Annual Report 2005 - Westmead Millennium Institute
Annual Report 2005 - Westmead Millennium Institute
Annual Report 2005 - Westmead Millennium Institute
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<strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong><br />
for Medical Research<br />
<strong>Annual</strong> <strong>Report</strong> <strong>2005</strong>
Contents<br />
About Us 2 Chairman’s <strong>Report</strong> 3 Director’s <strong>Report</strong> 4<br />
Messages 5 Research Highlights 6 Infection & Immunity 8<br />
Cancer 14 Liver & Metabolic 18 Neuroscience & Vision 20<br />
Cardio-respiratory 24 Funding 27 Organisation Chart 28<br />
Advisory Board and Council of Governors 29 Staff List 30<br />
Publications 36 The <strong>Millennium</strong> Foundation 40<br />
Founding donors include: Australian Cancer Research Foundation,<br />
The <strong>Millennium</strong> Foundation, Robert W Storr Estate, University of Sydney,<br />
Staff Specialists of <strong>Westmead</strong> Hospital<br />
Front Cover: DNA Microarray technology allows us to look at all human genes (over 30,000) at the one time and<br />
determine which are involved in disease. Each dot represents a gene and the colour coding indicates whether it is<br />
more, less or similarly active in a diseased cell compared with a normal cell.
Vision<br />
The <strong>Westmead</strong> <strong>Millennium</strong><br />
<strong>Institute</strong> will continue to<br />
grow as a world leader<br />
in medical research with<br />
the power to improve<br />
the health of all mankind.<br />
Our Bench to Bedside<br />
philosophy will ensure that<br />
our research outcomes<br />
are rapidly translated into<br />
better prevention<br />
strategies, treatments and<br />
healthcare for all.
About us<br />
The <strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong> is one of the largest<br />
medical research institutes in Australia with over 400<br />
staff pioneering research into a wide range of important<br />
human disorders affecting both adults and children.<br />
Closely affiliated with both <strong>Westmead</strong> Hospital and the<br />
University of Sydney, research at the <strong>Westmead</strong> <strong>Millennium</strong><br />
<strong>Institute</strong> extends from the laboratory to the patient.<br />
Our research focus spans infectious and immune diseases;<br />
cancer and leukaemia; mental illness and liver, kidney, eye,<br />
heart and respiratory disease, using the basic tools<br />
of molecular and cell biology, genetics and epidemiology,<br />
imaging technology and clinical research.<br />
In <strong>2005</strong>, this unique “Bench to Bedside” approach<br />
was enhanced by re-organisation of the <strong>Institute</strong> into five<br />
primary research divisions - Infection and Immunity;<br />
Cancer; Liver and Metabolic; Neuroscience and Vision;<br />
and Cardio-respiratory.<br />
This new structure is designed to concentrate our research<br />
efforts into globally important health areas. It promotes<br />
greater collaboration and the sharing of knowledge and<br />
expertise. Finally, it allows greater translation of<br />
research from biomedical discovery to the development<br />
of new diagnostics and more effective treatments and<br />
prevention strategies.<br />
Our ultimate aim is for our research to contribute to better<br />
health for everyone.
Chairman’s <strong>Report</strong><br />
In the research field,<br />
success is often judged<br />
by the amount of grant<br />
funding awarded to an<br />
organisation by their<br />
scientific peers. By this<br />
measure <strong>Westmead</strong><br />
<strong>Millennium</strong> <strong>Institute</strong> is one<br />
of the most successful<br />
medical research<br />
organisations in Australia.<br />
Of course, the value of a research institution cannot be judged in<br />
a purely fiscal manner. The real benefits of medical research come<br />
from innovative scientific discoveries, which are then translated into<br />
tangible health outcomes.<br />
<strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong> (WMI) researchers have had<br />
significant achievements in this regard. Basic research into the<br />
mechanisms of viral and bacterial infection instigated the<br />
development of vaccines for genital herpes and gum disease,<br />
as well as developing protective microbicides against HIV. Research<br />
into pancreatic islet cell transplantation has led to a clinical islet<br />
cell transplant program that can effectively cure juvenile diabetes.<br />
Epidemiological studies into cancer and eye disease have resulted<br />
in earlier diagnosis of melanoma and stroke risk.<br />
In addition to enhancing health outcomes, medical research can<br />
provide value in other ways. Medical research can contribute to<br />
economic growth and prosperity through the development of new<br />
products, new business enterprises and new high skilled jobs.<br />
Frustratingly, the benefits we can bring to the community are<br />
limited by a lack of available research space and infrastructure.<br />
The <strong>Institute</strong>’s current facilities can not accommodate the<br />
continuing growth in our grant funded research programs.<br />
It is therefore with some urgency that I encourage the NSW<br />
Government to support the NSW Medical Research Strategic Plan.<br />
I would like to acknowledge those who have supported the<br />
<strong>Institute</strong> this year including The <strong>Millennium</strong> Foundation Board<br />
and staff, the WMI Advisory Board, Council of Governors, Sydney<br />
West Area Health Service and the University of Sydney.<br />
Finally, I wish to congratulate all WMI researchers and those who<br />
assist them for their remarkable efforts in <strong>2005</strong>.<br />
Mr Paul Bell, Chairman, Advisory Board
Director’s <strong>Report</strong><br />
This year, Australian research<br />
excellence was recognised<br />
with a major commendation<br />
to exceptional medical<br />
researchers with the awarding<br />
of Australia’s fifth Nobel<br />
Prize for Medicine to Barry<br />
Marshall and Robin Warren<br />
for their groundbreaking<br />
discovery that the bacterium<br />
helicobactus pylori causes<br />
peptic ulcers.<br />
This deserving award highlights the respect granted to Australian<br />
medical research both locally and internationally. We are amongst<br />
the best in the world, and much of that success is upheld by<br />
positive community support and strong partnerships between<br />
hospitals, universities and biomedical research institutes.<br />
<strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong> (WMI) has such a partnership with<br />
Sydney West Area Health Service and the University of Sydney,<br />
and we honour these alliances by including for the first time a<br />
message from our partners in our annual report. This partnership,<br />
and our collaborations with our neighbouring institutions in the<br />
<strong>Westmead</strong> Research Hub, has underpinned our increasing<br />
success and allowed us to emphasise our translational research<br />
philosophy - lab bench to bedside research.<br />
As with previous years, WMI continued to expand in size,<br />
productivity and research success. WMI received 13 NHMRC<br />
project grants, two ARC Linkage and Discovery Grants, and one<br />
Program Grant led by Prof Rick Kefford for much needed research<br />
into melanoma. This year also saw breast cancer researcher A/Prof<br />
Christine Clarke establishing Australia’s first comprehensive breast<br />
cancer tissue bank in association with other leading researchers<br />
and clinicians from around NSW. Professors Neil Hunter and Nick<br />
Jacques from the <strong>Institute</strong> for Dental Research also received highly<br />
prestigious funding from the National <strong>Institute</strong>s of Health USA,<br />
for research into the bacteria causing dental caries.<br />
Our senior professors and research group leaders continue to<br />
attract numerous invitations to present at the leading international<br />
conferences in their disciplines. The success of the younger<br />
generation of researchers within the <strong>Institute</strong> has also been<br />
recognised through University promotions including Professors<br />
Chris Liddle, Jacob George and Associate Professor Graham Mann.<br />
This year there have been substantial changes in the <strong>Institute</strong><br />
with re-organisation into five research divisions of infectious<br />
diseases and immunology, cancer and leukaemia, liver and<br />
metabolic diseases, neuroscience and vision and cardiorespiratory,<br />
and the admission of three large new centres.<br />
Postgraduate students are the lifeblood of most research<br />
institutions, bringing youthful energy and enthusiasm to the<br />
<strong>Institute</strong>. I am proud to report that over the past five years the<br />
number of research students at WMI has more than doubled.<br />
We now support over 100 PhD, Masters and Honours students<br />
drawn mostly from the University of Sydney, but also from many<br />
other universities around the state.<br />
Despite the high morale and productivity within the <strong>Institute</strong> we still<br />
face a number of key issues. Our remarkable growth has placed<br />
immense strain on research space and this has impaired<br />
recruitment of senior staff and students. Whilst we are recognised<br />
as being one of the best by our scientific peers, the significant<br />
capital funding required for building expansion cannot be achieved<br />
through competitive peer reviewed grants. The solution depends<br />
upon the support of the State and Commonwealth governments,<br />
universities and private philanthropy. Whilst all groups have<br />
displayed enthusiasm for supporting medical research, much<br />
needs to be done in order to bring New South Wales into line with<br />
Victoria, Queensland and Western Australia. Approval for the NSW<br />
Strategic Plan for Medical Research would provide this much<br />
needed capital funding.<br />
The other great challenge facing the <strong>Institute</strong> is the effective<br />
translation and commercialisation of its research into<br />
biotechnology. The formation of Biolink, a State commercialisation<br />
enterprise will assist us in educating and supporting our<br />
researchers and we are starting to see the fruits of our recent<br />
efforts to improve commercialisation of research at <strong>Westmead</strong>.<br />
I would like to thank both the Chairman of our Advisory Board<br />
Mr Paul Bell, and the outgoing President of the The <strong>Millennium</strong><br />
Foundation Mr James Wakim, for their admirable work in raising<br />
both support and funds for the <strong>Institute</strong>. I also wish to thank the<br />
members of both Boards for their efforts and advice throughout<br />
the year.<br />
Finally, I wish to thank my fellow WMI researchers for all their hard<br />
work and congratulate them on their wonderful achievements<br />
throughout <strong>2005</strong>.<br />
Professor Tony Cunningham
Messages<br />
From the Chief Executive,<br />
Sydney West Area<br />
Health Service<br />
Medical research is fundamental for ensuring Australian health and<br />
health care services continue to be amongst the best in the world.<br />
From the moment it opened its doors to the public in 1978,<br />
<strong>Westmead</strong> Hospital has possessed a strong culture of research,<br />
education and evidence-based medicine.<br />
In partnership with Sydney West Area Health Service and the<br />
University of Sydney, <strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong> has grown on<br />
the <strong>Westmead</strong> Campus to become one of the most successful<br />
institutes in the country. As one of the founders of the <strong>Westmead</strong><br />
Research Hub, WMI has also played an important role in driving<br />
the success and growth of medical research in Western Sydney.<br />
The strength of WMI lies in the linkage between research and<br />
clinical medicine - the bench to bedside philosophy. This two-way<br />
interaction allows new discoveries to be rapidly transferred into the<br />
clinic and clinical information to be used to steer research programs.<br />
Ultimately, this means staff at the frontline of our health care<br />
services have access to the most up-to-date diagnostics,<br />
treatments and preventative strategies. Having an internationally<br />
recognised research institute on campus also helps us to attract<br />
the best and brightest health care professionals from around<br />
the world. This, in turn, means better quality of health care to<br />
patients now and in the future.<br />
For these reasons, we will all continue to encourage and support<br />
WMI in their research endeavours.<br />
Professor Steven Boyages<br />
From the Vice Chancellor,<br />
University of Sydney<br />
The University of Sydney has an international reputation for<br />
excellence in medical research. This recognition has, in part, been<br />
due the success and innovation of the <strong>Westmead</strong> campus.<br />
One of the largest university teaching hospitals in Australia,<br />
<strong>Westmead</strong> was originally built to model the successful University<br />
campuses of Europe and the USA, closely linking research with<br />
both education and healthcare.<br />
The <strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong> has grown out of this model,<br />
encompassing both basic science and clinical medicine and<br />
emphasising the translation of research into better health<br />
outcomes. Researchers at WMI have made significant advances to<br />
our current medical knowledge, and also contribute strongly to the<br />
future of research through the support and mentoring of students.<br />
I have seen at first-hand the research achievements of WMI, and<br />
its remarkable increase in size and productivity. I was particularly<br />
pleased to see WMI researchers recognised for their efforts in<br />
recent peer-reviewed funding rounds. In particular, the significant<br />
amount of NHMRC funding served to reinforce their position as<br />
one of Australia’s foremost medical research institutes.<br />
As a university of international standing, it is vital that we maintain<br />
our position on the cutting edge of research. Partnerships with<br />
institutes such as WMI have been instrumental in enhancing and<br />
maintaining our profile in the global arena.<br />
The University of Sydney strongly supports medical research at<br />
<strong>Westmead</strong> and we are proud to partner WMI in their world-class<br />
research endeavours.<br />
Professor Gavin Brown
Research Highlights<br />
Infection and Immunity<br />
Prof Tania Sorrell and her team created a new technique<br />
for the rapid and accurate diagnosis of life-threatening<br />
brain infections. This technique, using Magnetic<br />
Resonance Spectroscopy, was named by the NHMRC<br />
as one of the ten best NHMRC-funded health and<br />
medical research successes.<br />
The Centre for Infectious Diseases and Microbiology,<br />
in collaboration with investigators from the Cancer<br />
division, <strong>Westmead</strong> Hospital, the National Centre for<br />
Immunisation Research and Surveillance and the<br />
Universities of Sydney, NSW and Western Sydney were<br />
awarded a 5 year NHMRC Centre of Clinical Research<br />
Excellence grant to improve outcomes in<br />
immunosuppressed haematology patients.<br />
Significant advances were made by virus researchers into<br />
unravelling the molecular structure of the herpes simplex<br />
virus as well as the understanding of the interactions<br />
between HIV, herpes and varicella zoster viruses and the<br />
human nervous and immune systems. Researchers from<br />
the Centre for Virus Research commenced studies on<br />
their National <strong>Institute</strong>s of Health funded program grant (in<br />
collaboration with the Burnet <strong>Institute</strong>) directed towards<br />
developing vaccines and preventative strategies for the<br />
potentially fatal viral diseases HIV and herpes.<br />
Studies are underway to test the efficacy of<br />
antimicrobial adducts in the treatment and prevention of<br />
common periodontal disease.<br />
WMI researchers were part of the International Multiple<br />
Sclerosis Genetics Consortium, which in <strong>2005</strong><br />
completed the most comprehensive study of genes<br />
linked to MS to date.<br />
The transplantation and renal group continued their<br />
ground-breaking work in pancreatic islet cell<br />
transplantation and the investigation of alternative<br />
sources of islet cells for treatment of Type 1 diabetes.<br />
This is the first and only centre in Australia to have<br />
successfully developed a clinical islet cell transplant<br />
program. Prof David Harris and his team received a<br />
highly competitive three-year research grant from<br />
Johnson & Johnson Research to examine the potential<br />
of using genetically modified regulatory macrophages<br />
as a novel treatment for chronic kidney disease.<br />
Cancer<br />
The NSW Breast Cancer Tissue Bank was established<br />
by A/Prof Christine Clarke, Dr Rosemary Balleine and a<br />
consortium of senior cancer researchers, clinicians and<br />
healthcare professionals from around Australia.<br />
Melanoma researchers were recognised by significant<br />
funding successes in <strong>2005</strong> with Prof Rick Kefford,<br />
A/Prof Graham Mann and colleagues from the Sydney<br />
Melanoma Unit awarded prestigious program grants<br />
from both NHMRC and the Cancer <strong>Institute</strong> NSW.<br />
Crown Princess Mary of Denmark made a special visit<br />
to WMI in early <strong>2005</strong>, hosted by major supporter, the<br />
Australian Cancer Research Foundation (ACRF). The<br />
Crown Princess is interested in melanoma research as<br />
an increasingly important public health problem in her<br />
adopted country. ACRF also awarded a $1million grant<br />
towards new cancer laboratories to the <strong>Westmead</strong><br />
<strong>Institute</strong> for Cancer Research.<br />
A new mechanism for changes in DNA repair elicited by<br />
a mutated BRCA1 gene in breast cancer was outlined<br />
by the Gene Expression group. Research by the Familial<br />
Cancer group successfully directed improved screening<br />
for women with BRCA1 or BRCA2 gene mutations.<br />
Investigations into the gene p14ARF indicated a<br />
potential new treatment target for chemotherapyresistant<br />
melanoma tumours.
Liver and Metabolic<br />
The NHMRC Centre of Clinical Research Excellence<br />
in Liver Disease has successfully recruited over three<br />
hundred and fifty subjects for their clinical projects into<br />
early detection and screening for liver cancer and<br />
lifestyle intervention for patients with early stages<br />
of liver disease. These ground breaking studies are<br />
expected to provide new insights on the efficacy of<br />
screening for liver cancer in Australia, to improve<br />
treatment algorithms for these individuals and to<br />
improve the long term outcomes for patients with<br />
non-alcoholic fatty liver disease.<br />
Researchers from the Storr Liver Unit began work on<br />
their NHMRC funded research program into the<br />
molecular and cellular basis of common liver diseases<br />
including hepatitis C, hepatic fibrosis and non-alcoholic<br />
steatohepatitis (NASH), the outcomes of which are<br />
expected to improve our knowledge of the<br />
pathogenesis of liver injury.<br />
Researchers from the Unit published the first book on<br />
non alcoholic fatty liver disease, the commonest cause<br />
for liver damage in developed nations.<br />
Research focused on bile acid metabolism and<br />
elimination has defined additional drug targets for the<br />
treatment of cholestatic liver diseases and<br />
demonstrated that different treatment approaches are<br />
required depending on the severity of obstruction to bile<br />
flow. This work, done in collaboration with the Salk<br />
<strong>Institute</strong>, has yielded high impact publications in<br />
Proceedings of the National Academy of Sciences USA.<br />
Neuroscience and Vision<br />
Analysis of retinal photographs taken as part of the<br />
renowned Blue Mountains Eye Study identified links<br />
between retinal microcirculation changes and systemic<br />
vascular diseases including stroke.<br />
Researchers on the Sydney Myopia Study completed<br />
assessments of the prevalence of myopia and other<br />
visual impairments in children aged 6-12 and<br />
demonstrated that levels of myopia were much<br />
lower than previously thought. Funding was received<br />
in <strong>2005</strong> to extend this research to young children from<br />
birth to five years.<br />
Ground-breaking gamma phase synchrony (brain<br />
imaging) research demonstrated for the first time the<br />
brain disconnections associated with first episode<br />
psychosis and the onset of schizophrenia.<br />
Demonstration of a clear and early separation between<br />
schizophrenia and bipolar disorder, highlighting the<br />
importance of early diagnosis and treatment in young<br />
people with psychosis.<br />
The awarding of a significant ARC-linkage grant resulted<br />
in a novel collaboration between the Brain Dynamics<br />
Centre and the Universities of Sydney and NSW linking<br />
brain imaging with genetics. This will allow the<br />
identification of disease polymorphisms, integration of<br />
disease phenotypes with genotypes and prediction of<br />
response to treatment.<br />
Cardio-respiratory<br />
The Ludwig Engel Centre continued their world leading<br />
studies into sleep disordered breathing with new<br />
projects established into the genetic basis of<br />
obstructive sleep apnoea and the identification of<br />
intermediate phenotypes.<br />
A new NHMRC funded project was established into<br />
improving the mapping procedures to determine the<br />
underlying mechanisms of ventricular arrhythmias. An<br />
ARC funded collaboration with the University of<br />
Technology began to investigate alternative energy<br />
sources for the treatment of abnormal heart rhythms.
Infection & Immunity<br />
Centre for Infectious Diseases and Microbiology<br />
Centre for Virus Research<br />
Centre for Transplant and Renal Research<br />
<strong>Institute</strong> of Dental Research<br />
<strong>Institute</strong> for Immunology and Allergy Research<br />
The Infection and Immunity division are investigating serious<br />
infectious diseases and pathogens, oral infection, organ<br />
transplantation, autoimmunity and other immune disorders.<br />
Research concentrates on basic biological discoveries<br />
and the translation of these discoveries into new techniques,<br />
treatments, diagnostics and vaccines.
Centre for Infectious Diseases<br />
and Microbiology (CIDM)<br />
Fungal pathogenesis and evolution<br />
The fungal pathogenesis group discovered novel domains (“rafts”) in<br />
the membrane of Cryptococcus that act to concentrate an enzyme<br />
called phospholipase B (PLB). PLB is a key virulence factor<br />
responsible for dissemination of cryptococcal infection (resulting in<br />
serious brain infection and meningitis) in the host. The molecular<br />
mycology group has produced further information on the evolution<br />
of fungi within the Cryptococcus complex. In collaboration with<br />
researchers in the Netherlands, it has been demonstrated that<br />
Cryptococcus gattii is likely to have originated in Australia before<br />
evolving and spreading via the old world to Canada, where it caused<br />
a large and serious disease outbreak. Future plans for these groups<br />
include expanding investigations of fungal lipid and phospholipid<br />
biosynthetic pathways using Cryptococcus neoformans as a model,<br />
to understand the biology of this fungus as a possible target for<br />
antifungal drug development and to continue our international<br />
collaborations on the molecular genetics of the cryptococcal species<br />
complex to better understand fungal evolution and phylogeny.<br />
Antifungal drug development<br />
This project involves a collaboration between CIDM Biomed and Dr<br />
Kate Jolliffe, of the Department of Chemistry, University of Sydney.<br />
Three families of potential antifungal drugs have been identified and<br />
synthesised, structure-function and toxicity studies are underway<br />
and one family of compounds, which inhibit fungal PLB, has been<br />
patented to date. A fruitful collaboration with a commercial company<br />
to test synthetic derivatives of one of the lead compounds,<br />
miltefosine, has been established. In 2006, a new NHMRC project<br />
grant will enable this group to continue to synthesise new<br />
compounds with improved activity and reduced toxicity in order to<br />
improve outcomes for patients with serious fungal infections.<br />
Bacterial pathogenesis<br />
This group aims to elucidate the pathogenesis of bacteria including<br />
Bartonella, a unique organism that is common in stray cats but can<br />
also infect humans. Researchers established an artificial insect<br />
vector colony (in collaboration with Dept Medical Entomology and<br />
UK researchers) and examined the Bartonella virulence<br />
requirements for wild-type infections in insect, feline, and human<br />
hosts. In collaboration with overseas partners they developed new<br />
insights into the unique intracellular trafficking and survival of<br />
Bartonellae in phagocytes and identified new virulence factors. This<br />
group will continue to explore the genetic basis for virulence,<br />
resistance and gene transmission in model Gram-negative bacteria,<br />
with a view to modelling the evolution of populations in real time<br />
and predicting their behaviour under selection pressure.<br />
Considerable preliminary work has been completed and will form<br />
the basis for NHMRC and NIH applications in 2006.<br />
Novel nucleic-acid based diagnostics<br />
The discovery of the genetic basis for extreme antibiotic resistance<br />
in Gram-negative and Gram-positive bacteria have led to<br />
development of new tests which are ready to apply in the critical<br />
care setting. This includes an integrated multicentre study of the<br />
impact of rapid diagnostics on prescribing (ANZIC foundation grant<br />
October <strong>2005</strong>) and the development of a new system to rapidly<br />
identify and quantify multiple simultaneous microbial targets,<br />
including influenza virus, funded as urgent research by the NHMRC<br />
in December <strong>2005</strong>.<br />
Nuclear Magnetic Resonance (NMR)<br />
spectroscopy<br />
The great potential of this method of diagnosis based on<br />
biochemical profiles was confirmed in human and animal model<br />
studies of meningitis. Further studies have shown that NMR<br />
spectroscopy is a rapid and cost-effective high throughput platform<br />
that could be used in a microbiology laboratory for identification of<br />
fungal species and potentially, for faster antifungal susceptibility<br />
testing. The work achieved an invited presentation and was well<br />
received at the prestigious Interscience Conference on Antimicrobial<br />
Agents and Chemotherapy in Washington DC, in December <strong>2005</strong>.<br />
The potential of NMR spectroscopy and multiplexed real-time<br />
genetic methodology in infectious diseases diagnosis and in the<br />
microbiology laboratory will be investigated in 2006 as a means of<br />
rapid and accurate diagnosis that could lead to early therapy and<br />
improved outcomes.<br />
Antibiotic resistance and alternative<br />
antibiotic strategies<br />
Antibiotic resistance in hospitals is associated with enormous<br />
economic costs and loss of life. Amplification of this problem<br />
particularly occurs in the critically ill populations such as ICU. In<br />
<strong>2005</strong> this group established a unique study into the effects of<br />
antibiotic cycling on resistance in the microflora in two major<br />
Australian ICUs. They also developed rapid detection methods for<br />
infection control screening that are suitable for automated<br />
diagnostic platforms. Researchers identified the genetic basis and<br />
transmissibility characteristics for emergent carbapenem resistance<br />
in Gram-negative bacteria in Australia, which have been published<br />
in international journals and presented at premier national and<br />
international conferences. In collaboration with other Sydney<br />
researchers, preliminary investigations have also begun into the<br />
testing of quorum-sensing inhibitors in invasive ICU devices<br />
(AusIndustry IPIC grant), the microbiology of human probiotic<br />
formulations (through to the final round of AusIndustry grant<br />
process), and the antibacterial activities of ion channel inhibitors for<br />
resistant CF pathogens (developmental stages). Modelling of<br />
bacterial population evolution under selection pressure and the<br />
impact of real-time diagnostics in the critically ill will be a primary<br />
focus in the future.
NHMRC Centre of Clinical Research<br />
Excellence to improve outcomes in<br />
immuno-suppressed haematology patients<br />
This prestigious 5-year grant was awarded to CIDM in collaboration<br />
with the Haematology Department of <strong>Westmead</strong> Hospital, the<br />
National Centre for Immunisation Research and Surveillance and<br />
research groups from the Universities of Sydney, New South Wales<br />
and Western Sydney. In the first year projects in prevention,<br />
diagnostics and ethical issues have been initiated, and five PhD<br />
students will be in place in 2006. Involving infectious diseases,<br />
haematology and ethics research, this centre aims are to improve<br />
outcomes in immuno-suppressed haematology patients and<br />
provide multidisciplinary research training in these areas.<br />
Centre for Virus Research<br />
Herpes simplex virus immunology<br />
Herpes simplex virus (HSV) infection causing primarily cold sore<br />
and genital herpes are widespread in the Australian community,<br />
with an estimated 60-80% of adults infected with HSV-1 and 10-<br />
20% infected with HSV-2. Our group focuses on two main areas:<br />
examining the interaction of HSV and specialized immune cells<br />
such as dendritic cells (DC) and T cells and determining protein<br />
targets for T cells directed against virus-infected cells. In the past<br />
year, we have extended our efforts in mapping out the mechanisms<br />
of HSV interference with DC, the key cell type responsible for<br />
alerting the immune system to act against the impending infection.<br />
In addition, we have been defining peptide antigens for CD4 T cells<br />
which have a pivotal role in HSV infection, aiming to improve<br />
present genital herpes vaccine candidates.<br />
Herpes simplex protein interaction<br />
The work of this group involves elucidating the way in which herpes<br />
simplex virus assembles and moves within human nerve cells.<br />
Understanding such biological processes will allow development of<br />
new antiviral drugs as well as a novel viral gene therapy vector for<br />
treatment of various neurological disorders. This group has<br />
published in the Journal of Biological Chemistry an article defining<br />
one possible way in which the virus moves along human nerve<br />
cells. This movement depends on an interaction between a herpes<br />
viral protein VP26 and a cellular molecular motor dynein. This now<br />
paves the way for development of a minimal gene delivery vector<br />
based on the herpes viral protein VP26.<br />
HIV protein functions and interactions<br />
The primary goal of this group is to understand the function of<br />
several HIV proteins on a molecular level, with the long term aim of<br />
identifying novel antiviral therapeutics. Research projects include<br />
the elucidation of nuclear import of the HIV pre-integration complex<br />
(PIC) in collaboration with Prof David Jans at Monash University,<br />
understanding the role and function of Vpr isolated from AIDS<br />
patients and in AIDS pathogenesis, investigation of the role of the<br />
cytoplasmic tail of the HIV glycoprotein 41, and determining the role<br />
of methylation in HIV replication in collaboration with Dr. David<br />
Harrich at the Queensland <strong>Institute</strong> of Medical Research. During<br />
<strong>2005</strong>, members of this group attended several national meetings<br />
and presented virology lectures at the University of Sydney. Group<br />
Leader, Dr Sabine Piller, was invited to be the guest editor for a<br />
special issue of Current Drug Targets to be published in 2006.<br />
HIV molecular pathogenesis<br />
This group aims to understand the very early interactions of the HIV<br />
virus with host cells of the body, predominantly human dendritic cells<br />
(DCs). These are likely to be one of the first cells to come into<br />
contact with HIV within the genital tract. In <strong>2005</strong>, this group<br />
published the importance of the C type lectin receptors (CLRs), a<br />
family of receptors found on the surface of the DCs that HIV uses to<br />
bind to and gain entry into the cell. They also developed a model<br />
cell which mimics Langerhan cells in the skin and vaginal mucosa<br />
creating a very useful tool for future studies. Additionally researchers<br />
described both infection rates within these cell populations and<br />
examined the kinetics of virus degradation and dissemination.<br />
As a result of this research this group is targeting the CLRs on the<br />
various DC populations to develop novel strategies to interfere with<br />
this mechanism using either soluble receptors as decoys binding to<br />
the virus and/or by direct antagonism of the HIV binding receptors<br />
using small molecules. Initial studies indicate that if we can prevent<br />
infection, we can reduce or even prevent viral trafficking at a very<br />
early stage of infection. In parallel this group continues to search for<br />
other novel HIV binding receptors as potential drug targets and<br />
maintain research examining global gene changes that HIV induces<br />
on the host cell using DNA microarray technology. Such studies give<br />
insights as to how HIV infection subverts the host cell and impairs<br />
the function of the immune system.<br />
Retroviral genetics<br />
The Retroviral Genetics Laboratory is working on several key areas<br />
of HIV pathogenesis and diagnostics. Firstly, they are focussing on<br />
mechanisms of HIV disease progression and factors influencing the<br />
natural control of HIV in a subset of HIV-infected individuals who<br />
survive for several years without antiretroviral treatment. The main<br />
goal is to identify the innate immune factors conferring advantage to<br />
host survival and also to define how some of the innate factors,<br />
such as CD8 antiviral factors, deteriorate during treatment and its<br />
implications in anti-HIV treatment. Secondly, this group is studying<br />
how HIV-1 strains interact with each other to generate additive and<br />
synergistic effects and form fitter HIV variants. These studies may<br />
explain how recombination in HIV strains provides advantage in<br />
favour of virulence, transmission and efficient dispersal. Thirdly, they<br />
are characterizing molecular traits of viruses from the brain of HIVinfected<br />
individuals with and without dementia. Identification of these<br />
traits may define neurotropism of HIV, which plays a significant role<br />
in HIV dementia. The lab is also actively engaged in studying and<br />
developing diagnostic tools for the detection of viruses such as<br />
SARS, avian influenza and HIV, using new technologies.
Viral immunobiology and apoptosis<br />
Specialized white blood cells (lymphocytes) have an amazing<br />
capacity to expand in number in order to counter a virus infection,<br />
and then to contract, after the resolution of the infection. The critical<br />
control factors that regulate these processes are the focus of this<br />
group’s research. Understanding what regulates expansion and<br />
contraction within the immune system is vital for the design of<br />
vaccines, for using cells for immunotherapy treatments, and for<br />
developing therapies for autoimmune disorders such as lupus, MS<br />
and arthritis. This group has discovered a key role for deathinducing<br />
cytokines (Tumour Necrosis Factor, TRAIL and Fas Ligand)<br />
in controlling these processes, and simultaneously identified a new<br />
mechanism of how viruses like Smallpox control these processes<br />
through the production of a viral death-receptor homologue.<br />
Cytomegalovirus research<br />
The research program of this group focuses on determining the<br />
molecular mechanisms underlying infection and disease caused by<br />
human cytomegalovirus (CMV). They aim to provide a much better<br />
understanding of how CMV functions in order to provide a rational<br />
basis for the development of therapies to limit the serious<br />
consequences of CMV disease in transplant recipients. This virus is<br />
a member of the Herpesvirus family of viruses that infects most of<br />
the population. Although disease in healthy individuals is usually<br />
mild, CMV causes very serious, sometimes fatal disease in<br />
immunocompromised individuals such as bone marrow and solid<br />
organ transplant recipients. CMV is also the leading infectious<br />
disease cause of serious disease in neonates, including<br />
neurological damage such as deafness and mental retardation. The<br />
CMV Research Group is currently identifying viral genes expressed<br />
during the different phases of infection to determine how CMV<br />
functions to facilitate disease. This work has led to a number of<br />
publications in prestigious international journals and the awarding of<br />
a number of highly competitive NHMRC grants (both project and<br />
program grant funding).<br />
Varicella zoster virus<br />
The varicella zoster virus (VZV) research lab focuses on many<br />
aspects of the immunobiology and pathogenesis of VZV.<br />
Researchers work with a human herpesvirus which infects up to<br />
90% of the population and causes chickenpox (varicella)<br />
predominantly in childhood and shingles (herpes zoster) in middle<br />
to old age people. Whilst VZV usually causes relatively mild disease<br />
in healthy individuals, VZV still causes significant morbidity in<br />
children and adults. VZV causes life-threatening disease in<br />
immunocompromised individuals such as patients who are elderly<br />
or have HIV disease. Herpes zoster affects many elderly individuals<br />
and a major complication is prolonged severe pain or post-herpetic<br />
neuralgia (PHN), both severely debilitating and which often requires<br />
follow-up medical care for months or years after the initial attack.<br />
Despite its significant impact on the community, little is known<br />
about the molecular details of how this virus functions. The VZV<br />
research lab with NHMRC project grant funding and international<br />
collaborators aim to improve our understanding of how VZV<br />
infection affects specialised human cells in order to make further<br />
advances in antiviral therapies as well as improve vaccine design<br />
for the treatment or prevention of VZV disease and the crippling<br />
complication of post-herpetic neuralgia (PHN).<br />
NHMRC Program Grant in viral infections of<br />
global importance<br />
This program grant consists of a consortium of biomedical<br />
researchers from the <strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong>, Burnet<br />
<strong>Institute</strong>, the University of New South Wales and Alfred Hospital to<br />
study basic aspects of HIV and Herpesvirus biology ultimately<br />
aimed at developing new therapies, diagnostics and vaccines. The<br />
six chief investigators in Sydney and Melbourne bring together a<br />
group of over 40 investigators and postgraduate students.<br />
Australian Centre for HIV and Hepatitis<br />
Virology Research (ACH2)<br />
The Australian Centre for HIV and Hepatitis Virology Research is<br />
funded by the Population Health Division of the Commonwealth<br />
Department of Health for the purpose of translating biomedical<br />
research in HIV and Hepatitis C into healthcare and biotechnology<br />
outcomes, filling a niche of early proof of concept funding. The<br />
second aim is to provide laboratory support in virology and<br />
immunology for clinical research in HIV and Hepatitis C in Australia.<br />
Success is measured by patents, healthcare initiatives,<br />
commercialisation agreements and NHMRC Development and<br />
ARC Linkage Grants. The Directorate of the Centre is based at the<br />
<strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong> but collaborates closely with the<br />
Burnet <strong>Institute</strong> in Melbourne. It disperses over $2 million annually<br />
to researchers in virology and immunology around Australia.<br />
Centre for Transplant and<br />
Renal Research<br />
NHMRC Centre of Clinical Research<br />
Excellence in Renal Medicine and Pancreatic<br />
Islet Cell Transplantation<br />
Currently this unit is the first and only centre in Australia to have<br />
successfully developed a clinical pancreatic islet cell transplant<br />
program. This has resulted from a decade of pancreatic islet cell<br />
transplant research which has allowed us to develop the<br />
techniques necessary to isolate quality islets for clinical use. It is<br />
a true indication of our bench-to-bedside research philosophy.<br />
The initial pilot trial involved six patients that had severe metabolic<br />
complications from their diabetes. Five of the six had marked<br />
improved metabolic outcomes after successful pancreatic islet<br />
transplantation and three patients no longer required insulin<br />
injections for periods of time. Two of the patients remained off<br />
insulin injections for more than two years. This initial success<br />
resulted in the Federal Government allocating more than $30million
to Type I diabetes research in the country. A large proportion of<br />
this has been dedicated to a formal clinical trial of pancreatic islet<br />
cell transplantations. Our unit has submitted an ambitious<br />
proposal to further our studies in this area.<br />
Pancreatic Islet Xenotransplantation Research<br />
Currently pancreatic islet cell transplantation is the only known cure<br />
for Type I diabetes. If this therapy is to become more effective and<br />
more wide spread it will be necessary to find an alternative source<br />
of insulin producing cells. In collaboration with researchers in<br />
Melbourne and Adelaide we are investigating the use of pig<br />
pancreatic islet cells for future transplantation in human patients.<br />
Our current research is focused on understanding the mechanisms<br />
of early islet cell loss. This appears to be due to a combination of<br />
clotting and early cellular rejection. Our data would suggest that<br />
producing pigs whose islet cells express several human proteins<br />
that regulate clotting and rejection may be sufficient to allow this<br />
tissue to be used safely in patients. This information has been used<br />
to develop a new line of pigs that have been genetically modified<br />
so that they may be better suited to clinical transplantation.<br />
Australia is the world leader in pig transgenesis and this ambitious<br />
collaborative project between four research institutes is making<br />
substantial progress in the development of pig islet cell<br />
xenotransplantation.<br />
Transplantation Immunity and Tolerance<br />
The aim of this group is to better understand the mechanisms of<br />
rejection of pancreatic islet xenografts and to develop novel<br />
strategies for suppressing this immune response. The group has<br />
made several novel findings in understanding the role macrophages<br />
play in the rejection of pig islet grafts. In particular we have shown<br />
that macrophages have surprisingly specific and sophisticated<br />
recognition response for identifying pig tissue. At present work in<br />
this area is focusing on understanding the molecular mechanisms<br />
responsible for this recognition. In particular we have focused on a<br />
group of macrophage receptors called toll receptors and have<br />
found that they have an important role in regulating macrophage<br />
recognition of pig tissue. The group is also investigating novel<br />
strategies to induce tolerance to transplanted islet tissue and to<br />
further reduce the requirement for long-term immunosuppression.<br />
In particular they are focusing on the role of a regulatory T cell<br />
called CD4CD25+ T cells. They have found that these cells are<br />
capable of inducing tolerance to islet allografts and have begun<br />
investigating their role in maintaining tolerance to pig islet cells.<br />
The ultimate aim is to develop a cell based therapy which can be<br />
used to suppress rejection and reduce requirements for<br />
immunosuppression.<br />
Chronic Allograft Nephropathy Research<br />
The aim of this group is to increase our knowledge about the<br />
mechanisms for the long-term loss of renal transplants. Current<br />
treatment strategies are very good at preventing acute cellular<br />
rejection but over time renal transplants are still lost to a complex<br />
process known as Chronic Allograft Nephropathy. The group has<br />
been at the forefront of this research internationally and by studying<br />
protocol biopsies has identified several novel factors responsible for<br />
this chronic graft loss. The focus of the group now is to understand<br />
the molecular mechanisms responsible for this loss and to identify<br />
important factors that promote this molecular ‘footprint’.<br />
This investigation is done by using genomics or gene chips which<br />
allows us to study the role of thousands of genes from renal<br />
transplant biopsy specimens that have been taken at designated<br />
time points. Preliminary findings suggest that these genes are<br />
upregulated quite early after transplantation and their activation is<br />
maintained over time. The ultimate aim is to identify a genetic<br />
footprint that would identify patients at increased risk of chronic<br />
allograft nephropathy. Ultimately it could be used to monitor the<br />
effect of novel therapies used to treat this condition.<br />
Renal Failure Research<br />
The aim of this group is to increase knowledge about the role of<br />
tubular interstitial injury in kidney damage and to define new<br />
treatment strategies for progressive chronic renal disease. In<br />
particular, our experiments concentrate on investigating how<br />
different inflammatory molecules and cells interact with the renal<br />
interstitium in human and animal models, with a view to developing<br />
a DNA vaccination against these molecules as an innovative<br />
therapeutic strategy. In collaboration with other research centres,<br />
the IDEAL (Initating Dialysis Early and Late) trial aims to determine<br />
the ideal time to commence dialysis for end-stage renal disease,<br />
and is progressing well with 90% of the patients required recruited<br />
to the study.<br />
Kidney Regeneration Group<br />
This group is investigating the role of cell cycle regulatory proteins<br />
and other intracellular signal transduction pathways in mediating<br />
kidney tubular epithelial cell growth and atrophy. The longterm<br />
goal is to develop new therapeutic approaches to correct abnormal<br />
tissue growth and regeneration in chronic kidney disease.<br />
<strong>Institute</strong> of Dental Research<br />
Proteomics and structural genomics of<br />
oral pathogens<br />
Researchers at the <strong>Institute</strong> of Dental Research have completed a<br />
comprehensive study of the proteomes of the oral pathogen<br />
Streptococcus mutans and the commensal Streptococcus gordonii<br />
under planktonic and biofilm growth conditions. Several candidate<br />
proteins have been identified and implicated in the growth of
streptococcal biofilms. They are now targeting these specific<br />
proteins that are differentially expressed in these conditions with a<br />
view to controlling this pathogenic organism that is strongly<br />
implicated in the initiation of dental caries. In conjunction with the<br />
biofilm studies of S.gordonii, researchers are also investigating the<br />
growth and nutritional requirements of this bacterium when it acts<br />
as a pathogen in the disease infective endocarditis. Using a<br />
structural genomics approach, the objective is to design specific<br />
inhibitors as adjuncts in therapy.<br />
Polymicrobial aetiology of caries progression<br />
A molecular phylogeny approach was combined with real-time<br />
PCR estimation to define the consortia that extend the carious<br />
lesion in dentine. Recent data obtained by in situ hybridisation<br />
analysis on tissue sections has indicated that in contrast to the<br />
anaerobic organisms that predominate in the consortia within<br />
carious dentine, oxygen tolerant organisms appear to lead the final<br />
phase of invasion of the vital dental pulp. This work is providing an<br />
objective basis for the development of diagnostic indicators and of<br />
enhanced therapeutic protocols for the management of this<br />
common disease process.<br />
Targeted control of oral pathogens<br />
Investigation has demonstrated that the bacterium causing<br />
periodontal disease, Porphyromonas gingivalis is susceptible to<br />
antimicrobial adducts designed to exploit the unique binding<br />
characteristics of the porphyrin receptor HA2. In 2006, these<br />
adducts will be tested for efficacy as selective topical agents in the<br />
elimination of this organism. The objectives are to develop agents<br />
that serve as adjuncts to therapy of periodontal disease and as<br />
tools to break the cycle of transmission. Additionally, the cysteine<br />
proteinase-haemagglutinin complexes of P. gingivalis were<br />
demonstrated to exert powerful modulating action on local<br />
immunity and researchers are now attempting to dissect the<br />
mechanism of action. Oral bacteria initiate cross-reactive autoantibody<br />
responses to epithelial cells. One of the antigens identified<br />
is CD24. Ligation of this heavily glycosylated receptor powerfully<br />
regulates the expression of epithelial differentiation genes, a<br />
property that could explain the poorly structured lining epithelium<br />
that is considered to critically mediate disease.<br />
Determinants of oral infection in high-risk<br />
Aboriginal communities<br />
Bacteria of the class Bacteroides were determined to be dominant<br />
soft tissue pathogens. Using a molecular approach the maternal<br />
load of key pathogens was shown to predict early colonisation of<br />
infants with the potential to confer life-long susceptibility. This data<br />
will underpin strategies to break this cycle of disease by preventing<br />
transmission to infants.<br />
<strong>Institute</strong> for Immunology and<br />
Allergy Research<br />
Immunogenetic research into<br />
multiple sclerosis<br />
Multiple sclerosis (MS) is an autoimmune disorder that affects over<br />
15,000 people in Australia alone. Whilst the trigger of MS is<br />
unknown, studies indicate that genetic factors may make certain<br />
individuals more susceptible to the disease. The research of this<br />
group concentrates on identifying these genetic differences and<br />
using this knowledge to create more effective prevention and<br />
treatment. In <strong>2005</strong>, the MS group continued development of a<br />
new angle for the treatment of multiple sclerosis which we had<br />
patented last year, as well as providing an antibody testing service to<br />
ensure MS patients are receiving the best and most appropriate<br />
treatment for their disease type. Discovering the genetic factors of<br />
MS requires large scale experiments involving sizable numbers of<br />
patients and our research team are members of the largest genetic<br />
linkage study into MS in the world. This year the International<br />
Multiple Sclerosis Genetics Consortium completed the most<br />
comprehensive study of genes linked to MS to date. Host immune<br />
genes affecting MS may affect development of other diseases, and<br />
discoveries of genetic variation from MS work are now being applied<br />
to studies on hepatitis C in collaboration with the Storr Liver Unit.<br />
Molecular genetics of atopic dermatitis<br />
(eczema) and asthma<br />
The research program investigating the genetic basis of allergic<br />
disorders was established in late 2001. Since then, researchers<br />
have focussed on establishing a large cohort of children with severe<br />
atopic dermatitis (eczema) to help identify genetic variants in genes<br />
that are involved in this and other allergic disorders such as<br />
asthma. In this regard, this group has successfully identified several<br />
genes that are important in controlling how the immune system<br />
works in allergic individuals. This has resulted in publications in<br />
international journals and the awarding of an NHMRC Project Grant<br />
to Dr. Graham Jones and collaborators at the Garvan and<br />
Queensland <strong>Institute</strong> for Medical Research. Although the<br />
recruitment of allergic children and adults for genetic studies is<br />
ongoing, a significant component of the research will now seek to<br />
better understand how the genes we have identified control the<br />
immune system and how small genetic differences (called single<br />
nucleotide polymorphisms, or SNPs) between healthy and allergic<br />
individuals change the way these genes are activated and work.<br />
Researchers hope that by using the tools of cell biology and<br />
genetics they can uncover new insights into what goes wrong in<br />
the immune system of allergic individuals and how this might<br />
be corrected.
Cancer<br />
<strong>Westmead</strong> <strong>Institute</strong> for Cancer Research<br />
The <strong>Westmead</strong> <strong>Institute</strong> for Cancer Research aims to<br />
conduct research into the molecular and cellular basis of<br />
human cancer and leukaemia to improve the prevention,<br />
treatment and cure of these devastating diseases.
Breast cancer research<br />
The Breast Cancer Research Group is investigating the role of<br />
oestrogen and progesterone in the development of the normal<br />
breast and in breast cancer. These hormones are fundamental<br />
regulators of normal cell growth and differentiation, and are also<br />
crucial to the development and progression of breast cancer.<br />
Progesterone has a pivotal role in normal female reproduction in the<br />
uterus, ovary, mammary gland and brain. This group has previously<br />
identified a change in expression of two forms of the progesterone<br />
receptor, PRA and PRB, in cancer. Work in <strong>2005</strong> has focussed on<br />
further identifying the cellular consequences of this change. Gene<br />
expression profiles have shown a distinct shift in the ability of a cell<br />
to respond to progesterone when the two forms of the PR are<br />
imbalanced, and this is associated with changes in signalling<br />
pathways important in maintenance of normal cell biology.<br />
The mechanisms through which PR controls gene expression have<br />
also been explored, researchers demonstrating that receptors<br />
aggregate with other key components of transcriptional machinery<br />
when they are activated. This aggregation process is disrupted in<br />
human cancers, and current studies in the group are aimed at<br />
exploring the aggregation process and identifying the functional<br />
consequences of its disruption in cancer.<br />
Cell cycle research<br />
The INK4a/ARF sequence on chromosome 9 encodes two<br />
distinctly different proteins, known as p14ARF and p16INK4a. Both<br />
of these tumour suppressor proteins have critical roles in<br />
maintaining the genetic integrity of a wide range of cell types and<br />
researchers in this group are investigating their function, movement<br />
and binding partners. Mutations that inactivate p14ARF or<br />
p16INK4a are common in many different human cancers. While<br />
p16INK4a is mutated in approximately a third of families with a<br />
history of melanoma, this group have found that a subset of<br />
melanoma-affected families also carry mutations that alter the<br />
localisation and function of p14ARF. The p14ARF tumoursuppressor<br />
protein binds to a range of cellular targets, and this<br />
group is investigating what impact these novel partners have on the<br />
functions of p14ARF.<br />
This group recently proposed that p14ARF mediates a process<br />
called sumoylation, by promoting the attachment of the protein<br />
SUMO to other proteins. Sumoylation regulates cellular activity by<br />
altering the location of some proteins and modulating the activity of<br />
others. Researchers are exploring the downstream effects of<br />
p14ARF-induced sumoylation, and the consequences when<br />
p14ARF is mutated. Melanoma cancers are notoriously resistant to<br />
chemotherapy and this group has confirmed that p14ARF can cooperate<br />
with various chemotherapeutic agents to induce<br />
programmed cell death in melanoma cells. Thus, genes regulated<br />
by p14ARF may provide alternative targets for new drugs to kill<br />
melanoma tumours that have lost p14ARF protection.<br />
Familial cancer<br />
Most cancers are due to genetic changes that accumulate in the<br />
cells with age, but in 5 to 10 per cent of cases a patient’s family<br />
history suggests the presence of an inherited gene mutation that<br />
increases their cancer risk. The clinical arm of this group operates a<br />
service assessing genetic susceptibility to breast, ovary, bowel<br />
cancer and melanoma. In conjunction, many patients are enrolled in<br />
collaborative, genetic-epidemiological studies investigating the<br />
familial aspects of cancer.<br />
The service is part of a study of breast ductal lavage, investigating<br />
its use as a surveillance tool in women at high risk of breast cancer<br />
as well as participating in the international GOG-199 study, aimed<br />
at assessing the usefulness of screening alone vs preventive<br />
surgery in women at increased risk of ovary and fallopian tube<br />
cancer. Researchers have continued their role in the study of<br />
tamoxifen in breast cancer prevention for those at higher risk based<br />
on family history. In addition, they have continued to collaborate in<br />
the investigation of the psychosocial aspects of genetic testing for<br />
cancer susceptibility by participating in studies of decision aids for<br />
patients considering genetic testing, the impact of genetic testing<br />
on males in breast cancer families, and the influence of genetic<br />
testing results on discrimination in relation to insurance.<br />
The laboratory’s research program has been successfully directed<br />
towards improved screening for BRCA1 and BRCA2 mutations and<br />
continues to focus on improvements to screening and the<br />
understanding of the gene mutations that are detected by<br />
screening. We have also worked with Translational Oncology to<br />
investigate the pathological features of breast cancer in women<br />
who carry a germline mutation in the ATM gene.<br />
Gene expression in cancer<br />
The Gene Expression Group studies the effect of cancer mutations<br />
on specific proteins in the cell, with emphasis on cellular alterations<br />
that lead to breast and colon cancer. This group aims to discover<br />
new pathways that control the action of proteins in normal cells,<br />
and to develop drugs or other reagents that correct defects in<br />
these pathways in cancer cells.<br />
Mutations in the BRCA1 are common in many breast cancers and<br />
this group is investigating how mutations disrupt the BRCA1<br />
protein’s normal function. The BRCA1 protein senses DNA damage<br />
by monitoring dividing cells and, in response to DNA damage,<br />
initiates gene repair processes in the nucleus to prevent errors<br />
being transmitted to new cells. BRCA1 has a partner, BARD1;<br />
their interaction helps facilitate the DNA-repair process. This group<br />
discovered that unbound BRCA1 and BARD1 proteins, are<br />
normally free to shuttle between the nucleus and cytoplasm. When<br />
bound together they become confined to the nucleus, an essential<br />
step in activating the complexed proteins for their crucial role in<br />
DNA-repair and cell-survival. This group has also identified a class<br />
of BRCA1 gene mutations that display an unexpected influence on
the BRCA1 proteins that carry this mutation. The mutant BRCA1<br />
proteins are positioned differently inside the cell, and are prevented<br />
from entering the nucleus and complexing with BARD1. This finding<br />
provides another mechanism for changes in DNA repair elicited by<br />
BRCA1 gene mutations in breast cancer.<br />
This team is also investigating two genes that appear to play key<br />
roles in colorectal cancer: beta catenin and the tumour-suppressor<br />
gene APC. APC shuttles between the cytoplasm and the nucleus,<br />
where it performs its tumour-suppressor function. This group has<br />
shown that mutant proteins are actively transported in and out of<br />
the nucleus. In fact, it turns out that cancer-mutated forms of APC<br />
can “shuttle” faster than the normal APC molecule, and the<br />
investigators aim to determine if this increase in the protein’s<br />
trafficking rate contributes to the cancer process.<br />
Gynaecological cancer<br />
Ovarian cancer, the most lethal of the gynaecological cancers, is<br />
thought to originate from mutations in epithelial cells encasing the<br />
ovary and little is known about the genes involved in turning healthy<br />
ovarian epithelial cells cancerous. The Gynaecological Cancer<br />
Group have identified several candidate genes that may be involved<br />
in the initial steps leading to cancer. Most ovarian cancers are<br />
initially sensitive to chemotherapy with the platinum-based drugs<br />
carboplatin or cisplatin, but eventually develop resistance. This<br />
group has identified a list of genes whose expression levels differ<br />
between resistant and drug-sensitive cells. They have found that<br />
one of these genes is over-expressed in resistant ovarian cancer<br />
cells and low expression levels correlate with increased sensitivity to<br />
platinum drugs. This gene is also higher in tumours from patients<br />
that have a worse clinical outcome. The group has submitted a<br />
provisional patent application on the discovery, and is now seeking<br />
compounds to reduce expression of this gene, that could be used<br />
in combination with platinum drugs to treat ovarian cancer.<br />
The Australian Ovarian Cancer Study (AOCS) is a major<br />
collaborative project funded by the US Department of Defence and<br />
Australian Cancer Councils involving WMI, the Queensland <strong>Institute</strong><br />
of Medical Research, Peter McCallum Cancer Centre, and over 20<br />
Australian hospitals. AOCS aims to recruit ovarian cancer patients<br />
and create a library of biospecimens for analysis to identify genes<br />
involved in ovarian cancer. Comprehensive epidemiological data are<br />
also collected to help identify environmental and life-style risk<br />
factors and patients are monitored for a minimum of five years,<br />
recording all details of their treatment and its outcome. The data will<br />
be correlated with risk-factor data and tumour-gene profiles to<br />
identify factors for predicting clinical outcome and, eventually,<br />
improve the survival of patients with ovarian cancer. More than<br />
1600 patients and 1000 cancer-free control women have been<br />
recruited to the study so far and the analysis phase begins in 2006.<br />
Leukaemia and bone marrow research<br />
This program consists of two main research groups. The<br />
Leukaemia Cell Biology Group is investigating acute lymphoblastic<br />
leukaemia (ALL). The most common childhood cancer, ALL arises<br />
in the bone marrow from cells that normally develop into B cells<br />
(antibody producing cells). ALL cells are highly dependent on the<br />
bone marrow for their growth and survival and this group is<br />
investigating this dependency with the aim of disrupting this<br />
supportive function. The group has identified SDF-1 as a major<br />
bone marrow derived factor supporting ALL cells. Drugs that block<br />
the effects of SDF-1 are available and inhibit the growth of ALL cells<br />
in the laboratory. The group is currently testing the ability of these<br />
drugs in a human leukaemia mouse model. It is anticipated that<br />
these drugs will enhance the effectiveness of current chemotherapy<br />
agents with minimal toxicity, decrease the total dose of<br />
chemotherapy required and help increase the cure rates in patients<br />
with a poor prognosis. This group continues to search for factors<br />
that are important for the survival and proliferation of ALL cells.<br />
Currently the Wnt family of growth factors is being examined as<br />
potential growth regulatory factors in ALL. Wnt proteins are<br />
produced by both the supportive cells in the bone marrow and the<br />
leukaemic cells themselves. This group has demonstrated that<br />
these factors are capable of enhancing the growth and survival of<br />
ALL cells. This relative importance of these proteins is currently<br />
being investigated.<br />
The Cell Therapies group is focused on investigating the use of<br />
targeted cells for the treatment of infectious and malignant disease<br />
and has continued to develop its clinical program of<br />
cytomegalovirus (CMV) specific cytotoxic T cell administration to<br />
patients with impaired immune systems. The group is currently<br />
running a clinical trial of CMV specific T cell administration for<br />
patients recovering after allogeneic bone marrow transplantation,<br />
and has resulted in a rapid increase in the percentage of specific<br />
cells seen in the circulation. Researchers are in the process of<br />
gaining approval for a gene therapy trial of CMV that will expand<br />
entry criteria into the T cell trial and will result in a broader target<br />
specificity of CMV antigens. Laboratory research is ongoing into the<br />
development of cell therapy for other infections including the fungal<br />
disease Aspergillus and the viral illness varicella zoster that<br />
commonly affect immunocompromised individuals. In addition, this<br />
group is also studying the development of cell therapy for treatment<br />
of minimal residual leukaemia following bone marrow<br />
transplantation. They have optimised a methodology for stimulation<br />
of donor T cells with recipient leukaemia cells utilising a<br />
combination of different cytokines at various stages of cell culture.
Genetic epidemiology of cancer<br />
For many people, genes have a strong effect on their risk of cancer.<br />
This group focuses on identifying the genes concerned, showing<br />
how they work and discovering how genetic risk interacts with the<br />
environment to cause cancer.<br />
In collaboration with researchers from Queensland and the US,<br />
researchers in this group have shown that a region of chromosome<br />
1 harbours a new melanoma-susceptibility gene and that this is<br />
often deleted in melanomas. This suggests that this gene is<br />
normally a protective tumour-suppressor and may be relevant to<br />
both inherited and non-inherited melanomas. This Group leads the<br />
Australian Melanoma Family Study (AMFS), with researchers from<br />
the University of Melbourne and the Queensland Cancer Fund<br />
Epidemiology Research Unit. One of the world’s largest<br />
population-based studies of melanoma, over 1100 people who<br />
have developed melanoma before age 40 have been enrolled plus<br />
their family members. Early-onset melanoma can be indicative of<br />
increased susceptibility, but little is known about what genes<br />
contribute to risk in this setting. Work on these projects, and the<br />
other objectives of GenoMEL, the international melanoma genetics<br />
consortium, was recognised in <strong>2005</strong> by a prestigious new five-year<br />
network program grant from the European Commission, the only<br />
one awarded in the life and health sciences. This will fund, among<br />
other things, powerful new mapping studies of the genes causing<br />
increased melanoma risk.<br />
In collaboration with researchers from Prince of Wales Hospital and<br />
the University of Sydney, this group have been investigating<br />
perception of melanoma risk and the psychological consequences<br />
of high melanoma risk and genetic testing in our melanoma<br />
families. These are among the first such research studies anywhere<br />
in the world and reports from this work are currently under review.<br />
Zebrafish have also been the focus of an important collaboration<br />
with the Ludwig <strong>Institute</strong> for Cancer Research to understand<br />
melanoma genetics. A strain of these fish has been genetically<br />
engineered to produce a mutant form of the NRas cancer gene in<br />
its pigment-producing skin cells, which are similar to those in<br />
humans that give rise to melanoma. The importance of this work is<br />
that fish can be cross-bred easily, enabling the other genes that are<br />
involved in the melanoma process to be identified.<br />
This team is involved in the international Breast Cancer Linkage<br />
Consortium, which has recently completed the world’s largest and<br />
most comprehensive search of the human genome for breastcancer<br />
susceptibility genes. The Australian kConFab consortium<br />
has provided the large numbers of families necessary to support<br />
this project and its first major report, with clues to the location of<br />
new breast cancer genes, was recently accepted for publication.<br />
Students in this group have worked to identify genetic and<br />
environmental risk factors involved in non-melanoma skin cancers.<br />
They have been studying, for the first time, families of people who<br />
have developed basal cell carcinoma (BCC) or squamous cell<br />
carcinoma (SCC) by early middle age. In <strong>2005</strong> we have shown that<br />
a gene (PTCH1), which is involved in a specific, rare form of familial<br />
BCC does not make a major contribution to early-onset BCC, even<br />
when there is a strong family history of the disease, indicating other<br />
genes must be involved.<br />
Translational oncology<br />
The aim of the Translational Oncology group is to facilitate the<br />
transfer of knowledge from basic cancer research into clinical<br />
practice, and to address research to clinically important questions.<br />
To do this, the group operates a range of collaborations with clinical<br />
oncology practitioners and other researchers in the Sydney West<br />
Area Health Service in addition to an independent research program.<br />
In <strong>2005</strong>, the group continued to investigate methods to assist<br />
determination of optimal chemotherapy dosage for cancer patients.<br />
Researchers in this group have taken a novel approach; using a<br />
nuclear medicine scanning technique to determine the rate at<br />
which the liver is able to clear a marker compound as a potential<br />
indicator of the rate at which chemotherapy may be cleared.<br />
Researchers demonstrated that results were variable in cancer<br />
patients and related to variants in the gene that characterises one<br />
of the main elimination proteins in the liver. In on-going work, the<br />
relationship between this elimination marker and clearance of<br />
various chemotherapy drugs is being examined.<br />
Interestingly, the same proteins that function to eliminate drugs from<br />
the body are sometimes present on cancer cells and there has<br />
been speculation that they may enable the tumour to resist<br />
treatment by pumping drugs away from the cancer. This possibility<br />
was investigated in collaboration with the Gynaecological Cancer<br />
group. The ability of the elimination protein MRP2 (ABCC2) to<br />
transport the drug cisplatin was compared in ovarian cancer<br />
samples from patients who had achieved a good clinical response<br />
to cisplatin and patients who had a poor response. This showed it<br />
was unlikely that presence of MRP2 on ovarian cancer cells plays a<br />
major role in determining treatment outcome.
Liver & Metabolic<br />
Storr Liver Unit<br />
The Storr Liver Unit studies liver function in both health<br />
and disease states as well as the impact of liver diseases<br />
on human health. We investigate better ways to prevent<br />
or cure liver disease, aim to define the clinicopathological<br />
and genetic factors that predispose a person to liver<br />
injury and liver cancer and determine how complications<br />
can be detected early to improve adverse clinical<br />
outcomes. The Unit is at the forefront of international<br />
clinical trials that seek to identify new therapies for the<br />
treatment of liver disorders.
Throughout <strong>2005</strong> Professor Geoffrey Farrell has been on<br />
sabbatical with Professor Nelson Fausto, Department of Pathology,<br />
University of Washington, performing studies on genetic<br />
susceptibility to carcinogen-induced liver cancer in mice and its<br />
relationship to aspects of hepatic lipid turnover. At WMI, Professor<br />
Farrell’s group continued to investigate how the processes of<br />
oxidative stress, peroxisome proliferation-activated receptor gamma<br />
(PPAR gamma) and COX-2 activation modulate the development of<br />
liver cancer. During <strong>2005</strong> Professor Farrell tendered his resignation<br />
and will leave WMI in early 2006. It is anticipated that a new Storr<br />
Professor will be appointed by mid 2006.<br />
NHMRC Centre of Clinical Research<br />
Excellence in Liver Disease<br />
Established in 2003, the NHMRC Centre of Clinical Research<br />
Excellence (CCRE) to Improve Outcomes in Chronic Liver Disease<br />
consists of several multifaceted projects including early detection<br />
(screening) and better management of liver cancer, nutritional<br />
intervention in advanced liver disease, and nutritional, dietary and<br />
exercise intervention for patients with early stages of chronic liver<br />
disease. During <strong>2005</strong>, we have continued to actively recruit patients<br />
for the various projects including a cancer screening program now<br />
involving in excess of 220 patients at three Sydney hospitals, and a<br />
lifestyle intervention study which has enrolled ~150 subjects. The<br />
CCRE researchers have published papers during <strong>2005</strong> on the<br />
subject of their research, and further publications are expected in<br />
2006, following analysis of the datasets.<br />
Molecular and cellular basis of liver disease<br />
In recognition of an outstanding track record in research, the Unit,<br />
along with investigators at the Royal Prince Alfred Hospital was<br />
awarded a prestigious NHMRC Program Grant (<strong>2005</strong>-2009) valued<br />
at over $4 million to further study the molecular and cellular basis of<br />
human liver diseases. Projects encompassed in the Program<br />
include studies on the pathological basis of non-alcoholic<br />
steatohepatitis, which is the most common cause of liver damage<br />
in Western society, chronic hepatitis C, hepatic fibrosis and<br />
cirrhosis, autoimmune hepatitis and ischaemia-reperfusion injury.<br />
The core investigators have since established highly focused<br />
research groups to conduct the studies outlined in the proposal.<br />
The Unit was also successful in obtaining two further NHMRC<br />
project grants for 2006 to conduct research into genetic studies of<br />
hepatitis C disease progression and on liver injury.<br />
Molecular Pharmacology<br />
The focus of the Molecular Pharmacology Laboratory is to<br />
investigate the regulation of genes within the liver involved in the<br />
metabolism or breakdown of therapeutic drugs as well as toxic<br />
substances produced within the body, such as bile acids.<br />
The research has already produced outcomes that are having<br />
significant impact on healthcare. Work on the mechanisms by<br />
which some drugs cause the metabolism of other drugs to be<br />
accelerated, causing drug-drug interactions, has led to more<br />
effective tests to detect such unwanted properties early in the drug<br />
development process. Several patents, some of which have already<br />
been licensed to industry, now cover the applications of this work.<br />
An exciting extension of this work is to understand how drugs are<br />
metabolised in the brain, which is the target organ for approximately<br />
one-third of all drugs (e.g. anti-depressants, anti-psychotics,<br />
analgesics), a process that presently is poorly understood.<br />
Recent work on bile acid metabolism and elimination has lead to<br />
discoveries that are likely to result in improved therapies for patients<br />
with liver diseases in which the flow of bile is obstructed (cholestatic<br />
liver diseases). In addition to two existing NHMRC project grants,<br />
this group has now received further funding from the NHMRC to<br />
progress this work to the implementation of new therapies for such<br />
patients that will prevent or retard cholestatic liver injury that often<br />
results in the development of cirrhosis. This work will be performed<br />
in collaboration with the laboratory of Prof Ron Evans at the Salk<br />
<strong>Institute</strong> and Prof Antoine Hadengue, Geneva University Hospitals.<br />
Portions of this work have recently been published in the form of<br />
two papers in the highly prestigious Proceedings of the National<br />
Academy of Sciences, USA.<br />
An exciting area of research is determining why patients with<br />
advanced cancer not involving the liver have impaired drug<br />
metabolism by the liver, which results in life-threatening toxicity from<br />
some anti-cancer drugs. Work performed in collaboration with the<br />
Cancer Centre at Concord Hospital is determining why this<br />
happens and utilizing novel humanized transgenic mouse models<br />
created at the WMI, we are developing therapies to counteract this<br />
serious problem.
Neuroscience &Vision<br />
Brain Dynamics Centre<br />
Centre for Vision Research<br />
Researchers in the Neuroscience and Vision division aim<br />
to shed light on the functioning of the human brain and eye<br />
in both health and disease. Using a combination of imaging<br />
technology, molecular biology and epidemiology,<br />
researchers are investigating the causes of emotional<br />
disorders, mental illness and visual disorders.
Brain Dynamics Centre<br />
Schizophrenia and psychosis<br />
Psychotic disorders such as schizophrenia are characterised by<br />
debilitating symptoms such as hallucinations, paranoia, dramatic<br />
personality change, disorganised thinking, loss of motivation and<br />
cognitive ability.<br />
Working with the Western Sydney First Episode Psychosis Project,<br />
researchers are using clinical, neuropsychological,<br />
electrophysiological and radiological investigations to determine a<br />
profile of changes that define the first episode of psychosis and<br />
predict the subsequent course of the illness. Funded by the<br />
Schizophrenia Fellowship of NSW, NISAD, Pfizer (fellowship), ARC<br />
and the NSW Department of Health, initial results indicate that<br />
young people with first episode psychosis (FEP) already suffer<br />
significant neuropsychological and functional deficits including a<br />
loss of cortical grey matter.<br />
Gamma phase synchrony research on these young people<br />
indicated that FEP was characterised by a loss and delay of early<br />
frontal brain synchrony. Results also point towards an early<br />
separation between schizophrenia and bipolar disorder where<br />
young people with first episode schizophrenia displayed worse<br />
neuropsychological functioning which failed to improve over time.<br />
This work is being extended with the ongoing collection of mood<br />
disorder data to further elucidate the mechanisms of both<br />
schizophrenia and affective psychosis. All results demonstrate the<br />
importance of early diagnosis and immediate treatment in cases of<br />
FEP in young people. Initial treatment research focused on<br />
cognitive remediation programs has shown significant<br />
improvements in cognitive functions, including attention,<br />
concentration, executive processing and speed of processing.<br />
ADHD and Conduct Disorder<br />
Attention deficit hyperactivity disorder (ADHD) is defined by lack of<br />
attention and concentration, commonly occurring with hyperactivity,<br />
and can lead to difficulties in learning and disruptive behaviour.<br />
Current research aims to identify the profile of brain markers<br />
dissociating ADHD from healthy peers, to evaluate the effects of<br />
Ritalin on these markers and to determine the impact of sex<br />
differences on these effects. This work is currently being extended<br />
to investigate the effect of non-stimulant treatments.<br />
Children with Conduct Disorder display a range of antisocial<br />
behavioural problems and without successful treatment, these<br />
behaviours may continue on to adulthood. Whilst effective<br />
treatments do exist, diagnostic heterogeneity means some patients<br />
don’t respond to traditional treatment strategies. Attempts to<br />
disentangle this heterogeneity have shown that children with high<br />
levels of “callous-unemotional” traits tend to have poor treatment<br />
response. Researchers aim to evaluate emotion processing and<br />
autonomic arousal functioning in children with both low and high<br />
CU traits to identify more targeted treatments for Conduct Disorder.<br />
Anorexia nervosa<br />
Anorexia nervosa is a debilitating and chronic illness defined by<br />
extreme food restriction, weight loss and emotional disturbances.<br />
Little is understood of the psychological and biological factors that<br />
cause this serious disorder. Researchers are using brain imaging<br />
measures combined with psychological testing to identify if this<br />
disease could be caused by disturbances in the brain regions<br />
responsible for emotional functioning to identify why and how<br />
anorexia develops.
Cognitive neuroscience and the<br />
emotional brain<br />
Researchers in this program aim to identify and explore links<br />
between brain function, cognition and emotion by focussing on<br />
how the brain determines what is and what is not significant. Using<br />
fMRI, ERP’s and new measures of brain connectivity, researchers<br />
aim to identify the location of brain networks for perception of<br />
emotion (fear, anger, disgust, happy and sad). Initial results indicate<br />
there are specialised networks for emotions associated with our<br />
survival, such as fear.<br />
Supported by a prestigious Pfizer Fellowship, A/Prof Lea Williams<br />
and her team are focussing on functional brain connectivity in<br />
relation to emotional brain function, other sources of significance<br />
and the “disconnections” which define psychiatric illnesses. This<br />
research program also aims to evaluate the effectiveness of<br />
pharmaceutical intervention in restoring functional brain connectivity<br />
in complex brain disorders. Other research involves investigating<br />
age and gender differences in emotional brain function and<br />
cognition. Results from this research may provide insights as to<br />
gender differences in vulnerability to emotion-related disorders such<br />
as psychosis, PTSD and ADHD as well as the age- related process<br />
of cognitive decline.<br />
Neuroscientists are increasingly willing to speculate about<br />
consciousness, and identifying the neural mechanism of conscious<br />
experience is important in elucidating the factors that distinguish<br />
humans from primates. The study of non-conscious emotion<br />
perception is also a central step in understanding the mechanisms<br />
of anxiety disorders. Researchers in the Brain Dynamics Centre<br />
are integrating a range of neuroimaging techniques to<br />
comprehensively understand the neural mechanisms of conscious<br />
and unconscious processing.<br />
A significant ARC Linkage Grant enabled the Brain Dynamics<br />
Centre to collaborate with researchers from University of Sydney<br />
and University of NSW to integrate brain imaging with genetics. The<br />
“Development of integrated biological markers of brain function”<br />
collaboration has enabled new projects to be established into the<br />
identification of genetic polymorphisms contributing to variation in<br />
brain function; Prediction of response to antidepressant treatment<br />
in major depressive disorder; and the integration of genotypes with<br />
phenotypic data to develop neuropsychological, EEG/ERP and MRI<br />
profiles of known genotypes.<br />
Post traumatic and stress<br />
Post traumatic Stress Disorder (PTSD) is the most common<br />
traumatic psychiatric disorder to emerge after trauma exposure.<br />
Researchers are investigating the identification of temporal and<br />
biological markers for PTSD and the mechanisms of trauma and<br />
stress and how these are related to life events.<br />
PTSD and depression often present with similar symptoms and a<br />
lack of precise guidelines for diagnosis lead to increased chance of<br />
malingering. Research conducted in <strong>2005</strong> involved investigations<br />
into identifying markers for biological assessment to objectively<br />
identify and index PTSD. Further research being conducted in<br />
collaboration with both Australian and American groups aims to use<br />
EEG to determine if PTSD is a disorder of low approach motivation<br />
(similar to depression) or a disorder of high withdrawal motivation<br />
(like anxiety). Orienting mechanisms underlie important survival<br />
functions from diverting attention to significant or novel stimuli to<br />
avoiding harm from aversive stimuli. Research funded by the ARC<br />
aims to identify the mechanisms involved with human orienting and<br />
investigate links with psychological disorders such as PTSD, ADHD<br />
and schizophrenia. Finally, investigations are also being conducted<br />
into how childhood trauma may influence physiological stress<br />
responses such as neuroticism or insomnia and whether this can<br />
be used a predictor of depression in later life.<br />
Brain modelling<br />
The Brain Modelling Unit collaborates with other groups, locally and<br />
internationally, to develop new methods for biophysical modelling<br />
and analysis of electrophysiological and neuroimaging data, as well<br />
as refining and enhancing existing imaging techniques used in other<br />
areas of the Brain Dynamics Centre. The unit developed the first<br />
unified model of the brain based on real physiological information.<br />
This model allows us to understand how our data links to real brain<br />
activity and its breakdown in disorder.<br />
Brain Resource International<br />
Database and BRAINnet<br />
The Brain Dynamics Centre is closely affiliated with the Brain<br />
Resource Company giving scientists the opportunity to undertake<br />
research using the Brain Resource International Database (BRID).<br />
This database provides a consolidated library of data on<br />
psychological function, cognition, brain function, brain structure<br />
and genetics for healthy male and female subjects across a range<br />
of ages. All data is collected using controlled and standardised<br />
procedures from labs located in USA, Europe and Australia.<br />
BRAINnet is an independent international scientific network<br />
convened by the Brain Dynamic Centre that oversees access to<br />
BRID data. The unique composition of BRID means it can be used<br />
across scientific disciplines and diseases.
Centre for Vision Research<br />
Retinal vascular signs and systemic vascular<br />
outcomes in the Blue Mountains Eye Study<br />
The Blue Mountains Eye Study commenced in 1992 and has<br />
become a benchmark population-based study in ophthalmology.<br />
As well as defining the prevalence, incidence and risk factors for<br />
eye diseases, many novel systemic associations have been<br />
explored. Mortality and cause of death information from this study<br />
have recently been used to investigate risks of cardio-vascular<br />
events and cancer mortality. Retinal photographs from participants<br />
have enabled us to assess retinal microcirculation changes in<br />
relationship to systemic vascular outcomes, including incident<br />
stroke and stroke related death, cardio-vascular deaths and<br />
incident hypertension in older people. This project will first examine<br />
change in retinal vessel signs over 10 years.<br />
Cataract surgery and risk of age-related<br />
macular degeneration (AMD)<br />
Cataract surgery is the most frequently performed surgical<br />
procedure, and AMD is the leading cause of blindness in older<br />
people. Previous studies suggest at least a 3-fold higher risk of<br />
progression to end stage AMD after cataract surgery. This project<br />
aims to confirm whether the risk of developing AMD increases after<br />
cataract surgery among older individuals (60+ years). Researchers<br />
have recruited more than 1100 patients undergoing cataract<br />
surgery at <strong>Westmead</strong> Hospital and from private ophthalmologist<br />
rooms, and 400 have been re-examined 6 months post-operatively.<br />
These patients will be followed up to 2 years initially.<br />
Retinal vascular signs in acute<br />
stroke patients<br />
Researchers are currently assessing the incidence of retinal<br />
vascular signs in collaboration with the Retinal Vascular Imaging<br />
Centre (RetVIC) in Melbourne to expand the research scope to<br />
acute stroke patients and dementia in older persons. This multicentre<br />
(Sydney, Melbourne and Singapore) clinical cohort study<br />
commenced in <strong>2005</strong>, recruiting patients with acute stroke. Retinal<br />
photographs are taken and retinal vessel signs are assessed in<br />
relationship to stroke subtypes and prognosis. To date, over 100<br />
patients have been recruited in Sydney and over 150 in Melbourne.<br />
The Sydney Myopia Study<br />
Rates of myopia (or short-sightedness) are increasing rapidly in<br />
East Asia. This project aims to assess prevalence and risk factors<br />
associated with myopia, in school children aged 6 years and 12<br />
years. At the end of <strong>2005</strong> a total of 1740 6-year-old and 2353<br />
12-year-old children have been examined. <strong>Report</strong>s from the study<br />
have highlighted a relatively low prevalence of myopia in Sydney,<br />
and have also defined the causes and frequency of visual<br />
impairment and important childhood eye conditions like amblyopia<br />
(reduced vision in one eye) and strabismus (squint).
Cardio-respiratory<br />
Ludwig Engel Centre for Respiratory Research<br />
Centre for Heart Research<br />
Researchers in this division are dedicated to the<br />
understanding of common cardio-respiratory disorders.<br />
Combining laboratory research and clinical studies, research<br />
projects include the patho-physiological basis of respiratory<br />
and sleep disorders, and investigations into abnormal heart<br />
rhythm and sudden death.
Ludwig Engel Centre for<br />
Respiratory Research<br />
Sleep disordered breathing<br />
The Ludwig Engel Centre has a particular emphasis on sleep<br />
disordered breathing with an international reputation for researching<br />
the mechanisms underlying the obstructive sleep apnoea syndrome<br />
(OSAS). In this disorder, patients experience repetitive episodes of<br />
throat blockage during sleep leading to complete cessation of<br />
breathing for short periods of time. Researchers are working to<br />
understand the processes associated with the occurrence of<br />
obstructed breathing during sleep in order to improve the treatments<br />
available for this important disorder. Current research programs<br />
include investigations into the physiology of the upper airway and<br />
the cardiovascular complications of OSAS. New research areas for<br />
2006 will allow us identify intermediate phenotypes in obstructive<br />
sleep apnoea patients and begin to establish the genetic basis for<br />
sleep disordered breathing.<br />
Work will soon begin on development of a biomechanical<br />
computational model of the hydrostatic mechanics of the tissue<br />
space surrounding the upper airway and its influence on upper<br />
airway patency. The role of surface tension of the upper airway lining<br />
liquid in the control of upper airway patency during sleep is<br />
an ongoing area of research interest, as is the effects of snoring on<br />
blood pressure control and stroke.<br />
Asthma and chronic obstructive<br />
pulmonary disease<br />
Asthma now affects the lives of over 2 million Australian children and<br />
adults. Despite decades of research into the causes and treatment<br />
of asthma, the prevalence of asthma in the population continues to<br />
rise. A major research interest of this research group is the influence<br />
of mouth versus nose breathing on the occurrence of asthmatic<br />
symptoms. The nose warms, humidifies and filters inspired air,<br />
whereas mouth breathing exposes the lungs to unheated, dry,<br />
unfiltered air which may contribute to the occurrence or worsening<br />
of an attack. Research in this lab recognised that asthmatic subjects<br />
have altered perception of nasal obstruction, leading them to switch<br />
to mouth breathing more readily than healthy individuals, and that<br />
this switch may contribute to the development of an asthma<br />
episode. Currently, researchers are investigating whether nasal<br />
breathing can help to resolve an episode of asthma. New research<br />
into chronic obstructive pulmonary disease will examine the value of<br />
aerobic exercise training to the overall benefits of short pulmonary<br />
rehabilitation programmes.<br />
Cystic fibrosis<br />
Cystic fibrosis (CF) is the most common lethal inherited disease<br />
affecting Australians. In CF, altered salt transport across the lining<br />
of the airways leads to drying of the airway surface, impeding the<br />
processes that remove mucus from the lungs. Mucus retention<br />
makes the lungs very susceptible to repeated bacterial infections.<br />
Researchers in this group are currently investigating<br />
electrophysiological abnormalities in CF and determining the<br />
interaction between airway surface divalent ions and the underlying<br />
genetic defect so that potential new treatments can be developed.
Centre for Heart Research<br />
Prevention of sudden death<br />
Sudden death is usually caused by an abnormal heart rhythm<br />
produced by a problem in the ventricles of the heart. Ventricular<br />
tachycardia and ventricular fibrillation are the two major heart<br />
rhythms responsible for sudden death and both are the subject of<br />
research currently being performed by this group. Some abnormal<br />
heart rhythms can be treated by minimally invasive procedures in<br />
which abnormal electrical pathways in the heart are ablated.<br />
Attempts to cure ventricular tachycardia using percutaneous<br />
catheters have been hampered by the inadequacies of conventional<br />
mapping and ablation techniques. Researchers in this group have<br />
designed a catheter that could create a deeper ablation lesion than<br />
is possible with maximal conventional therapy. A prototype catheter<br />
was constructed in-house and tested using an ex-vivo ovine model.<br />
The prototype catheter was shown to create lesions that were<br />
significantly deeper and just as wide as lesions created with<br />
conventional catheters. Efforts are also being directed at improved<br />
mapping procedures for determining the underlying mechanisms<br />
of ventricular arrhythmias and facilitating curative therapy. This<br />
work gained additional support in <strong>2005</strong> by the awarding of a<br />
NHMRC Project Grant.<br />
Ventricular fibrillation is also a cause of sudden death and<br />
commonly occurs at the time of a heart attack. The mechanism<br />
of this electrical problem that stops the heart beating effectively is<br />
incompletely understood. Researchers are studying the behaviour<br />
of electrical currents in the heart during ventricular fibrillation to try<br />
and detect patterns that may allow new treatments for this<br />
important abnormal heart rhythm.<br />
Atrial fibrillation<br />
Atrial fibrillation results in chaotic beating of the heart and is the most<br />
common cause of abnormal heart rhythm. It is due to abnormal<br />
electrical activation of the upper part of the heart called the atria.<br />
Recently a curative minimally invasive treatment has been developed<br />
for atrial fibrillation. There are large groups of patients for whom this<br />
treatment is not effective. The Cardiology Research Centre is<br />
performing basic and applied studies to improve the safety and<br />
efficacy of treatment for atrial fibrillation. These include studies of<br />
open heart and minimally invasive techniques for cure of atrial<br />
fibrillation.<br />
Alternative energy sources for treatment of<br />
abnormal heart rhythms<br />
Percutaneous, minimally invasive techniques to treat abnormal heart<br />
rhythms require delivery of alternating electrical current. This<br />
technique is used to heat abnormal parts of the heart and interrupt<br />
short circuits responsible for the rhythm problems. There are<br />
important limitations to this technique. In an attempt to create<br />
devices that overcome some of the current difficulties with existing<br />
technology, cardiology researchers are investigating alternative<br />
energy sources such as microwaves. This ARC funded project is a<br />
collaboration with the University of Technology.<br />
Imaging and cardiac function<br />
Echocardiography uses ultrasound waves to study cardiac structure<br />
and function. Ultrasound is a safe and effective way to visualize the<br />
heart. Researchers have used echocardiography to monitor and<br />
evaluate atrial size and function after procedures to treat atrial<br />
fibrillation. New techniques have been used to develop noninvasive<br />
parameters of total and segmental atrial function. Two and three<br />
dimensional atrial volume estimation has also been performed to<br />
evaluate atrial remodeling after restoration of normal rhythm. These<br />
results may help to alter techniques and treatments currently used<br />
for atrial fibrillation. This work is supported by funding from the<br />
National Heart Foundation.
Funding<br />
National Health & Medical Research Council Grants * 8,057,369<br />
Other Grants * 6,250,802<br />
Infrastructure Grants 2,317,232<br />
Other Income 875,578<br />
Total <strong>2005</strong> Income ($) 17,500,981<br />
Excludes income from hospital clinical trials. *Includes fellowships and scholarships.<br />
Funding Organisations<br />
In <strong>2005</strong> the <strong>Institute</strong> received research<br />
funding from the following major<br />
organisations. We thank them for<br />
their support.<br />
Australian Dental Research Foundation<br />
Australian Lung Foundation<br />
Anthony Rothe Foundation<br />
Australian Research Council<br />
Australian Centre for HIV and Hepatitis<br />
Virology Research<br />
Biogen<br />
Cancer <strong>Institute</strong> of NSW<br />
Clive and Vera Ramaciotti Foundation<br />
Commonwealth Department of Health and<br />
Ageing<br />
Cure Cancer Australia<br />
Dental Board of NSW<br />
GlaxoSmithKline<br />
Johnson & Johnson Research<br />
Heart Foundation of Australia<br />
Juvenile Diabetes Research Foundation<br />
Leukaemia Foundation<br />
Meat and Livestock Australia<br />
Merck, Sharpe and Dohme<br />
Motor Accident Authority of NSW<br />
National Breast Cancer Foundation<br />
National <strong>Institute</strong>s of Health USA<br />
National Health & Medical Research Council<br />
Novartis Pharmaceuticals Australia Pty Ltd<br />
NSW Cancer Council<br />
NSW Ministry for Science and Medical<br />
Research<br />
NSW Health<br />
Pfizer Pharmacia<br />
Philip Bushell Foundation<br />
Retina Australia<br />
Robert W Storr Bequest<br />
The <strong>Millennium</strong> Foundation<br />
University of Sydney
Organisation Chart<br />
WMI Advisory Board<br />
Chair – Mr Paul Bell<br />
Director<br />
Professor Tony Cunningham<br />
Divisions and groups<br />
Infection & Immunity<br />
Centre for Infectious Diseases and Microbiology<br />
Director, Prof Tania Sorrell<br />
Centre for Transplant and Renal Research<br />
Director - Transplantation, A/Prof Philip O’Connell<br />
Director - Renal Medicine, Prof David Harris<br />
Centre for Virus Research<br />
Director, Prof Tony Cunningham<br />
<strong>Institute</strong> of Dental Research<br />
Director, Prof Neil Hunter<br />
<strong>Institute</strong> for Immunology and Allergy Research<br />
Director, Prof Graeme Stewart<br />
Cancer<br />
<strong>Westmead</strong> <strong>Institute</strong> for Cancer Research<br />
Director, Prof Rick Kefford<br />
Liver & Metabolic<br />
Storr Liver Unit<br />
Director, Prof Geoff Farrell<br />
Director - Clinical Hepatology, Prof Jacob George<br />
Director - Molecular Pharmacology, Prof Christopher Liddle<br />
Neuroscience & Vision<br />
Brain Dynamics Centre<br />
Director, A/Prof Lea Williams<br />
Centre for Vision Research<br />
Director, Prof Paul Mitchell<br />
Cardio-respiratory<br />
Centre for Heart Research<br />
Director, Dr Pramesh Kovoor<br />
Ludwig Engel Centre for<br />
Respiratory Research<br />
Director, A/Prof John Wheatley<br />
Chief Operating Officer<br />
Mark Dado<br />
Scientific Operations<br />
Manager, Glenn Holden<br />
Facilities and Grant Administration<br />
Manager, Mark Smith<br />
Finance<br />
Manager, Mark Wissam<br />
Human Resources<br />
Manager, Amanda Clout<br />
Information Technology<br />
Manager, Ian Magee<br />
Communications<br />
Manager, Gayle McNaught<br />
Science Council<br />
Chair, A/Prof Christine Clarke
Advisory Board and<br />
Council of Governors<br />
Advisory Board Members<br />
Mr Paul Bell<br />
Chair<br />
Professor Gavin Brown AO, FAA<br />
Vice-Chancellor and Principal, University of Sydney<br />
Professor Peter Castaldi AO<br />
Chairman, Area Health Advisory Council,<br />
Sydney West Area Health Service<br />
Mr Philip Chronican<br />
Group Executive, Westpac Institutional Bank<br />
Professor Tony Cunningham<br />
Director, <strong>Westmead</strong> <strong>Millennium</strong> <strong>Institute</strong><br />
Mr Patrick Wilde<br />
President, The <strong>Millennium</strong> Foundation<br />
Mr James Wakim<br />
Past President, The <strong>Millennium</strong> Foundation<br />
Managing Director, Arab Bank Australia<br />
Governors<br />
Mr Jim Bosnjak OAM<br />
Chairman, Bosnjak Investment Group<br />
Professor Jeremy Chapman<br />
Network Director Acute Interventional Medicine,<br />
Sydney West Area Health Service<br />
Professor Ian Gust AO<br />
Professor Janice Reid<br />
Vice-Chancellor, University of Western Sydney<br />
Dr Peter Farrell<br />
Chief Executive Officer, ResMed Australia<br />
Mr David Greatorex AO
Staff List<br />
Infection and<br />
Immunity<br />
Centre for Virus<br />
Research<br />
Director<br />
Prof. Tony Cunningham<br />
Deputy Director<br />
Dr Barry Slobedman<br />
Admin Assistant<br />
Ms Janine Murray<br />
Lab Manager<br />
Ms Rebecca Howard<br />
Clinical Trials<br />
Clinical Trials Co-Ordinator<br />
Ms Maggie Piper<br />
Research Officer<br />
Ms Janette Taylor<br />
Cytomegalovirus<br />
Research<br />
Research Group Leader<br />
Dr Barry Slobedman<br />
Research Associate<br />
Dr Josh Stern<br />
Research Officer<br />
Miss Winnie Garcia<br />
PhD Students<br />
Mr Selmir Avdic<br />
Mr Allen Cheung<br />
Ms Joanne Tan<br />
Honours Student<br />
Mr Michael Godwin<br />
Herpes<br />
Immunopathogenesis<br />
Research Group Leaders<br />
Prof Tony Cunningham<br />
Dr Min Kim<br />
Dr Monica Miranda-Saksena<br />
Research Fellow<br />
Dr Hirotaka Takahashi<br />
(until February <strong>2005</strong>)<br />
Research Officer<br />
Dr Lidija Bosnjak<br />
Research Assistant<br />
Mr Bibing Tijono<br />
PhD Student<br />
Mrs Anupriya Aggarwal<br />
Overseas Exchange Student<br />
Mr Farhad Fazel<br />
Herpes Protein<br />
Chemistry<br />
Research Group Leader<br />
Dr Russell Diefenbach<br />
PhD Students<br />
Ms Debbie Ko<br />
Ms Branka Mijatov<br />
Ms April Morton<br />
Honours Students<br />
Miss Amber Campbell<br />
Ms Rachael Eddowes<br />
Ms Kathrina Ogden<br />
HIV Molecular<br />
Pathogenesis<br />
Research Group Leaders<br />
Prof Tony Cunningham<br />
Dr John Wilkinson<br />
Research Officers<br />
Ms Jennifer Clarke<br />
Dr Andrew Harman<br />
Dr Heather Donaghy<br />
Research Assistants<br />
Miss Joanne Dable<br />
Mr Joey Lai<br />
Miss Valerie Marsden<br />
Miss Monique Nicolle<br />
(until June <strong>2005</strong>)<br />
PhD Students<br />
Miss Kerrie Dunstan<br />
Dr Susan Maddocks<br />
Ms Sarah Watson<br />
HIV Protein Function<br />
and Interaction<br />
Research Group Leader<br />
Dr Sabine Piller<br />
Research Assistants<br />
Miss Jodi Allen<br />
Miss Eleanor Hitchen<br />
Mr Jeff Liang<br />
PhD Students<br />
Miss Judy Edmonds<br />
Ms Vicki Kassouf<br />
HIV Retroviral Genetics<br />
Research Group Leader<br />
Dr Nitin Saksena<br />
Research Fellow<br />
Dr Bin Wang<br />
Staff Specialist<br />
Dr Dominic Dwyer<br />
PhD Students<br />
Ms Da’ed Haddad<br />
Miss Meriet Mikhail<br />
(until May <strong>2005</strong>)<br />
Ms Megan Steain<br />
Masters Students<br />
Mrs Maria Arriaga<br />
Mr Hemal Joshi<br />
Ms Chenda Kol<br />
Mr Meet Shah<br />
Honours Student<br />
Miss Subotheni<br />
Thavaneswaran<br />
Varicella zoster<br />
Research<br />
Research Group Leader<br />
Dr Allison Abendroth<br />
Research Assistant<br />
Miss Elizabeth Sloan<br />
PhD Students<br />
Mr Joshua Bowles<br />
Ms Kavitha Gowrishankar<br />
Honours Student<br />
Ms Jennifer Huch<br />
<strong>Institute</strong> for Dental<br />
Research<br />
Director<br />
Prof. Neil Hunter<br />
Deputy Director<br />
Prof. Nick Jacques<br />
Honorary Research<br />
Associate<br />
A/Prof. John Gibbins.<br />
Honorary Research Fellow<br />
Dr Bettine Webb<br />
Senior Research Scientist<br />
Dr Derek Harty<br />
Senior Lecturer<br />
Dr Liz Martin<br />
Post-doctoral Fellow<br />
Ms Ping Ye<br />
Research Fellows<br />
Dr Roy Byun<br />
Dr Cheryl Chapple<br />
Dr Mangala Nadkarni<br />
Dr Cathy Rathsam<br />
Dr Peter Yun<br />
Research Assistants<br />
Miss Gina Browne<br />
Miss Ruth Eaton<br />
Tecnhical Officers<br />
Mrs Mara Cvejic<br />
Ms Mary Simonian
PhD Students<br />
Ms Kim Chhour<br />
Ms Alice Len<br />
Mrs Deborah Macarthur<br />
(until September <strong>2005</strong>)<br />
Ms Hong Yu<br />
<strong>Institute</strong> for<br />
Immunology and<br />
Allergy Research<br />
Director<br />
Prof. Graeme Stewart<br />
PA to Graeme Stewart<br />
Ms Helen Smart<br />
Lab Manager<br />
Mr Stephen Schibeci<br />
Clinical Trials Co-ordinator<br />
Mrs Pamela Burton<br />
Immunology<br />
Registrar<br />
Dr Lucinda Berglund<br />
Clinical Research Leaders<br />
Dr David Fulcher<br />
A/Prof. Rob Heard<br />
A/Prof. Connie Katelaris<br />
Viral Immunobiology<br />
and Apoptosis<br />
Research Group Leader<br />
Dr Lisa Sedger<br />
Research Assistant<br />
Mrs Sarah Osvath<br />
Honours Student<br />
Ms Maha Marmassani<br />
Genetics of Multiple<br />
Sclerosis<br />
Research Group Leader<br />
Dr David Booth<br />
Post-doctoral Fellow<br />
Dr Fiona McKay<br />
Research Assistant<br />
Mrs Najwa Marmash<br />
PhD Students<br />
Mr Matthew Bugeja<br />
Ms Suzy Teutsch<br />
(until April <strong>2005</strong>)<br />
Masters Student<br />
Miss Louisa Swain<br />
Immunogenetics<br />
Scientific Officer<br />
Dr Marc Buhler<br />
Immunogenetics of<br />
Asthma<br />
Research Group Leader<br />
Dr Graham Jones<br />
Research Assistant<br />
Ms Emily Clarke<br />
PhD Student<br />
Ms Natalie Hartley<br />
Honours Student<br />
Ms Nusrat Rahman<br />
Molecular Immunology<br />
Post-doctoral Fellow<br />
Dr Salvador Gala<br />
PhD Student<br />
Mr Elwyn Gabutero<br />
Centre for Transplant<br />
and Renal Research<br />
Director – Tranplantation<br />
A/Prof Philip O’Connell<br />
Director – Nephrology<br />
Professor David Harris<br />
Clinical Islet and<br />
Xenotransplantation<br />
Senior Research Fellow<br />
Dr Wayne Hawthorne<br />
Research Assistants<br />
Tina Patel<br />
Rebecca Stokes<br />
Jane Burgess<br />
Jennifer O’Hara<br />
Matthew Vitalone<br />
Kelly Hucker<br />
Students<br />
Abe Chandra<br />
Moses Wavamunno<br />
Satoshi Akima<br />
Meg Jardine<br />
Denbigh Simond<br />
Nephrology<br />
Senior Scientist<br />
Dr Yiping Wang<br />
Senior Research Officer<br />
Dr Deepika Mahajan<br />
Dr Guoping Zheng<br />
Research Assistants<br />
Yuet-Ching Tay<br />
Students<br />
Ying (Cindy) Wang<br />
Xiaohong (Jill) Qin<br />
Vincent Lee<br />
Chenchen Jiang<br />
Kidney Regeneration<br />
Research Group Leader<br />
Dr Gopala Rangan<br />
Research Assistants<br />
Jason Coombes<br />
Students<br />
Cam Ghatora<br />
Ellein Mreich<br />
Immunobiological Research<br />
Senior Research Fellow<br />
Dr Shounan Yi<br />
Research Assistant<br />
Hong Ha<br />
Students<br />
Ouyang Li<br />
Jing Jing Wu<br />
Lab Manager<br />
Gary Martinic<br />
Centre for Infectious<br />
Diseases and<br />
Microbiology<br />
Director<br />
Prof. Tania Sorrell<br />
PA to Tania Sorrell<br />
Mrs Ramona Negre<br />
Business Manager<br />
Ms Helen Pinchen<br />
Clinical<br />
Visiting Medical Officer<br />
Dr Kay McKinnon<br />
Public Health<br />
Research Epidemiologist<br />
Ms Heather Gidding
Bacterial Pathogenesis<br />
Research Group Leader<br />
A/Prof Jon Iredell<br />
Senior Research Officer<br />
Dr Sally Partridge<br />
Scientific Officer<br />
Mrs Belinda Roychoudhry<br />
Technical Officer<br />
Mrs Lee Thomas<br />
PhD Students<br />
Ms Jubelle Valenzuela<br />
Ms Deborah Blanckenberg<br />
Mr Bjorn Espedido<br />
Mr Andrew Ginn<br />
Mr Pierre Kyme<br />
(until September <strong>2005</strong>)<br />
Masters Student<br />
Mrs Lee Thomas<br />
Fungal Pathogenesis<br />
Research Group Leader<br />
Dr Julianne Djordjevic<br />
Senior Research Fellow<br />
Dr Uwe Himmelreich<br />
Senior Research Officer<br />
Dr Alfred Widmer<br />
Research Officer<br />
Dr Catherine Wu<br />
Ms Michelle Larsen<br />
(until July <strong>2005</strong>)<br />
Research Assistants<br />
Ms Sue Dowd<br />
Mrs Ranjini Ganendren<br />
Ms Christabel Wilson<br />
Technical Officer<br />
Ms Damla Power<br />
PhD Students<br />
Ms Orla Morissey<br />
Dr Geoffrey Playford<br />
Ms Atitee Rosemary Siafakas<br />
Miss Kylie Turner<br />
Molecular Mycology<br />
Research Group Leader<br />
A/Prof. Wieland Meyer<br />
Research Assistant<br />
Ms Krystyna Maszewska<br />
PhD Students<br />
Mr Popchai Ngamskulrungraj<br />
Miss Luciana Trilles<br />
(until September <strong>2005</strong>)<br />
Mr Haydar Karaoglu<br />
(until July <strong>2005</strong>)<br />
Masters Student<br />
Ms Patricia Escandon<br />
(until December <strong>2005</strong>)<br />
Mycology<br />
Senior Scientific Officer<br />
Dr Catriona Halliday<br />
Research Officer<br />
Ms Jesse Lay<br />
Honours Student<br />
Miss Anna Lau<br />
Virology<br />
Research Assistant<br />
Ms Belinda Herring<br />
Cancer<br />
<strong>Westmead</strong> <strong>Institute</strong> for<br />
Cancer Research<br />
Director<br />
Prof. Richard Kefford<br />
Deputy Director<br />
A/Prof. Ken Bradstock<br />
EA to Rick Kefford<br />
Ms Annette Arkell<br />
Secretary to Ken Bradstock<br />
Ms Ursula Tyndall<br />
Lab Manager<br />
Dr Greg Kaplan<br />
Admin Assistant<br />
Ms Carol Godson<br />
Technical Assistant<br />
Mrs Alicia Smith-Wildey<br />
Tissue Culture Co-ordinator<br />
Ms Caitlin van Holst Pellekaan<br />
Senior Scientific Officer,<br />
Flow Cytometry<br />
Ms Mary Sartor<br />
Breast Cancer<br />
Research Group Leader<br />
A/Prof. Christine Clarke<br />
Postdoctoral Fellow<br />
Dr Dinny Graham<br />
Research Officer<br />
Dr Patricia Mote<br />
Research Assistant<br />
Ms Usha Salagame<br />
PhD Students<br />
Ms Rebecca Arnett-Mansfield<br />
Miss Kelly Avery<br />
(until July <strong>2005</strong>)<br />
Ms Hazel Hill<br />
Breast Cancer<br />
Tissue Bank<br />
Project Manager<br />
Mrs Jane Carpenter<br />
Database Administrator<br />
Mr James Miller<br />
Cell Cycle Research<br />
Research Group Leader<br />
Dr Helen Rizos<br />
Post-doctoral Fellow<br />
Dr Jwan Khal<br />
(Until June <strong>2005</strong>)<br />
Research Officer<br />
Dr Therese Becker<br />
Research Assistants<br />
Ms Heather McKenzie<br />
Mrs Mal Irvine<br />
Miss Ana Ayub<br />
PhD Students<br />
Miss Prerna Badhwar<br />
Mr Stuart Gallagher<br />
Mr Sebastian Haferkamp<br />
Leukaemia Cellular<br />
Therapies<br />
Research Group Leader<br />
A/Prof. David Gottlieb<br />
Senior Scientific Officers<br />
Ms Vicki Antonenas<br />
Dr Anna Hansen<br />
Research Officer<br />
Dr Anita Gamvrellis<br />
Dr Haiping Sun<br />
(until February <strong>2005</strong>)<br />
Research Assistant<br />
Mr Leighton Clancy<br />
Mr Adam Cisterne<br />
(until April <strong>2005</strong>)<br />
Research Technician<br />
Miss Elles Simonetti<br />
(until February <strong>2005</strong>)<br />
PhD Students<br />
Ms Jenny Lau<br />
Dr Ken Micklethwaite<br />
Familial Cancer<br />
Clinical Director<br />
A/Prof. Judy Kirk<br />
Research Group Leader<br />
Dr Jenny Leary<br />
Registrar<br />
Dr Annabel Goodwin<br />
Research Fellow<br />
Dr Susan Shanley<br />
(until November <strong>2005</strong>)<br />
Hospital Scientist<br />
Ms Tracey Davis<br />
(until February <strong>2005</strong>)<br />
Scientific Officer<br />
Ms Barb Guild<br />
Research Assistant<br />
Ms Monique Dyson<br />
Genetic Counsellors<br />
Ms Sheridan O’Donnell<br />
(Until Feb <strong>2005</strong>)<br />
Ms Jaime Jessen<br />
Ms Poonam Zodgekar<br />
Data Managers<br />
Ms Abhinanda Roy<br />
Mrs Anna Silvester<br />
(until May <strong>2005</strong>)<br />
Mrs Nishath Syed<br />
Office Administrator<br />
Miss Cathleen Kuznesoff<br />
Gene Expression<br />
Research Group Leader<br />
Dr Beric Henderson<br />
Post-doctoral Fellows<br />
Dr Myth Tsz Shun Mok<br />
Dr Manisha Sharma<br />
Dr Mariana Brocardo<br />
Research Assistant<br />
Mr Cameron Flegg<br />
(until March <strong>2005</strong>)<br />
PhD Students<br />
Miss Wendy Au<br />
Mrs Varsha Tembe<br />
Gynaecological<br />
Oncology<br />
Research Group Leaders<br />
Dr Anna deFazio<br />
A/Prof Paul Harnett<br />
Research Officer<br />
Dr Lyndee Scurr<br />
Research Assistants<br />
Ms Catherine Kennedy<br />
Ms Yoke-Eng Chiew<br />
PhD Student<br />
Miss Natalie Gava<br />
Honours Student<br />
Miss Kylie Pryor
Leukaemia Cell Biology<br />
Research Group Leader<br />
Dr Linda Bendall<br />
Research Associate<br />
Dr John Hewson<br />
Research Officer<br />
Dr Aileen dela Pena<br />
Research Assistant<br />
Ms Rana Baraz<br />
PhD Students<br />
Ms Shiva Gaundar<br />
Mr Julius Juarez<br />
Mr Naveed Khan<br />
Melanoma and Genetic<br />
Epidemiology<br />
Research Group Leader<br />
A/Prof. Graham Mann<br />
Research Officer<br />
Dr Gulietta Pupo<br />
Biospecimen Manager<br />
Miss Chantelle Agha-Hamilton<br />
Project Co-ordinator<br />
Ms Helen Schmid<br />
Research Assistants<br />
Ms Elizabeth Holland<br />
Mr James Indsto<br />
Mrs Barbara Peters<br />
Mr Alex Russell<br />
Mrs Gina Sherry<br />
Ms Caroline Watts<br />
PhD Students<br />
Dr Caroline Thoo<br />
(until August <strong>2005</strong>)<br />
Dr Chaiyaporn<br />
Boonchalermvichian<br />
(until June <strong>2005</strong>)<br />
Mrs Robyn Dalziell<br />
Dr Sally de Zwaan<br />
Dr Angelo Sklavos<br />
Masters Student<br />
Mr Menno Dijksttra<br />
(until March <strong>2005</strong>)<br />
Translational Oncology<br />
Research Group Leaders<br />
A/Prof Christine Clarke<br />
Dr Rosemary Balleine<br />
Research Assistant<br />
Miss Pamela Provan<br />
PhD Student<br />
Miss Lucy Webster<br />
Liver and<br />
Metabolic<br />
Storr Liver Unit<br />
Director, Storr Liver Unit<br />
Prof. Geoff Farrell<br />
PA to Geoff Farrell<br />
Mrs Joan Longhurst<br />
(until February <strong>2005</strong>)<br />
Admin Assistant<br />
Mrs Dianne Stephens<br />
(until February <strong>2005</strong>)<br />
Lab Manager<br />
Ms Linda Frost<br />
Clinical Hepatology<br />
Director - Clinical<br />
Hepatology<br />
Prof Jacob George<br />
CCRE Project Leader<br />
Dr Rosemary Carney<br />
Clinical Research Fellow<br />
Dr Ian Cua<br />
Hepatitis C Project Officer<br />
Dr Priyanka Bandara<br />
Research Fellow<br />
Dr Dev Samarasinghe<br />
Dr Rita Lin<br />
Research Assistant<br />
Ms Shirley Coverdale<br />
PhD Student<br />
Dr Hossein Poustchi<br />
Clinical Trials<br />
Dietitian<br />
Mrs Jennifer Green<br />
Miss Lauren McGrath<br />
Registered Nurses<br />
Mrs Jasmin Canete<br />
Mrs Caroline Pfeffercorn<br />
Research Nurse<br />
Ms Seng Kee Teo<br />
Technical Officer<br />
Mrs Lee Russell<br />
Technical Officer<br />
Ms Keshni Sharma<br />
Secretary<br />
Ms Diane West<br />
PhD Student<br />
Ms Amanda Johnston<br />
(until July <strong>2005</strong>)<br />
Molecular Hepatology<br />
Clinical Research Fellow<br />
Dr Ian Bookman<br />
(until February <strong>2005</strong>)<br />
Senior Research Officer<br />
Dr Jun Yu<br />
(until June <strong>2005</strong>)<br />
Research Fellow<br />
Dr Narci Teoh<br />
(until September <strong>2005</strong>)<br />
Research Officers<br />
Ms Aileen dela Pena<br />
Ms Helen Hou<br />
Dr Liang Qiao<br />
(until May <strong>2005</strong>)<br />
Dr Rena (Hong Xia) Zhang<br />
Dr Deama Amr<br />
(until Nov <strong>2005</strong>)<br />
Research Assistants<br />
Mrs Jayshree Sesha<br />
Ms Wan Man Wu<br />
(until May <strong>2005</strong>)<br />
Senior Technical Officer<br />
Ms Jacqueline Field<br />
(until December <strong>2005</strong>)<br />
Technical Assistant<br />
Miss Jenny Cheng<br />
PhD Student<br />
Ms Claire Larter<br />
NASH Studies<br />
Research Officers<br />
Dr Roslyn London<br />
Dr Jianhua Wang<br />
Research Assistants<br />
Mrs Joanne Brymora<br />
Ms Natasha Pera<br />
Mr Mehdi<br />
Ramezani Moghadam<br />
Molecular<br />
Pharmacology<br />
Director - Molecular<br />
Pharmacology<br />
Prof Chris Liddle<br />
Secretary<br />
Ms Bev Hackett<br />
Clinical Research Fellow<br />
Dr Catherine Stedman<br />
(until April <strong>2005</strong>)<br />
Research Officer<br />
Dr Anne Lehnert<br />
Research Assistant<br />
Ms Sally Coulter<br />
Technical Assistant<br />
Ms Caroline Wilson<br />
Overseas Exchange Student<br />
Ms Marloes Nooitgedacht<br />
(until December <strong>2005</strong>)<br />
PhD Students<br />
Ms Deama Amr<br />
(until February <strong>2005</strong>)<br />
Miss Marina Kacevska<br />
Dr Rohini Sharma<br />
Neuroscience<br />
and Vision<br />
Brain Dynamics Centre<br />
Director<br />
A/Prof Lea Williams<br />
Deputy Director, Clinical<br />
Research<br />
Dr Anthony Harris<br />
Deputy Director, Basic<br />
Research<br />
Dr Chris Rennie<br />
Head, Integrative<br />
Neuroscience Program<br />
A/Prof Evian Gordon<br />
Head, Borderline Personality<br />
Research<br />
Emeritus Professor Russell<br />
Meares<br />
Project Officer<br />
Ms Jan Ambrose<br />
Computer Systems Officer<br />
Mr Alex Phan<br />
Attention Deficit<br />
Hyperactivity Disorder<br />
ADHD Co-ordinator<br />
Mr Daniel Hermens<br />
(also PhD Student)<br />
Post-doctorate/Fellow<br />
Dr Ilario Lazzaro<br />
(honorary)<br />
Clinical Investigators<br />
Dr Simon Clarke<br />
Dr Michael Kohn<br />
PhD Student<br />
Mr Nick Cooper
Brain Modelling<br />
Head of Unit<br />
Dr Chris Rennie<br />
Prof Peter Robinson<br />
Post-doctorate/Fellows<br />
Dr Michael Breakspear<br />
(honorary)<br />
Dr Jong-Won Kim<br />
Dr Peter Loxley<br />
Dr Donald Rowe<br />
(honorary)<br />
Senior Research Officer<br />
Dr Dimitri Melkonyan<br />
Research Associate<br />
Dr Peter Drysdale<br />
PhD Students<br />
Mr Matthew Barton<br />
Mr Alan Chiang<br />
Mr Jonathon Clearwater<br />
Mr Richard Gray<br />
Mr Hal Henke<br />
Mr Sacha Van Albada<br />
Ms HuiYing Wu<br />
Honours Student<br />
Mr Cliff Kerr<br />
Cognitive<br />
Neuroscience<br />
Head of Unit<br />
A/Prof Lea Williams<br />
Research Associates<br />
Ms Justine Gatt<br />
Ms Stacey Kuan<br />
Ms Danielle Mathersul<br />
(also see Depression)<br />
Ms Donna Palmer<br />
(also PhD Student)<br />
Ms Belinda Liddell<br />
(also PhD Student)<br />
PhD Students<br />
Ms Ainslie Hatch<br />
Mr Kristan Kang<br />
Ms Pamela Marsh<br />
Honours Students<br />
Ms Josephine D’Agostino<br />
Mr Stuart Grieve<br />
Ms Corinne Renneberg<br />
Depression<br />
Post-doc/Fellow<br />
Dr Andrew Kemp<br />
PhD Student<br />
Mr Patrick Hopkinson<br />
Honours Student<br />
Ms Danielle Mathersul<br />
Post-traumatic Stress<br />
Disorder<br />
Head of Unit<br />
Prof Richard Bryant<br />
Post-doctorate/Fellow<br />
Dr Kim Felmingham<br />
Research Associate<br />
Ms Elena Simms<br />
PhD Students<br />
Ms Leah Campbell<br />
Ms Erin Falconer<br />
Ms Fiona McCallum<br />
Schizophrenia<br />
Head of Unit<br />
Dr Anthony Harris<br />
Senior Research Officer<br />
Dr Pritha Das<br />
PhD Students<br />
Mr Gary Flynn<br />
Ms Daniella Toscana<br />
Mr Thomas Whitford<br />
Centre for Vision<br />
Research<br />
Director<br />
Prof. Paul Mitchell<br />
Deputy Director<br />
Dr Jie Jin Wang<br />
Admin Officer<br />
Ms Kirsten Jakobsen<br />
Admin Assistant<br />
Ms Maria Wang<br />
Ms Anastacia Rochtchina<br />
Senior Scientific Officer<br />
Dr Xiao Yang Wang<br />
Nutritional Epidemiologist<br />
Dr Vicki Flood<br />
Clinical Trials Co-ordinator<br />
Ms Amie Cho<br />
Data Entry<br />
Ms Gail Leddin<br />
Data Manager/Statistician<br />
Ms Elena Rochtchina<br />
Statistician<br />
Ms Annette Kifley<br />
Mr George Burlutsky<br />
Study Co-ordinator<br />
Ms Tania de Loryn<br />
Ms Rochelle Everill<br />
Ms Katherine Dabich<br />
(until March <strong>2005</strong>)<br />
Ms Sarah McDonald<br />
(until June <strong>2005</strong>)<br />
Ms Donella Burridge<br />
(until July <strong>2005</strong>)<br />
Photographic Grader<br />
Ms Bronwen Taylor<br />
Ms Victoria Casatto<br />
Ms Rita Perri<br />
(until July <strong>2005</strong>)<br />
Photographic Grader/Data<br />
Manager<br />
Miss Ava Tan<br />
Research Assistants<br />
Mr Michael Cosstick<br />
Dr Son Huynh<br />
Ms Mireille Moffitt<br />
Ms Nirvana Naidoo<br />
(until July <strong>2005</strong>)<br />
PhD Students<br />
Mr Alan Barclay<br />
Dr Ee-Munn Chia<br />
Ms Sudha Cugati<br />
Dr Samantha Fraserbell<br />
Dr Jenny Ip<br />
Dr Anne Lee<br />
Dr Gerald Lieu<br />
Dr Dana Robaei<br />
Dr Paul Healey<br />
Masters Student<br />
Dr Shweta Kaushik<br />
Dr Thuan Pham<br />
Dr Elvis Ojaimi<br />
Cardio-<br />
Respiratory<br />
Ludwig Engel Centre<br />
for Respiratory<br />
Research<br />
Director<br />
A/Prof. John Wheatley<br />
Associate Director, Research<br />
Dr Terence Amis<br />
PA to John Wheatley<br />
Mrs Kath Conquest<br />
Staff Specialists<br />
Dr Kristina Kairaitis<br />
A/Prof. Peter Middleton<br />
Dr Tracey Robinson<br />
Research Officer<br />
Dr Mervat Hallani<br />
Research Study<br />
Co-ordinator<br />
Mrs Sharon Lee<br />
IT Support Officer<br />
Miss Yarlini Gnaneswaran<br />
(until December <strong>2005</strong>)<br />
Cystic Fibrosis<br />
Co-ordinator<br />
Ms Jenny Bishop<br />
Research Assistants<br />
Mr Jerrad Borodzicz<br />
(until May <strong>2005</strong>)<br />
Ms Karen Bovington<br />
(until July <strong>2005</strong>)<br />
Ms Terese Davis<br />
(until September <strong>2005</strong>)<br />
Ms Lauren Howitt<br />
(until March <strong>2005</strong>)<br />
Miss Manisha Verma<br />
Mr Jason Amatoury<br />
Ms Louise Tyler<br />
Ms Joan Stevens<br />
PhD Student<br />
Ms Jyotishna Narayan<br />
Masters Student<br />
Ms Rita Perri<br />
Centre for Heart<br />
Research<br />
Director<br />
Dr Pramesh Kovoor<br />
Clinical Cardiac<br />
Senior Staff Specialist<br />
Prof. David Ross<br />
Cardiac research<br />
Staff Specialist/Senior<br />
Lecturers<br />
Dr Liza Thomas<br />
Dr Stuart Thomas<br />
Staff Specialist<br />
Dr Aravinda Thiagalingam<br />
Research Assistants<br />
Miss Michelle Mikhail<br />
Mr Gary Wu<br />
Mrs Anita Boyd<br />
Tecnhical Officers<br />
Mr Tony Barry<br />
Mrs Vicki Eipper<br />
PhD Student<br />
Mr Jim Pouliopoulos<br />
Masters Student<br />
Dr Suzanne Eshoo<br />
Mrs Tanya McKay<br />
Registered Research Nurse<br />
Fiona Cox<br />
(Until December <strong>2005</strong>)<br />
Arun Narayun<br />
(Start December <strong>2005</strong>)<br />
Annemarie Gerke<br />
(Start December <strong>2005</strong>)
Executive<br />
<strong>Institute</strong> Director<br />
Prof Tony Cunningham<br />
Chief Operating Officer<br />
Mr Mark Dado<br />
Executive Assistant<br />
Ms Claire Wolczak<br />
Operations &<br />
Support<br />
Operations Manager<br />
Mr Glenn Holden<br />
Manager, Facilities<br />
and Grant Administration<br />
Mr Mark Smith<br />
Finance Manager<br />
Mr Mark Wissam<br />
Human Resources Manager<br />
Ms Amanda Clout<br />
Marketing &<br />
Communications Manager<br />
Ms Gayle McNaught<br />
Lab Managers<br />
Ms Rebecca Howard<br />
Dr Greg Kaplan<br />
Ms Linda Frost<br />
Mr Stephen Schibeci<br />
Mr Gary Martinic<br />
IT Manager<br />
Ms Robyn Jones<br />
(until Feb <strong>2005</strong>)<br />
Mr Ian Magee<br />
Admin Officer<br />
Ms Brenda Wilson<br />
Biomedical Engineer<br />
Dr Rob Wilkins<br />
Safety & Training Officer<br />
Mr Brian Horsfield<br />
Computer Support Officers<br />
Ms Chris Cannon<br />
Mr Blair Lawton<br />
Mr Bruno Marion<br />
Mr Adrian Plummer<br />
Finance Officers<br />
Mr Satish Sharma<br />
Ms Debra Tucker<br />
Ethics Officers<br />
Mrs Tina Goodenough<br />
Mrs Paula Ewings<br />
HR Administrator<br />
Miss Amie Sellwood<br />
(until October <strong>2005</strong>)<br />
Reception<br />
Mrs Gail Ladner<br />
Research Facilities<br />
Co-ordinators<br />
Mrs Christine Browne<br />
Ms Caitlin van Holst Pellekaan<br />
Wash Room Technicians<br />
Ms Carol Devine<br />
Mrs Hongya Liu<br />
Stores Officer<br />
Mr Cecil Nast<br />
Core Research<br />
Facilities<br />
Bioinformatics<br />
Bioinformatics Officer<br />
Mr Michael Kirk<br />
(until October <strong>2005</strong>)<br />
Confocal Microscopy<br />
Imaging Officer<br />
Ms Jacqui Mills<br />
DNA Microarray<br />
Mircoarray Technician<br />
Mr Christopher Bye<br />
(until September <strong>2005</strong>)<br />
Ms Chi Hua<br />
(until April <strong>2005</strong>)<br />
Flow Cytometry<br />
Flow Cytometry Technician<br />
Ms Sanda Lum<br />
Histology<br />
Histology Technician<br />
Ms Aysen Yuksel<br />
Protein Production<br />
Facility<br />
Proteomics Officer<br />
Dr Eve Diefenbach<br />
Transgenics<br />
Transgenic Animal<br />
Co-Ordinator<br />
Ms Sandie Brown<br />
<strong>Westmead</strong> DNA<br />
Manager<br />
Mr Ilya Henner<br />
Technical Officer<br />
Mr Alex Shaw<br />
(until October <strong>2005</strong>)<br />
Electron Microscope<br />
Laboratory<br />
E.M. Unit Co-ordinator<br />
Mr Ross Boadle
Publications<br />
Adams LA, Bulsara M, Rossi E, DeBoer<br />
B, Speers D, George J, Kench J, Farrell<br />
G, McCaughan W and Jeffrey GP.<br />
Hepascore – An accurate validated<br />
predictor of liver fibrosis in chronic<br />
hepatitis C infection. Clinical Chemistry.<br />
51:1867-1873.<br />
Aghmesheh M, Edwards L, Clarke CL,<br />
Byth K, Katzenellenbogen BS, Russell<br />
PJ, Friedlander M, Tucker KM, de Fazio<br />
A. Expression of steroid hormone<br />
receptors in BRCA1-associated ovarian<br />
carcinomas. Gynecological Oncology<br />
97(1):16-25.<br />
Ahern V, Brennan M, Ung O, Kefford R.<br />
Locally advanced and inflammatory<br />
breast cancer. Aust Fam Physician.<br />
Dec;34(12):1027-32.<br />
Alexander DM Trengove C, Johnston P,<br />
Cooper T, August JP & Gordon E.<br />
Separating individual skin conductance<br />
responses in a short interstimulusinterval<br />
paradigm. J Neurosci Methods<br />
146, 116-123.<br />
Au WW, Henderson BR. The BRCA1<br />
RING and BRCT domains cooperate in<br />
targeting BRCA1 to ionizing radiationinduced<br />
nuclear foci. J Biol Chem<br />
280(8):6993-7001.<br />
Baird PN, Richardson AJ, Craig JE,<br />
Rochtchina E, Mackey DA, Mitchell P.<br />
The Q368STOP myocilin mutation in a<br />
population-based cohort: the Blue<br />
Mountains Eye Study. Am J<br />
Ophthalmology 139(6):1125-6<br />
Bandara P, George J, McCaughan G,<br />
Naidoo D, Lux O, Salonikas C, Kench J,<br />
Byth K, Farrell GC. Antioxidant levels in<br />
peripheral blood, disease activity and<br />
fibrotic stage in chronic hepatitis C.<br />
Liver Int 25(3):518-26.<br />
Becker TM, Ayub AL, Kefford RF, Mann<br />
GJ, Rizos H. The melanoma-associated<br />
24 base pair duplication in p16INK4a is<br />
functionally impaired. Int J Cancer<br />
20;117(4):569-73.<br />
Becker TM, Rizos H, de la Pena A,<br />
Leclercq IA, Woodruff S, Kefford RF,<br />
Mann GJ. Impaired inhibition of NFkappaB<br />
activity by melanomaassociated<br />
p16INK4a mutations.<br />
Biochem Biophys Res Commun.<br />
332(3):873-9.<br />
Bendall L, Campana D, Iwamoto S,<br />
Bradstock K. Chemokines and their<br />
receptors in disease. Histol Histopathol.<br />
20(3):907-26.<br />
Bendall LJ, Baraz R, Juarez J, Shen W,<br />
Bradstock KF. Defective p38 mitogenactivated<br />
protein kinase signaling<br />
impairs chemotaxic but not proliferative<br />
responses to stromal-derived factor-<br />
1alpha in acute lymphoblastic leukemia.<br />
Cancer Res. 65(8):3290-8.<br />
Bernhard OK, Diefenbach RJ,<br />
Cunningham AL. New insights into viral<br />
structure and virus-cell interactions<br />
through proteomics. Expert Rev<br />
Proteomics. 2(4):577-88.<br />
Booth DR, Arthur AT, Teutsch SM, Bye<br />
C, Rubio J, Armati PJ, Pollard JD,<br />
Heard RN, Stewart GJ; The Southern<br />
MS Genetics Consortium. Gene<br />
expression and genotyping studies<br />
implicate the interleukin 7 receptor in<br />
the pathogenesis of primary progressive<br />
multiple sclerosis. J Mol Med.<br />
83(10):822-30.<br />
Bosnjak L, Jones CA, Abendroth A,<br />
Cunningham AL. Dendritic cell biology<br />
in herpesvirus infections. Viral Immunol.<br />
18(3):419-33.<br />
Bosnjak L, Miranda-Saksena M, Koelle<br />
DM, Boadle RA, Jones CA,<br />
Cunningham AL. Herpes simplex virus<br />
infection of human dendritic cells<br />
induces apoptosis and allows crosspresentation<br />
via uninfected dendritic<br />
cells. J Immunol. 15;174(4):2220-7.<br />
Bradstock K. Lymphoma: the good, the<br />
bad and the ugly. Med Today 6(9): 25-33.<br />
Bradstock KF, Matthews JP, Lowenthal<br />
RM, Baxter H, Catalano J, Brighton T,<br />
Gill D, Eliadis P, Joshua D, Cannell P,<br />
Schwarer AP, Durrant S, Gillett A,<br />
Koutts J, Taylor K, Bashford J, Arthur C,<br />
Enno A, Dunlop L, Szer J, Leahy M,<br />
Juneja S, Young GA; Australasian<br />
Leukaemia and Lymphoma Group. A<br />
randomized trial of high-versus<br />
conventional-dose cytarabine in<br />
consolidation chemotherapy for adult<br />
de novo acute myeloid leukemia in first<br />
remission after induction therapy<br />
containing high-dose cytarabine. Blood.<br />
105(2):481-8.<br />
Breakspear M, Stam, CJ. Dynamics of<br />
a neural system with a multiscale<br />
architecture. Phil. Trans. R. Soc. B 1-24.<br />
Brennan M, French J, Houssami N, Kirk<br />
J, Boyages J. Breast cancer in young<br />
women. Aust Fam Physician.<br />
34(10):851-5.<br />
Brickman AM, Paul RH, Cohen RA,<br />
Williams LM, MacGregor KL, Jefferson<br />
AL, Tate DF, Gunstad J, & Gordon E.<br />
Category and letter verbal fluency<br />
across the adult lifespan: Relationship to<br />
EEG theta power Arch Clin<br />
Neuropsychology 20,<br />
561-573.<br />
Brocardo M, Nathke IS, Henderson BR.<br />
Redefining the subcellular location and<br />
transport of APC: new insights using a<br />
panel of antibodies. EMBO <strong>Report</strong>s<br />
6(2):184-90.<br />
Bryant RA, Felmingham KL, Kemp AH,<br />
Barton M, Rennie CJ, Gordon E &<br />
Williams LM. Neural networks of<br />
information processing in Posttraumatic<br />
Stress Disorder: A Functional MRI<br />
Study. Biol Psychiatry 58, 111-118.<br />
Bugeja MJ, Booth DR, Bennetts BH,<br />
Heard RN, Burgner D, Stewart GJ. An<br />
investigation of NOS2A promoter<br />
polymorphisms in Australian multiple<br />
sclerosis patients. Eur J Hum Genet.<br />
13(7):815-22.<br />
Bugge E, Nicholson IA, Thomas SP.<br />
Comparison of bipolar and unipolar<br />
radiofrequency ablation in an in vivo<br />
experimental model. Eur J Cardiothorac<br />
Surg. 28(1):76-80; discussion 80-2.<br />
Byrne JA, Balleine RL, Fejzo MS,<br />
Mercieca J, Chiew YE, Livnat Y, St<br />
Heaps L, Peters GB, Byth K, Karlan BY,<br />
Slamon DJ, Harnett P, Defazio A. Tumor<br />
protein D52 (TPD52) is overexpressed<br />
and a gene amplification target in<br />
ovarian cancer. Int J Cancer<br />
20;117(6):1049-54.<br />
Cali L, Wang B, Mikhail M, Gill MJ,<br />
Beckthold B, Salemi M, Jans DA, Piller<br />
SC, Saksena NK. Evidence for hostdriven<br />
selection of the HIV type 1 vpr<br />
gene in vivo during HIV disease<br />
progression in a transfusion-acquired<br />
cohort. AIDS Res Hum Retroviruses.<br />
21(8):728-33.<br />
Campana D, Iwamoto S, Bendall L,<br />
Bradstock K. Growth requirements and<br />
immunophenotype of acute<br />
lymphoblastic leukaemia progenitors.<br />
Blood 105(10):4150.<br />
Campbell LT, Currie BJ, Krockenberger<br />
M, Malik R, Meyer W, Heitman J, Carter<br />
D. Clonality and recombination in<br />
genetically differentiated subgroups of<br />
Cryptococcus gattii. Eukaryot Cell.<br />
4(8):1403-9.<br />
Chandrasekaran S, Rochtchina E,<br />
Mitchell P. Effects of caffeine on<br />
intraocular pressure: the Blue Mountains<br />
Eye Study. J Glaucoma. 14(6):504-7.<br />
Chapman JR, O’Connell PJ, Nankivell<br />
BJ. Chronic renal allograft dysfunction.<br />
J Am Soc Nephrol. 16(10):3015-26.<br />
Chapman JR. Commentary:<br />
harmonizing the regulators.<br />
Transplantation. 79(6):638.<br />
Chapman JR. Longitudinal analysis of<br />
chronic allograft nephropathy:<br />
Clinicopathologic correlations. Kidney<br />
Int Suppl. 99:S108-12.<br />
Chew CB, Potter SJ, Wang B, Wang<br />
YM, Shaw CO, Dwyer DE, Saksena NK.<br />
Assessment of drug resistance<br />
mutations in plasma and peripheral<br />
blood mononuclear cells at different<br />
plasma viral loads in patients receiving<br />
HAART. J Clin Virol. 33(3):206-16.<br />
Chhour KL, Nadkarni MA, Byun R,<br />
Martin FE, Jacques NA, Hunter N.<br />
Molecular analysis of microbial diversity<br />
in advanced caries. J Clin Microbiol<br />
43(2): 843-9<br />
Chua B, Kifley A, Wong TY, Mitchell P.<br />
Homocysteine and retinal vein<br />
occlusion: a population-based study.<br />
American Journal of Ophthalmology<br />
139(1):181-2<br />
Chua B, Rochtchina E, Mitchell P.<br />
Temporal changes in the control of<br />
blood pressure in an older Australian<br />
population. Journal of Human<br />
Hypertension 19(9):691-6<br />
Chua R, Thomas SP. Infrequent<br />
syncope in a heavy vehicle driver.<br />
Pacing Clin Electrophysiol. 28(4):346-7.<br />
Coen M, O’Sullivan M, Bubb WA,<br />
Kuchel PW, Sorrell T. Proton nuclear<br />
magnetic resonance-based<br />
metabonomics for rapid diagnosis of<br />
meningitis and ventriculitis. Clin Infect<br />
Dis. 1(11):1582-90.<br />
Coleman P, Harris DCH, Wigmore T,<br />
Stachowski E, Graudins A. Delayed<br />
neurologic sequelae resulting from<br />
epidemic diethylene glycol poisoning.<br />
Clinical Toxicology 43: 155-159.<br />
Convenor DV, Robertson A, Chapman<br />
J, Chadban S. Deceased kidney donor<br />
suitability guidelines. Nephrology 10 :<br />
S116-132.<br />
Coombes JD, Mreich E, Liddle C,<br />
Rangan GK. Rapamycin worsens<br />
renal function and intratubular cast<br />
formation in protein overload<br />
nephropathy. Kidney Int. 68(6):2599-607.<br />
Cooper N, Debrota D, Keage H,<br />
Hermens D, Williams LM, Clark CR,<br />
Gordon E.The dose-dependent effect of<br />
methylphenidate on performance,<br />
cognition and psychophysiology. J<br />
Integrative Neurosci. 4, 123-144.<br />
Cosstick M, Robaei D, Rose K,<br />
Rochtchina E, Mitchell P. Numerical<br />
confusion errors in ishihara testing:<br />
findings from a population-based study.<br />
Am J Ophthalmol. 140(1):154-6.<br />
Crowther H, Collins D, Antonenas V,<br />
McGurgan M, Kerridge I, Gottlieb D,<br />
Bradstock K. Successful autologous<br />
peripheral blood stem cell harvest and<br />
transplant in a patient with cold<br />
agglutinins. Bone Marrow Transplant.<br />
Nov 21; [Epub ahead of print]<br />
Cua IH, George J. Non-alcoholic<br />
fatty liver disease. Hosp Med.<br />
66(2):106-11. Review.<br />
Cugati S, Cikamatana L, Wang JJ,<br />
Kifley A, Liew G, Mitchell P. Five-year<br />
incidence and progression of vascular<br />
retinopathy in persons without diabetes:<br />
the Blue Mountains Eye Study. Eye. Sep<br />
16; [Epub ahead of print]<br />
Das P, Kemp AH, Liddell BJ, Brown KJ,<br />
Olivieri G, Peduto A, Gordon E, Williams<br />
LM. Pathways for fear perception:<br />
Modulation of amygdala activity by the<br />
thalamo-cortical systems. NeuroImage.<br />
26, 141-148<br />
Dela Pena A, Leclercq I, Field J, George<br />
J, Jones B, Farrell G. NF-kappaB<br />
activation, rather than TNF, mediates<br />
hepatic inflammation in a murine dietary<br />
model of steatohepatitis.<br />
Gastroenterology. 129(5):1663-74.<br />
Djordjevic JT, Del Poeta M, Sorrell TC,<br />
Turner KM, Wright LC. Secretion of<br />
cryptococcal phospholipase B1 (PLB1)<br />
is regulated by a glycosylphosphatidylinositol<br />
(GPI) anchor.<br />
Biochem J. Aug 1;389(Pt 3):803-12.
Elder G. Parathyroidextomy in the<br />
calcimimetic era. Nephrology 10: 511-15<br />
Elder EE, Elder G, Larsson C.<br />
Pheochromocytoma and functional<br />
paraganglioma syndrome: no longer the<br />
10% tumour. J Surg Oncol 89: 193-201.<br />
Esteban LM, Fong C, Amr D, Cock TA,<br />
Allison SJ, Flanagan JL, Liddle C,<br />
Eisman JA, Gardiner EM. Promoter-,<br />
cell- and ligand-specific transactivation<br />
responses of the VDRB1 isoform.<br />
Biochem Biophys Res Commun. 19: 9-15.<br />
Farrell GC. Signalling links in the liver:<br />
knitting SOCS with fat and<br />
inflammation. J Hepatol. 43(1):193-6.<br />
Farrell GC, George J, Hall PM,<br />
McCullough A (Editors). Fatty liver<br />
disease: NASH and related disorders.<br />
Blackwell Publishing, London. 1-320.<br />
Farrow TFD Whitford TJ, Williams LM,<br />
Gomes L, Harris AWF. Diagnosis-related<br />
regional grey matter loss over two years<br />
in first episode schizophrenia and bipolar<br />
disorder. Biol Psychiatry. 58: 13-723.<br />
Gallagher S, Kefford RF, Rizos H.<br />
Enforced expression of p14ARF induces<br />
p53-dependent cell cycle arrest but not<br />
apoptosis. Cell Cycle. 4(3):465-72.<br />
Geevasinga N, Kairaitis L, Rangan GK,<br />
Coleman PL. Acute interstitial nephritis<br />
secondary to esomprazole. Med J Aust<br />
182: 235-36.<br />
Golding M, Mitchell P, Cupples L. Risk<br />
markers for the graded severity of<br />
auditory processing abnormality in an<br />
older Australian population: the Blue<br />
Mountains Hearing Study. J Am Acad<br />
Audiol. 16(6):348-56.<br />
Gordon E, Cooper N, Rennie C,<br />
Hermens D, WilliamsLM. Integrative<br />
neuroscience: the role of a standardised<br />
database. Clinical EEG and Neurosci.<br />
36: 64-75.<br />
Gorry PR, Churchill M, Crowe SM,<br />
Cunningham AL, Gabuzda D.<br />
Pathogenesis of macrophage tropic<br />
HIV-1. Curr HIV Res. 3(1):53-60.<br />
Graham JD, Yager ML, Hill HD, Byth K,<br />
O’Neill GM, Clarke CL. Altered<br />
progesterone receptor isoform<br />
expression remodels progestin<br />
responsiveness of breast cancer cells.<br />
Mol Endocrinol. 19(11):2713-35.<br />
Gray L, Sterjovski J, Churchill M, Ellery<br />
P, Nasr N, Lewin SR, Crowe SM,<br />
Wesselingh SL, Cunningham AL, Gorry<br />
PR. Uncoupling coreceptor usage of<br />
human immunodeficiency virus type 1<br />
(HIV-1) from macrophage tropism<br />
reveals biological properties of CCR5-<br />
restricted HIV-1 isolates from patients<br />
with acquired immunodeficiency<br />
syndrome. Virology. 337(2):384-98.<br />
Grieve S, Clark CR, Williams LM,<br />
Gordon E. Preservation of limbic and<br />
paralimbic regions with aging. Human<br />
Brain Mapping. 25:391-401.<br />
Grigg AP, Reynolds J, McQuillan A,<br />
Juneja SK, Di Iulio J, Hui C, Smith C,<br />
Kimber R, Bradstock KF. Prognostic<br />
features for response and survival in<br />
elderly patients with de novo acute<br />
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Thompson JF, Scolyer RA, Kefford RF.<br />
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The <strong>Millennium</strong> Foundation<br />
The <strong>Millennium</strong> Foundation<br />
is the main fundraising body<br />
supporting <strong>Westmead</strong><br />
<strong>Millennium</strong> <strong>Institute</strong>.<br />
The Foundation assists the <strong>Institute</strong> by providing scholarships and<br />
grants each year. These grants include ‘initiating’or ‘start-up’ grants<br />
which enable young doctors and scientists to commence an<br />
exciting and significant career in medical research. ‘Top-up’ grants<br />
are then provided to enablethe continuation of their vital work.<br />
Additionally, the Foundation raises funds to support our research<br />
teams to continue the ongoing search for cures and treatments.<br />
Funds are raised typically from a number of sources including<br />
corporate partners, individual donors, community giving, bequests<br />
and events.<br />
Fundraising highlights for <strong>2005</strong><br />
A Night With The Stars – Held at the Westin Hotel Sydney in March<br />
<strong>2005</strong>, a record 860 guests, where entertained by a host of well<br />
known stars and celebrities as well as leading politicians. Guests<br />
dug deep and an outstanding $500,000 was raised on the night.<br />
A big thank you to Yum! Restaurants International and all other<br />
sponsors and supporters of the night.<br />
Pollie Pedal <strong>2005</strong> – The 7th Pollie Pedal was held in April with<br />
participants cycling over 1,000 kms from Sydney to Tamworth and<br />
back to Sydney. Organised by The Hon Tony Abbott’s office and<br />
The <strong>Millennium</strong> Foundation, this year’s ride raised a record<br />
$200,000. We are grateful for the support of sponsors and the<br />
cyclists who participated in the event.<br />
Clubs Race Day – The <strong>Millennium</strong> Foundation’s annual Club Race<br />
Day held at Rosehill Gardens is always a great event on our<br />
calendar. Always well supported by the clubs of Western Sydney<br />
and their suppliers, the day raised $52,000.<br />
Holroyd Rotary Princess Quest – Six lively and enthusiastic young<br />
women took on the task of raising money for the <strong>2005</strong> Holroyd<br />
Rotary Princess Quest which benefited Ovarian Cancer. Together<br />
they raised a outstanding $50,000.<br />
Chinese Banquet – The NSW Chefs Association held its inaugural<br />
Charity Gala Dinner in November 2004. 30 of NSW’s most famous<br />
Chinese Chefs prepared a sumptuous eight course dinner and<br />
raised over $40,000 to aid a liver disease laboratory. Thank you to<br />
the NSW Chefs Association.<br />
How can you help us?<br />
Medical research relies on the support<br />
of individuals, business, community and<br />
service groups.<br />
Any assistance you can give, large or small,<br />
is valuable and amounts over $2.00 are tax<br />
deductible.<br />
Donations can be made by sending a<br />
cheque, money order or credit card details<br />
to the following address:<br />
The <strong>Millennium</strong> Foundation<br />
PO Box 74<br />
<strong>Westmead</strong> NSW 2145<br />
Telephone +61 2 9845 6289<br />
Fax +61 2 9687 0956<br />
Email foundation@wmi.usyd.edu.au<br />
For more information about how you<br />
can help support medical research,<br />
call our toll free number: 1800 639 037
<strong>Westmead</strong> <strong>Millennium</strong><br />
<strong>Institute</strong> at a glance<br />
Research Divisions<br />
Infection and Immunity<br />
Centre for Infectious Diseases and Microbiology<br />
Centre for Virus Research<br />
Centre for Transplant and Renal Research<br />
<strong>Institute</strong> of Dental Research<br />
<strong>Institute</strong> for Immunology and Allergy Research<br />
Cancer<br />
<strong>Westmead</strong> <strong>Institute</strong> for Cancer Research<br />
Liver and Metabolic<br />
Storr Liver Unit<br />
Neuroscience and Vision<br />
Brain Dynamics Centre<br />
Centre for Vision Research<br />
Cardio-respiratory<br />
Centre for Heart Research<br />
Ludwig Engel Centre for Respiratory Research<br />
Core Research Facilities<br />
Bioinformatics<br />
Confocal Microscope<br />
DNA Microarray<br />
DNA Sequencer<br />
Electron Microscope<br />
Flow Cytometry<br />
Protein Production<br />
DNA irradiation<br />
Collaborative Research Centres<br />
NHMRC Centre of Clinical Research<br />
Excellence to Improve Outcomes in Chronic<br />
Liver Disease<br />
NHMRC Centre of Clinical Research<br />
Excellence in Renal Medicine<br />
NHMRC Centre of Clinical Research<br />
Excellence to Improve Outcomes in<br />
Immunosuppressed Haematology Patients<br />
Australian Centre for HIV and Hepatitis<br />
Virology Research<br />
The Sydney Myopia Study<br />
The Sydney Paediatric Eye Study<br />
The Blue Mountain Eye Study<br />
Australian Melanoma Family Study<br />
NSW Breast Cancer Tissue Bank<br />
International Melanoma Consortium<br />
Kathleen Cuningham Foundation Consortium<br />
for Research into Familial Breast Cancer<br />
The IDEAL Trial - Initiating Dialysis<br />
Early and Late<br />
Genes Associated with Multiple Sclerosis<br />
in Europeans (GAME)<br />
Swedish and Australian Collaboration<br />
for Research into Atopic Dermatitis<br />
National Pancreas Transplantation Centre<br />
designed and produced by the gallery
Darcy Road, PO Box 412<br />
<strong>Westmead</strong> NSW Australia<br />
Telephone +61 2 9845 9000<br />
Fax +61 2 9845 9100<br />
www.wmi.usyd.edu.au