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July 2004
Volume 68
Number 7

FAER Honorary Research Lecture:
David C. Warltier M.D., Ph.D., to Present ‘Protection Against Ischemia and Reperfusion Injury’

Ronald D. Miller, M.D., Trustee
Foundation for Anesthesia Education and Research


David C. Warltier, M.D., Ph.D.
The Foundation for Anesthesia Education and Research (FAER) will present the fourth annual FAER Honorary Research Lecture at the ASA 2004 Annual Meeting in Las Vegas, Nevada. FAER has created this annual lectureship as a means of recognizing outstanding scholarship by an anesthesiologist in an effort to encourage young anesthesiologists to consider careers in research and teaching, which are crucial if anesthesiology is to maintain its reputation as a medical specialty continuously striving for excellence in patient care.

This year’s selection is David C. Warltier, M.D., Ph.D., Professor of Anesthesiology, Pharmacology and Medicine (Cardiology) at the Medical College of Wisconsin, Milwaukee, Wisconsin. For more than 20 years, Dr. Warltier made novel and important contributions in both clinical and basic sciences, focusing largely on the physiology and pharmacology of coronary circulation and alterations in ventricular function in ischemic heart disease. His earliest investigations of the effects of volatile anesthetics on multivessel coronary ischemia provided a large body of critical information and helped to dispel the idea that isoflurane caused significant coronary steal and was, therefore, contraindicated in patients with coronary artery disease. His investigations of coronary angiogenesis and genetic control of angiogenic factors have resulted in continuing recognition from beyond the specialty of anesthesiology. His work on ischemic preconditioning and his discovery of the ability of volatile anesthetics to provide protection from myocardial ischemia through activation of adenosine triphosphate-dependent potassium channels has resulted in a new and more detailed understanding of the interaction of anesthetics and ischemic myocardium at the cellular level. He is presently studying the signal transduction pathways by which anesthetic cardioprotection against ischemia and reperfusion injury occurs.

Dr. Warltier was born on March 28, 1947, in Hartford, Connecticut, and spent most of his early years in New York. In 1965, David came to Waukesha, Wisconsin, to continue his education at Carroll College. He completed his B.S. degree with honors in biology and chemistry in 1969. (Twenty-two years later, Carroll College awarded him an Honorary D.Sc. degree for his achievements in the biologic sciences.) After a short period working as an organic chemist, Dr. Warltier entered a graduate program in pharmacology as a student of Harold F. Hardman, M.D., Ph.D., Professor and Chair, and Garrett Gross, Ph.D., Assistant Professor (and now Professor) at the Medical College of Wisconsin. He completed his Ph.D. in 1976, and within four years, he published 24 original articles in peer-reviewed journals. Postdoctoral fellowships in pharmacology from the American Heart Association and the National Science Foundation laid the groundwork for his first National Institutes of Health (NIH) grant in 1979, titled “The Pharmacology of Myocardial Ischemia and Infarction.” This was the start of 25 years of continuous NIH research support. He completed his M.D. at the Medical College of Wisconsin in 1982, earning election to Alpha Omega Alpha. After graduation he was immediately promoted to Associate Professor of Pharmacology and Internal Medicine. He continued with his investigations as a mentor for cardiology fellows and pharmacology graduate students in his role as Director of the Cardiovascular Research Training Grant in Cardiology (1983-89).

Three years after receiving his M.D., Dr. Warltier decided on another career change. He entered the anesthesiology residency training program in 1985, completing his training in 1988. At the same time, he continued to develop a successful and productive research laboratory and to build his academic career by combining clinical anesthesiology and basic research. He was promoted to Professor of Anesthesiology, Pharmacology and Medicine in 1990 and, in the same year, was appointed Vice-Chair for Research in the Department of Anesthesiology at the Medical College of Wisconsin.

The following years have been as remarkable as those that preceded his entry into our specialty. In addition to his own research activities, he has mentored the careers of numerous medical students, graduate students, residents, cardiology fellows and anesthesiology fellows. He is Principal Investigator of the department’s NIH-funded Anesthesiology Research Training Grant. He was appointed as Adjunct Professor of Biomedical Engineering at Marquette University, Milwaukee, Wisconsin, in 1995 in recognition of research that has contributed to the Ph.D. research thesis requirements for a number of bioengineering graduate students. In 2000, he was appointed Director of the Medical Scientist Training Program (the M.D., Ph.D. program) at the Medical College of Wisconsin. This latter, universitywide position was the direct result of his achievements in science, his leadership, his communication skills and his record of success in mentorship and ability to influence and help students achieve their goals in academic medicine. Dr. Warltier received the Distinguished Service Award from the Medical College of Wisconsin in 2002.

Dr. Warltier’s contributions to the specialty of anesthesiology are numerous. He has been a member of the editorial board of Anesthesiology for the past 12 years. He also serves as an editor for Cardiovascular Drug Reviews and the American Journal of Physiology (Heart and Circulatory Physiology) and has been an editorial consultant and reviewer for 16 journals. He is a member of many medical and scientific organizations and societies and has been a visiting professor at numerous academic programs in the United States as well as in other countries. He has published more than 300 original articles, book chapters and reviews and has held grants from NIH, the Veterans Administration and many pharmaceutical companies. His current NIH R01 grant has been funded continuously for 20 years, while the Anesthesiology Research Training Grant has been funded for 16 years. Dr. Warltier also is a principal investigator of a project in an NIH Program Project grant dealing with heart disease and anesthesia. In 2001 he won the ASA Excellence in Research Award. (This article is based on a description of Dr. Warltier’s achievements at the 2001 ASA Annual Meeting.)

Finally, Dr. Warltier is simply the epitome of the clinician-investigator: When he is not in the laboratory, classroom or lecture hall, he can usually be found providing anesthesia care for patients undergoing cardiac and major vascular surgery.

Other than his work, Dr. Warltier has three important loves: his family, his golden retrievers, Chili and Murphy, and pre-Columbian art (of which he has an impressive collection). He is a loving husband to his wife, Lynn, and father to four children, Candice, Charles, Kristin and Karin. His extended professional family has consisted of approximately 40 fellows and students who have spent time in his laboratory.

Dr. Warltier’s lecture, “Protection Against Ischemia and Reperfusion Injury,” will be presented Monday, October 25 from 2:15 p.m. to 3:15 p.m. in Pavillion 9 of the Las Vegas Hilton.




   
Ronald D. Miller, M.D., is Professor and Chair, Department of Anesthesiology and Perioperative Care, and Professor of Cellular and Molecular Pharmacology, University of California-San Francisco, San Francisco, California.
Ronald D. Miller, M.D.

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