Surgical forum.. 1977 28 :81-2. Epub 1900 01 01.
Inhibition of Cell Mediated Cytotoxicity by an Adherent Accessory Cell
Miller, C.; Mishell, R.
Journal of Immunology. 1975; 114: 792.
Miller CL, DeWitt CW
Cellular immunology.. 1974 August 13 (2):278-87. Epub 1900 01 01.
Cellular and Humoral Response to Major and Minor Histocompatibility Antigens
Miller, C.; DeWitt, C.
Transplantation Proceedings. 1974; 1: 303.
Miller C, DeWitt C
The Journal of immunology : official journal of the American Association of Immunologists.. 1972 November 109 (5):919-26. Epub 1900 01 01.
DeWitt CW, McDonald JH, Miller C
Transplantation proceedings.. 1971 March 3 (1):198-201. Epub 1900 01 01.
Exogenous heat shock protein (Hsp-27) uniquely blocks in vitro IL-4+GM-CSF stimulated MO differentiation to dendritic cells
Laudanski, K., De, A., Miller-Graziano, C.
European Journal of Immunology. .
Books
Molecular Chaperones and Cell Signalling (2005)
Chapter: HSP-27 As an Anti-Inflammatory Protein
Authors: Laudanski K, De A, Miller-Graziano C
Publisher: Cambridge Univ Press, New York, NY 2005
Update in Intensive Care and Emergency Medicine (2000)
Chapter: Trauma Mediators Favor Differentiation of Monocytes to Macrophage Rather Than to Dendritic Cells
Authors: Miller-Graziano, C.L.; De, A.K.; Kodys, K.
Publisher: Springer-Verlag, Berlin, Germany 2000
The Immune Consequences of Trauma, Shock & Sepsis - Mechanisms & Therapeutic App (1996)
Chapter: Relationship of Post-Trauma Altered IL-12 and IL-10 to Depressed Patient Mitogen Responses
Authors: De, A.K.; Kodys, K.; Fairfield, S.; Miller-Graziano, C.
Publisher: Springer-Verlag, Berlin, Germany 1996
Shock and Resuscitation (1993)
Chapter: Immunology of Shock and Injury
Authors: Miller-Graziano, C.L.
Publisher: McGraw-Hill, Inc., New York. 1993
Host Defense Dysfunction in Trauma, Shock and Sepsis (1993)
Chapter: Interactions of Immunopathological Mediators (TNF-alpha, TGF-beta, PGE2) in Traumatized Individuals
Authors: Miller-Graziano, C.L.; Szabo, G.; Kodys, K.; et al
Publisher: Springer-Verlag, Berlin, Germany 1993
Medicolegal Controversies of Trauma (1992)
Chapter: Trauma and the Immune System
Authors: Romain, P.L.; Miller-Graziano, C.L.; Zurier, R.B.
Publisher: Marcel Dekker, Inc., New York 1992
Alterations of Monocyte Function Following Major Injury (1989)
Chapter: The Immune Consequences of Trauma, Shock and Sepsis
Authors: Miller-Graziano, C.; Szabo, G.; Takayama, T.; Wu
Publisher: JSpringer-Verlag, Berlin, Germany 1989
Immunologic Consequences (1989)
Chapter: Splanchnic Ischemia and Multiple Organ Failure
Authors: Miller-Graziano, C.; et al
Publisher: Edward Arnold Co., Inc., Baltimore 1989
Infection in Massively Injured Patients. (1982)
Chapter: Massive Transfusion in Surgery and Trauma
Authors: Miller-Graziano, C.
Publisher: Alan R. Liss, Inc., New York 1982
Surgical Infections (1982)
Chapter: Immunobiology of Sepsis
Authors: Miller-Graziano, C.; Trunkey, D.
Publisher: Medical Examination Publishing Co., Inc., New York. 1982
Surgical Infections (1982)
Chapter: Post-Splenectomy Sepsis
Authors: Trunkey, D.; Miller-Graziano, C.
Publisher: Medical Examination Publishing Co.,, New York 1982
Emergency Surgery (1982)
Chapter: Multiple Organ Failure and Sepsis
Authors: Trunkey, D.; Miller-Graziano, C.
Publisher: Year Book Publishers, Chicago 1982
Surgical Clinics of North America: Trauma (1982)
Chapter: Immune Consequences of Trauma
Authors: Miller, S.; Miller-Graziano, C.; Trunkey, D.
Publisher: WB Saunders Co. 1982
Clinics in Immunology and Allergy (1981)
Chapter: Secondary Immunodeficiency in Burns and After Surgical Trauma
Authors: Miller-Graziano, C.
Publisher: WB Saunders Co., Ltd.,, Philadelphia 1981
Immune Consequences of Thermal Injury (1980)
Chapter: Alteration in Macrophage Function Following Thermal Injury
Authors: Miller, C.
Publisher: Williams and Wilkins, Maryland 1980
Lymphocytes and Their Interaction. (1974)
Chapter: Effects of Accessory Cells on the Generation of Immune Responses
Authors: Mishell, R.; Miller, C.
Publisher: Raven Press, New York 1974