Alexis E. Heath

Alexis E. Heath

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Alexis E. Heath

Dept. of Pathology, School of Medicine, Case Western Reserve University, Cleveland, OH 44106

Research Focus & Metrics

Academic Career Length

3Years (2024-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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24 May 2024 in Harmful Algae
Verified
Journal Article
Open access
RWRyan S. Wagner
Ryan S. Wagner
MNMichelle J. Neudeck
Michelle J. Neudeck
AHAlexis E. Heath
Alexis E. Heath
KBKatelyn B. Barker
Katelyn B. Barker
SBSeth Buchholz
Seth Buchholz
GBGeorge Bullerjahn
George Bullerjahn
Sandusky Bay is the drowned mouth of the Sandusky River in the southwestern portion of Lake Erie. The bay is a popular recreation location and a regional source for drinking water. Like the western basin of Lake Erie, Sandusky Bay is known for being host to summer cyanobacterial harmful algal blooms (cHABs) year after year, fueled by runoff from the predominantly agricultural watershed and internal loading of legacy nutrients (primarily phosphorus). Since at least 2003, Sandusky Bay has harbored a microcystin-producing bloom of Planktothrix agardhii, a species of filamentous cyanobacteria that thrives in low light conditions. Long-term sampling (2003-2018) of Sandusky Bay revealed regular Planktothrix-dominated blooms during the summer months, but in recent years (2019-2022), 16S rRNA gene community profiling revealed that Planktothrix has largely disappeared. From 2017-2022, microcystin decreased well below the World Health Organization (WHO) guidelines. Spring TN:TP ratios increased in years following dam removal, yet there were no statistically significant shifts in other physicochemical variables, such as water temperature and water clarity. With the exception of the high bloom of Planktothrix in 2018, there was no statistical difference in chlorophyll during all other years. Concurrent with the disappearance of Planktothrix, Cyanobium spp. have become the dominant cyanobacterial group. The appearance of other potential toxigenic genera (i.e., Aphanizomenon, Dolichospermum, Cylindrospermopsis) may motivate monitoring of new toxins of concern in Sandusky Bay. Here, we document the regime shift in the cyanobacterial community and propose evidence supporting the hypothesis that the decline in the Planktothrix bloom was linked to the removal of an upstream dam on the Sandusky River.

18 September 2025 in bioRxiv
Verified
Preprint
Open access
AHAlexis Heath
Alexis Heath
CFChristina Farr
Christina Farr
WGWendy A. Goodman
Wendy A. Goodman
MKMehmet Koyuturk
Mehmet Koyuturk
DBDouglas K. Brubaker
Douglas K. Brubaker
Structured Background: Endometriosis is a chronic, estrogen-dependent disease characterized by the presence of endometrial-like tissue growing outside the uterus. The molecular and clinical heterogeneity of endometriosis complicate diagnostic and treatment options -- diagnostic delays of seven to ten years are common and therapies often lack long-term efficacy. Estrogen signaling and estrogen receptor beta (ERβ) expression is thought to be increased in endometriosis, contributing to increased cell proliferation in lesions. The “ERβ dominance hypothesis” is a prevailing hypothesis in the field, setting ERβ as a high-priority therapeutic target. If effectively modulated, ERβ could be the first therapy to directly target lesion biology, rather than only managing symptoms. Objective(s): We aimed to characterize ERβ’s expression in endometriosis by cell type and evaluate its therapeutic relevance, primarily assessing the validity of the ERβ dominance hypothesis. Study Design: We reanalyzed scRNAseq data from eight previously published studies. Our final filtered dataset included 557,061 cells, the largest endometriosis single cell atlas ever constructed. We quantified gene expression levels of ESR1 and ESR2, which encode ERɑ and ERβ respectively, across each tissue and cell type, to identify cell-type specific drivers of ESR2/ERβ expression across diseased and healthy tissues. To characterize the differences between cells that uniquely express ESR1 versus those that uniquely express ESR2, we performed differential gene expression and pathway enrichment analyses. Results: Count and distribution analyses revealed no significant ESR2/ERβ dominance in any cell or tissue type by Fisher’s Exact Tests and Wilcoxon Rank Sum Tests. Differential gene expression and pathway enrichment analyses suggest distinct roles of each estrogen receptor isoform. Conclusion(s): Overall, our results argue against a simplified model of ERβ dominance and instead propose a dual-isoform and cell and tissue-specific framework for understanding estrogen receptor signaling in endometriosis. These findings hold important implications for future therapeutic strategies. Specifically, treatments that target ERβ alone may fail to account for the functional role and relative abundance of ERα. In the future, therapeutic approaches that consider isoform-specific, tissue-specific, and cell-specific expression patterns may prove most effective in reducing recurrence and improving outcomes for patients. Condensation page: Tweetable statement: Single cell RNA Sequencing meta-analysis shows estrogen receptor beta is not dominantly expressed in most endometriosis tissues. Estrogen receptor alpha to estrogen receptor beta ratios vary by cell type and tissue type. Each isoform directs cell-type specific behavior in endometriosis and disease-free tissues. AJOG at a Glance: Why was this study conducted? We wanted to characterize estrogen receptor beta’s expression in endometriosis and evaluate its therapeutic relevance. What are the key findings? Estrogen receptor beta is not dominantly expressed in any tissue. Estrogen receptor alpha and estrogen receptor beta have disease- and cell-type specific behaviors. What does this study add to what is already known? It characterizes estrogen receptor isoform expression and signaling by cell type. It also challenges the current estrogen receptor beta dominance hypothesis, meaning estrogen receptor beta may not be a key driver of endometriosis.

13 August 2026 in bioRxiv
Verified
Preprint
Open access
PDF file
MLMariana Lopes
Mariana Lopes
KRKyle Roberts
Kyle Roberts
AHAlexis E. Heath
Alexis E. Heath
PLPeder J. Lund
Peder J. Lund
Acetyl-CoA and other acyl-CoA thioesters are critical intermediates in the metabolic reactions that cells rely on to produce energy and carry out biosynthesis. Therefore, the analysis of acyl-CoA provides valuable information about the metabolic activity of cells, especially when combined with stable isotope tracing. Acyl-CoA species are routinely monitored by reversed-phase liquid chromatography coupled to tandem mass spectrometry (RPLC-MS/MS). However, drastic differences in the hydrophobicity of short-chain versus long-chain acyl-CoA species have been challenging to accommodate with a single set of RPLC conditions. Here, we describe a convenient method based on hydrophilic interaction liquid chromatography (HILIC-MS/MS) for the concurrent detection of both short-chain and long-chain acyl-CoA and their corresponding acyl-carnitine species. Using this strategy, we tracked the metabolism of isotope-labeled fatty acids in multiple cell lines, which revealed differences in their propensities for fatty acid oxidation and the extent to which isotope incorporation into acyl-CoA mirrored that of acyl-carnitine. We also applied the HILIC-MS/MS workflow to the analysis of NADH and ATP, making it a useful technique for gauging cellular bioenergetics as reflected by the acetyl-CoA/CoA, NADH/NAD + , and ATP/ADP ratios. Altogether, this HILIC-MS/MS platform enables a streamlined analysis of acyl-CoA species and other key intermediates in cell metabolism.