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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 />

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Sartor M, Antonenas V, Garvin F, Webb<br />

M, Bradstock KF. Recovery of viable<br />

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Taylor HR, Keeffe JE, Vu HTV, Wang JJ,<br />

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Thiagalingam A, Pouliopoulos J, Barry<br />

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Thompson JF, Scolyer RA, Kefford RF.<br />

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Thornton J, Edwards R, Mitchell P,<br />

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van den Heuvel MJ, Chantakru S,<br />

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Verran D, Sheridan A, Barnwell A,<br />

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Vittone V, Diefenbach E, Triffett D,<br />

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Wang Y, Mahajan D, Tay YC, Bao S,<br />

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DC. Partial depletion of macrophages<br />

by ED7 reduces renal injury in<br />

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Wavamunno MD, Harris DC. The need<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

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