Predicting The Long Term Lung Health Outcomes In Young Adults Born Very Preterm
Funder
National Health and Medical Research Council
Funding Amount
$854,201.00
Summary
Preterm birth and its resulting lung problems can lead to breathing problems during childhood and into adult life. There are very few lung health studies that have tracked preterm individuals from childhood and into early adult life. This study will conduct a detailed lung health assessment in a follow-up of a group of preterm individuals at 19 years of age. We aim to identify if information we obtained in the group at 6 and 11 years can predict how the lungs look and behave at 19 years of age.
The Role Of Lung Volume In The Pathogenesis And Treatment Of Obstructive Sleep Apnea.
Funder
National Health and Medical Research Council
Funding Amount
$337,691.00
Summary
Obstructive sleep apnea (OSA) is a common disorder of repetitive upper airway collapse during sleep. Reducing the volume of air in the lungs increases airway collapsibility. Lung volume is therefore likely important in OSA but has not been investigated thoroughly. Also, whether raising lung volume during sleep can be used to treat OSA is unknown. The aim of this grant is therefore to investigate the role, and therapeutic potential, of lung volume in OSA.
Mechanisms Of Impaired Bronchodilator Response Associated With Fatty Acid Intake In Obese Asthma
Funder
National Health and Medical Research Council
Funding Amount
$694,365.00
Summary
Obese asthmatics typically have a high dietary fat intake, which reduces the efficacy of their asthma medications. We will determine which types of dietary fat affect asthma medications. We will also determine which asthma medications are affected by a high fat load. Finally, we will examine the mechanisms by which fatty acids affect the efficacy of asthma medications. This is will inform new treatment options for managing the many obese asthmatics who are not able to achieve weight loss.
Increased Airway Smooth Muscle Mass As An Independent Determinant Of Asthma Pathogenesis And Severity
Funder
National Health and Medical Research Council
Funding Amount
$409,966.00
Summary
Asthma is a major health burden to the community. The most common form of the disease is allergic asthma and it is thought that allergic inflammation drives associated airway abnormalities including increased airway smooth muscle (ASM) mass. This study tests a new hypothesis that airway abnormalities and allergy have separate origins but combine to produce allergic asthma, and it’s the individuals with the greatest amount of ASM who develop clinically severe asthma.
Airway Extracellular Matrix And Smooth Muscle In Chronic Obstructive Pulmonary Disease (COPD)
Funder
National Health and Medical Research Council
Funding Amount
$828,849.00
Summary
In asthma the layer of airway smooth muscle is thicker, due to more muscle cells. Airway narrowing is excessive but reversible. In chronic obstructive pulmonary disease (due mainly to smoking) the layer of airway smooth muscle is also thicker but the airways cannot be induced to open, or close. Our data suggest that this fixed airway narrowing is likely to be due to an excess of matrix between cells rather than muscle. This project will comprehensively test this new finding.
Ontogeny Of The Airway Smooth Muscle Layer In Health And Disease
Funder
National Health and Medical Research Council
Funding Amount
$535,914.00
Summary
In asthmatic patients the thickness of the airway smooth muscle (ASM) layer is increased early in life and even before doctor-diagnosis. An intriguing possibility is our overarching hypothesis that the ASM layer is thickened from birth and represents an independent risk factor for the development of asthma. This project strives to understand better how the ASM layer matures from late gestation to adulthood and whether abnormal maturation contributes to disease susceptibility.
Heterogeneity Of Airway Smooth Muscle Remodelling In Asthma
Funder
National Health and Medical Research Council
Funding Amount
$623,078.00
Summary
Increased smooth muscle in the airways causes excessive narrowing and asthma symptoms. The distribution of the increased muscle in the lung varies between people with asthma and may determine how severe the asthma is and what treatments are best. This project will use tissues from many cases of asthma to map this distribution and will use laser scanning in the airways to develop a test to safely examine the smooth muscle in living people, in order to better treat or prevent asthma.
Predicting Treatment Response To Mandibular Advancement Splints: A Novel Biomechanical Imaging Method
Funder
National Health and Medical Research Council
Funding Amount
$689,062.00
Summary
Mandibular advancement splints are an alternative to continuous positive airway pressure for patients with Obstructive Sleep Apnoea (OSA). However, they are effective for only about half of OSA patients, and it is not currently possible to predict who will benefit. This project will explore a new magnetic resonance imaging method to see if it can predict who will respond to mandibular advancement splint therapy.
G-CSF: A Pathogenic Effector In Chronic Obstructive Pulmonary Disease And Its Comorbidities
Funder
National Health and Medical Research Council
Funding Amount
$1,241,551.00
Summary
Chronic Obstructive Pulmonary Disease (COPD) is an incurable lung disease that is a huge global health burden, and new therapies are urgently needed. We have recently discovered a possible cause of COPD. This single factor also appears to drive other associated medical problems that are the biggest contributors to patient deterioration. Using advanced genetics, biochemistry and molecular methods we are searching for ways to turn our discovery into effective treatments for this fatal disease.
Modifying Epigenetics As A Novel Treatment In COPD
Funder
National Health and Medical Research Council
Funding Amount
$1,122,854.00
Summary
Smoking leads to inflammation that causes emphysema, which is a major health problem. Once induced there is a progressive decline in health, which continues even after stopping smoking. There are no treatments that halt this decline. Recently smoking-induced changes in genes have been discovered that control inflammation. We may be able to reverse these changes and stop the induction and progression of emphysema. This project may lead to a completely new way of preventing and treating emphysema.