Yale School of Medicine

Internal Medicine

Internal Medicine, Yale School of Medicine

Internal Medicine
333 Cedar Street
Room LMP-1072
P.O. Box 208056
New Haven, CT 06520-8056

Ruth Montgomery, Ph.D.

Ruth Montgomery, Ph.D.

Senior Research Scientist
Rheumatology

Research Activities

The focus of our lab’s research is on innate immunity, specifically the interaction of macrophages, neutrophils, and dendritic cells with pathogens (including the agent of Lyme disease, Borrelia burgdorferi, and West Nile virus). We also are examining the effect of aging and immunosuppression on the expression and efficiency of Toll-Like receptors from a large cohort of human subjects and have shown that older donors express lower levels of certain TLRs.

In Lyme disease, our comprehensive examination of phagocyte killing mechanisms has shown site-specific activation of macrophages, no global impairment of macrophage function in the infected host, and no evidence of pressure toward downregulation of inflammatory activity. Antibody is critical for clearance of B. burgdorferi by PMN, thus in the early innate immune response clearance by PMN is inefficient. Many PMN components are effective against B. burgdorferi, including granule contents and the abundant cytosolic protein, calprotectin. Calprotectin is a marker of many inflammatory conditions and is highly elevated in inflamed joints. It is present at levels sufficient to block killing of spirochetes by certain antibiotics. We are also examining the effects of vector saliva on phagocyte function. Ixodes tick saliva is a potent immune modulator and we have shown one mechanism for its inhibition of PMN function is down-regulation of leukocyte integrins.

We have shown that infection with West Nile virus attenuates the activation of macrophages and interferes with intracellular signaling pathways. In addition, the macrophage response to West Nile virus is impaired in macrophages from older donors.

In addition to quantitative biochemical and molecular methods to address these questions, we use high-resolution confocal imaging. I am the Director of the Confocal Microscopy facility, which houses a Zeiss 510 META confocal microscope. In addition to our studies on phagocytes, we have imaged entire Ixodes ticks (J. Exp. Med. cover image, June 2006), and intact salivary glands to demonstrate expression of a novel tick receptor for spirochete outer surface protein A, and efficient down-regulation of salivary anti-coagulants by RNAi.

Selected Publications

Lusitani D, Malawista SE, Montgomery RR. Borrelia burgdorferi are susceptible to killing by a variety of PMN components. J. Infect. Dis. 2002;185:797-804.

Montgomery RR, Lusitani DL, Chevance A, Malawista SE (2002) Human phagocytic cells in the early innate immune response to Borrelia burgdorferi. J Infect Dis 185:1773-9

Lusitani DL, Malawista SE, and Montgomery RR (2003) Calprotectin, an abundant cytosolic protein from human polymorphonuclear leukocytes, inhibits the growth of B. burgdorferi. Infect Immun 71:4711-4716

Narasimhan S, Montgomery RR, Deponte K, Marcantonio N, Tschudi C, Anderson JF, Cappello M, Kantor FS, and Fikrig E (2004) Disruption of Ixodes scapularis anticoagulation pathways using RNA interference. Proc Natl Acad Sci USA 101:1141-1146

Montgomery RR, Lusitani D, de Boisfleury Chevance A, and Malawista SE (2004) Tick saliva reduces adherence and area of human neutrophils. Infect Immun 72:2989-2994

Montgomery, RR, Schreck, K, Wang, X, and Malawista, SE 2006. Human neutrophil calprotectin reduces the susceptibility of Borrelia burgdorferi to Penicillin. Infect. Immun 74:2468-2472

Montgomery, RR, Booth, CJ, Wang, X., Blaho, VA, Malawista, SE, and Brown, CR 2007. Recruitment of macrophages and PMN in Lyme carditis. Infect. Immun. 75:613-620.

van Duin, D, Thomas, V, Mohanty, S, Montgomery, RR, Ginter, S, Fikrig, E, Allore, HG, Medzhitov, R, and Shaw, AC 2007. Age-associated Defect in Human TLR1 Function and Expression. J. Immunol. 178:970-975.

Arjona, A., Foellmer, H., Town, T., Leng, L., McDonald, C., Wong, S., Montgomery, R.R., Fikrig, E., and Bucala, R. 2007. Abrogation of Macrophage Migration Inhibitory Factor Decreases West Nile Virus Lethality by Limiting Viral Neuroinvasion. J. Clin. Invest. in press.

Kong, K.-F., Wang, X., Anderson, J.F., Fikrig, E., and Montgomery, R.R. 2007. West Nile virus attenuates activation of primary human macrophages. Viral Immunol in press.

Lab Members

Postdoctoral Associates

Xiuyang Guo, Ph.D. (203) 785-6955
Kok-Fai Kong, Ph.D. (203) 785-6955
Feng Qian, Ph.D. (203) 785-6955

Research Associates

Xiao-mei Wang (203) 785-6955
Lin Zhang (203) 785-6955

Contact

Campus Address
300 Cedar Street
TAC S-413

Mailing Address
Yale University School of Medicine
P.O. Box 208031
New Haven, CT 06520-8031

E-mail
ruth.montgomery@yale.edu

Office Phone
(203) 785-7039

Fax
(203) 785-7053