Keck School of Medicine · USC · Division of Gastrointestinal & Liver Diseases

Drivers of
Liver Injury

We investigate the molecular and cellular mechanisms underlying drug-induced liver injury, immune-mediated liver injury from checkpoint inhibitors, and autoimmune liver diseases, translating mechanistic discoveries into improved outcomes for patients.

Fluorescence microscopy of liver tissue, Dara Lab USC

What We Study

We investigate the molecular and cellular mechanisms underlying drug-induced liver injury, immune-mediated liver injury from checkpoint inhibitors, and autoimmune liver diseases such as Autoimmune Hepatitis (AIH) and Primary Biliary Cholangitis (PBC). Our research spans fundamental studies of cell death pathways, immune activation, and the loss of immune tolerance, with the goal of translating mechanistic discoveries into improved understanding of disease pathogenesis, clinical outcomes, and therapeutic strategies for patients.

DILI BASIC & TRANSLATIONAL DILI CLINICAL IMMUNE- MEDIATED LIVER INJURY (CANCER THERAPY) AUTOIMMUNE & RARE LIVER DISEASES CELL DEATH & HEPATO- TOXICITY SELECT A FOCUS

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Principal Investigator

Lily Dara, MD

Lily Dara, MD

Lily Dara, MD

Associate Professor of Medicine
Division of Gastrointestinal and Liver Diseases
USC Research Center for Liver Disease
Keck School of Medicine, University of Southern California
Director, USC SOLAR Clinic (Southern California Liver Autoimmune and Rare Conditions)
USC Pasadena Medical Office Building

Lily Dara is an Associate Professor of Medicine at the Keck School of Medicine, University of Southern California. She is an NIH-funded physician-scientist, practicing hepatologist, and Director of the USC SOLAR Clinic (Southern California Liver Autoimmune and Rare Conditions) in the USC Pasadena Medical Office Building.

She received her medical degree from Shahid Beheshti University of Medical Sciences in Tehran, completed Internal Medicine residency at Griffin Hospital (Yale affiliate), and Gastroenterology fellowship at USC. During fellowship, she joined the laboratory of Dr. Neil Kaplowitz, where she studied signaling mechanisms and cell death subroutines in acetaminophen-induced acute liver injury, work that formed the foundation of her independent research program. She started her own laboratory after receiving a Mentored Clinical Investigator Career Award (K08) from the NIDDK in 2016.

Her current R01-funded research focuses on the mechanisms of liver injury from immune checkpoint inhibitors, with a particular interest in how cell death pathways and sex differences shape hepatotoxicity from cancer immunotherapy. She is also PI for the DILIN USC site. Dr. Dara is the past Chair of the AASLD Hepatotoxicity Special Interest Group, serves on the NIH LiverTox Expert Review Committee, and is the current Vice Chair of the AASLD Cholestatic and Autoimmune Liver Disease Special Interest Group. She serves on multiple editorial boards and study sections.

Research Support

NIH/NIDDK · R01DK144042

The Impact of Sex and Cell Death on Checkpoint Inhibitor Hepatotoxicity

Elucidating mechanistic pathways, the interaction of cell death subroutines, and the role of estrogen in driving sex differences in immune-mediated liver injury from immunotherapy.

PI: Lily Dara · 09/2025 – 07/2030

NIH/NIDDK · U01DK083020

USC-UCLA Drug-Induced Liver Injury (DILIN) Clinical Center

USC site of the national NIH Drug-Induced Liver Injury Network, enrolling patients with DILI and immune-mediated liver injury for mechanistic and translational studies.

PI: Lily Dara · 09/2023 – 07/2028

AASLD Foundation · BDG25-116954

Mechanisms of Immune-Mediated Liver Injury from Checkpoint Inhibitors

Investigating the innate and adaptive immune mechanisms underlying immune checkpoint inhibitor hepatotoxicity in mouse models and human translational samples.

PI: Lily Dara · 07/2025 – 06/2026

Selected Publications

Recent & Key Work

2026

Alkaline Phosphatase Normalization Occurs Less Frequently in Hispanic Patients With Primary Biliary Cholangitis

Yoon P, Shen A, Chen M, Foroohar T, Martinez Rios I, Brown S, Dodge JL, Lee BT, Zhou K, Kahn J, Khemichian S, Dara L

Clin Gastroenterol Hepatol. 2026 Jan 29:S1542-3565(26)00046-7

2025

High Grade Hepatotoxicity From Dual Checkpoint Inhibitors Is More Common in Hepatocellular Carcinoma Than Other Cancers

Ennin E, Mallepally N, Shojaie L, Ali M, Dewberry S, Trieu M, Zhou K, Kahn J, Dodge J, Dara L

Liver International 2025;45(9):e70255 · PMID: 40778804

2024

Innate and Adaptive Immune Cell Interaction Drives Inflammasome Activation and Hepatocyte Apoptosis in Murine Liver Injury from Immune Checkpoint Inhibitors Senior Author

Shojaie L, Bogdanov JM, Alavifard H, Mohamed MG, Baktash A, Ali M, et al., Dara L

Cell Death & Disease 2024 Feb 14;15(2):140 · PMID: 38355725 → PMC

2024

Genetic Variants Associated with Immune-Mediated Liver Injury from Checkpoint Inhibitors

Fontana RJ, Li YJ, Chen V, Kleiner D, Stolz A, Odin J, Vuppalanchi R, Gu J, Dara L, Barnhart H; Drug-Induced Liver Injury Network

Hepatology Communications 2024 Aug 26;8(9):e0518 · PMID: 39185906 → PMC

2021

Interaction of RIPK1 and A20 Modulates MAPK Signaling in Murine Acetaminophen Toxicity Senior Author

Iorga A, Donovan K, Shojaie L, Johnson H, Kwok J, Suda J, Aghajan M, Shao L, Liu ZX, Dara L

Journal of Biological Chemistry 2021 Jan 15;296:100300 · PMID: 33460648 → PMC

2021

We Are Not Immune: Racial and Ethnic Disparities in Autoimmune Hepatitis and Primary Biliary Cholangitis

Lee BT, Tana M, Kahn J, Dara L

Hepatology 2021 Nov;74(5):2876–2887 · PMID: 34056734

2019

IgG:IgM Ratios of Liver Plasma Cells Reveal Similar Phenotypes of Primary Biliary Cholangitis With and Without Features of Autoimmune Hepatitis Senior Author

Lee BT, Wang Y, Yang A, Han H, Yuan L, Donovan J, Kaplowitz N, Kanel G, Kahn J, Dara L

Clinical Gastroenterology and Hepatology 2019 · PMID: 31751773 → PMC

2015

Receptor Interacting Protein Kinase 1 Mediates Murine Acetaminophen Toxicity Independent of the Necrosome and Not Through Necroptosis First Author

Dara L, Johnson H, Suda J, Win S, Gaarde W, Han D, Kaplowitz N

Hepatology 2015 Dec;62(6):1847–57 · PMID: 26077809 → PMC

Full Publication List on PubMed →

Lab Members

Our lab brings together physician-scientists, postdoctoral researchers, graduate students, and clinical research coordinators united by a shared curiosity about how the liver responds to injury, and how we can use that understanding to help patients. We have mentored numerous undergraduates, medical students, residents, and fellows who have gone on to careers in academic hepatology and gastroenterology.

Current Members

Name Role Research Interest Fun Fact
Helia Alavifard PhD Candidate, USC Liver immunology Never says no to a cup of coffee
Mahmoud Mohamed IM Resident, USC (Post-doctoral Research Scholar) DILI Favorite color is blue
Aria Baktash IM Resident, USC (Post-doctoral Fellow) Liver immunology You can leave the lab but the lab never leaves you!
Komal Sagar Postdoctoral Researcher, USC Tregs

Open Positions

Graduate Student

PhD candidates in Molecular Biology, Immunology, or related programs with interest in liver disease mechanisms.

Research Associate

Bench scientist with expertise in organoid models, mouse model experiments, immunology, and translational sample processing. Apply →

Alumni & Trainees

Postgraduate Mentorship

Years Name Role at the Time Current Position
2015–2018Nima MotamediFellow in GastroenterologyGastroenterologist, OR
2016–2019Brian T. LeeFellow in GastroenterologyHepatologist, Hoag Hospital
2017–2018Janet KwokFellow in GastroenterologyFaculty, UPMC
2016–2019Yun WangResident in Internal MedicineFaculty, CSMC
2017–2019Alex YangResident in Internal MedicineFaculty, UCSD
2019–2025Layla ShojaiePost-doctoral Research Scholar & IM ResidentGI Fellow, UCLA
2020–2024Karam AshouriResident in Internal MedicineOncology Fellow, FL
2020–2023Niharika MallepallyFellow in GastroenterologyFaculty, UCLA
2022–2024Melanie HundtFellow in GastroenterologyFaculty, Montefiore Einstein
2022–2025Elsie EnninResident in Internal MedicineGI Fellow, Stanford
2022–2025Patrick LeeFellow in GastroenterologyHepatologist, Hoag Hospital
2023–2026Jacob BogdanovResident in Internal MedicineGI Fellow, Brigham & Women's Hospital
2023–2026Sean DewberryResident in Internal MedicineGI Fellow, UCSF
2024–presentPaul YoonResident in Internal MedicineIM Resident
2024–presentAdriana ShenResident in Internal MedicineIM Resident
2024–presentAria BaktashPost-doctoral FellowIM Resident
2023–presentMahmoud MohamedPost-doctoral Research Scholar & IM ResidentIM Resident
2025–presentSimon KrakovskyResident in Internal MedicineIM Resident
2025–presentAndrew CruzResident in Internal MedicineIM Resident
2025–presentIsabelle ObiasResident in Internal MedicineIM Resident

Undergraduate, Graduate & Medical Student Mentorship

Years Name Role at the Time
2014–2018Katie DonovanUSC Undergraduate Pre-Med
2015–2017Kayley KowanaPolytechnic School / Summer Research
2018–2019Alexandra ZarchyHigh School Student / Summer Research
2018–2019James HardingMedical Student
2018–2020Laura SolanoResearch Assistant
2019–2024Myra AliMedical Student
2020–2022Vibha KochandaUndergraduate
2020–2023Karam AshouriMedical Student
2021–2024Paul YoonMedical Student
2021–2024Maxwell OtiatoMedical Student
2022–2023Jacob BogdanovMedical Student, Dean's Research Scholar Awardee
2022–presentSean DewberryMedical Student
2022–presentMelissa TrieuMedical Student
2024–presentTara ForouharMedical Student
2024Phillip ShaoAlhambra High School / Summer Research
2025Angelos SkandalisSouth Pasadena High School / Summer Research
2025–2026Lori KhemochianUSC Undergraduate Pre-Med

Contact

Get in Touch

For Patients, SOLAR Clinic

Southern California Liver Autoimmune and Rare Conditions Clinic
590 S. Fair Oaks Ave., Suite 310
Pasadena, CA 91105

Tel: 626 568 1622
Fax: 626 568 1224

Join the Dara Lab

We are actively seeking motivated postdoctoral fellows, graduate students, and clinical research staff with backgrounds in molecular biology, immunology, non-animal models, organoids, and hepatology research.

Please send your CV and a brief statement of research interests to dara@usc.edu.