Brain Injury In The Premature Born Infant: Stem Cell Regeneration Research Network
Funder
National Health and Medical Research Council
Funding Amount
$496,587.00
Summary
This project will validate to the stage of clinical trials a human mesenchymal stem cell paradigm to prevent brain injury associated with preterm birth: encephalopathy of prematurity (EoP), which leads to lifelong disability in millions of infants every year. We will achieve this by applying our vast expertise in EoP, across 7 in vivo and 11 in vitro models of EoP, by applying cutting-edge imaging approaches and partnering with experienced patient/consumer advocacy and industry partners.
Disrupted Neurosteroid Synthesis Mediates The Adverse Effects Of Prenatal Stress
Funder
National Health and Medical Research Council
Funding Amount
$695,973.00
Summary
Maternal anxiety and related stress in pregnancy influences the fetus causing developmental changes that adversely affect the offspring leading to behavioural problems in childhood. However, mechanisms which transfer maternal changes to the fetus are unclear. We propose that disruption of the fetal-placental neurosteroid system is a major link. We will identify the deficits in this system caused by maternal stress and then examine therapies to reverse these disruptions.
This research investigates the factors regulating the transition of the lung from the fluid filled organ in fetal life to the air filled organ required at birth. Many preterm babies fail this transition and in order to survive, their lungs often require mechanical ventilation, which has been suggested to cause lung injury. Using synchrotron generated X-rays, we can determine how particular resuscitation techniques are able to reduce this injury and promote aeration at birth.
Improving Respiratory Transition And Outcomes Of Newborn Infants
Funder
National Health and Medical Research Council
Funding Amount
$262,251.00
Summary
Effective mask ventilation is the most important intervention at birth that can reduce mortality and disability in term and preterm infants. I will develop strategies to help clinicians improve their resuscitation skills. I will also study new ways to better support babies’ transition after birth, to improve their short and long term outcomes. The results of this research will change the way newly born babies are cared for around the world.
A Mechanism For Regulation Of Oral And Gut Microflora By Interaction Of Salivary Metabolites With Breast Milk
Funder
National Health and Medical Research Council
Funding Amount
$616,687.00
Summary
Saliva "lacks the drama of blood, the sincerity of sweat & the emotional appeal of tears". But spit has important roles for the mouth & digestion. Now researchers in Brisbane have found baby dribble has natural chemicals that form ‘nucleotides’ in cells. They are testing the theory that the nucleotides encourage friendly bacteria in the mouth & gut. When baby saliva mixes with breast milk it also makes natural antibiotics called 'oxidative radicals' that stop bad bacteria. This may be part of th ....Saliva "lacks the drama of blood, the sincerity of sweat & the emotional appeal of tears". But spit has important roles for the mouth & digestion. Now researchers in Brisbane have found baby dribble has natural chemicals that form ‘nucleotides’ in cells. They are testing the theory that the nucleotides encourage friendly bacteria in the mouth & gut. When baby saliva mixes with breast milk it also makes natural antibiotics called 'oxidative radicals' that stop bad bacteria. This may be part of the mechanism ensuring "Breast is best" for babies.Read moreRead less
Necrotising enterocolitis (NEC) is a devastating bowel condition afflicting almost 1 in 10 of very preterm babies. About a third of babies with NEC do not survive. Currently, there is no cure. We propose the use of stem-like cells from the human placenta as a targeted therapy for NEC, working by minimising gut damage and accelerating gut repair.
Right From The Start: Improving Respiratory Support For Preterm Infants From Their First Breath To Independent Breathing
Funder
National Health and Medical Research Council
Funding Amount
$266,623.00
Summary
My research program with the world leading research team at the Royal Women’s Hospital, Melbourne aims to improve the journey of preterm babies from birth, through the neonatal nursery, to a healthy start at home. Too many preterm babies die or have long term health problems. I will study gentler methods to support breathing from birth, investigate better ways of supporting them until they can breathe independently, and assess how to support more babies to stay in their birth hospitals.
Optimising Early Respiratory Support For Preterm Infants: The HIPSTER Trial
Funder
National Health and Medical Research Council
Funding Amount
$696,791.00
Summary
Premature babies who need breathing support are often given ‘nasal continuous positive airway pressure’ (NCPAP) via large nasal prongs. It works well but is uncomfortable. A newer, popular support is ‘high flow’ (HF) which uses smaller nose prongs and may be more comfortable, but HF has not been well studied. The HIPSTER trial will compare these systems in 750 premature babies, at random half will have NCPAP, half will have HF. We will assess whether babies do equally well with each system.
Improving Breathing Support For Newborn Infants In Non-Tertiary Centres: The HUNTER Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,203,844.00
Summary
Every year in Australia, thousands of newborn babies have breathing difficulties. Our trial will study a new, simple method of providing breathing support to newborn babies in special care nurseries, called high-flow (HF). HF is cheaper, easier to use, and more comfortable for babies than the current standard treatment, called CPAP. If HF is as good as CPAP at supporting babies' breathing, it will change practice in Australia and around the world.