Arielle Klepper, MD, PhD

Photo of Arielle Klepper, MD, PhD
Title(s)Assistant Professor, Medicine
SchoolSchool of Medicine
Address1700 4th Street, #404
San Francisco CA 94158
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    Dr. Arielle Klepper is a gastroenterologist, hepatologist, and physician-scientist whose clinical and research interests focus on chronic liver disease and human immunology. She received her MD and PhD from the Icahn School of Medicine at Mount Sinai, followed by internal medicine residency, chief residency, and gastroenterology fellowship at the University of California, San Francisco. Her clinical practice spans gastroenterology and hepatology, with a particular focus on alcohol-associated liver disease. She cares for patients in the HALT Clinic, a multidisciplinary program dedicated to the management and treatment of alcohol-associated liver disease.

    Dr. Klepper's research seeks to understand why immune responses to pathogens sometimes fail to provide effective protection and instead contribute to disease. Her laboratory studies liver disease to understand the mechanisms that shape antigen-specific humoral immunity, integrating high-resolution antigen discovery with immune profiling, B-cell receptor analysis, and functional antibody studies. Her current work focuses on host-microbial interactions in cirrhosis, where she studies how microbial exposure, B-cell differentiation, and antibody responses contribute to immune dysfunction and adverse outcomes. She established the Ascites Characterization and Evaluation Study (ACES) to investigate these processes directly within the human peritoneal compartment. Her work also uses proteome-wide phage display to investigate antiviral and autoreactive antibody responses in autoimmune liver disease. Together, these studies aim to define the mechanisms that distinguish protective, ineffective, and pathogenic humoral immune responses in human disease.

    Collapse Biography 
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    Icahn School of Medicine at Mount Sinai, New York, NYMD/PhD2016Medicine/Biology
    University of California, San FranciscoInternal Medicine Residency2019
    University of California, San FranciscoChief Residency2020
    University of California, San FranciscoFellowship, Gastroenterology2024
    Collapse awards and honors
    University of California, San Francisco2024  - 2027John A. Watson Faculty Scholars Award

    Collapse Research 
    Collapse Featured Publications
    Collapse research activities and funding
    Molecular characterization of ascites fluid to identify drivers of infection in patients with decompensated cirrhosis
    NIH K08DK139453Aug 7, 2025 - Jul 31, 2030
    Role: Principal Investigator
    A Novel Cultue System for Hepatitis C Virus
    NIH F31AI081530Jul 17, 2009 - Jul 16, 2011
    Role: Principal Investigator

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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Humoral Immune Dysregulation Defines High-Risk Cirrhotic Ascites. bioRxiv. 2026. Arielle Klepper, Matt S Zinter, Tamara Roach, Sukhman Sidhu, Zoe Berman, Ishaan Dureja, Ravi Dandekar, Sammer Ganem, Karina Perlaza, Bryan Castillo-Rojas, Kelsey Zorn, Jacquelyn J Maher, Jody L Baron, Matthew Yocum, Andrew R Lai, Jennifer Lai, Joseph L DeRisi. View Publication.
    2. All in the family: a population-scale perspective on genetic networks of autoimmune disease. J Clin Invest. 2026 Oct 01; 136(19). Klepper A, Anderson MS. PMID: 42820302; PMCID: PMC13626846.
      View in: PubMed   Mentions:
    3. Immune profiling links autoimmune hepatitis to human herpesvirus 6 and relaxin receptor antigens. J Exp Med. 2026 Apr 06; 223(4). Klepper A, Asaki J, Caspar CM, Kung AF, Vazquez SE, Bodansky A, Mitchell A, Mann SA, Zorn K, Avila-Vargas I, Kari S, Tekeste M, Castro J, Lee B, Duarte M, Khalili M, Yang M, Wolters P, Price J, Perito E, Feng S, Maher JJ, Wilson MR, Lai JC, Weiler-Normann C, Lohse AW, DeRisi J, Tana MM. PMID: 41774077; PMCID: PMC12955711.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCells
    4. AIH Therapy: Beyond First‑Line. Curr Hepatol Rep. 2024 Sep; 23(3):341-348. Adao I, Klepper A, Tana M. PMID: 41585412; PMCID: PMC12830046.
      View in: PubMed   Mentions: 1  
    5. EP1004: INCREASING REFERRALS TO GENETIC COUNSELING IN PATIENTS AT ELEVATED RISK FOR LYNCH SYNDROME. Gastroenterology. 2022 May 1; 162(7):s-1030-s-1031. Blaisdell BA, Hochstetler HL, Klepper KA, Feuille FC, Zhang ZB, Xu XC, Yu YA, Blanco BA, Terdiman TJ, Singh SA. .
      View in: Publisher Site   Mentions:
    6. Transcriptomic profiling of blood from autoimmune hepatitis patients reveals potential mechanisms with implications for management. PLoS One. 2022; 17(3):e0264307. Tana MM, Klepper A, Lyden A, Pisco AO, Phelps M, McGee B, Green K, Feng S, DeRisi J, Crawford ED, Lammert CS. PMID: 35312680; PMCID: PMC8936448.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansCells
    7. S305 Improving Identification of Patients Meeting Lynch Syndrome Testing Criteria in Endoscopy. The American Journal of Gastroenterology. 2021 Oct 1; 116:s133-s134. Blaisdell BA, Hochstetler HL, Klepper KA, Feuille FC, Zhang ZB, Blanco BA, Terdiman TJ, Singh SA. .
      View in: Publisher Site   Mentions:
    8. A subset of liver resident natural killer cells is expanded in hepatitis C-infected patients with better liver function. Sci Rep. 2021 01 15; 11(1):1551. Doyle EH, Aloman C, El-Shamy A, Eng F, Rahman A, Klepper AL, Haydel B, Florman SS, Fiel MI, Schiano T, Branch AD. PMID: 33452360; PMCID: PMC7810844.
      View in: PubMed   Mentions: 9     Fields:    Translation:HumansCells
    9. Individual liver plasmacytoid dendritic cells are capable of producing IFNα and multiple additional cytokines during chronic HCV infection. PLoS Pathog. 2019 07; 15(7):e1007935. Doyle EH, Rahman A, Aloman C, Klepper AL, El-Shamy A, Eng F, Rocha C, Kim S, Haydel B, Florman SS, Fiel MI, Schiano T, Branch AD. PMID: 31356648; PMCID: PMC6687199.
      View in: PubMed   Mentions: 11     Fields:    Translation:HumansCells
    10. Newly discovered hepatitis C virus minicores circulate in human blood. Hepatol Commun. 2018 01; 2(1):21-28. Eng FJ, El-Shamy A, Doyle EH, Klepper A, Muerhoff AS, Branch AD. PMID: 29404509; PMCID: PMC5776872.
      View in: PubMed   Mentions: 1     Fields:    
    11. Hepatitis C virus double-stranded RNA is the predominant form in human liver and in interferon-treated cells. Hepatology. 2017 08; 66(2):357-370. Klepper A, Eng FJ, Doyle EH, El-Shamy A, Rahman AH, Fiel MI, Avino GC, Lee M, Ye F, Roayaie S, Bansal MB, MacDonald MR, Schiano TD, Branch AD. PMID: 27642141; PMCID: PMC5573989.
      View in: PubMed   Mentions: 5     Fields:    Translation:HumansCells
    12. A cell culture system for distinguishing hepatitis C viruses with and without liver cancer-related mutations in the viral core gene. J Hepatol. 2015 Dec; 63(6):1323-33. El-Shamy A, Eng FJ, Doyle EH, Klepper AL, Sun X, Sangiovanni A, Iavarone M, Colombo M, Schwartz RE, Hoshida Y, Branch AD. PMID: 26220749; PMCID: PMC4654634.
      View in: PubMed   Mentions: 14     Fields:    Translation:HumansCells
    13. Macrophages and the Viral Dissemination Super Highway. EC Microbiol. 2015; 2(3):328-336. Klepper A, Branch AD. PMID: 26949751; PMCID: PMC4774560.
      View in: PubMed   Mentions: 14  
    14. High mobility group box-1 (HMGB1) participates in the pathogenesis of alcoholic liver disease (ALD). J Biol Chem. 2014 Aug 15; 289(33):22672-22691. Ge X, Antoine DJ, Lu Y, Arriazu E, Leung TM, Klepper AL, Branch AD, Fiel MI, Nieto N. PMID: 24928512; PMCID: PMC4132775.
      View in: PubMed   Mentions: 89     Fields:    Translation:HumansAnimalsCells
    15. Building failure into successful team science: highlights of the second SINAInnovations event. Dis Model Mech. 2014 Mar; 7(3):311-2. Klepper A, Pendleton M. PMID: 24609031; PMCID: PMC3944490.
      View in: PubMed   Mentions: 1     Fields:    
    16. Sa1965 Hepatitis C Virus (HCV) Double-Stranded RNA is Abundant and May Be an Important Viral Reservoir in Persistence and Relapse. Gastroenterology. 2012 May 1; 142(5):s-968. Klepper KA, Eng EF, Dieterich DJ, Walewski WJ, Gutierrez GJ, Schwartz SM, Fierer FD, Schiano ST, Branch BA. .
      View in: Publisher Site   Mentions:
    17. Cross-genotypic polyclonal anti-HCV antibodies from human ascitic fluid. J Virol Methods. 2011 Jan; 171(1):169-75. Gutierrez JA, Klepper AL, Garber J, Walewski JL, Bateman K, Khaitova V, Syder A, Tscherne DM, Gauthier A, Jefferson D, Rice CM, Schiano TD, Branch AD. PMID: 21034775; PMCID: PMC3018694.
      View in: PubMed   Mentions: 2     Fields:    Translation:HumansCells
    18. Human peritoneal macrophages from ascitic fluid can be infected by a broad range of HIV-1 isolates. J Acquir Immune Defic Syndr. 2010 Mar; 53(3):292-302. Chang TL, Klepper A, Ding J, Garber J, Rapista A, Mosoian A, Hubner W, Gutierrez J, Walewski J, Abergel J, Schiano T, Branch A. PMID: 20065862; PMCID: PMC2840202.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCells
    19. Internal initiation stimulates production of p8 minicore, a member of a newly discovered family of hepatitis C virus core protein isoforms. J Virol. 2009 Apr; 83(7):3104-14. Eng FJ, Walewski JL, Klepper AL, Fishman SL, Desai SM, McMullan LK, Evans MJ, Rice CM, Branch AD. PMID: 19129450; PMCID: PMC2655593.
      View in: PubMed   Mentions: 18     Fields:    Translation:Cells
    20. Liver fibrosis during an outbreak of acute hepatitis C virus infection in HIV-infected men: a prospective cohort study. J Infect Dis. 2008 Sep 01; 198(5):683-6. Fierer DS, Uriel AJ, Carriero DC, Klepper A, Dieterich DT, Mullen MP, Thung SN, Fiel MI, Branch AD. PMID: 18627270; PMCID: PMC4520699.
      View in: PubMed   Mentions: 51     Fields:    Translation:HumansPHPublic Health
    21. Cox-2 is regulated by Toll-like receptor-4 (TLR4) signaling: Role in proliferation and apoptosis in the intestine. Gastroenterology. 2006 Sep; 131(3):862-77. Fukata M, Chen A, Klepper A, Krishnareddy S, Vamadevan AS, Thomas LS, Xu R, Inoue H, Arditi M, Dannenberg AJ, Abreu MT. PMID: 16952555; PMCID: PMC2169292.
      View in: PubMed   Mentions: 214     Fields:    Translation:HumansAnimalsCells
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