Development And Evaluation Of Novel Fetal Haemoglobin Inducers For The Therapy Of Beta-thalassaemia
Funder
National Health and Medical Research Council
Funding Amount
$288,899.00
Summary
The most important haemoglobinopathies from the clinical point of view are the beta-thalassaemias, sickle cell disease (SCD), HbE disease and the interactions between them. These beta-haemoglobinopathies are the result of mutations in the beta-globin gene, causing beta-globin chain synthesis that is abnormal, low or absent leading to life-threatening severe anaemia, and blood transfusion-dependency for life. An alternative approach to the therapy of beta-thalassemia is to reactivate fetal haemog ....The most important haemoglobinopathies from the clinical point of view are the beta-thalassaemias, sickle cell disease (SCD), HbE disease and the interactions between them. These beta-haemoglobinopathies are the result of mutations in the beta-globin gene, causing beta-globin chain synthesis that is abnormal, low or absent leading to life-threatening severe anaemia, and blood transfusion-dependency for life. An alternative approach to the therapy of beta-thalassemia is to reactivate fetal haemoglobin (HbF) synthesis. Some chemical agents have been identified to induce HbF and significantly reduce the need for blood transfusion in some thalassaemia patients, while in SCD patients it can ameliorate the clinical symptoms. Despite a number of clinical trials investigating the potential of HbF-inducing agents, many of these drugs have low efficacy, specificity, and cytotoxicity. There is therefore an urgent need to identify novel pharmacological agents with greater efficacy and reduced toxicity. Without a clear understanding of the underlying mechanism(s) involved in the induction of HbF, it is virtually impossible to focus on any molecular target. A promising approach is the use of chemical libraries in a high-throughput (HTP) screening to identify positive regulators of gene products. Our research group created an assay that has allowed us for the first time to perform a side-by-side comparison of several previously described fetal hemoglobin inducers including 2000 existing pharmaceuticals used by patients unrelated to thalassaemia. The screen identified a distinct group of compounds that induced the gamma-globin promoter in primary and secondary screens. The identification of novel inducers of HbF warrants further investigation as alternative therapies for beta-thalassemia. This project will evaluate novel inducers of HbF in our thalassaemia mouse model and provide early 'proof-of-concept' and enable the initiation of preclinical and clinical studies.Read moreRead less
Functional And Genetic Analysis Of PHF11, A New Gene Associated With Atopic Dermatitis And Asthma
Funder
National Health and Medical Research Council
Funding Amount
$483,261.00
Summary
Atopic dermatitis, or eczema, is an increasingly common severe allergic condition affecting the skin that afflicts up to 30% of all Australian children. Eczema has significant financial impact on families as well on the health and well being of the affected child. The majority of asthmatics are also allergic, explaining why many children who suffer from eczema often go on to develop asthma as well. A familial history of asthma or eczema is an important risk factors for a child developing the dis ....Atopic dermatitis, or eczema, is an increasingly common severe allergic condition affecting the skin that afflicts up to 30% of all Australian children. Eczema has significant financial impact on families as well on the health and well being of the affected child. The majority of asthmatics are also allergic, explaining why many children who suffer from eczema often go on to develop asthma as well. A familial history of asthma or eczema is an important risk factors for a child developing the disorder, meaning that allergy is to a large extent determined by the genes we inherit from our parents. Our genes consist of four different building blocks, called nucleotides, which are identified by four letters: A, G, C and T. Each gene has a specific spelling of these four letters, although between any two people there will invariably be small single letter differences in the way a gene is spelt. Normally, these differences have no effect. In an allergic individual, however, these differences do have an effect. Identifying differences in the way a gene is spelt and why this should lead to eczema or asthma is a major research goal. In the past several years a number of genes have been identified that play an important role in allergy and we have recently identified a spelling difference in a new gene that we believe is important in the allergic response of eczema and asthma. At the moment, we can only guess how this gene might work. We know it is expressed in cells of our immune system that are important in allergy. We also suspect it might be an on or off switch for other genes important for allergy. This project will test these ideas and show how differences in the way this gene is spelt lead to differences in how this gene works. This will be important in adding another piece to the puzzle of how genes control allergy and could lead to better and earlier treatment of these disorders with improved health for affected children as well as adults.Read moreRead less
Characterisation Of Novel CDKL5 Targets: Implications For Rett Syndrome And Related Neurodevelopmental Disorders.
Funder
National Health and Medical Research Council
Funding Amount
$421,977.00
Summary
Rett syndrome (RTT) is the second most common cause of severe mental retardation in girls and women. Although two genes (MECP2 and CDKL5) responsible for RTT have been identified, we still do not understand how these genes affect brain function. The focus of this research project is to identify which proteins are controlled by CDKL5, with the express hope that a better understanding of these processes will allow us to design specfic therapies for this untreatable devasting disorder.
A New Virus Causing Acute Gastroenteritis In Humans
Funder
National Health and Medical Research Council
Funding Amount
$575,374.00
Summary
Diarrhoea is very common, especially in children but a cause is often not found. Believing there must be undiscovered viruses responsible, we developed a new method to look for them, and discovered one, which we have named adelavirus, in 17% of children with diarrhoea presenting to the WCH, Adelaide, over a 3 month period. 55% were hospitalised. This project proposes to investigate how widespread adelavirus infection is in the community and investigate how a vaccine might be developed.
I am a public health academic leading a multi-disciplinary research team and working with multi-sector partners, studying the impact of the BE on physical and mental health outcomes. My research helps build the evidence required to change policy and pract
Investigation Of The Effects Of Polymicrobial Infection On The Induction Of Otitis Media
Funder
National Health and Medical Research Council
Funding Amount
$235,511.00
Summary
Middle ear infection is a highly prevalent paediatric disease characterised by an inflammation of the middle ear and is the most prevalent illness of childhood. It is reported that greater than 80% of children have had at least one episode of acute otitis media by 3 years of age and almost 40% of children have more than 6 episodes by age 7 years. The cause and pathogenesis of middle ear infection are multifactorial and influence of prevalence and chonicity of the infections. Prevention of bacter ....Middle ear infection is a highly prevalent paediatric disease characterised by an inflammation of the middle ear and is the most prevalent illness of childhood. It is reported that greater than 80% of children have had at least one episode of acute otitis media by 3 years of age and almost 40% of children have more than 6 episodes by age 7 years. The cause and pathogenesis of middle ear infection are multifactorial and influence of prevalence and chonicity of the infections. Prevention of bacterial middle ear infection caused by Streptococcus pneumoniae, nontypeable Haemophilus influenzae and Moraxella catarrhalis requires a much better knowledge of how these bacteria interact with each other and with the host. The poor efficacy of the current pneumococcal paediatric vaccine for preventing middle ear infections highlights this deficiency in our knowledge and will impede the development of a suitable multvalent vaccine to prevent infection by the 3 major bacterial pathogens. This study will investigate how the bacteria colonising the respiratory tract interact during infection and how they affect the host.Read moreRead less
Investigating Genetic Determinants Of Absence Epilepsy In A Polygenic Rat Model
Funder
National Health and Medical Research Council
Funding Amount
$458,481.00
Summary
The underlying genetic causes of idiopathic generalised epilepsies (IGE) are still largely unknown. In an animal model of IGE we have discovered novel genetic abnormalities an ion channel. This proposal will build upon these novel findings to examine the role these abnormalities have in determining the absence epilepsy phenotype and this work has the potential to provide vital information regarding the mechanisms by which this gene contributes to an IGE seizure phenotype.