Vincent Young

Vincent B. Young, M.D., Ph.D.

William Henry Fitzbutler Collegiate Professor, Internal Medicine/Division of Infectious Diseases
Professor, Microbiology & Immunology

Room 1520B MSRB I

1150 W. Medical Center Drive, Ann Arbor, MI 48109-5666

734-764-2237

Administrative Contact

Karrie Black

734-764-3015
karrieb@med.umich.edu

Biography

Dr. Young was born in Buffalo, New York and graduated from Williamsville East High School. He received his undergraduate degree from the Massachusetts Institute of Technology in 1985 and received his M.D. and his Ph.D. in Microbiology & Immunology from Stanford University 1992. Dr. Young completed his clinical training in Internal Medicine and Infectious Diseases at the Massachusetts General Hospital. He was previously on the faculty at Michigan State University prior to joining the University of Michigan in 2007.

Outside of the lab, Vince enjoys hiking and cycling, having completed his first DALMAC ride (https://dalmac.org/) in 2021. He is also an amateur musician, playing keyboards in a local band Naked Ace and also dabbling in jazz with other local musicians.

Appointments

Internal Medicine/Infectious Diseases Division

Areas of Interest

Research in the Young lab is directed at understanding the role of indigenous microbiota in influencing the health status of their host. One research focus is to examine how the population structure and thus function of the gastrointestinal microbiota can influence host-pathogen interactions and how changes in the community structure of the indigenous microbiota itself can lead to pathogenic states. This research is being conducted both with material from human subjects as well as animal models of disease.

One key area of study in the lab concerns the role of the indigenous gut microbiota in antibiotic-associated diarrhea. About 20% of cases of antibiotic-associated diarrhea arise from infection with the toxin producing bacterial pathogen Clostridium difficile. Previous work has provided evidence that antibiotic-associated diarrhea, both cases due to infection with Clostridium difficile and cases independent of infection with this pathogen, results from the effect of antibiotics on the indigenous gut microbiota. In the case of antibiotic-associated diarrhea without C. difficile infection we have provided evidence that loss of the normal fermentation capacity of the microbiota results in an osmotic diarrhea as well as potential colonic epithelial dysfunction due to decreases in the levels of short-chain fatty acids, such as butyrate. Our work on recurrent C. difficile infection has demonstrated that recurrence is associated with decreases in the overall diversity of the indigenous gut microbiota. This work provides the first evidence that alteration in the community structure of the gut microbiota can lead to sustained loss of colonization resistance against bacterial pathogens. To supplement our clinical studies, we have developed a murine model of C. difficile infection that recreates most aspects of human disease and allows us to closely examine the interaction between the pathogen, the indigenous microbiota and host responses in the development of disease. Using the model we have conducted studies that have examined how disruption of the indigenous microbiota by antibiotics creates a metabolic environment that favors the germination C. difficile spores and vegetative outgrowth within the gastrointestinal tract.

To extend our work on host-microbe interactions we are employing stem cell-derived intestinal organoids to study how commensal microbes and pathogens interact with the intestinal epithelium. This flexible system allows us to examine the bidirectional interaction between microbes and the host epithelium to understand how this interaction affects both members of the symbiosis.

Published Articles or Reviews

Web Sites