Cesar A. Arias, MD, MSc, PhD

John F. III and Ann H. Bookout Distinguished Chair for Research Excellence, Research Institute
Professor of Medicine, Academic Institute
Full Member, Research Institute
Co-director, Center for Infectious Diseases Research
Houston Methodist
Weill Cornell Medical College


Biography

Dr. Cesar Arias has over 25 years of experience in the field of antimicrobial resistance. His career has focused on the clinical and molecular aspects of antimicrobial resistance (AMR) with emphasis on gram-positive organisms. He became interested in infectious disease (ID) because of its prominence as a public health problem and also because ID spans all aspects of clinical medicine. After medical school, he attended the University of London where he focused on clinical microbiology and performed research on the molecular biology of capsule genes in S. pneumoniae, developing molecular tools for capsule typing of this important pathogen. He obtained his PhD at Cambridge in 2000, studying the molecular mechanisms of vancomycin resistance in enterococci. During graduate studies, he discovered a new enzyme and elucidated a novel mechanism for synthesis of D-serine in bacteria. After completing residency at UTHealth McGovern Medical School as well as a fellowship in ID (joint program with UT MD Anderson Cancer Center), he expanded studies on staphylococci and enterococci.

He was the recipient of a K99/R00 NIH Pathway to Independence Award and now holds an NIH K24 mid-career investigator award to increase patient-oriented and mentoring activities on antimicrobial resistance. He has also founded two overseas research units (Molecular Genetics and Antimicrobial Resistance Unit and the International Center for Microbial Genomics) focused on AMR at Universidad El Bosque, Bogota, Colombia. His most recent research has concentrated on elucidating the mechanistic basis of resistance to daptomycin with focus on enterococci and to dissect the molecular epidemiology and clinical impact of multidrug-resistant organisms as part of the NIH-funded Antimicrobial Resistance Leadership Group. A major component of the research on MDR organisms is the use of genomics as a major tool to dissect the molecular epidemiology and population structure of MDR bacteria.

Publications

Enolpyruvate transferase MurAAA149E, identified during adaptation of Enterococcus faecium to daptomycin, increases stability of MurAA–MurG interaction
Zhou, Y, Utama, B, Pratap, S, Supandy, A, Song, X, Tran, TT, Mehta, HH, Arias, CA & Shamoo, Y 2023, , Journal of Biological Chemistry, vol. 299, no. 3, 102912. https://doi.org/10.1016/j.jbc.2023.102912

Global epidemiology and clinical outcomes of carbapenem-resistant Pseudomonas aeruginosa and associated carbapenemases (POP): a prospective cohort study
Antibacterial Resistance Leadership Group and Multi-Drug Resistant Organism Network Investigators 2023, , The Lancet Microbe, vol. 4, no. 3, pp. e159-e170. https://doi.org/10.1016/S2666-5247(22)00329-9

Clinical and Molecular Analyses of Recurrent Gram-Negative Bloodstream Infections
Bock, A, Hanson, BM, Ruffin, F, Parsons, JB, Park, LP, Sharma-Kuinkel, B, Mohnasky, M, Arias, CA, Fowler, VG & Thaden, JT 2023, , Clinical Infectious Diseases, vol. 76, no. 3, pp. E1285-E1293. https://doi.org/10.1093/cid/ciac638

Transmission of Carbapenem-Resistant Klebsiella pneumoniae in US Hospitals
Multi-Drug Resistant Organism Network Investigators Network Investigators and the Antibacterial Resistance Leadership Group 2023, , Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, vol. 76, no. 2, pp. 229-237. https://doi.org/10.1093/cid/ciac791

Multisite Detection of Tn1549-Mediated vanB Vancomycin Resistance in Multidrug-Resistant Enterococcus faecalis ST6 in Texas and Florida
Simar, SR, Tran, TT, Rydell, KB, Panesso, D, Contreras, GA, Munita, JM, Cifuentes, RO, Abbo, LM, Sahasrabhojane, P, Dinh, AQ, Axell-House, DB, Savidge, T, Shelburne, S, Hanson, BM & Arias, CA 2023, , Antimicrobial Agents and Chemotherapy, vol. 67, no. 1. https://doi.org/10.1128/aac.01284-22

A Case of successful treatment of recurrent urinary tract infection by extended-spectrum ß-lactamase producing klebsiella pneumoniae using oral lyophilized fecal microbiota transplant
Bier, N, Hanson, B, Jiang, ZD, Dupont, HL, Arias, CA & Miller, WR 2023, , Microbial Drug Resistance, vol. 29, no. 1, pp. 34-38. https://doi.org/10.1089/mdr.2022.0031

International Multicenter Study Comparing COVID-19 in Patients With Cancer to Patients Without Cancer: Impact of Risk Factors and Treatment Modalities on Survivorship
Data-Driven Determinants for COVID-19 Oncology Discovery Effort (D3CODE) Team 2023, , eLife, vol. 12, e81127. https://doi.org/10.7554/eLife.81127

Multiomics characterization of methicillin-resistant Staphylococcus aureus (MRSA) isolates with heterogeneous intermediate resistance to vancomycin (hVISA) in Latin America
Castro, BE, Rios, R, Carvajal, LP, Vargas, ML, Cala, MP, León, L, Hanson, B, Dinh, AQ, Ortega-Recalde, O, Seas, C, Munita, JM, Arias, CA, Rincon, S, Reyes, J & Diaz, L 2023, , Journal of Antimicrobial Chemotherapy, vol. 78, no. 1, pp. 122-132. https://doi.org/10.1093/jac/dkac363

Paenibacillus dendritiformis Meningitis, Brain Abscesses and Cystic Encephalomalacia in an Infant: Case Presentation and Review of the Literature
Tabarani, C, Heresi, GP, Murphy, JR, Al Hammoud, R, Deyanov, A, Dinh, AQ, Arias, CA, Baptista, R, Wanger, A, Shah, MN, Miller, B, Masson, MF, Foster, CE & Hanson, BM 2022, , Pediatric Infectious Disease Journal, vol. 41, no. 12, pp. e544-e547. https://doi.org/10.1097/INF.0000000000003684

Paenibacillus dendritiformis Meningitis, Brain Abscesses and Cystic Encephalomalacia in an Infant: Case Presentation and Review of the Literature
Tabarani, C, Heresi, GP, Murphy, JR, Al Hammoud, R, Deyanov, A, Dinh, AQ, Arias, CA, Baptista, R, Wanger, A, Shah, MN, Miller, B, Masson, MF, Foster, CE & Hanson, BM 2022, , Pediatric Infectious Disease Journal, vol. 41, no. 12, pp. E544-E547. https://doi.org/10.1097/INF.0000000000003684

Human Dectin-1 deficiency impairs macrophage-mediated defense against phaeohyphomycosis
Drummond, RA, Desai, JV, Hsu, AP, Oikonomou, V, Vinh, DC, Acklin, JA, Abers, MS, Walkiewicz, MA, Anzick, SL, Swamydas, M, Vautier, S, Natarajan, M, Oler, AJ, Yamanaka, D, Mayer-Barber, KD, Iwakura, Y, Bianchi, D, Driscoll, B, Hauck, K, Kline, A, Viall, NSP, Zerbe, CS, Ferré, EMN, Schmitt, MM, DiMaggio, T, Pittaluga, S, Butman, JA, Zelazny, AM, Shea, YR, Arias, CA, Ashbaugh, C, Mahmood, M, Temesgen, Z, Theofiles, AG, Nigo, M, Moudgal, V, Bloch, KC, Kelly, SG, Suzanne Whitworth, M, Rao, G, Whitener, CJ, Mafi, N, Gea-Banacloche, J, Kenyon, LC, Miller, WR, Boggian, K, Gilbert, A, Sincock, M, Freeman, AF, Bennett, JE, Hasbun, R, Mikelis, CM, Kwon-Chung, KJ, Belkaid, Y, Brown, GD, Lim, JK, Kuhns, DB, Holland, SM & Lionakis, MS 2022, , Journal of Clinical Investigation, vol. 132, no. 22, e159348. https://doi.org/10.1172/JCI159348

Clinical Impact of Ceftriaxone Resistance in Escherichia coli Bloodstream Infections: A Multicenter Prospective Cohort Study
for the Antibacterial Resistance Leadership Group 2022, , Open Forum Infectious Diseases, vol. 9, no. 11, ofac572. https://doi.org/10.1093/ofid/ofac572

Reply to Lutgring et al
Darkoh, C, DuPont, HL, Arias, CA, Oyaro, M, Brown, EL & Hanson, BM 2022, , Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, vol. 75, no. 9, pp. 1678-1679. https://doi.org/10.1093/cid/ciac376

LiaF is required for LiaX mediated protection against daptomycin and LL-37 in Enterococcus faecalis OG1RF
Panesso, D, Singh, KV, Villegas, SG, Khan, A, Supandy, A, Nguyen, AH, Rincon, S, Wood, K, Dinh, A, Research, H, Miller, WR, Shamoo, Y, Tran, C & Arias, CA 2022, . in LiaF is required for LiaX mediated protection against daptomycin and LL-37 in Enterococcus faecalis OG1RF. <https://www.eventscribe.net/2022/IDWeek/searchGlobal.asp>

Paenibacillus dendritiformis meningitis, brain abscesses and cystic encephalomalacia in an infant: Case presentation and review of the literature
Tabarani, C, de Paula Baptista, R, Arias, CA & Deyanov, A 2022, , Journal of the Pediatric Infectious Diseases Society, vol. 41, no. 12, pp. p e544-e547. https://doi.org/10.1097/INF.0000000000003684

Characteristics of community-acquired carbapenem-resistant Enterobacterales
Shrestha, R, Luterbach, CL, Dai, W, Komarow, L, Earley, M, Weston, G, Herc, E, Jacob, JT, Salata, R, Wong, D, Anderson, D, Rydell, K, Arias, CA, Chen, L, VanDuin, D, Panesso, D & Tran, C 2022, , Journal of Antimicrobial Chemotherapy, pp. 2763. https://doi.org/10.1093/jac/dkac239

Characteristics of community-acquired carbapenem-resistant Enterobacterales
MDRO Investigators 2022, , The Journal of antimicrobial chemotherapy, vol. 77, no. 10, pp. 2763-2771. https://doi.org/10.1093/jac/dkac239

Unravelling complex transposable elements surrounding blaGES-16 in a Pseudomonas aeruginosa ExoU strain
Streling, AP, Cayô, R, Catan, TA, Jové, T, Santos, FF, Nodari, CS, Hanson, B, Miller, WR, Shropshire, W, Dinh, AQ, Ribeiro, J, Pignatari, ACC, Arias, CA & Gales, AC 2022, , Journal of Global Antimicrobial Resistance, vol. 30, pp. 143-147. https://doi.org/10.1016/j.jgar.2022.04.009

Antimicrobial Susceptibility Testing for Enterococci
Khan, A, Miller, WR, Axell-House, D, Munita, JM & Arias, CA 2022, , Journal of Clinical Microbiology, vol. 60, no. 9. https://doi.org/10.1128/jcm.00843-21

Phage Cocktails with Daptomycin and Ampicillin Eradicates Biofilm-Embedded Multidrug-Resistant Enterococcus faecium with Preserved Phage Susceptibility
Coyne, AJK, Stamper, K, Kebriaei, R, Holger, DJ, El Ghali, A, Morrisette, T, Biswas, B, Wilson, M, Deschenes, MV, Canfield, GS, Duerkop, BA, Arias, CA & Rybak, MJ 2022, , Antibiotics, vol. 11, no. 9, 1175. https://doi.org/10.3390/antibiotics11091175