Bronchoscopic Applications Of Anatomical Optical Coherence Tomography.
Funder
National Health and Medical Research Council
Funding Amount
$408,366.00
Summary
This research proposal aims to investigate the potential utility of a novel, Australian designed dianostic laser system. A tube positioned in the lungs takes real-time images of the shape and size inside the airways. This can have both clinical and research benefits. It may help doctors choose the right size hardware when opening up cancerous airways and it will help us understand disease mechanisms of lung diseases by studying parts of the airways not previously able to be measured.
Mechanisms Of Pharyngeal Collapse In Obstructive Sleep Apnoea Defined By Optical Coherence Tomography
Funder
National Health and Medical Research Council
Funding Amount
$476,764.00
Summary
Obstructive sleep apnoea is characterised by intermittent collapse of the upper airway (throat) resulting in episodes of decreased blood oxygen levels, increased blood pressure and sleep disruption. Obstructive sleep apnoea is common, affecting 5% of middle-aged adults, and is associated with worsening health, increased motor vehicle accidents and increased risk of heart disease. However the mechanisms responsible for obstructive sleep apnoea are not well understood. One reason for this lack of ....Obstructive sleep apnoea is characterised by intermittent collapse of the upper airway (throat) resulting in episodes of decreased blood oxygen levels, increased blood pressure and sleep disruption. Obstructive sleep apnoea is common, affecting 5% of middle-aged adults, and is associated with worsening health, increased motor vehicle accidents and increased risk of heart disease. However the mechanisms responsible for obstructive sleep apnoea are not well understood. One reason for this lack of understanding is that current diagnostic techniques can not accurately measure changes in the size and shape of the upper airway during sleep. Such information is vital for the accurate diagnosis and treatment of obstructive sleep apnoea. This project proposes to use a technique called endoscopic optical coherence tomography (eOCT), recently developed by ourselves, to measure the changes in upper airway size and shape in patients with obstructive sleep apnoea during wakefulness and, importantly, during sleep. A prototype of the system has been developed. Preliminary in vivo studies have been performed in the human upper airway and the results from these preliminary trials have been published. To our knowledge, world-wide, this is the only such system capable of making these measurements. The studies proposed in this application will provide a better understanding of the mechanisms underlying obstructive sleep apnoea and may lead to the development of greatly improved and more specific treatments that are tailored to the exact needs of the individual patient.Read moreRead less
Tumour Antigen Cross-presentation: Efficiency, Biology And Role Of Inhibitory B7 Homologue Molecules
Funder
National Health and Medical Research Council
Funding Amount
$469,500.00
Summary
It is now known that the body s immune system often attempts to attack cancers but this response is generally fairly weak. It was previously thought that one of the main reasons for this failure was that the immune system was ignorant of the presence of the cancer until too late. Our recent work over the past few years has shown that this is not the case. A process called cross-presentation seems to efficiently and continuously expose the cancer to the body s anti-cancer killer T-cells. This gra ....It is now known that the body s immune system often attempts to attack cancers but this response is generally fairly weak. It was previously thought that one of the main reasons for this failure was that the immune system was ignorant of the presence of the cancer until too late. Our recent work over the past few years has shown that this is not the case. A process called cross-presentation seems to efficiently and continuously expose the cancer to the body s anti-cancer killer T-cells. This grant will work out exactly how efficient that process is, which cells are responsible and some aspects of how it happens. We will also study whether some recently-discovered braking molecules, which slow down immune responses and which could be 'applying the brakes' to anti-cancer responses. This could lead to new approaches to therapy eg by removing these brakes during vaccination therapy.Read moreRead less
P.gingivalis GroEL And HSP60 Specific T Cells In Periodontal And Cardiovascular Diseases
Funder
National Health and Medical Research Council
Funding Amount
$619,500.00
Summary
Cardiovascular diseases are the major cause of death in adults in most developed and many developing countries. In recent years there has been accumulating evidence that chronic infections such as Helicobacter pylori and Chlamydia pneumoniae are associated with cardiovascular diseases. Chronic inflammatory periodontal diseases are among the most common chronic infections with over one million Australians at risk of losing their teeth. Poor dental health and in particular chronic periodontitis is ....Cardiovascular diseases are the major cause of death in adults in most developed and many developing countries. In recent years there has been accumulating evidence that chronic infections such as Helicobacter pylori and Chlamydia pneumoniae are associated with cardiovascular diseases. Chronic inflammatory periodontal diseases are among the most common chronic infections with over one million Australians at risk of losing their teeth. Poor dental health and in particular chronic periodontitis is now consistently being associated with a number of other diseases and conditions including cardiovascular disease. In some studies the relationship between periodontal disease and cardiovascular disease is stronger than that for other risk factors such as smoking and high cholesterol. Periodontitis results from the inflammatory response to dental plaque. One of the major pathogens identified in dental plaque is P.gingivalis. Heat shock proteins (HSP) are expressed by cells on exposure to various forms of stress including temperature and injury. They participate in physiological processes such as the assembly, transport and protection of proteins from breakdown. There is a remarkable conservation in the structure of heat shock genes and HSP across species. Many pathogens including P.gingivalis bear antigens that are similar to human HSPand cross reactivity during infection may result in disease such as atherosclerosis. This study aims to test the hypothesis that cross reactivity between the bacterial antigens and HSP may explain the mechanism of the association between periodontal disease and cardiovascular disease. This would have a significant impact on the treatment of both periodontal and cardiovascular disease.Read moreRead less