Dr. Al-Adra’s Lab

Research focus

Dr. Al-Adra’s basic science research lab focuses on two specific areas of research related to transplantation: immunology and oncology.

In regard to Transplant Immunology, he is investigating the therapeutic potential of normothermic ex-vivo perfusion (NEVP) systems in organ transplantation. His lab hopes to promote transplant acceptance by studying and then modifying the immunological effects NEVP has on the graft. Specifically, his research focuses on decreasing rejection of transplanted organs through immunomodulation. Modifying the composition of graft-resident immune cells and altering expression of cellular surface molecules to create a regulatory environment in the organ may decrease its immunogenicity after transplant. The clinically relevant goal of these studies is to decrease the need for induction and maintenance immunosuppression after transplant.

Dr. Al-Adra’s Transplant Oncology research focuses on identifying novel biomarkers that will enable accurate prognosis and treatment targets for patients who have undergone liver transplantation for hepatocellular carcinoma (HCC). Liver cancer diagnosis through the identification of circulating tumor cells and tumor nucleic acids hold the promise of early detection in at-risk populations. In addition to earlier detection, it is imperative to understand the mechanisms behind cancer progression and spread in order to identify potential therapeutic targets. Understanding which cancerous cells have the capacity to spread will assist in targeting these cells for destruction in future research. The clinically relevant goal of these experiments is to provide early recognition and treatment options for patients with HCC.

Students and residents interested in research positions are encouraged to contact Dr Al-Adra.

Publications

  • Rethinking the use of immunotherapy post-liver transplantation: Standardized protocols with low risk of rejection.
    Al-Adra DP
    Liver Transpl 2025 Dec 12;
    [PubMed ID: 41396577]

  • Outcomes of Patients with Localized Renal Cell Carcinoma on Immunosuppression Following Solid Organ Transplantation.
    Shah PV, Jason Abel E, Mezrich JD, Carey AZ, Taylor AK, Bregman A, Al-Adra D, Aufhauser D, Collins KM, Mandelbrot D, Lotan P, Lee FT, Louis Hinshaw J, Allen GO, Jarrard DF, Richards KA, Koehne EL, Risk MC, Shapiro DD
    Urology 2025 Dec 11;
    [PubMed ID: 41389849]

  • CDK7 is a novel therapeutic target in fibrolamellar carcinoma.
    Nukaya M, Carney PR, Cafferty C, Zahed K, Yun I, Al-Adra DP, Kazim NA, Farghli AR, Chan M, Stram A, Kratz JD, Berres ME, Yen A, Gujral TS, Sethupathy P, Bradfield CA, Ronnekleiv-Kelly SM
    iScience 2025 Dec 19; 28(12): 113925
    [PubMed ID: 41321622]

  • Over 30 Years of Living Liver Donation in North America Mortality Associated With Donation: Erratum.
    King EA, Alejandro RH, Emamaullee J, Al-Adra D, Byrne M, Selzner N, Anderson B, Pomfret EA, Olthoff KM
    Ann Surg 2025 Nov 01; 282(5): e1
    [PubMed ID: 41082481]

  • Use of Cross-Sectional Imaging Body Composition Assessment to Predict Pancreas Transplant Outcomes.
    Snook C, Ziemlewicz T, Leverson G, Parajuli S, Mandelbrot D, Al-Adra DP, Kaufman DB, Odorico JS, Aufhauser DD
    Transpl Int 2025; 38: 15000
    [PubMed ID: 41104385]

Contact Dr. Al-Adra

David Al-Adra, MD, PhD
Assistant Professor of Surgery

aladra@surgery.wisc.edu

(608) 265-6471
H4/750 Clinical Sciences Center
600 Highland Ave, Madison, WI 53792