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Division of Rheumatology

Over the past decade, we have witnessed a major transformation in our ability to treat patients and to understand pathological conditions that exist under the umbrella of rheumatic disease.”

Harris R. Perlman, PhD
Chief, Division of Rheumatology

About Our Division

The Division of Rheumatology promotes prevention, cure and relief of suffering caused by arthritis and rheumatic diseases through research, education and patient care. Our diverse faculty are experts across all rheumatic specialties and share a dedication to transformative research aimed at improving patient treatments through precision medicine. And through our ACGME-accredited fellowship program, led by national experts and supported by an NIAMS T32 grant, we are training the next generation of rheumatologists.

Education

Our fellowship in rheumatology prepares individuals for careers in academic clinical or clinical rheumatology. The focus of our program is the development of academic rheumatologists and scientists competent in the treatment and investigation of rheumatic diseases. The fellowship consists of a first year of comprehensive inpatient and ambulatory clinical rheumatology training, followed by a one- to two-year mentored investigator phase with concurrent ambulatory clinical experience.

Learn about the Rheumatology Fellowship

Research

The Division of Rheumatology has faculty members involved in all phases of the cycle of medical research, from the lab bench to the bedside and back. Medical research begins in a laboratory, with studies that are concerned with the fundamental biologic functions of the body's tissues and the ways in which those functions are disrupted in disease. The knowledge generated in the laboratory is then validated in the real world, putting it to practical use and pointing the way towards actual changes in patient care. Finally, analysis of the outcomes of current and new therapies allow us to identify areas where interventions are working or not working and is the way by which new medicines and other new treatments come into widespread use in actual medical practice.

 

Rheumatology Research Training Program (T32)

There is an urgent need to train skilled MD and PhD investigators in patient-oriented research to improve care for arthritis and related conditions. The shortage of clinical research trainees, particularly in rheumatology, has reached a critical level. This program aims to develop motivated, well-trained MDs and PhDs into future leaders in rheumatology research. Find more information on the NIH website.

Apply for this program

Leadership

Eligibility

The Rheumatology T32 has training slots available each year for two postdoctoral trainees (MD or PhD) who support the research mission of the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Trainees must possess an MD, PhD or equivalent doctoral degree from an accredited domestic or foreign institution, may work in the laboratory of one of the T32 mentors and must meet NRSA citizenship and support requirements.

Carla Cuda Lab

The Cuda Lab — led by Carla Cuda, PhD — investigates the neuropsychiatric manifestations of systemic lupus erythematosus (NP-SLE) using basic and translational research. NP-SLE affects up to 90 percent of lupus patients, leading to conditions like seizures, strokes, mood disorders and cognitive dysfunction, yet the underlying mechanisms remain poorly understood.

Recent studies implicate microglia, the brain’s innate immune cells, in NP-SLE. Our lab is the first to identify a shared transcriptional signature between NP-SLE and disease-associated microglia (DAM), a subset previously linked to Alzheimer's. We discovered that the expression of DAM-related genes correlates with behavioral deficits in mouse models, and treatments targeting microglia, like fingolimod, improve these outcomes.

We also explore the role of macrophages in NP-SLE, finding that increased brain macrophages correlate with more severe early-life symptoms. Our research suggests shared mechanisms between NP-SLE and other lupus manifestations, such as lupus nephritis.

The lab is translating these findings to human studies by analyzing cerebrospinal fluid and circulating monocytes from NP-SLE patients to uncover potential diagnostic and therapeutic targets. Through this work, we aim to improve understanding and treatment of NP-SLE.

For more information, Cuda's faculty profile.

Publications

View Cuda's publications at PubMed.

Contact Us

Contact Cuda at 312-503-7320 or c-cuda@northwestern.edu.

Damini Jawaheer Lab

Rheumatoid arthritis (RA), though incurable, improves naturally during pregnancy in 50 to 75 percent of women, while worsening or remaining unchanged in others. The reasons for this are not fully understood, nor is the cause of the common RA flare that occurs three to six months after childbirth. Hormonal changes alone cannot explain these patterns, and little is known about the biological shifts in a woman's blood before, during and after pregnancy.

Damini Jawaheer, PhD, and the Jawaheer Lab lead research on this topic through a unique pregnancy cohort of RA and healthy women in Denmark. This cohort, the first to include pre-pregnancy baselines and samples collected throughout pregnancy and postpartum, enables gene expression and epigenetic studies to investigate these phenomena. Initial findings indicate that specific immune pathways are progressively modulated during pregnancy, and pre-pregnancy gene expression may predict RA improvement or worsening. Additionally, a set of immune-related genes is linked to postpartum RA flare.

The lab's ongoing research uses advanced genomics and bioinformatics to build on these discoveries. This work could identify new therapeutic targets to replicate the beneficial effects of pregnancy on RA, offering hope for improved treatments for millions affected by the disease worldwide.

For more information, visit Jawaheer's faculty profile.

Publications

View Jawaheer's publications via PubMed.

Contact Us

Email Jawaheer

Harris Perlman Lab

Macrophages are key drivers of inflammation and fibrosis in organs like the synovium, kidney, and lung during rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis. They also contribute to related conditions such as atherosclerosis and obesity. Our research reveals significant heterogeneity in macrophage populations, influenced by their origin and environment, and shows they can alter their phenotype over the course of disease.

Harris R. Perlman, PhD, and the Perlman Lab propose that in early disease stages, tissue-resident macrophages, which usually maintain immune tolerance, are overwhelmed by pro-inflammatory or pro-fibrotic monocyte-derived macrophages. As disease progresses, recruited macrophages take on tissue-resident traits but retain harmful, chronic inflammation-promoting characteristics, driving tissue damage and fibrosis.

Using advanced models and technologies like micro-MRI, RNA sequencing, and flow cytometry, we study macrophage behavior and link it to disease progression. Cross-referencing our findings with patient data from AMP programs allows us to rapidly test new therapeutic strategies. This research could lead to paradigm-shifting insights and treatments for rheumatic diseases.

For more information, see Perlman's faculty profile.

Publications

View Perlman's publications via PubMed.

Contact Us

Contact Perlman at 312-503-8003 or the Perlman Lab at 312-503-1933.

Deborah Winter Lab

The goal of the Winter Lab of Functional Genomics is to apply genomic approaches to study rheumatic disease. Led by Deborah Winter, PhD, a computational immunologist, we employ the latest technologies for assays, such as RNA-seq, ChIP-seq, ATAC-seq and single cell expression, to profile the transcriptional and epigenomic profiles of immune cells in health and disease.

Our goal is to define the underlying regulatory networks and understanding how they respond to challenge, illness and injury. We are particularly interested in the role of macrophages in diseases such as scleroderma, rheumatoid arthritis and lupus. Previous research has addressed the impact of the tissue environment on resident macrophages and the role of microglia, CNS-resident macrophages, in brain development. Our research combines molecular and systems biology, biotechnology, clinical applications and computer science.

We use both mouse models and patient samples to help us understand and test different systems. We are committed to high standards of analysis and are continually updating and training in innovative computational techniques. We are currently recruiting highly motivated individuals to join the lab.

For more information, see Winter's faculty profile.

Publications

View Winter's publications via PubMed.

Contact Us

Contact Deborah Winter at deborah.winter@northwestern.edu or 312-503-0535.

Identifying the right therapy for rheumatoid arthritis (RA) patients remains challenging, with the current trial-and-error approach being costly and time-consuming. There is a critical need for tests that can predict treatment response, but reliable markers are lacking. Research suggests that the joint lining, damaged by RA, may hold the key. However, traditional tissue sampling methods, requiring invasive surgeries, are only used in advanced disease stages.

A promising solution is ultrasound-guided joint biopsies, a minimally invasive technique widely used in Europe. Northwestern University leads the RhEumatoid Arthritis SynOvial tissue Network (REASON) Study consortium, which includes several top U.S. academic centers, to bring this approach to American RA patients. These biopsies enable cutting-edge tests to identify markers that could predict medication outcomes and eliminate the trial-and-error process.

Learn more about the synovial biopsy procedure from Harris Perlman, PhD, and Arthur Mandelin, MD, PhD, in the videos below.

Contact Us

The Northwestern Medicine Vasculitis Center, is the only one of its kind in Illinois. This program, a collaboration with the Vasculitis Foundation, supports comprehensive clinical care as well as research into the epidemiology and treatment of vasculitis. This program aims to develop collaborations in clinical care, research, and educational initiatives that will drive advancements in the treatment of these diseases.

Listen to this podcast about the center by Anisha Dua, MD, MPH.

Learn more about the Vasculitis Center

Contact Us

We welcome your questions and comments at the Division of Rheumatology at Northwestern University Feinberg School of Medicine. Please contact our administrative office via the information below.

Division of Rheumatology
240 E. Huron St., M300
Chicago, IL 60611
Phone: 312-503-8003
Fax: 312-503-0411

Patients should contact us at 312-695-8628.

Division Administrator
Charon Gladfelter
charon.gladfelter@northwestern.edu

Giving

We invite your philanthropic partnership in helping us achieve our research and teaching missions each day. Contact MaryPat Mauro for more information on supporting the Division of Rheumatology at 312-503-1090 or marypat.mauro@northwestern.edu.