Jeffrey Bluestone, PhD

A.W. and Mary Margaret Clausen Distinguished Professorship in Metabolism and Endocrinology, UCSF

Professor, School of Medicine, UCSF
Director, Hormone Research Institute, Diabetes Center

Research Summary

Jeffrey Bluestone, PhD, is the A.W. and Mary Margaret Clausen Distinguished Professor of Metabolism and Endocrinology and is the Director of the Hormone Research Institute in the Diabetes Center. His research over the past 25 years has focused on understanding the basic processes that control T cell activation and immune tolerance in autoimmunity and organ transplantation. He and members of his lab have developed soluble receptor antagonists; monoclonal antibodies and animals deficient in individual members of TCR and co-stimulatory pathways to define their individual roles in transplant rejection and autoimmunity including a special emphasis on a specialized subset of T cells termed “regulatory T cells” (Treg). Tregs control fundamental aspect of immune homeostasis. During the last several years, his research has adapted the animal studies using biologics and cell based therapies to develop therapeutics that can be used in humans with autoimmunity and under conditions of allotransplant rejection. Moreover, a strong role for antigen-specific Tregs have been found in these model systems and further evidence in humanized mice and transplant patients that alloantigen-specific Tregs are more effective. Thus, the major goal of this work is to identify the antigen-specificity of thymic- and peripherally-derived Tregs with the expectation that these TCRs can be adapted for immunotherapy. Finally, his lab initiated several projects to determine mechanisms that control Treg stability. The goal is to develop approaches using pharmacogenomics to either stabilize or destabilize Tregs in autoimmunity and cancer.

In March 2010 Dr. Bluestone was appointed executive vice chancellor and provost at the University of California San Francisco (UCSF) serving as chief academic officer guiding the research and academic enterprise advancing the campus priorities in close collaboration with the chancellor and the campus leadership teams, and to oversee the campus ethics and compliance enterprise. Previously he served in a number of posts including Director of theUCSF Diabetes Center, as Director of the Immune Tolerance Network.

In June 2008 Dr. Bluestone served as interim vice chancellor of research, directing the advancement of cross-campus research initiatives, such as enhancing core research facilities. In this capacity, he played a leading role in coordinating and integrating current research cores. He worked also to strengthen external research partnerships, particularly with industry, and focused on facilitating the translation of UCSF discoveries into public benefit.

In 2009, Dr. Bluestone led the UCSF committee to strategize and secure funds available through the American Recovery and Reinvestment Act, making the campus one of the top institutional recipients in the nation of science-based stimulus funds.

Dr. Bluestone joined the UCSF faculty in 2000. He is an international leader in the field of immunotherapy, with a stellar record of scholarly achievement and a decade of significant contributions to the research enterprise at UCSF, including the creation and directorship of an integrated UCSF Diabetes Center to focus on translating basic research in both type 1 and type 2 diabetes into improved therapies for patients. He also founded and directed the Immune Tolerance Network, a consortium of more than 1,000 of the world’s leading scientific researchers and clinical specialists from nearly 50 institutions, with the mission of testing new therapies to promote immune tolerance in transplantation, autoimmune diseases, asthma and allergic diseases.

As a research scientist, Dr. Bluestone has helped clarify the body’s immune response on a molecular level. His systematic investigation has catalyzed recent progress in stem cell research, islet cell transplantation and immune tolerance therapies – experimentation that has formidably translated into drugs to treat human disease.

Through his 30-year scientific career, he has authored more than 300 peer-reviewed publications that include prominent papers in Nature, Nature Immunology, and the Journal of Immunology and Diabetes. He has received numerous accolades for his work, including his 2006 election to the American Academy of Arts and Sciences, the Mary Tyler Moore & Robert Levine Excellence in Clinical Research Award from the Juvenile Diabetes Research Foundation, and the distinguished alumni award from the Cornell Graduate School of Medical Science.

Prior to joining UCSF, Bluestone was at the University of Chicago, where he was a member of the Ben May Institute for Cancer Research, rising over 13 years from an associate professor to the director of the institute. He had previously worked for seven years in various roles at the National Cancer Institute of the National Institutes of Health, ultimately becoming a senior investigator in the Immunology Branch of the National Cancer Institute.

Dr. Bluestone earned both his BS in biology and his MS in microbiology from Rutgers State University, and his PhD in immunology from the Cornell Graduate School of Medical Science (Sloan-Kettering Division)."

Research Funding

  • July 1, 1979 - June 30, 2024 - Interdisciplinary Training Program in Immunology , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: T32AI007090
  • September 20, 2017 - August 31, 2021 - Designer Tregs for restoring tolerance in patients with type 1 diabetes , Principal Investigator . Sponsor: NIH, Sponsor Award ID: UC4DK116264
  • June 8, 2016 - May 31, 2021 - Disruption of T cell tolerance in type 1 diabetes , Co-Investigator . Sponsor: NIH, Sponsor Award ID: P01AI118688
  • June 1, 2014 - May 31, 2021 - Donor-Alloantigen-Reactive Regulatory T Cell Therapy in Liver Transplantation , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: U01AI110658
  • September 1, 2002 - March 31, 2021 - Diabetes Research Center , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: P30DK063720
  • July 1, 2016 - December 31, 2020 - Using human stem cell-derived thymic epithelium to remodel T1D immune tolerance , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: U01DK107383
  • July 1, 2016 - June 30, 2020 - Using human stem cell-derived thymic epithelium to remodel T1D immune tolerance , Co-Principal Investigator . Sponsor: NIH/NIDDK, Sponsor Award ID: R01DK107383
  • May 1, 2014 - April 30, 2020 - Autoimmunity Center of Excellence Clinical Research Program , Co-Investigator . Sponsor: NIH, Sponsor Award ID: UM1AI110498
  • February 1, 1977 - March 31, 2018 - Cancer Center Support Grant , Co-Investigator . Sponsor: NIH, Sponsor Award ID: P30CA014599
  • March 1, 2000 - November 30, 2016 - Immunomodulation of transplant rejection by Anti-CD3 mAb , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01AI046643
  • December 1, 2013 - November 30, 2015 - Role of Innate Lymphoid Cells in Autoimmunity , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R21AI107328
  • September 15, 2010 - June 30, 2015 - Expanding beta-cell mass , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: U01DK089541
  • September 30, 2003 - April 30, 2015 - Autoimmunity Center of Excellence , Co-Investigator . Sponsor: NIH, Sponsor Award ID: U19AI056388
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: Multiple sclerosis , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-5
  • September 30, 2001 - April 30, 2014 - Immune Tolerance Network: Systemic lupus rythematosus (SLE) , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-12
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: liver transplantation , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-23-0-11
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: kidney transplantation , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-23-0-13
  • September 30, 2001 - April 30, 2014 - Immune Tolerance Network: Systemic lupus rythematosus (SLE) , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-23-0-12
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: Multiple sclerosis , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-23-0-5
  • September 30, 2001 - April 30, 2014 - Immune Tolerance Network: Kidney, Liver and Bone Marrow Transplantation , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-2
  • September 30, 2001 - April 30, 2014 - IImmune Tolerance Network: Airborne Allergens and Allergic Rhintitis , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-23-0-14
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: heart tranplantation , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-9
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: Autoimmune diseases: Vasculitis , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-7
  • September 30, 2001 - April 30, 2014 - Immune Tolerance Network: Food Allergy , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-3
  • September 30, 2001 - April 30, 2014 - Immune Tolerance Network: Type 1 diabetes , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-4
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: Rheumatoid arthritis , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-6
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: lung transplantation , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-10
  • September 30, 2001 - April 30, 2014 - Immune Tolerance Network: Type 1 diabetes , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-23-0-4
  • September 30, 2001 - April 30, 2014 - Immune Tolerance Network: Food Allergy , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-23-0-3
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: liver transplantation , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-11
  • September 30, 2001 - April 30, 2014 - Immune tolerance network: Islet cell transplantation , Principal Investigator . Sponsor: NIH, Sponsor Award ID: N01AI15416-20-0-8
  • April 1, 2012 - March 31, 2014 - Donor-Specific Regulatory T Cell Therapy in Liver Transplantation , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: R34AI095135
  • December 15, 2001 - November 30, 2012 - Spontaneous Autoimmune Model of Peripheral Neuropathy , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01AI050834
  • January 1, 1900 - July 31, 2012 - Immune Tolerance and Autoimmunity , Co-Investigator . Sponsor: NIH, Sponsor Award ID: P01AI035297
  • March 1, 2000 - February 28, 2011 - IMMUNOMODULATION OF TRANSPLANT REJECTION BY ANTI-CD3 MAB , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R37AI046643
  • April 1, 2004 - March 31, 2007 - Role of Notch 1 in Immune Tolerance , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R21AI059979
  • September 30, 1999 - September 29, 2006 - COLLABORATIVE NETWORK FOR CLINICAL RES ON IMMUNE TOLERAN , Principal Investigator . Sponsor: NIH/NIAID, Sponsor Award ID: N01AI095380
  • September 30, 1996 - August 31, 2006 - SCOR in Cellular and Molecular Mechanisms of Asthma , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: P50HL056399
  • June 15, 1999 - May 31, 2003 - TOLERANCE OF ISLET CELL GRAFT , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01DK055351
  • April 1, 2002 - March 31, 2003 - Conf on Mechanism and Applications of Immune Tolerance , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R13AI051294
  • September 1, 1993 - August 31, 2001 - COSTIMULATION IN PERIPHERAL T CELL TOLERANCE AND ANERGY , Principal Investigator . Sponsor: NIH, Sponsor Award ID: P01AI035294
  • June 1, 2000 - May 31, 2001 - FASEB SUMMER CONFERENCE--LYMPHOCYTES AND ANTIBODIES , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R13AI047114
  • March 1, 2000 - February 28, 2001 - MOFLO MULTILASER FLOW CYTOMETER , Principal Investigator . Sponsor: NIH, Sponsor Award ID: S10RR014884
  • June 1, 1990 - August 31, 2000 - IMMUNOMODULATION OF TRANSPLANT REJECTION , Principal Investigator . Sponsor: NIH, Sponsor Award ID: P01AI029531
  • June 15, 1995 - May 31, 2000 - IMMUNOREGULATION OF IDDM , Co-Investigator . Sponsor: NIH, Sponsor Award ID: P01DK049799
  • September 1, 1988 - August 31, 1999 - IMMUNOBIOLOGY OF TCR GAMMA/DELTA T-CELLS , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01AI026847
  • June 1, 1976 - March 31, 1996 - IMMUNITY AND CANCER , Co-Investigator . Sponsor: NIH, Sponsor Award ID: P01CA019266
  • August 5, 1988 - July 31, 1995 - IN VIVO POTENTIATION OF IMMUNE RESPONSES , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01CA049260
  • March 22, 1998 - January 1, 1900 - CTLA 4 ANTAGONISM DURING T CELL ACTIVATION , Principal Investigator . Sponsor: NIH, Sponsor Award ID: F33AI009895
  • January 1, 1900 - January 1, 1900 - Immune Tolerance Network: Autoimmune Diseases , Co-Principal Investigator . Sponsor: NIH/NIAID, Sponsor Award ID: N01AI15416

Education

Cook College, Rutgers University, B.S., 1974, Biology
Rutgers - State University, NJ, M.S., 1977, Microbiology
Cornell Graduate School of Medical Science (Sloan-Kettering Division), Ph.D., 1980, Immunology

Honors & Awards

  • 1987 -1989
    Faculty Scholar, Gould Foundation
  • 1989
    Faculty Scholar, American Cancer Society
  • 1997
    Senior Fellowship, Guggenheim Foundation
  • 1997
    Senior Research Fellowship, Fogarty Foundation
  • 1998
    Distinguished Alumni Award, Cornell Medical School
  • 2004
    Gerold & Kayla Grodsky Basic Science Award, Juvenile Diabetes Research Foundation
  • 2004
    Roche Distinguished Research Award, American Society for Transplantation
  • 2005
    Mary Tyler Moore & Robert Levine Excellence in Clinical Research Award, Juvenile Diabetes Research Foundation
  • 2006
    Elected Member, American Academy of Arts and Sciences
  • 2008
    Scholar Award, Juvenile Diabetes Research Foundation
  • 2010
    Elliott Middleton Memorial Lectureship, American Academy of Allergy, Asthma, & Immunology
  • 2013
    Elected Member, National Academy of Medicine
  • 2015
    Outstanding Mentorship Award, American Society of Transplantation
  • 2015
    President-Elect, Federation of Clinical Immunology Societies
  • 2016
    Blue Ribbon Panel on Cancer Research (Biden Moonshot Program), National Cancer Foundation

Selected Publications

  1. Bluestone JA, Herold KC, Sussel L. Type 1 Diabetes: Advances in Understanding and Treatment 100 Years after the Discovery of Insulin. Cold Spring Harb Perspect Med. 2025 Feb 10.  View on PubMed
  2. Muller YD, Ho P, Bluestone JA, Tang Q. Rebalancing the Immune System to Treat Type 1 Diabetes. Cold Spring Harb Perspect Med. 2024 Sep 16.  View on PubMed
  3. Chatenoud L, Herold KC, Bach JF, Bluestone JA. The Teplizumab Saga: The Challenge of Not Getting Lost in Clinical Translation. Cold Spring Harb Perspect Med. 2024 Sep 16.  View on PubMed
  4. Smith JA, Yuen BTK, Purtha W, Balolong JM, Phipps JD, Crawford F, Bluestone JA, Kappler JW, Anderson MS. Aire mediates tolerance to insulin through thymic trimming of high-affinity T cell clones. Proc Natl Acad Sci U S A. 2024 May 14; 121(20):e2320268121.  View on PubMed
  5. Ho P, Cahir-McFarland E, Fontenot JD, Lodie T, Nada A, Tang Q, Turka LA, Bluestone JA. Harnessing regulatory T cells to establish immune tolerance. Sci Transl Med. 2024 Mar 13; 16(738):eadm8859.  View on PubMed
  6. Bluestone JA, McKenzie BS, Beilke J, Ramsdell F. Opportunities for Treg cell therapy for the treatment of human disease. Front Immunol. 2023; 14:1166135.  View on PubMed
  7. Quandt Z, Kim S, Villanueva-Meyer J, Coupe C, Young A, Kang JH, Yazdany J, Schmajuk G, Rush S, Ziv E, Perdigoto AL, Herold K, Lechner MG, Su MA, Tyrrell JB, Bluestone J, Anderson M, Masharani U. Spectrum of Clinical Presentations, Imaging Findings, and HLA Types in Immune Checkpoint Inhibitor-Induced Hypophysitis. J Endocr Soc. 2023 Feb 09; 7(4):bvad012.  View on PubMed
  8. Goodman DB, Azimi CS, Kearns K, Talbot A, Garakani K, Garcia J, Patel N, Hwang B, Lee D, Park E, Vykunta VS, Shy BR, Ye CJ, Eyquem J, Marson A, Bluestone JA, Roybal KT. Pooled screening of CAR T cells identifies diverse immune signaling domains for next-generation immunotherapies. Sci Transl Med. 2022 11 09; 14(670):eabm1463.  View on PubMed
  9. VanDyke D, Iglesias M, Tomala J, Young A, Smith J, Perry JA, Gebara E, Cross AR, Cheung LS, Dykema AG, Orcutt-Jahns BT, Henclová T, Golias J, Balolong J, Tomasovic LM, Funda D, Meyer AS, Pardoll DM, Hester J, Issa F, Hunter CA, Anderson MS, Bluestone JA, Raimondi G, Spangler JB. Engineered human cytokine/antibody fusion proteins expand regulatory T cells and confer autoimmune disease protection. Cell Rep. 2022 10 18; 41(3):111478.  View on PubMed
  10. Zaiken MC, Flynn R, Paz KG, Rhee SY, Jin S, Mohamed FA, Saha A, Thangavelu G, Park PMC, Hemming ML, Sage PT, Sharpe AH, DuPage M, Bluestone JA, Panoskaltsis-Mortari A, Cutler CS, Koreth J, Antin JH, Soiffer RJ, Ritz J, Luznik L, Maillard I, Hill GR, MacDonald KPA, Munn DH, Serody JS, Murphy WJ, Kean LS, Zhang Y, Bradner JE, Qi J, Blazar BR. BET-bromodomain and EZH2 inhibitor-treated chronic GVHD mice have blunted germinal centers with distinct transcriptomes. Blood. 2022 05 12; 139(19):2983-2997.  View on PubMed
  11. Su Y, Yuan D, Chen DG, Ng RH, Wang K, Choi J, Li S, Hong S, Zhang R, Xie J, Kornilov SA, Scherler K, Pavlovitch-Bedzyk AJ, Dong S, Lausted C, Lee I, Fallen S, Dai CL, Baloni P, Smith B, Duvvuri VR, Anderson KG, Li J, Yang F, Duncombe CJ, McCulloch DJ, Rostomily C, Troisch P, Zhou J, Mackay S, DeGottardi Q, May DH, Taniguchi R, Gittelman RM, Klinger M, Snyder TM, Roper R, Wojciechowska G, Murray K, Edmark R, Evans S, Jones L, Zhou Y, Rowen L, Liu R, Chour W, Algren HA, Berrington WR, Wallick JA, Cochran RA, Micikas ME, ISB-Swedish COVID-19 Biobanking Unit, Wrin T, Petropoulos CJ, Cole HR, Fischer TD, Wei W, Hoon DSB, Price ND, Subramanian N, Hill JA, Hadlock J, Magis AT, Ribas A, Lanier LL, Boyd SD, Bluestone JA, Chu H, Hood L, Gottardo R, Greenberg PD, Davis MM, Goldman JD, Heath JR. Multiple early factors anticipate post-acute COVID-19 sequelae. Cell. 2022 03 03; 185(5):881-895.e20.  View on PubMed
  12. Balcerek J, Shy BR, Putnam AL, Masiello LM, Lares A, Dekovic F, Acevedo L, Lee MR, Nguyen V, Liu W, Paruthiyil S, Xu J, Leinbach AS, Bluestone JA, Tang Q, Esensten JH. Polyclonal Regulatory T Cell Manufacturing Under cGMP: A Decade of Experience. Front Immunol. 2021; 12:744763.  View on PubMed
  13. Dong S, Hiam-Galvez KJ, Mowery CT, Herold KC, Gitelman SE, Esensten JH, Liu W, Lares AP, Leinbach AS, Lee M, Nguyen V, Tamaki SJ, Tamaki W, Tamaki CM, Mehdizadeh M, Putnam AL, Spitzer MH, Ye CJ, Tang Q, Bluestone JA. The effect of low-dose IL-2 and Treg adoptive cell therapy in patients with type 1 diabetes. JCI Insight. 2021 09 22; 6(18).  View on PubMed
  14. Muller YD, Ferreira LMR, Ronin E, Ho P, Nguyen V, Faleo G, Zhou Y, Lee K, Leung KK, Skartsis N, Kaul AM, Mulder A, Claas FHJ, Wells JA, Bluestone JA, Tang Q. Precision Engineering of an Anti-HLA-A2 Chimeric Antigen Receptor in Regulatory T Cells for Transplant Immune Tolerance. Front Immunol. 2021; 12:686439.  View on PubMed
  15. Bayless NL, Bluestone JA, Bucktrout S, Butterfield LH, Jaffee EM, Koch CA, Roep BO, Sharpe AH, Murphy WJ, Villani AC, Walunas TL. Development of preclinical and clinical models for immune-related adverse events following checkpoint immunotherapy: a perspective from SITC and AACR. J Immunother Cancer. 2021 09; 9(9).  View on PubMed
  16. Bluestone JA, Buckner JH, Herold KC. Immunotherapy: Building a bridge to a cure for type 1 diabetes. Science. 2021 Jul 30; 373(6554):510-516.  View on PubMed
  17. Gitelman SE, Bundy BN, Ferrannini E, Lim N, Blanchfield JL, DiMeglio LA, Felner EI, Gaglia JL, Gottlieb PA, Long SA, Mari A, Mirmira RG, Raskin P, Sanda S, Tsalikian E, Wentworth JM, Willi SM, Krischer JP, Bluestone JA, Gleevec Trial Study Group. Imatinib therapy for patients with recent-onset type 1 diabetes: a multicentre, randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Diabetes Endocrinol. 2021 08; 9(8):502-514.  View on PubMed
  18. Muller YD, Nguyen DP, Ferreira LMR, Ho P, Raffin C, Valencia RVB, Congrave-Wilson Z, Roth TL, Eyquem J, Van Gool F, Marson A, Perez L, Wells JA, Bluestone JA, Tang Q. The CD28-Transmembrane Domain Mediates Chimeric Antigen Receptor Heterodimerization With CD28. Front Immunol. 2021; 12:639818.  View on PubMed
  19. Kang JH, Bluestone JA, Young A. Predicting and Preventing Immune Checkpoint Inhibitor Toxicity: Targeting Cytokines. Trends Immunol. 2021 04; 42(4):293-311.  View on PubMed
  20. Young A, Bluestone JA. At the Heart of Immune Checkpoint Inhibitor-Induced Immune Toxicity. Cancer Discov. 2021 03; 11(3):537-539.  View on PubMed

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