Joshua T. Schiffer, MD, MSc
Associate Professor
Department of Medicine, Division of Allergy & Infectious Diseases
Associate Member, Vaccine & Infectious Disease Division (VIDD), Fred Hutchinson Cancer Research Center
Associate Member, Clinical Research Division, Fred Hutchinson Cancer Research Center
Sites of Practice: 
Harborview Medical Center
Seattle Cancer Care Alliance
University of Washington Medical Center

Faculty Information

Biography

The aim of Dr. Schiffer's research program is to gain a better understanding of the quantitative features of human pathogens and immune responses. In close collaboration with colleagues at the Fred Hutchinson Cancer Research Center and the University of Washington, Dr. Schiffer designs mathematical models that capture growth and decay kinetics of infectious organisms. His models attempt to replicate detailed empirical datasets, and in turn, are used to inform subsequent human studies and laboratory experiments. At its core, his group's research tries to identify conditions that predict either containment or expansion of human pathogens.

A major focus in his group is the evaluation of interactions between herpes simplex virus-2 (HSV-2) and host immune response in the human genital tissues. HSV-2 is a globally important infection that is the leading cause of genital ulcers, and is also a critical risk factor for HIV acquisition and transmission. In addition, HSV can cause severe disease in persons with immunosuppression due to HIV, organ transplantation, stem cell transplantation, or other immuncompromised conditions. Dr. Schiffer designs detailed clinical studies to capture the dynamic features of the frequent, heterogeneous shedding episodes that are a key feature of chronic HSV-2 infection in humans, and to characterize the dynamics of the HSV-specific lymphocyte response to viral replication in the genital tract. He synthesizes this virologic and immunologic data into mathematical models of pathogenesis. While his models suggest extraordinarily rapid expansion of HSV-2 across the genital tract, each shedding episode is ultimately contained and significant immune pressure is evident within hours of shedding episode initiation. His group continues to explore the spatial immune mechanisms that lead to this balance between virus and host. As they gain a more sophisticated understanding of viral immune kinetics, his group is able to simulate clinical trials of antiviral therapy and vaccines with the goal of dose optimization.

His group is involved in a number of other projects, all of which involved the synthesis of novel clinical and laboratory datasets with mathematical models. These projects include curative approaches for chronic viral infections such as hepatitis B, HSV and HIV; role of tissue resident T-cells in containing infection in three-dimensional spatial environments; transmission dynamics of viruses in newborns; and dynamics of bacterial species that compromise the human micro biome. Please visit Dr. Schiffer's lab site for more details.

Education & Training: 
MD
Johns Hopkins University School of Medicine
Baltimore, MD
1998-2002
MS, Epidemiology
University of Washington
Seattle WA
2008-2009
Resident in Internal Medicine
Johns Hopkins Hospital
Baltimore MD
2003-2005
Senior Fellowship in Infectious Diseases
University of Washington
Seattle WA
2007-2010
Honors: 
Albert Schweitzer Community Service Fellowship, Johns Hopkins University
2001
Infectious Diseases Society of Washington, Keynote Speaker, Annual Dinner
2008
Fellow’s Travel Award, Infectious Diseases Society of America
2009
Rising Star Program for UW Junior Faculty, Institute for Translational Health Sciences
2013
Contact
Phone: 
(206) 667-7359
Mailing Address: 

Fred Hutchinson Cancer Research Center

1100 Eastlake Ave., E

Seattle, WA 98109

Research & Clinical Interests
Research Interests: 
  • Mathematical modeling
  • HIV cure
  • SARS-CoV-2 epidemiology
  • Herpes complex virus-2
  • Tissue-resident T cells
  • Clinical trial simulation
  • Viral infections in immunocompromised hosts
Clinical Interests: 
  • General infectious diseases
  • HIV
  • Infections in immunocompromised hosts
Publications
Publications: 

Schiffer JT, Swan DA, Roychoudhury, P, Lund, JM, Prlic, M, Zhu, J, Wald, A, and Corey, L. A Fixed Spatial Structure of CD8+ T Cells in Tissue during Chronic HSV-2 Infection. J Immunol 2018; 201(5):1522-1535.
• PubMed Abstract

Mayer BT, Srinivasan S, Fiedler TL, Marrazzo JM, Fredricks DN,Schiffer JT. Rapid and Profound Shifts in the Vaginal Microbiota Following Antibiotic Treatment for Bacterial Vaginosis. J Infect Dis. 2015 Sep 1; 212(5):793-802.
PubMed Abstract

Matrajt L, Younan P, Kiem HP, Schiffer JT,. The majority of CD4+ T-cell depletion during acute SHIV89.6P infection occurs in uninfected cells. JVI. 2014 Mar; 88(6):3202-12.
 PubMed Abstract

Schiffer JT, Swan D, Al Sallaq R, et al. Rapid localized spread and immunologic containment define Herpes simplex virus-2 reactivation in the human genital tract. Elife. 2013; 2:e00288.
• PubMed Abstract

Schiffer JT, Swan D, Stone D, Jerome K. Predictors of hepatitis B cure using gene therapy to deliver DNA cleavage enzymes: a mathematical modeling approach. PLoS Comput Biol. 2013 Jul; 9(7):e1003131.
 PubMed Abstract

Schiffer JT, Swan D, Corey L, Wald A. Rapid viral expansion and short drug half-life explain the incomplete effectiveness of current Herpes Simplex Virus-2 directed antiviral agents. Antimicrob Agents Chemother. 2013 Dec; 57(12):5820-9.
• PubMed Abstract

Schiffer JT, Abu-Raddad L, Mark KE, Zhu J, Selke, S, Koelle, DM, Wald A and Corey L. Mucosal host immune response predicts the severity and duration of herpes simplex virus-2 genital tract shedding episodes. Proc Natl Acad Sci. 2010; 107(44):18973-8.
 PubMed Abstract