JOSEPH V. KLAG, DO

PHOENIX, AZ

Research Active
Internal Medicine - Interventional Cardiology NPI registered 21+ years 30 publications 1977 – 2024 NPI: 1730185430
Cell DifferentiationColeopteraMitochondriaLarvaOvaryInsectaTestisMicroscopy, ElectronGerm CellsAnti-N-Methyl-D-Aspartate Receptor EncephalitisOocytesOogenesisMicroscopy, Electron, TransmissionOvumSpermatogenesis

Practice Location

3805 E BELL RD
PHOENIX, AZ 85032

Phone: (602) 867-8644

What does JOSEPH KLAG research?

Dr. Klag studies various aspects of brain health, particularly related to anti-NMDA-receptor encephalitis, a condition that can lead to long-term memory and cognitive difficulties. He investigates the brain's structural changes and how these relate to memory loss. Additionally, he has developed tools to assess patient mobility in hospital settings, helping ensure that patients can move safely, which is critical for their recovery and independence.

Key findings

  • Patients with anti-NMDA-receptor encephalitis showed weaker connections in the hippocampus, correlating with long-term verbal memory issues, emphasizing the extent of cognitive impairment even 18 months post-illness.
  • Over 80% of patients with anti-NMDA receptor encephalitis experienced significant cognitive challenges more than 2 years after the onset of their illness, and two-thirds continued to struggle even after almost 5 years.
  • The Johns Hopkins In-Room Independence Scale demonstrated 100% sensitivity and specificity in identifying patients who could safely mobilize alone, enhancing patient care in hospital environments.

Frequently asked questions

Does Dr. Klag study anti-NMDA receptor encephalitis?
Yes, Dr. Klag's research focuses on cognitive and memory problems associated with anti-NMDA receptor encephalitis.
What tools has Dr. Klag developed for patient safety?
Dr. Klag developed the Johns Hopkins In-Room Independence Scale, which helps assess whether hospital patients can safely move around their rooms.
Is Dr. Klag's work relevant to patients with cognitive difficulties?
Yes, his work directly addresses cognitive challenges faced by patients recovering from autoimmune brain disorders, providing insights for better care and support.

Publications in plain English

Are Your Patients Safe to Mobilize Alone in Their Room? The Johns Hopkins Hospital In-Room Independence Scale.

2024

American journal of physical medicine & rehabilitation

Reoli R, Wilkins E, Klag J, Hoyer E, Lavezza A

Plain English
This study looked at a new tool called the Johns Hopkins In-Room Independence Scale to see how well it can identify whether patients are able to move around their hospital room safely on their own. The results showed that it reliably assessed patient independence, with strong positive correlations to other mobility measures, and it accurately identified patients who could move independently, showing 100% sensitivity and specificity. This is important because it can help hospitals allow more patients to move safely, reducing the stigma of being at risk for falls. Who this helps: This helps patients by promoting greater independence during their hospital stay.

PubMed

Hippocampal hub failure is linked to long-term memory impairment in anti-NMDA-receptor encephalitis: insights from structural connectome graph theoretical network analysis.

2024

Journal of neurology

Hechler A, Kuchling J, Müller-Jensen L, Klag J, Paul F +2 more

Plain English
This study examined the brain changes in patients with anti-NMDA-receptor encephalitis, focusing on how these changes relate to long-term memory difficulties. Researchers compared brain scans from 61 patients about 18 months after hospital discharge with scans from healthy individuals. They found that the patients had weaker connections in the hippocampus, a key area for memory, which correlated with issues in verbal long-term memory. Who this helps: This research helps patients with anti-NMDA-receptor encephalitis and their doctors by providing insights into memory challenges they may face.

PubMed

Long-Term Cognitive Outcome in Anti-N-Methyl-D-Aspartate Receptor Encephalitis.

2021

Annals of neurology

Heine J, Kopp UA, Klag J, Ploner CJ, Prüss H +1 more

Plain English
This study looked at how memory and thinking skills change over time in people who have a specific brain condition called anti-N-Methyl-D-Aspartate receptor (NMDAR) encephalitis. Researchers assessed 43 patients, finding that over 80% still had significant cognitive issues 2.3 years after their illness began, with two-thirds still struggling after nearly 5 years, even though many showed improvement. These findings matter because they highlight the long-lasting cognitive challenges faced by these patients and underscore the need for ongoing support and rehabilitation to improve their thinking skills. Who this helps: This helps patients recovering from NMDAR encephalitis and their doctors.

PubMed

Normal gut microbiome in NMDA receptor encephalitis.

2019

Neurology(R) neuroimmunology & neuroinflammation

Herken J, Bang C, Rühlemann MC, Finke C, Klag J +2 more

Plain English
This study looked at the gut bacteria of patients with NMDAR encephalitis, a type of brain inflammation, to see if they had an unusual abundance of certain bacteria similar to what is seen in other neurological diseases. Researchers compared the gut microbiome of 23 patients with NMDAR encephalitis to 24 healthy individuals and found that both groups had similar gut bacteria profiles, indicating that gut microbiome changes do not significantly contribute to the illness. This matters because it helps clarify that, unlike some other brain conditions, the gut bacteria in NMDAR encephalitis remain normal and likely don’t affect the disease outcomes. Who this helps: This information benefits doctors and researchers focusing on brain health and autoimmune conditions.

PubMed

Analysis of the behavior of mitochondria in the ovaries of the earthworm Dendrobaena veneta Rosa 1839.

2015

PloS one

Faron J, Bernaś T, Sas-Nowosielska H, Klag J

Plain English
This study looked at different cell types in the ovaries of the earthworm Dendrobaena veneta to understand how mitochondria behave. Researchers found that germ-line cells (which are involved in reproduction) had more mitochondria but less activity compared to somatic cells (which support the germ-line). Specifically, somatic cells showed high oxidative activity and low levels of harmful reactive oxygen species, indicating that they are better at managing oxidative stress, which is crucial for keeping the oocytes healthy for future generations. Who this helps: This benefits researchers and scientists studying reproductive health in organisms.

PubMed

The reproductive cycle in the male gonads of Danio rerio (Teleostei, Cyprinidae). Stereological analysis.

2012

Micron (Oxford, England : 1993)

Huszno J, Klag J

Plain English
This study looked at the male reproductive cycle in zebrafish over eight weeks to understand how sperm develops. Researchers found that during this time, different types of cells involved in sperm production appear and grow, with the most mature sperm being fully formed by the end of the eight weeks. Specifically, by week eight, the testicular tubules were packed with sperm cells, marking a key stage in the reproductive cycle. Who this helps: This research helps scientists and fish breeders who need to understand fish reproduction better.

PubMed

Origin of the brushborder in the differentiating midgut of Melasoma saliceti (Chrysomelidae, Coleoptera) embryos.

2011

Folia biologica

Rost-Roszkowska MM, Klag J

Plain English
This study looked at how the midgut of the Melasoma saliceti beetle develops during its first eight days as an embryo. Researchers found that by day five, flat cells have formed a basic layer for the midgut, and by day eight, they develop special structures called microvilli on their surface, which help with nutrient absorption. This research matters because understanding this process can provide insights into how similar structures develop in other animals, which is important for fields like developmental biology and medicine. Who this helps: This helps researchers and biologists studying insect development and digestive systems.

PubMed

Cellular organisation of the mature testes and stages of spermiogenesis in Danio rerio (Cyprinidae; Teleostei)--structural and ultrastructural studies.

2011

Micron (Oxford, England : 1993)

Rupik W, Huszno J, Klag J

Plain English
This study looked at how male zebrafish (Danio rerio) develop their sperm. Researchers found that there are four key stages in this process, where sperm cells change shape and become more specialized, including features like a condensed nucleus and a tail. Understanding these stages is important because it helps us learn more about fish reproduction and may provide insights into fertility in other species. Who this helps: This helps researchers studying fish biology and fertility.

PubMed

Differentiation of regenerative cells in the midgut epithelium of Epilachna cf nylanderi (Mulsant 1850) (Insecta, Coleoptera, Coccinellidae).

2010

Folia biologica

Rost-Roszkowska MM, Poprawa I, Klag J, Migula P, Mesjasz-Przybyłowicz J +1 more

Plain English
Researchers studied how certain cells in the midgut of a specific beetle, Epilachna cf. nylanderi, regenerate after damage. They found that when the beetle's gut cells degenerate, they are quickly replaced by new cells that come from special regenerative cells that work like stem cells. This regenerative process is important because it helps the beetle thrive on plants that accumulate nickel, suggesting that this beetle has a strong ability to cope with potentially harmful environments. Who this helps: This helps researchers studying insect biology and potential applications in regenerative medicine.

PubMed

Formation of germ-line cysts with a central cytoplasmic core is accompanied by specific orientation of mitotic spindles and partitioning of existing intercellular bridges.

2009

Cell and tissue research

Swiatek P, Kubrakiewicz J, Klag J

Plain English
This study looked at how germ cells, which are the cells responsible for reproduction, form clusters called cysts in certain types of worms. Researchers found that these clusters have a unique structure with a central core, and the way the cells divide is carefully organized: the cells divide in a way that connects them to this core and creates new connections as they split. Understanding this process helps deepen our knowledge of reproductive biology, which can influence future research in fertility and development. Who this helps: This helps scientists and researchers studying reproductive health and development.

PubMed

Oogenesis in four species of Piscicola (Hirudinea, Rhynchobdellida).

2008

Journal of morphology

Spałek-Wołczyńska A, Klag J, Bielecki A, Swiatek P

Plain English
This study looked at how eggs are developed in four species of the underwater leech, Piscicola. The researchers found that each egg starts from a cluster of 30 germ cells, but only one becomes the egg while the others turn into nurse cells that help it grow. Understanding these processes is important because it reveals differences in egg development between related leech families, which can help us learn more about their biology and reproductive strategies. Who this helps: This benefits scientists studying aquatic biology and reproduction.

PubMed

Structure of the vector tissue in piscicolid leeches (Annelida, Hirudinea, Rhynchobdellida, Piscicolidae).

2007

Journal of morphology

Swiatek P, Bielecki A, Klag J

Plain English
This study looked at a special type of tissue in piscicolid leeches that helps guide sperm to their eggs during mating. Researchers discovered that this tissue, called vector tissue, is made up of different kinds of cells arranged in a specific way to facilitate this process. They found that the tissue has four cell types and allows sperm to move through it to reach the ovaries. Understanding how this tissue works is important because it helps explain the mating process in these leeches and could provide insights into reproductive biology. Who this helps: This helps biologists and researchers studying reproduction in leeches and related organisms.

PubMed

Ultrastructural studies of midgut epithelium formation in Lepisma saccharina L. (Insecta, Zygentoma).

2007

Journal of morphology

Rost-Roszkowska MM, Piłka M, Szymska R, Klag J

Plain English
This study looked at how the midgut of a specific insect, Lepisma saccharina, develops during its early life stages. The researchers found that as the insect grows, cells called energids gather and form new cells that eventually create the lining of the midgut. By the end of the second larval stage, just before the insect molts, some of these new cells start to break down, but they also give rise to stem cells that will help regenerate the midgut lining in the future. Who this helps: This research benefits scientists studying insect development and regeneration, which can inform broader biological understanding and potential applications in medicine.

PubMed

Ultrastructure of alimentary tract formation in embryos of two insect species: Melasoma saliceti and Chrysolina pardalina (Coleoptera, Chrysomelidae).

2007

Arthropod structure & development

Rost-Roszkowska M, Kubala A, Nowak B, Pilarczyk S, Klag J

Plain English
This study looked at how the digestive system develops in two types of beetle embryos, Melasoma saliceti and Chrysolina pardalina, over a week. Researchers found that during this time, specific cells formed the digestive tract, with key changes occurring each day, like the cells transforming their shape and becoming specialized for digestion. Understanding these development stages is important because it helps scientists learn how insects grow and develop, which can be useful for agriculture and pest control. Who this helps: This helps researchers and farmers interested in insect development and pest management.

PubMed

Do germ line cells in Allacma fusca (Insecta, Collembola, Symphypleona) have a higher metabolic rate than somatic cells.

2001

Folia biologica

Swiatek P, Klag J, Romek M

Plain English
This study looked at the energy levels of specific cells in a small insect called Allacma fusca. Researchers found that primordial germ cells, which are important for reproduction, have significantly higher levels of mitochondria (the energy-producing parts of cells) compared to the surrounding somatic cells: 74.6% more in younger embryos and 123% more in older embryos. This matters because it helps us understand how reproductive cells might have different energy needs compared to other cell types, supporting a theory about why some cells prioritize growth and reproduction over maintenance. Who this helps: This helps researchers studying insect biology and the broader implications for understanding cell metabolism in other species.

PubMed

Development of terminal filaments and ovariole envelopes in Thermobia domestica (Insecta, Zygentoma) larvae.

2001

Folia biologica

Kisiel E, Klag J

Plain English
This study looked at the development of reproductive structures in the larvae of a type of small insect called Thermobia domestica. Researchers found that by the 6th stage of development, the larvae formed complex structures called ovarioles, which are essential for egg production, and a supporting structure known as a terminal filament made up of three different cell types. This discovery is important for understanding how these insects reproduce and could shed light on similar processes in other species. Who this helps: This helps scientists studying insect biology and reproductive systems.

PubMed

Predetermination of cytokinesis and transition from holoblastic to partial superficial cleavage in early embryonic development of Tetrodontophora bielanensis (Collembola).

2000

Folia biologica

Klag J, Krzysztofowicz A, Jura C, Kisiel E

Plain English
This study looked at how embryos of the T. bielanensis species develop during their first few cell divisions. Researchers found that these embryos initially form multiple nuclei without dividing the cell's contents but eventually start to split their cytoplasm. Specifically, after reaching four nuclei, they show a significant shift in how they divide, moving from a complete division of the cell to a more surface-level division, with the process triggered by specific factors in the egg. Who this helps: This research benefits scientists and researchers studying early embryonic development and cell division processes.

PubMed

Holoblastic early cleavage of Tetrodontophora bielanensis (Collembola) eggs, with special reference to its irregularity.

1999

Folia histochemica et cytobiologica

Klag J, Jura C, Krzysztofowicz A, Kisiel E

Plain English
This study looked at how the fertilized eggs of the Tetrodontophora bielanensis, a tiny insect, divide and develop over 6 to 8 days. Researchers found that after the eggs start to divide, they initially form four nuclei before creating furrows that separate the egg into smaller sections. Instead of growing towards the center, these furrows split in a way that leaves empty spaces, resulting in a unique pattern of cell division that eventually leads to the development of an outer layer of cells on the embryo. Who this helps: This research benefits biologists and ecologists studying insect development and evolution.

PubMed

Ultrastructural studies on the sporocyst wall of Diplostomum pseudospathaceum Niewiadomska, 1984 (Digenea, Diplostomidae).

1997

International journal for parasitology

Klag J, Niewiadomska K, Czubaj A

Plain English
This study looked at the structure of a protective layer called the sporocyst wall of a specific parasite, Diplostomum pseudospathaceum. Researchers found that this wall has many different cell types and structures, including muscle layers and sensory receptors, which help the parasite survive in its environment. Understanding these details can help scientists develop better treatments for infections caused by this parasite. Who this helps: This benefits doctors and researchers working on parasitic diseases.

PubMed

Subcortical microtubule network separates the peripiasm from the endoplasm and is responsible for maintaining the position of accessory nuclei in hymenopteran oocytes.

1996

Roux's archives of developmental biology : the official organ of the EDBO

Biliński SM, Klag J, Kubrakiewicz J

PubMed

Subcortical microtubule network separates the periplasm from the endoplasm and is responsible for maintaining the position of accessory nuclei in hymenopteran oocytes.

1995

Roux's archives of developmental biology : the official organ of the EDBO

Biliński SM, Klag J, Kubrakiewicz J

Plain English
This study examined how specific structures within the cells of hymenopteran insects, like bees and wasps, help organize their cell components during egg development. Researchers found that two layers of tiny tubes called microtubules are crucial for ensuring that accessory nuclei—special parts of the cell—are positioned correctly at the front of the egg. When the researchers disrupted these microtubules with a chemical, the accessory nuclei moved out of place, showing their importance in organizing the cell. Who this helps: This research benefits biologists studying insect reproduction and development.

PubMed

Germ cell cluster formation and oogenesis in the hymenopteran Coleocentrotus soldanskii.

1994

Tissue & cell

Klag J, Biliński S

Plain English
This study looked at how egg cells develop in a type of wasp called Coleocentrotus soldanskii. Researchers found that in clusters of 32 cells, eight start to mature, but only one becomes a true egg cell, while the others turn into helper cells. These helper cells retain some features of the egg cell, suggesting that a specific substance in the cluster is guiding their development. Who this helps: This research benefits scientists studying insect development and may aid in understanding reproductive biology in other species.

PubMed

Accessory nuclei in the oocytes of the cockoo wasp, Chrysis ignita (Hymenoptera: Aculeata).

1993

Folia histochemica et cytobiologica

Szklarzewicz T, Biliński SM, Klag J, Jabłońska A

Plain English
This study looked at the early development of eggs in a type of wasp called Chrysis ignita. Researchers found two types of small and large accessory nuclei in the eggs before they start to develop yolk. The large accessory nuclei were mostly found at one end of the egg, while the small ones were evenly spread out, which helps us understand the egg's structure during its early stages. Who this helps: This information benefits biologists and researchers studying insect development and genetics.

PubMed

Oosome formation in two ichneumonid wasps.

1993

Tissue & cell

Klag J, Bilinski S

Plain English
This study looked at how two species of wasps, Cosmoconus meridionator and Lissonota catenator, produce and transport components that help form a structure known as the oosome during egg development. Researchers found that two main types of structures, called NM complexes and NMD, are responsible for this process; these structures move to the back of the egg cell where the oosome forms and do not contain RNA. This discovery is important because it helps us understand the biological processes behind egg formation in these wasps, which can provide insights into insect development in general. Who this helps: This helps researchers studying insect biology and development.

PubMed

Morphogenesis of accessory nuclei during final stages of oogenesis in Cosmoconus meridionator (Hymenoptera: Ichneumonidae).

1993

Roux's archives of developmental biology : the official organ of the EDBO

Bilínski SM, Klag J, Kubrakiewicz J

Plain English
This study looked at how accessory nuclei change during the final stages of egg development in a specific type of wasp. Researchers found that these nuclei contain two different types of materials at first, which then transform before some substances are released into the surrounding area. This is important because it shows how these nuclei help communicate signals needed for proper egg development. Who this helps: This helps researchers studying insect reproduction and developmental biology.

PubMed

Influence of partial deletion of the Y chromosome on mouse sperm phenotype.

1991

Journal of reproduction and fertility

Styrna J, Klag J, Moriwaki K

Plain English
The study looked at two types of mice: one with a normal Y chromosome and the other with a partial deletion of the Y chromosome. It found that 64.2% of sperm from the mutant mice had abnormal heads, compared to just 22.6% from the normal mice, indicating major issues with sperm development. This matters because it shows that certain genes on the Y chromosome are important for the proper formation of sperm, which could have implications for understanding male fertility issues. Who this helps: This helps patients dealing with male infertility problems.

PubMed

Germ line of Tetrodontophora bielanensis (Insecta, Collembola). Ultrastructural study on the origin of primordial germ cells.

1982

Journal of embryology and experimental morphology

Klag J

Plain English
This study looked at the early development of a tiny insect called Tetrodontophora bielanensis and focused on the formation of its reproductive cells. Researchers found that in the embryo, primordial germ cells (PGCs)—the cells that will become sperm or eggs—form in specific areas where certain structures called nuage granules are present. Out of the cells observed, only those containing many nuage granules develop into PGCs, while others turn into yolk cells. Who this helps: This helps scientists and researchers studying insect development and reproduction.

PubMed

The ultrastructure of midgut cells in Acerentomon gallicum Jonescu (Protura).

1979

Folia biologica

Biliński S, Klag J

PubMed

Oogenesis in Acerentomon gallicum Jonescu (Protura). An ultrastructural analysis of the early previtellogenic stages.

1978

Cell and tissue research

Klag J

Plain English
This study looked at how the early stages of egg cell development happen in a tiny creature called Acerentomon gallicum. Researchers found that as these egg cells grow, they change significantly; for example, as they reach a size of 50 micrometers, a specific material inside the cells disappears, while other cell structures, like mitochondria and ribosomes, become more active. These findings help us understand the basic processes of cell growth and development in this species, which could shed light on similar processes in other organisms. Who this helps: This helps researchers studying cell development in animals.

PubMed

Differentiation of primordial germ cells in the embryonic development of Thermobia domestica, Pack. (Thysanura): an ultrastructural study.

1977

Journal of embryology and experimental morphology

Klag J

Plain English
This study looked at how primordial germ cells, which eventually develop into eggs and sperm, change during the early growth of the Thermobia domestica insect. The researchers found that as these cells develop, their nuclei change shape and activity, leading to the creation of specific structures that help in differentiating into egg cells (preoogonia) and sperm cells (prespermatogonia). These findings matter because understanding how germ cells develop can provide insights into reproduction and potential issues related to fertility in insects. Who this helps: This helps researchers studying insect biology and reproduction, as well as those interested in fertility issues.

PubMed

Frequent Co-Authors

Janusz Kubrakiewicz Harald Prüss Carsten Finke Piotr Swiatek E Kisiel Magdalena M Rost-Roszkowska Aleksander Bielecki A Krzysztofowicz C Jura Szczepan M Biliński

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.