{"id":371972,"date":"2019-04-12T15:37:38","date_gmt":"2019-04-12T19:37:38","guid":{"rendered":"http:\/\/www.rochester.edu\/newscenter\/?p=371972"},"modified":"2025-11-19T07:59:42","modified_gmt":"2025-11-19T12:59:42","slug":"atopic-dermatitis-chronic-skin-patients-solution-lisa-beck-371972","status":"publish","type":"post","link":"https:\/\/www.rochester.edu\/newscenter\/atopic-dermatitis-chronic-skin-patients-solution-lisa-beck-371972\/","title":{"rendered":"For chronic skin patients, a solution on a global scale"},"content":{"rendered":"

Women of Invention<\/a> is a Newscenter series of profiles of women at the University who hold international patents. More than half of the University’s patent applications\u00a0from 2011 to 2015 include women.<\/em><\/h4>\n

When it comes to research and invention, \u201cthere are lots of great questions,\u201d says Lisa Beck, an internationally recognized expert in atopic dermatitis. \u201cBut not all of them have answers.\u201d<\/p>\n

And even when those questions do have answers, those answers may be lurking in unexpected places.<\/p>\n

For example, atopic dermatitis, the most common form of eczema, is a chronic skin disease that causes unsightly lesions, profound itching, and outright misery for up to 20 percent of children and 9 percent of adults.<\/p>\n

There is no known cure. However, Beck\u2019s lab at the University of Rochester Medical Center<\/a> discovered a defective protein that appears to be responsible for creating the \u201cleaky\u201d skin that causes the condition.<\/p>\n

What\u2019s leaky skin? It occurs when \u201cwater comes out, which makes the skin dry, and allergens, microbes, and irritants get in and cause the characteristic inflammation of the disease,\u201d says Beck, a Dean\u2019s Professor of Dermatology. \u201cAnd it makes you very allergy prone.\u201d<\/p>\n

Her discovery of the defective protein may eventually lead to new ways to treat atopic dermatitis. But in the meantime, Beck and her collaborators\u2014Ben Miller, also a professor of dermatology, and Anna De Benedetto, formerly at Rochester, now associate professor of dermatology at the University of Florida\u2014have found a peptide that can temporarily \u201crecreate\u201d the same effect of having a faulty protein in healthy people as well.<\/p>\n

That may not seem particularly helpful at first glance. But applied as part of a small wearable patch, the peptide can temporarily create temporary \u201cleaks\u201d in a very localized area of healthy skin. In doing so, it creates a perfect portal for vaccinating people or as an alternative route for drug delivery.<\/p>\n

A winding route to dermatology<\/strong><\/h3>\n

Beck\u2019s first research project\u2014for AP biology in high school\u2014took place in the basement of her family\u2019s home in Portville, New York.<\/p>\n

The small town \u201chas one stoplight,\u201d says Beck. Her high school graduating class numbered just over 90, and just under half of the students went directly to college.<\/p>\n

\u201cI wanted the guys to know \u2018I\u2019m a woman in STEM, and I can do physical chemistry just as well as you can.\u2019\u201d<\/div>\n

\u201cAnd yet, we had national merit scholar finalists, so it was really one of those amazing public schools,\u201d she says. Two of her teachers, one in biology, the other in math, \u201cwere pretty seminal in my education. To this day, they remain some of my best teachers.\u201d<\/p>\n

Education \u201cwas extremely important\u201d to her father, a dermatologist, and her mother, who headed the medical social work department at a nearby hospital. Her father, in fact, was her first \u201ccollaborator\u201d on that high school science project, and they also worked together on multiple carpentry and plumbing projects around the house.<\/p>\n

She graduated from Mount Holyoke College, the elite liberal arts college for women, with a degree in chemistry. But not before spending her junior year at the University of Virginia at Charlottesville. She wanted to experience the atmosphere of a big university with a Division I sports program.<\/p>\n

After watching Ralph Sampson, the celebrated 7-foot-4 center, play there, she became a lifelong fan of ACC basketball.<\/p>\n

More importantly, she aced her classes.<\/p>\n

\u201cI wanted the guys to know \u2018I\u2019m a woman in STEM, and I can do physical chemistry just as well as you can,\u2019\u201d Beck says.<\/p>\n

Her sights were set on going to medical school and becoming a general internist. However, by her second year of medical school at SUNY\u2013Stony Brook, Beck was seriously questioning if she had made the right career choice.<\/p>\n

\u201cIt was like feeding from a firehose\u2014the amount of information and facts they give you in the first two years of medical school\u2014and they never ask you to use those facts to help solve complex problems, which was what I had been trained to do at Mount Holyoke,\u201d Beck says.<\/p>\n

She decided to complete medical school, and came to Rochester for her internship and residency in the mid-1980s. Because there were so few critical care nursing home facilities at that time, hospitals cared for large numbers of terminally-ill, elderly patients. Many of those patients had dementia and would likely be in nursing facilities today.<\/p>\n

To Beck, the situation presented a moral dilemma. \u201cShould we be as aggressive working up a fever spike in a noncommunicative, 90-year-old woman, as we would do for a 20-year-old?\u201d she asks. \u201cEspecially when that workup included invasive and painful procedures like a lumbar puncture, tons of bloodwork, a chest x-ray, and urine culture. It felt like we were doing more harm than good.\u201d<\/p>\n

Career changing advice<\/strong><\/h3>\n

As chance would have it, the acting chair of medicine that Beck turned to for advice was Lowell Goldsmith, founder of the Dermatology Division at Rochester<\/a> and a \u201cgiant\u201d in the field.<\/p>\n

\u201cI had always teased my dad that a dermatologist wasn\u2019t a \u2018real\u2019 doctor,\u201d Beck says. \u201cBecause I really thought\u2014and still believe\u2014that the internists and pediatricians and family practitioners are the real unsung heroes in health care.\u201d<\/p>\n

But after talking with Goldsmith, Beck became convinced that she would be happier pursuing a career in dermatology, where the diagnoses rely on careful histories and physical exams.<\/p>\n

She moved to Duke to complete a residency in the field\u2014taking full of advantage of the free tickets available to dermatology residents to watch home games of the highly ranked Duke basketball team in Cameron stadium.<\/p>\n

Beck then took her first faculty position at Johns Hopkins University in Baltimore. She solidified her clinical knowledge as head of dermatology at the university\u2019s Bayview campus. But she spent most of her 17 years at Hopkins in the Division of Allergy, learning what it takes to be a skilled researcher from some of the best in their field.<\/p>\n

\u201cAt that point, the allergy division at Johns Hopkins was the largest in the world,\u201d Beck says.<\/p>\n

\u201cWe had many weekly conferences, and that\u2019s when I learned that you go to every research meeting, whether or not it has anything to do with what you\u2019re working on, because that\u2019s where you get creative new ideas.\u201d<\/p>\n

She also learned the importance of feedback from peers\u2014however stinging it might feel at the time.<\/p>\n

\u201cYou would be criticized quite robustly by your peers there, because the feeling was, \u2018if we\u2019re hard on you, when you\u2019re ready to go out and present your work to the world, you\u2019ll already have addressed the weaknesses.\u2019\u201d<\/p>\n

A skin patch with global applications<\/strong><\/h3>\n

And now Beck is back at Rochester.<\/p>\n

The skin patch she developed with Miller and De Benedetto to deliver vaccines has worked in tissue cultures and in mice thanks to the hard work of Matt Brewer, a postdoc in the Miller and Beck labs.<\/p>\n

\u201cAnd the beauty of it is, when you remove the patch after 24 hours, the skin barrier recovers very nicely,\u201d she says.<\/p>\n

The novel technology could make it much easier to vaccinate entire populations in hard-pressed developing countries against yellow fever, malaria, West Nile, Zika, and Chikungunya.<\/p>\n

Think of it: vaccination without the burden of hypodermics, which are painful, require expensive biohazard disposal, and highly trained health care workers.<\/p>\n

Patents are now pending in the US and overseas.<\/p>\n

Not bad for someone who worried in medical school that she \u201cwasn\u2019t helping anyone.\u201d Now, Beck has come up with a technology that could help people on a global scale.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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