Overview
Academic Appointments
- Assistant Professor of Medicine
Hospital Affiliations
- NewYork-Presbyterian Allen Hospital
Gender
- Female
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Location(s)
Insurance Accepted
Aetna
- Medicare Managed Care
- NY Signature
Affinity Health Plan
- Medicaid Managed Care
Amerigroup of New Jersey
- New Jersey Services (Medicaid Managed Care)
Cigna
- EPO
- Great West (National)
- HMO
- Medicare Managed Care
- POS
- PPO
Emblem/GHI
- Medicare Managed Care
- PPO
Emblem/HIP
- ConnectiCare
- EPO
- Essential Plan
- HMO
- Medicaid Managed Care
- Medicare Managed Care
- POS
- PPO
- Select Care (Exchange)
- Vytra
Empire Blue Cross/Blue Shield
- EPO
Empire Blue Cross Blue Shield HealthPlus
- Child/Family Health Plus
- Essential Plan
Fidelis Care
- Child/Family Health Plus
- Essential Plan
- Medicaid Managed Care
- Medicare Managed Care
Healthfirst
- Child/Family Health Plus
- Leaf (Exchange)
- Medicare Managed Care
Local 1199
- Local 1199
MagnaCare (National)
- MagnaCare
Medicare
- Railroad
- Traditional Medicare
Multiplan
- Multiplan
MVP Health Care
- Child/Family Health Plus
- Essential Plan
- Medicaid Managed Care
Quality Health Management
- Quality Health Management
RiverSpring
- Special Needs
UnitedHealthcare
- Compass (Exchange)
- Empire Plan
- HMO
- Medicaid (Community Plan)
- Oxford Freedom
- Oxford HMO
- Oxford Liberty
- POS
- PPO
VNSNY CHOICE
- SelectHealth
- Special Needs
WellCare
- Medicare Managed Care
- New Jersey Services (Medicaid Managed Care)
World Trade Center Health Plan
- World Trade Center Health Plan
Research
Dr. Small-Saunders's lab applies gene-editing, mass spectrometry and deep sequencing techniques to understand epigenetic and epitranscriptomic mechanisms of drug resistance and stress responses in Plasmodium falciparum (Pf) parasites. Malaria, a mosquito-borne parasitic disease caused by Pf, remains a significant global health threat, with ~200 million cases and ~600,000 deaths annually, mainly in children under 5 years of age. Resistance to the first line antimalarial, artemisinin, has spread across Asia and has now arisen in Africa, imperiling malaria treatment and control. Despite the pressing need for novel therapeutic targets, the understanding of parasite biology lags behind most other pathogens and higher eukaryotes. Our lab has three main areas of focus. First, we study how tRNA modification reprogramming can alter the parasite’s quiescence and stress responses potentially linking nutrient availability and translation to enable rapid cellular adjustments to external stressors. Second, we seek to uncover new epigenetic and epitranscriptomic mechanisms that are critical to the parasite stress and quiescence responses. Our third area is the development of novel classes of epigenetic and epitranscriptomic inhibitors in Pf. Our work seeks to uncover new aspects of parasite gene regulation and RNA pathways in the parasite, which may allow for the development of novel antimalarials to combat one of the deadliest global diseases.
More information is available on the Small-Saunders Lab website
Selected Publications
- Small-Saunders JL*, Sinha A, Bloxham TB, Hagenah LM, Sun G, Preiser P, Dedon PC, Fidock DA*. tRNA modification reprogramming contributes to artemisinin resistance in Plasmodium falciparum. Nature Microbiology. Jun 2024 9(6) 1483-1498. PMC11153160. *Co-corresponding authors.
- Hagenah LM, Dhingra SK, Small-Saunders JL, Qahash T, Willems A, Schindler KA, Rangel GW, Gil-Turbe E, Kim J, Akhundova E, Yeo T, Okombo J, Mancia F, Quick M, Roepe PD, Llinas M, Fidock DA (2023) Additional PfCRT mutations driven by selective pressure for improved fitness can result in the loss of piperaquine resistance and altered Plasmodium falciparum physiology. mBio Dec 2023. PMID: 38059639. *Editor’s pick.
- Wicht KJ, Small-Saunders JL, Hagenah LM, Mok S, Fidock DA (2022) Mutant PfCRT Can mediate piperaquine resistance in African Plasmodium falciparum with reduced fitness and increased susceptibility to other antimalarials. Journal Infectious Diseases Sep 2022. PMID: 36082431.
- Small-Saunders JL, Hagenah LM, Wicht KJ, Dhingra SK, Deni I, Kim J, et al. (2022) Evidence for the early emergence of piperaquine-resistant Plasmodium falciparum malaria and modeling strategies to mitigate resistance. PLoS Pathog 2022 Feb 7; 18(2): e1010278. PMID: 35130315.
- Anderson MR, Geleris J, Anderson DR, Zucker J, Nobel YR, Freedberg D, Small-Saunders JL, Rajagopalan KN, Greendyk R, Chae SR, Natarajan K, Roh D, Edwin E, Gallagher D, Podolanczuk A, Barr RG, Ferrante AW, Baldwin MR. Body mass index and risk for intubation or death in SARS-CoV-2 infection: A retrospective cohort study. Ann Internal Med. 2020 Nov 17; 173(10):782-790. PMID: 32726151.
- Small-Saunders JL, Hagenah LM, Fidock DA. Turning the tide: targeting PfCRT to combat drug-resistant P. falciparum? Nature Reviews Microbiology. 2020. May; 18(5):261-262. PMID: 32300249
- Dhingra SK, Small-Saunders JL, Ménard D, Fidock DA. Plasmodium falciparum resistance to piperaquine driven by PfCRT. Lancet Infect Dis. 2019 Nov;19(11):1168-1169. PMID: 31657776
- Small JL, Park SW, Kana BD, Ioerger TR, Sacchettini JC, Ehrt S. Perturbation of cytochrome c maturation reveals adaptability of the respiratory chain in Mycobacterium tuberculosis. mBio. 2013 Sep 17;4(5):e00475-13. PMID: 24045640
- Small JL*, O'Donoghue AJ*, Boritsch EC, Tsodikov OV, Knudsen GM, Vandal O, Craik CS, Ehrt S. Substrate specificity of MarP, a periplasmic protease required for resistance to acid and oxidative stress in Mycobacterium tuberculosis. J Biol Chem. 2013 May 3;288(18):12489-99. PMID: 23504313
- Biswas T, Small J, Vandal O, Odaira T, Deng H, Ehrt S, Tsodikov OV. Structural insight into serine protease Rv3671c that Protects M. tuberculosis from oxidative and acidic stress. Structure. 2010 Oct 13;18(10):1353-63. PMID: 20947023