H. Lee Moffitt Cancer Center & Research Institute

USF Affiliations/College Department:

• Medicine / Oncologic Sciences

General Board Certification / SubSpecialty:

• Anatomic Pathology & Clinical Pathology / Molecular Genetic Pathology

Research Interests:

My research interests involve the translation of molecular genetic knowledge into clinical diagnostic tests for the evaluation and management of hematopoietic and solid tumor malignancies. This includes investigation into and acquisition of data concerning genotype-phenotype correlations that will allow us to optimize the clinical utility of molecular testing. In addition, I am actively engaged in research on the ethical, social, and legal implications of the human genome project (ELSI), with particular emphases in the areas of intellectual property and FDA and CLIA-related regulation.

Clinical Interests:

My clinical interests involve the development and application of molecular diagnostic testing for routine clinical use. This includes the evaluation of molecular genetic changes associated with hematology/oncology diagnosis, prognosis, and patient response to therapeutic agents. I serve as a clinical consultant on issues associated with the application and interpretation of molecular diagnostic testing in the areas of hematology and oncology. In addition, I serve as a laboratory director and clinical consultant on coagulation and other patient-related hematology issues.

Publications:

1. Erickson M, Champion M, Klein R, Ross R, Neal Z, Snyder E. Management of blood shortages in a tertiary care academic medical center: the Yale-New Haven Hospital frozen blood reserve. Transfusion. 2008 Oct;48(10):2252-2263. Pubmedid: 18631164.   Pubmed ID: 18631164

2. Klein R, Jin L, Rumilla K, Young WF J, Lloyd R. Germline SDHB Mutations are Common in Patients With Apparently Sporadic Sympathetic Paragangliomas. Diagn Mol Pathol. 2008 Jun;17(2):94-100. Pubmedid: 18382370.   Pubmed ID: 18382370

3. Klein R, Mahoney M. LabCorp v. Metabolite Laboratories: The Supreme Court listens, but declines to speak. J Law Med Ethics. 2008 Spr;36(1):141-149. Pubmedid: 18315767.   Pubmed ID: 18315767

4. Klein R. Genetic testing and primary care. Jama. 2008 May;299(19):2275-2275. Pubmedid: 18492967.   Pubmed ID: 18492967

5. Klein R. Gene patents and genetic testing in the United States. Nat Biotechnol. 2007 Sep;25(9):989-990. Pubmedid: 17846625.   Pubmed ID: 17846625

6. Klein R. Gene patents and genetic testing in the US. Drug & Market Development. 2007;18:26-28.  

7. Klein R. Medical-process patents. N Engl J Med. 2007 Feb;356(7):753-754. Pubmedid: 17301313.   Pubmed ID: 17301313

8. Klein R. The pain protective haplotype: introducing the modern genetic test. Clin Chem. 2007 Jun;53(6):1007-1009. Pubmedid: 17517586.   Pubmed ID: 17517586

9. Campbell S, Klein R. Home testing to detect human immunodeficiency virus: boon or bane. J Clin Microbiol. 2006 Oct;44(10):3473-3476. Pubmedid: 17021069.   Pubmed ID: 17021069

10. Klein R, Kant J. Opportunity knocks: the pathologist as laboratory genetics consultant. Arch Pathol Lab Med. 2006 Nov;130(11):1603-1604. Pubmedid: 17076520.   Pubmed ID: 17076520

11. Klein R, Thorland E, Gonzales P, Beck P, Dykas D, McGrath J, Bale A. A multiplex assay for the detection and mapping of complex glycerol kinase deficiency. Clin Chem. 2006 Oct;52(10):1864-1870. Pubmedid: 16887896.   Pubmed ID: 16887896

12. Klein R, Dykas D, Bale A. Clinical testing for the nevoid basal cell carcinoma syndrome in a DNA diagnostic laboratory. Genet Med. 2005 Nov;7(9):611-619. Pubmedid: 16301862.   Pubmed ID: 16301862

13. Klein R, Salih S, Bessoni J, Bale A. Clinical testing for multiple endocrine neoplasia type 1 in a DNA diagnostic laboratory. Genet Med. 2005 Feb;7(2):131-138. Pubmedid: 15714081.   Pubmed ID: 15714081

14. Klein R, Howe J, Magriples U, McPhedran P. Eclampsia in a woman homozygous for the prothrombin G20210A mutation. Thromb Haemost. 2004 Jan;91(1):201-202. Pubmedid: 14691588.   Pubmed ID: 14691588

15. Klein R. Daubert v Merrell Dow: scientific evidence in the courtroom. Jama. 1994 May;271(20):1578-1578. Pubmedid: 8182809 .   Pubmed ID: 8182809

16. Klein R, Lloyd R, Young W. Hereditary paraganglioma-pheochromocytome syndromes.. In: GeneReviews at GeneTests: Medical Genetics Information Resource. Seattle, WA: University of Washington, GeneReviews; 2008;e1.