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research overview Dr. Ambrogini is a physician scientist with extensive training in clinical and basic science, and a special interest in the pathophysiology of bone diseases. During the first part of her training as a resident in Endocrinology and Metabolism at the University of Pisa, Italy, she performed clinical and translational research on primary hyperparathyroidism. She conducted one of the first randomized controlled clinical trials on asymptomatic primary hyperparathyroidism, demonstrating the benefits of the surgical approach on bone mass and quality of life. The results of these studies were published in one of the leading journals in Endocrinology, the “Journal of Endocrinology and Clinical Metabolism”. She was also involved in translational research investigating the relationship between somatic and germline mutations with clinical manifestation of primary hyperparathyroidism (sporadic and familiar) and parathyroid carcinoma. After completion of her first residency in Endocrinology and Metabolism, she entered a PhD program at the University of Pisa. To perform her PhD studies and to follow her interest in bone diseases, she joined the laboratory of Dr. Stavros C. Manolagas at UAMS as a post-doctoral research fellow. During the three and a half years of her training under the direct supervision of Dr. Maria Almeida, she acquired extensive skills on basic research including generation of new mice models and she was involved in several projects. Her main project demonstrated the role of the FoxO transcription factors in bone pathology, and this work led to a paper in Cell Metabolism. She was also involved in projects aimed at understanding the molecular mechanism of the estrogen deficiency-induced bone loss and the role of oxidative stress in the age related-bone loss. After the end of the PhD/Post-doc training, she repeated a clinical residency in Internal Medicine and fellowship in Endocrinology and Metabolism at UAMS and pursued the career as a physician scientist in the Unites States. During her clinical training, she continued basic research in the lab, which resulted in several publications in high-impact journals. During the last year of her clinical fellowship, she began investigating the role of lipid peroxidation products in bone homeostasis, in collaboration with Dr. Witztum at the University of California in San Diego. Those studies showed, for the first time in vivo, the role of oxidation specific epitopes and the natural antibodies that defend against them in bone metabolism under both physiologic and pathologic conditions, paving the way for a new anabolic therapy for osteoporosis. The results of this work were published in Nature Communications and journal of Bone and Mineral Research. Dr. Ambrogini is currently continuing to work on this project and she has found that blocking oxidation specific epitopes prevents age-related bone loss, fat accumulation and worsening glucose intolerance. In addition, she started a translational study to investigate if endogenous levels of antibodies against oxidation specific epitopes correlate with bone mineral density in humans. She is also working to establishing a tissue back for bone specimens at UAMS. Her research has been supported by intramural and extramural funding. She received ~ $180.000 dollars in intramural funding. In 2018 she was a project leader in a COBRE grant (PI Dr. Charles O’Brien) and in 2019 she was awarded her independent funding with her first VA merit grant (RO1 equivalent). Dr. Ambrogini is an author in 31 publications (3231 citations), her H-index is 20 and i10-index is 27. She has published 85 abstracts and she have given 13 oral presentations and 17 poster presentations as first or last author at national and international meetings. Four of her oral presentations received awards from the American Society for Bone and Mineral Research. In recognition of her research and clinical contribution, she received an award by the CAVHS leadership in 2019.

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