David A. Alagpulinsa, PhD
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David A. Alagpulinsa, PhD, is an Assistant Professor of Comparative and Cardiovascular Medicine and a core member of the Yale Center for Molecular & Systems Metabolism. His research program integrates human genetics, single-cell multi-omics, and translational experimental models to uncover how the hematopoietic system connects autoimmune, cardiometabolic, and neurocognitive diseases through shared genetic and molecular pathways.
David earned his PhD in Interdisciplinary Biomedical Sciences from the University of Arkansas for Medical Sciences, where he investigated mechanisms that maintain genetic integrity in cancer, using multiple myeloma—a hematologic malignancy of B lymphocytes—as a model system. As a postdoctoral fellow at Massachusetts General Hospital and Harvard Medical School, he expanded his focus to autoimmune disease, developing strategies to immunoprotect endogenous and transplanted pancreatic islets to treat type 1 diabetes without systemic immunosuppression.
He joined Yale in 2023 to establish the AlagsLab, an interdisciplinary research group dedicated to dissecting the genetic and regulatory architecture of type 1 diabetes and its pleiotropic links with neurocognitive and cardiovascular traits. The lab integrates statistical and molecular genetics, single-cell and multi-omic profiling, and translational experimental models to define hematopoietic mechanisms that mediate multi-trait risk, resilience, and comorbidity—advancing the long-term goal of translating genetic insight into precision therapies that heal across organ systems.
Appointments
Comparative Medicine
Assistant ProfessorPrimaryCardiovascular Medicine
Assistant ProfessorSecondary
Other Departments & Organizations
- Alagpulinsa Laboratory
- Cardiovascular Medicine
- Comparative Medicine
- Human Genome Sciences
- Internal Medicine
- Janeway Society
- Molecular Medicine, Pharmacology, and Physiology
- Program in Translational Biomedicine (PTB)
- Vascular Biology and Therapeutics Program
- Yale Center for Molecular and Systems Metabolism (YMSM)
- Yale Combined Program in the Biological and Biomedical Sciences (BBS)
- YCCEH
Education & Training
- Instructor
- Massachusetts General Hospital & Harvard Medical School (2023)
- Postdoc
- Massachusetts General Hospital & Harvard Medical School (2021)
- PhD
- University of Arkansas for Medical Sciences (2015)
Research
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Overview
Medical Research Interests
ORCID
0000-0002-8737-4907- View Lab Website
Alagpulinsa Lab
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Georges El Fakhri, PhD, DABR
Moses Quinn Wilks, PhD
Diabetes Mellitus, Type 1
Clonal Hematopoiesis
Hematopoiesis
Hematopoietic Stem Cells
Islets of Langerhans
Publications
2025
Shared genetic and neuroimmune architecture links type 1 diabetes with neurocognitive traits
Saarah P, Syeda ZA, Xu Z, Dong Y, Jiang A, Shanguhyia M, Roy S, Zhu B, Zhang L, Dewan AT, Asgari S, Alagpulinsa DA*. Shared genetic and neuroimmune architecture links type 1 diabetes with neurocognitive traits. medRxiv. 2025. Doi: https://doi.org/10.1101/2025.09.14.25335719Peer-Reviewed Original Research
2024
Genetic relations between type 1 diabetes, coronary artery disease and leukocyte counts
Adebekun J, Nadig A, Saarah P, Asgari S, Kachuri L, Alagpulinsa D. Genetic relations between type 1 diabetes, coronary artery disease and leukocyte counts. Diabetologia 2024, 67: 2518-2529. PMID: 39141130, DOI: 10.1007/s00125-024-06247-9.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsGenetic perturbationsGenetic determinantsGenome-wide genetic correlationLatent causal variableGenetic correlationsLocal genetic correlationLinkage disequilibrium score regressionExpression level of genesType 1 diabetesExpression levelsLevels of genesTwo-sample Mendelian randomisationGenome-wideExcess coronary artery diseaseGenetic causality proportionAssociated with type 1 diabetesCoronary artery diseaseScore regressionCardiovascular risk factorsMendelian randomisationSummary statisticsTwo-sampleGenetic relationLociIndependent modifierAssociation of T-cell subtypes with macrophage-specific arterial infiltration in people with HIV
Schnittman S, Talathi R, Wilks M, Hedgire S, Lu M, Fourman L, Alagpulinsa D, Stockman S, White K, Wallis Z, Autissier P, Stanley T, Lee H, Honigberg M, El-Fakhri G, Williams K, Zanni M, Grinspoon S, Toribio M. Association of T-cell subtypes with macrophage-specific arterial infiltration in people with HIV. AIDS 2024, 38: 1940-1946. PMID: 38905489, PMCID: PMC11701974, DOI: 10.1097/qad.0000000000003967.Peer-Reviewed Original ResearchAltmetricConceptsArterial infiltrationCardiovascular diseaseIncreased risk of cardiovascular diseaseHuman immunodeficiency virusT cell subtypesT lymphocyte subpopulationsRisk of cardiovascular diseaseSystemic monocyte activationCardiovascular disease riskImmunodeficiency virusMonocyte activationHIV statusIncreased riskRelevant to atherogenesisHIVInfiltrationGeneral populationPWHEvidence of interactionSubtypesDiseaseSubpopulationsAtherogenesis
2023
Short‐term function and immune‐protection of microencapsulated adult porcine islets with alginate incorporating CXCL12 in healthy and diabetic non‐human primates without systemic immune suppression: A pilot study
Sremac M, Luo H, Deng H, Parr M, Hutcheson J, Verde P, Alagpulinsa D, Kitzmann J, Papas K, Brauns T, Markmann J, Lei J, Poznansky M. Short‐term function and immune‐protection of microencapsulated adult porcine islets with alginate incorporating CXCL12 in healthy and diabetic non‐human primates without systemic immune suppression: A pilot study. Xenotransplantation 2023, 30: e12826. PMID: 37712342, DOI: 10.1111/xen.12826.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsSystemic immune suppressionImmune responseImmune suppressionNon-human primatesT cellsCD8+ T cellsFlow cytometryXenogeneic isletsHealthy non-human primatesAdaptive immune responsesStem cell-derived beta cellsExpression of cytokinesInsulin-producing pancreatic beta-cellsMicroscopic signsPilot studyType 1 diabetesFunctional cureCD4+Systemic immunosuppressionPancreatic beta-cellsPost-transplantationImmunohistochemistry studiesTNFA expressionShort-term functionTransplantation
2022
Cardiac strain is lower among women with HIV in relation to monocyte activation
Toribio M, Awadalla M, Drobni Z, Quinaglia T, Wang M, Durbin C, Alagpulinsa D, Fourman L, Suero-Abreu G, Nelson M, Stanley T, Longenecker C, Burdo T, Neilan T, Zanni M. Cardiac strain is lower among women with HIV in relation to monocyte activation. PLOS ONE 2022, 17: e0279913. PMID: 36584183, PMCID: PMC9803182, DOI: 10.1371/journal.pone.0279913.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsLower global longitudinal strainGlobal longitudinal strainAdverse heart failure outcomesRisk of heart failureMonocyte activationHeart failure outcomesHeart failureIndependent predictorsLeft ventricular (LV) systolic dysfunctionCD4+ T-cell countExpression of HLA-DRMeasures of LV systolic functionHeightened risk of heart failureT-cell countsHIV viral loadLV systolic functionCardiac strainCD14+CD16+ monocytesFailure outcomesIncident heart failureSystolic dysfunctionHLA-DRSystolic functionViral loadImmune/inflammatory pathwaysPlasma osteopontin relates to myocardial fibrosis and steatosis and to immune activation among women with HIV
Robinson J, Toribio M, Quinaglia T, Awadalla M, Talathi R, Durbin C, Alhallak I, Alagpulinsa D, Fourman L, Suero-Abreu G, Nelson M, Stanley T, Longenecker C, Szczepaniak L, Jerosch-Herold M, Neilan T, Zanni M, Burdo T. Plasma osteopontin relates to myocardial fibrosis and steatosis and to immune activation among women with HIV. AIDS 2022, 37: 305-310. PMID: 36541642, PMCID: PMC9782710, DOI: 10.1097/qad.0000000000003417.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPlasma OPNHeart failure outcomesHeart failure riskSurface expressionMyocardial fibrosisImmune activationSoluble interleukin-1 receptor-like 1Interleukin 1 receptor-like 1Markers of cardiac fibrosisC-X3-C motif chemokine receptor 1HIV-specific parametersGrowth differentiation factor 15Heart failure pathogenesisFailure outcomesChemokine receptor 2Differentiation factor 15Chemokine receptor 1Cardiac structure/functionPlasma osteopontinMonocyte subpopulationsCardiac fibrosisMyocardial steatosisReceptor 2Receptor 1FibrosisAdvances in understanding the molecular basis of clonal hematopoiesis
Alagpulinsa D, Toribio M, Alhallak I, Shmookler Reis R. Advances in understanding the molecular basis of clonal hematopoiesis. Trends In Molecular Medicine 2022, 28: 360-377. PMID: 35341686, DOI: 10.1016/j.molmed.2022.03.002.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsHematopoietic stem cellsClonal hematopoiesisMolecular basis of CHBlood cellsMature blood cellsAll-Cause MortalityAdverse disease outcomesMolecular basisHematopoietic stem cell lineageHematologic malignanciesSomatic mutationsDisease outcomeRisk factorsStem cellsCardiovascular diseaseHematopoiesisCausal risk factorDiseaseExpansion advantageDisease treatmentAgeMolecular mechanismsHealthy agingCellsMalignancy
2021
209.6: Long-term Functional Survival of Human Stem Cell-derived Islets Microencapsulated in Alginate With CXCL12 in Non-human Primates Without Immunosuppression
Alagpulinsa D, Jei L, Pop R, Veres A, Deng H, Zhang J, Kawai K, Collins S, Sobell D, Chapin M, Verill D, Melton D, Markmann J, Poznansky M. 209.6: Long-term Functional Survival of Human Stem Cell-derived Islets Microencapsulated in Alginate With CXCL12 in Non-human Primates Without Immunosuppression. Transplantation 2021, 105: s16-s16. DOI: 10.1097/01.tp.0000804360.12644.62.Peer-Reviewed Original Research
2020
Metabolomic and transcriptomic analyses of the anti-rheumatoid arthritis potential of xylopic acid in a bioinspired lipoprotein nanoformulation
Alolga R, Opoku-Damoah Y, Alagpulinsa D, Huang F, Ma G, Chavez Leon M, Kudzai C, Yin X, Ding Y. Metabolomic and transcriptomic analyses of the anti-rheumatoid arthritis potential of xylopic acid in a bioinspired lipoprotein nanoformulation. Biomaterials 2020, 268: 120482. PMID: 33307367, DOI: 10.1016/j.biomaterials.2020.120482.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsComplete Freund's adjuvant (CFA)-induced arthritis modelsFreund's adjuvant (CFA)-induced arthritis modelCFA-induced arthritic ratsXylopic acidInflamed jointsTherapeutic potentialRheumatoid arthritisCFA-induced arthritisAutoimmune inflammatory diseaseDebilitating autoimmune inflammatory diseaseHigh-density lipoproteinArthritic sitesArthritic ratsTranscriptome analysisInflammatory diseasesAnalgesic propertiesAnti-RA potentialMetabolite levelsArthritis modelTherapeutic mechanismJoint damageDisease burdenMolecular pathwaysAnti-inflammatoryLipid metabolismGenomic Instability in Multiple Myeloma
Alagpulinsa D, Szalat R, Poznansky M, Shmookler Reis R. Genomic Instability in Multiple Myeloma. Trends In Cancer 2020, 6: 858-873. PMID: 32487486, DOI: 10.1016/j.trecan.2020.05.006.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsMultiple myelomaGenomic alterationsAcquisition of genomic alterationsGenomic instabilityNext-generation sequencingTumor-specific antigensPlasma cell malignancyMechanisms of genomic instabilityTherapeutic targeting strategiesPremalignant phaseGenomic abnormalitiesCell malignancyMalignant transformationDisease progressionDisease evolutionCancer hallmarksGenomic landscapeMyelomaTargeting strategiesDiseaseCancerAlterationsRepair mechanismsDisease relevanceMalignancy
Academic Achievements & Community Involvement
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Activities
activity National Institutes of Health HAI Study Section
06/15/2023 - PresentPeer Review Groups and Grant Study SectionsAd-hoc revieweractivity Haematologica; American Journal of Transplantation; Trends in Molecular Medicine; Pharmacology & Therapeutics; Frontiers in Cell and Developmental Biology; The FASEB Journal; etc.
07/01/2019 - PresentJournal ServiceReviewer
Honors
honor Breakthrough T1D Career Development Award
03/01/2025National AwardBreakthrough T1Dhonor Keystone Fellow
01/01/2023International AwardKeystone Symposiahonor JDRF Diversifying Diabetes Research Talent in Academia Award
09/01/2022National AwardJuvenile Diabetes Research Foundationhonor MGH Scientific Advisory Committee on Research Poster of Distinction Award
04/07/2021Other AwardMassachusetts General Hospitalhonor Physician/Scientist Career Development Award
07/01/2020Other AwardMassachusetts General Hospital
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Sterling Hall of Medicine
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333 Cedar Street
New Haven, CT 06510