When deciding what to do in life, it was clear that I wanted to help people live better, however becoming a doctor wasn’t for me. I found my way through studying biomedical engineering, which developed my passion for the biomechanics of human movement. I see this as a means to understanding the underlying mechanisms of musculoskeletal disease. Through detailed assessment of patients’ movement function we can understand the implications of disease progression and propose solutions to mitigate the developing disorders. To a curious mind like mine, this is a fascinating way to achieve my aspirations. The idea of being able to find explanations as to why things happen to our bodies is amazing and the fact that it can improve people’s quality of life makes it all the more satisfying.
I joined Imperial as a research associate in the Musculoskeletal Medical Engineering Centre. As a postdoc researcher in the centre, my goals are to tackle ways that could improve symptoms as well as gain a better understanding of knee osteoarthritis development. Osteoarthritis (OA) – the most common form of joint disease – is a disabling musculoskeletal disorder that can affect our joint function. OA progression is slow and if measures are not taken, joint replacement will eventually be necessary. Joint replacements are costly, invasive and have a limited lifespan that may not last for the duration of patients’ lifetime. Moreover, patients’ satisfaction after surgery is poor, calling for early management strategies. (more…)
Originally published on the MRC Insight blog and reproduced under CC BY 4.0, here Peter Openshaw, Professor of Experimental Medicine at Imperial and President of the British Society for Immunology, says we cannot afford to be complacent about vaccines.
As a clinician working in research, I want to improve peoples’ health. The NHS was set up to focus on treating people with disease. But how much better would it be if we could prevent people from getting sick in the first place?
This is where vaccines come in. As vaccinologists, we use our scientific knowledge to design new or improved vaccines to stimulate the immune system. This creates natural protection against infections and prevents disease.
New and improved vaccines
The current vaccines we have are excellent and safe but many could be better. There are also new ways to use vaccines and lots of diseases which do not yet have effective vaccines.
The science of vaccinology advances monthly. There are hundreds of new vaccines at different stages of testing, many of which could lead to improved human health and wellbeing. In response to this fast-changing landscape, the MRC and BBSRC have recently funded five collaborative networks to drive UK vaccinology forward for the benefit of global health. (more…)
We are excited by the news that our BHF Regenerative Medicine Centre has been renewed for another four-year term from 1 October 2017! At Imperial we have been concentrating on the big challenge of producing new muscle for the damaged heart, along with our partners in the Universities of Nottingham, Glasgow, Hamburg and Westminster.
The heart has a very limited capacity to repair itself after a heart attack, or during the more insidious damage from high blood pressure, diabetes or chemotherapy. We have been looking at various kinds of stem cells to explore their power to become new cardiac muscle cells – one of the big successes of the current Centre. Pluripotent stem cells – those which have the capability of turning into any cell type in the body – can now be turned very efficiently into beating heart muscle in the laboratory dish, and made into strips of engineered heart tissue. Our partner, Professor Chris Denning, at the University of Nottingham has automated the process of making the cells and Professor Thomas Eschenhagen in Hamburg has contributed his technology for converting this into muscle. (more…)
Today is World Rabies Day. The goal of this global day is enhanced awareness spurring further efforts to prevent rabies, a viral disease that kills tens of thousands of people each year mainly in Asia and Africa. Two years ago, international organisations – including the World Health Organization and the World Organization for Animal Health – agreed to an ambitious, but achievable common goal: to end human deaths due to canine rabies by 2030. In fact, ‘Rabies: Zero by 30’ is the theme of the 2017 World Rabies Day.
Why today? 28 September 2017 is the 122nd anniversary of Louis Pasteur’s death. It was he who developed the first vaccines for both rabies and anthrax. All mammals can become infected with the rabies virus, and rabies is present on every continent except Antarctica. This can sound overwhelming. However, up to 99% of human rabies cases result from human dog bites. So what can be done to keep ‘man’s best friend’ from transmitting this fatal virus? Vaccination! (more…)
For the last 10 years I have been a clinical scientist in genetics working across various London NHS Trusts. Whilst I loved diagnostics, last year I left my job to complete my PhD. I worked in a part of life sciences called cytogenetics. This meant when a patient was diagnosed with blood cancer, I would analyse their chromosomes – the structures into which DNA is organised – from their blood or bone marrow to look for specific abnormalities. For some patients, this can lead to a definitive diagnosis. For others a refined prognosis, and in some, it’s simply a way of monitoring how well the patient’s leukaemia is responding to their treatment.
Blood cancer can be very straightforward to diagnose and it was perfectly possible to provide genetic confirmation of a blood cancer diagnosis in a matter of hours. For example, in patients with chronic myeloid leukaemia (CML), I would find a particular abnormality called a Philadelphia translocation between chromosomes 9 and 22. Finding this translocation means a patient will benefit from a targeted therapy – called a tyrosine kinase inhibitor (TKI) – which reverses the effect of the translocation with relatively few side effects. TKIs are a tablet taken once or twice a day at home. Compared to chemotherapy, TKIs have revolutionised the treatment and outcomes of CML, which has been life-changing for CML patients. It was always satisfying to call the referring clinician and let them know their patient had a Philadelphia translocation because I knew that would set the wheels in motion for a TKI to be prescribed. Ultimately I knew I had made a difference to a patient on those days. (more…)
How can we bring together imaging technology, art and philosophy to shape scientific research?
When we think of vascular health we are often guilty of presuming that we are primarily discussing the heart. Clearly the heart has a major role to play in regulating your blood flow; once our blood has exited the heart it must supply nutrients to every organ of our body and back to the heart in a cycle that takes about one minute. Any hindrance from a cholesterol-blocked artery or blood clot can have catastrophic results – however by the time we reach retirement our circulation will have exceeded 30 million laps around the body! This incredible feat is made possible by our blood vessels that not only form a vast network during your development in the womb, but are also constantly growing and remodelling throughout our life time. Our Vascular Science research group at the National Heart and Lung Institute is particularly interested in endothelial cells – the cells that line every blood vessel in our body. We want to understand how they work together to grow and form new vessels (a process called angiogenesis), as well as how they maintain these structures in response to injury and disease.
The abundance of blood vessels throughout all our tissues and organs has often meant that, in disorders such as chronic liver disease, the striking changes in vessel organisation, has been cited as a consequence of the disease. However, in our most recent study we challenge this perception by describing how changes in endothelial cells might play a central role in how liver disease begins and progresses to irreversible liver damage associated with conditions such as alcoholic liver disease. This change in perspective may also provide new avenues for both diagnostics and treatments of liver disease, which are currently largely restricted to abstinence and transplantation.(more…)
It was extremely challenging for me to stare back at the four rejections that faced me. Four rejections from four separate medical schools. Four independent reviewers telling me I was not to be a doctor. I had to endure seemingly unending encouragements and sympathies from friends and family. Their attempts were well-meaning, but often repetitive. My particular favourite was “I believe Edward Jenner didn’t get into medical school the first time round”. This, of course, was a complete fabrication. I think I always had this naïve cockiness about me, an artless assumption that I had the necessary experiences to stroll into medical school. Perhaps rejection had a subduing effect on my ego, though, I probably would presume most of those who know me would thoroughly disagree.
Nevertheless, it occurred to me that I had a year to convince the doctors of now that I could be a doctor of the future. But then I thought again. I had an entire year to do what I wanted. I found myself avoiding medical work of any sort, and take up a job in a bakery. I normally stop here when I want to impress people, to give the impression that I mastered the art of conjuring delicious, enticing pastries. In fact, it is due to my semi-duplicitous nature that many people still think of me as a great baker. But I’m not. In reality, my primary role was to serve customers, clean and wash up (as well as outline the difference between spelt bread and gluten-free bread: a distinction I still don’t understand to this day). It was an enjoyable job, and it provided me with some money to fuel some travelling later on. Moreover, I had the blessing of taking home two full bags of artisan breads untouched by the day’s customers — a perk which became more and more hedonistic as the year went on. (more…)
Can you imagine life without access to clean water? Unfortunately for 663 million people this is a reality. That’s nearly one in ten people worldwide living without a safe water supply close to home, spending hours queuing or trekking to distant sources and coping with the health impacts of using contaminated water. SIWI’s (Stockholm International Water Institute) World Water Week, is a pertinent time to reflect on important research carried out by the Schistosomiasis Control Initiative (SCI), a non-profit initiative based at Imperial College London, which highlights why access to clean water is so important to human health.
Schistosomiasis, also known as bilharzia, is a type of parasitic ‘worm’ infection affecting individuals in sub-tropical and tropical regions of the world. It is a major, yet neglected public health problem, where estimates showed that at least 218 million people required preventive treatment in 2015, of which at least 20 million suffer from severe and debilitating forms of the disease (World Health Organisation, 2016). The SCI support treatment programmes against schistosomiasis and soil-transmitted helminth infections in 16 sub-Saharan African countries and Yemen. Since its foundation in 2002, the SCI has supported the delivery of over 140 million treatments for these infections.
Close your eyes and imagine the high-pitched shrieking of cicadas unified in a crescendo of noise from the treeline. Fireflies blinking their fluorescence through the undergrowth. Bats swooping silently overhead, rustling your hair with their wing beats. Trekking across steep hillsides of wasabi plants during a rainstorm. Not the average working week of a researcher in the School of Public Health, but just some of the sights and sounds I was fortunate to experience when I visited Taiwan in May as a National Geographic Young Explorer.
The aim of my 10-day visit was to collect and swab as many tadpoles, frogs and salamanders as possible. Why, you ask? Tragically, amphibians are being struck down by a fungal plague. In the past 20 years there have been global biodiversity losses, mass mortality events and the extinction of over 200 frog species attributed to chytridiomycosis—a disease caused by the fungal pathogen Batrachochytrium dendrobatidis (Bd). To give you an idea of scale, some researchers are referring to this outbreak as the sixth mass extinction event: something on a par with the dinosaur die-off 66 million years ago in terms of species lost. More recently emerged is its sister pathogen Batrachochytrium salamandrivorans (Bsal), which is causing the deaths of European fire salamanders in the Netherlands. It’s estimated that populations have declined by nearly 20% per year since 2008, leading Bsal to be described by some as the ‘perfect pathogen’. (more…)
All types of surgery require preparation and, afterwards, recovery time. But according to the oesophago-gastric cancer team at Imperial College Healthcare NHS Trust, undergoing major surgery is like running a marathon. The PREPARE for Surgery programme, designed by the team, ‘trains’ patients for surgery based on their individual needs. It looks at different factors important to focus on before and after a procedure, including physical activity, diet, psychological wellbeing and medication management. Here clinical nurse specialist Venetia Wynter-Blyth explains how the programme helps patients adopt the good habits needed to aid their recovery.
The PREPARE for Surgery programme is all about treating a patient holistically and looking at the whole picture. We know when someone is due to have surgery, the psychological side of preparation is just as important as the physical side; so we work hard as a team to strike the right balance and have a positive impact on our patients’ post-operative outcome.
Once we know someone is going to have surgery for oesophago-gastric cancer, we invite them to our PREPARE clinic. We assess every patient in clinic and establish their ‘baseline’ measurements. This gives us a benchmark to improve on over the four to six weeks it takes to complete the programme, and prior to the patient’s surgery. Our surgical team makes sure they schedule procedures with enough time for patients to benefit fully from PREPARE. (more…)